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I have been trying to get a referral for a few years at Kaiser. My first PCP said the surgery doesn't work, switched PCP's, he refused to consider any weight loss options. I have a new PCP, he referred me to the Options Program, which gave the infamous Nestle Shakes, shots, prepared meals, and pills as ways to loose weight, but not any surgical options. When I asked about surgical options, the Options Staff told me I needed a Bariatric Referral through Options. I asked my newest PCP, he said he gave me the referral. I called back to the Bariatrics section, they told me he had not. Anyone experience this? What did you do to fix it? I have tried all the Options presented, not interested in yo-yo dieting again. Thank you.

I am so frustrated by this. I spoke with my surgeon and OB and no real answer as to the reason behind this. I’ve bled 22 of the last 30 days. All I can do is cry at this point. Either I’m bloated and camping or bleeding😩😩😩 OB did. suggest I take estradiol for 14 days to try and help stop it. So far it has not helped. This just makes the process more stressful for sure. that combines with the fact that I am loosing so slow. All I want to do is curl up in a ball😭

I was lucky I guess, I always knew that this surgery for me. I have many surgeries and have a c'est la vie attitude. I would have been the first guinea pig to have this surgery, that's how much I wanted it. I just needed to have the money spare to do it. So I lost weight and gained weight and gained more weight for 40 years. In the end I was as unhealthy as was possible, I had no joy. My day was so different to now. My life is fantastic, I fit in the world, I am so happy. I want you to feel this too. Go for it, what do you have to loose ?

Definitely check with your bariatric team. I was told nothing with coconut because that can get stuck. The literature they gave me says to avoid fruits with seeds, the skins of the fruits, and the membranes of citrus. Right now, I can eat 10 fresh cherries and have no issues.

Day 1 after surgery - 2 weeks I could have unsweetened applesauce. 2-5 weeks I could have canned fruit packed in water or if packed in juice drain and rinse before eating (no skins, peels, seeds, dried fruit or fruit juice). 5 weeks on I could have raw fruit. No restrictions on type.

Check with your team because as @SleeveToBypass2023 said it depends on the fruit. And it depends on the plan your team has you on. For example blueberries were fine but not strawberries because of the little seeds on their skin for me. I was also allowed watermelon which you’d think would be a no so … 🤷🏻‍♀️Also ask about their portions recommendations too.

Loose skin. It took me 4 years to reach goal after adopting intermittent fasting and now I am trying to decide if I want any plastics. Seems kind of silly at my age (65) to spend the $$ and it really does not bother me too much (just no sleeveless tops or shorts and Spanx). I have retired and would rather spend the money on travel...

Hi surgery twin. I am loosing weight so slow since surgery. My weight constantly fluctuates. I haven’t lost 20 since surgery so you are doing good. I also feel the food slide down sometimes. When this happens, I take smaller bites and chew more. I literally track everything. I’m going to try walking more also to see if that helps. I weight in weekly and It’s so defeating not to see the scale move.

I have developed a few food aversions since my surgery 18 months ago. On top of the list are fries and scrambled eggs. I can't seem to be able digest it anymore and it will sit like a stone in my stomach. Other aversions include deep fried in general and specially chicken (I'm not too worried about this haha), cucumbers with skin on (strange much) and pizza.

