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I had a revision to SADI on 8/7/2024. Lost 70 pounds but then I started chemo for breast cancer that I was diagnosed with a day shy of my 3 month surgiversary. I was told not to lose quite as fast by the oncologist and the oncology dietician so I have since only lost ten more in 2.5 months. Anyways, my double mastectomy is tentatively scheduled for 5/8/2024. During that surgery they remove all the breast tissue and put in Empty bladders they call expanders and then they slowly fill them each week with saline in the office to stretch the skin making room for the implant. The cosmetic dr says that I could take my time and try out all the sizes and go up and down and then do the reconstruction surgery to put in the saline implant when I’m sure of the size I want and I loved that idea because I want to go smaller but I know it’s going to take a while for my brain to get used to it. The problem is that I have to begin radiation 6 weeks post surgery and the process does something to your skin that makes it very hard to stretch so the radiation Dr says I need to decide on a size before I start radiation treatments. Well I don't think it would be a good idea to postpone radiation just to decide on a breast size so I kinda need to know what my goal is right away so he fills it fast enough for me to get there within 6 weeks. At the same time it will hurt worse the faster we go. I am currently a 36 G. I was thinking maybe a 36 C or D would be small enough that they don’t get in the way with exercise and hurt my back and neck but not look too small after seeing myself larger for so many years. Also if I drop more weight and get to say a 34 I would be a D or DD but what if I lose more weight I mean I want to keep going if I can and then I’m a 32 DDD. I was a 32 C when I was younger and I think when I got my implants I went to a small DD but I sorta doubt i will get that small again, honestly. how much weight did you guys lose between band sizes. I was thinking that if I get to 158 I would be thrilled and that’s only 20 more pounds so I know that I won’t get to a 32 at that size. Do you think it’s possible I will get back to the 120’s. I know the last two months threw my pattern off a bit but I was losing steady at 3-4 pounds a week before all of this. Is there anyone with similar stats that can tell me about their experience with SADI or maybe a virgin bypass. My loss trend was similar to that according to the NP at 3 months out. I really wish I could do this after I get to my low weight and stabilize. All I want is to be able to buy bras in a normal store and not have to pay a fortune for lunch lady bras anymore or have my back breaking and poor posture from a too large chest. But at the same time I don’t want to look too small. I figure that I would find the smallest size that I could get used to so when I lose more weight it will probably be perfect but I won’t have time to get used to it like the surgeon and I hoped. 😢 So I get that cup size is a matter of preference but can anyone with similar stats tell me how much they ultimately lost if they were losing 3-4 pounds at 3 months or how much weight they lost between band sizes or 36-34 and 34-32. Or anything else that may help me. I’m so scared I’m gonna decide on a size and my body is going to change but since it’s all implant after this surgery my boobs won’t change with me with loss or gain and I will be way too big or small for my frame.

I need to get back on working out; I have been slacking. I'm doing okay food wise though so that's good. I just got my bloodwork done so I'm waiting to hear back on how all my levels are since surgery. I had my first cookie and first small glass of wine this week at a baby shower; it was nice to feel more normal again, but also not go crazy.

Just because you are allowed to eat anything