I love the outdoors, so hiking/backpacking and trail running are my main cardio exercises right now. I also strength train 2-4 times a week, depending on what routine I'm doing and what else I'm doing cardio-wise. Before surgery, I would have been pushing it to walk to the end of the block, so I mostly just didn't bother. To me, I don't think of any of the activities I do strictly as something to help me lose or maintain weight. Honestly, fat loss mostly comes from the kitchen, Instead, I partake in these activities because I enjoy them, but perhaps even more importantly, they make me healthier and will hopefully lead to more time here on this planet. Regarding loose skin, I have been able to "fill in" some of it on my arms and legs with muscle. I attribute this to my overall workout plan, not to any specific thing. You didn't really ask, but I wanted to share a few additional things with you: While as you've seen in this thread not everyone is active post-surgery, the data is clear on this: those bariatric surgery patients that partake in at least 60 minutes of moderate physical activity 5-6 days a week are significantly more likely to reach their goal weight and maintain their weight-loss long-term. That does not mean you can't be successful without exercise, but it does mean you can greatly tip the odds in your favor if you're active. Both cardio and strength training are important. While cardiovascular exercise has obvious heart-health benefits (that's why it's called cardio after all), it also helps with your overall physical endurance and energy levels, so everything else you do physically just becomes a lot easier. Strength training, in addition to helping you look and feel better physically also increases your metabolism so that you burn even more calories even at rest. It's hard to argue with the benefits of that on weight loss. Strength training will have no direct effect on loose skin. As I implied above, what it can do is help fill out that loose skin with some muscle instead of fat. This is probably going to be more in the arms and legs than in your belly for obvious reasons. Keep in mind though that your ability to add muscle mass is highly impacted by age, genetics, epigenetics, diet and biological sex, among other things. My point is that while some people can "fill in" that lose skin by adding muscle mass, it's by no means assured or even realistic for most of us. It's sometimes misleading to think of strength training as the only thing that builds muscle. Even just walking can help, depending of where you're starting from. Like all exercise, the key is continuing to progress. Once you stagnate, you'll stop improving your health. In short, I highly recommend partaking in both cardio and strength training. If you need help knowing what to do, seek out the assistance of a reputable trainer.

This is more so just a rant I guess, ever since I began this weight loss journey and trying to get to my final goal of gastric bypass I have had countless people tell me surgery is the easy way out and I've had people pretty much judge my worth based off of how fat or skinny I am. I had someone at work tell me how I would look better once I lost the weight which I agree but she went into detail about my face and how fat it was. How my eye lids have too much skin on them which I'm not sure what she's talking about because my eyes look normal? She then proceeded to tell me how going to the gym and eating better and drinking water would help me. I've been following my dietician, I've been drinking more than 64 oz of water a day and doing my workouts and she just said "oh". Mind you she weighs 110 lbs telling me all this with her fast metabolism. I guess I'm just extra self-conscious now and I wish women especially were more empowering.

My weight and other related illnesses made me so disabled, that hoovering a room was my exercise for the day. Vegetables were chopped sitting down. My life was indoors. After I lost about 70lbs and summer came to my part of the world, I started walking. It was so hard to gain enough stamina to walk into our small market town but I eventually did it. I am not allowed to drive anymore due to bad vision so I walk everywhere and anywhere. I volunteer in a charity store and go on day long shopping trips with friends. I still find it amazing that I can do so many things again. I knew I would get loose skin. My age was always against me. After menopause all the elasticity in my skin disappeared. My problem now is that I have masses of loose skin. I look great with clothes on but look shocking butt naked. I really want to go back to the pool which I loved pre covid but hate the idea of showing this new body now. I am sure the skin holds me back more than the 150lbs ever did ! If I had the money to have all the skin surgeries then I would but as I can only afford arms I wonder if its worth bothering.

Prior to surgery, I was walking, but not consistently. I will walk one week, then stop for two, then start again etc. Once I decided to do the surgery, I do not recall trying to follow any exercise program. I did not start walking until about 6 weeks post op, 2x a week. I was cleared by that time for strength training but still had some minor tingling in the big incision so was advised to do core exercises as I could handle them. I had all intentions to start a strength training program I had purchased end of January but did not start until March and have been following consistently. This consist of strength training with weights and resistance bands, 5x a week and depending on the week range from 30min to 45 min. Loose skin depends on too many factors to determine. I was told by my doctor that anyone who is loosing over 100lbs will have loose skin, the severity will vary by those factors. I personally thought I will have more loose skin, but being 20lbs or so from goal, I feel like I only have in my arms and breast, the other areas are not that much and I feel like by building muscle they will look a little better. Note that if you do decide to start adding strength training to your exercise routine, the number on scale will be different as you are gaining muscle and loosing inches. Some people have a hard time with that. I personally have shifted my focus to body composition instead of the number on the scale since I'm 8 months post op and reached my original goal weight.

In answer to your question ........ I was a couch potato before my RNY back in last May last year. Walking past three houses was exhausting. So I rarely walked. So I began walking. Each week/month I went a little further and further. i can now walk 5 k easily. Walking is a great way to start to get fit. Then I started to do a small amount of strength exercises. It only been the last month that I have done cardio. I walk, use a recumbent bike and use limited weights. For me the whole thing is just about getting fitter. I do feel fitter and happier in my body. At my size I am going to have loose skin. How much you exercise will be determined by what you want to achieve and how much you are prepared to do. Losing weight is one thing but in order to keep the weight off exercise will need to be part of your life long journey. I hope it all goes well for you.

Hi! I'm so happy your year has been such a success! And how exciting for your daughter! It's awesome that she could see how your journey has gone, especially in that first month or two post-op. My surgery was on September 7, 2022, and I am kicking my butt trying to get to below 200 pounds by my one year RNY anniversary - I've got 10 pounds to go! I have lost 200 pounds since my highest weight in November 2021, and 145 pounds since surgery 11 months ago. Highest Weight: 410 | Surgery Weight: 355 | Current Weight: 210 | Goal Weight: 185 Physical Health: I am weight lifting 5 days per week, and my cardio is spin cycling or swimming 4-5 days per week. I'm currently a size 12, medium/large, down from size 28, 5x - I haven't been a size 12 since 6th grade! I am still not used to walking into a store and easily finding clothes that fit me. For decades, I have only been able to shop at plus-size clothing stores like Lane Bryant, and my options are so vast now! Also my hair is growing back and getting healthier again. My last blood test showed I was low on folate, so I'm taking that which has the benefit of helping with constipation, too. Recent realizations: collar bones and ribcage are things that I have turns out?? Mental Health: I don't track my food anymore because I started noticing some unhealthy food restriction patterns starting when I was closely tracking it. I have also asked for help from my support people. Just yesterday I asked my mom to remind me that, no matter what I said, today is going to be a rest day and she helped hold me to that today. She also offered to hold onto my scale for a bit which I took her up on so I can keep my weight loss progression mentally healthy. That said, I have been off my depression and anxiety medication for about five months now and I'm finding that my mental health has been thriving lately. Excess Skin: Because I've lived at 300-400 pounds for 20+ years, I have a ton of extra skin and I have started looking into excess skin surgery options for my belly, arms, and breasts. I am saving money wherever I can to try and save up for skin removal surgery. I will never be able to afford surgery in the US, but I've been researching options abroad like in Mexico, Colombia, and Thailand. Right now I use compression garments to hold my tummy skin in place while I exercise or basically just exist because chafing is a real problem. I have really bad skin to begin with and I don't need to add in chafing and skin infections just for fun. I hope you guys are doing great as we all come up on our one year anniversaries! Let's keep supporting each other and sharing in our various successes and struggles!

I lost 42kg so just a little less than you asked for. I don’t enjoy exercising. Never have. Still don’t. Over the years before surgery I tried lots of things: walking, yoga (one I enjoyed most), aerobics, swimming, cycling, etc. They never helped me lose weight or maintain my weight so I really wasn’t all that surprised when I discovered exercise only contribute to about 10% of any weight you want to lose. Of course there are many other benefits to exercising but don’t rely on it to help with your weight loss. Did I exercise during my weight loss? Nope. I just upped my everyday activities: parked further away from where I was going, walked up & down escalators & travelators, made multiple trips up & down my stairs (why carry groceries up in one trip when you can do it in two or three), etc. I still don’t exercise as such. I exercise snack at home by doing 5-10 minute sessions about 4 times a day of stretching & using resistance bands. I have loose skin (not a lot but enough) but my arms look more toned from using the bands - I just don’t wave my arms about. Too many factors influence how much loose skin you’ll have. Age, genetics, how much weight you lose, how long you were at your higher weight, your weight loss & gain history, etc. You can’t stop it. Your skin has already been stretched. You may get a little snap back if you’re younger & still producing elastin. Think of your lose skin as a well used & over stretched hair band/elastic. Can’t fix that. As to exercising helping with it, your muscles lie under your skin & your skin drapes over the top. You’ll need a lot of muscle to fill your skin out. My thighs would have to be three or more inches larger to fill out my loose skin there but I don’t want large thighs again. Nor do I want a large butt again to fill out the loose skin there. Surgery is your only option if your lose skin bothers you, limits your movements or gets infections, rashes, etc.

I'm 51 yo male, considering a full extended tummy tuck (loose skin from WLS) and chest lift w/ nipple grafting (gynecomastia). At what point (weeks/months) am I likely to be fully recovered, feel "good as new" / "back to normal"?

I am one week postop from doing the Endo scopic sleeve gastric and I’m doing my liquid diet but I don’t seem to get full with water. Should I be worried that my stitches on my stomach might of got loose or will it change once i get to eating solid protein

Lap banded about eleven years now. If I had to make this decision over I would still choose it. It’s life changing and that means it’s not all about loosing weight. You actually have to think about what you are eating and why you are eating. I’m amazed that the most difficult thing I found along the way , is how often I wanted to eat but realizing I was not even hungry. I really had a learning curve with my obsessive thoughts about food. Once this mental battle was over, living with the band has been mostly easy. In retrospect, I would have a Suport system in place, know that food will not be a social activity, but, once you reach your target weight- amazing. It’s important you can have access to a doctor who will continue to make adjustments when needed, because it’s not just once and done. I love being active, shopping for clothes is so simple since I can take measurements and the size always fits. Dinner parties are difficult for me because unless you tell everyone, people will inevitably comment on how little you eat, including servers. While I consider this a permanent band, I’m also aware it can be removed unlike other gastric surgery. So, do I think you are crazy? No. It’s your decision, no one else’s. Best of luck and be well!

before surgery, I mostly did water aerobics and "rode" the stationary bikes at my gym. Two hundred pounds later, I still do those, but i also bike a lot, too, now - in fact, I bike four or five days a week except in the winter. I also do Zumba occasionally. exercise isn't going to have much effect on your loose skin. You may get some more muscle definition if you do some strength training, but if you've got a lot of loose skin, it's not going to look A LOT better, even with that.

I am interested in learning what exercises, intensity, routine, and time/reps people who have lost over 100lbs/45kg do. What did you do before surgery vs. after? Did you focus on cardio or strength? If you have loose skin have you seen any improvement that excise has contributed to? Thank you for your feedback.

I didn't notice any skin tightening (I wish, though!), but I do know fat seems to re-distribute during or after weight loss. I looked pretty gaunt (and frankly, kind of awful) when I hit my lowest weight, but I looked a lot better a few months later, even though I hadn't gained any weight (yet...I unfortunately did during year 3, which is common). My face didn't look so drawn anymore and I just looked better - healthier. I think things just kind of moved around. So that might be what's going on with you, too.

Interesting! I thought maybe it was swelling from the surgery, but that doesn't make sense this long after. I never considered my skin tightening. Thank you!

I would probably just eat it with a spoon, tbh. I don't know if you're able to have raw veggies yet but PEELED cucumber slices might be the best option (if you're going to have problems with any part of the veggies it's probably the skin/seeds so I would do either a Persian or English cucumber that has been peeled)

At the stage you're at, especially since your loss has slowed, you are possibly losing inches due to your skin tightening up a little; I was SUPER saggy when I reached my goal weight, and I have been more or less maintaining and while I haven't lost much, I have gone down two pants sizes because my skin is shrinking back.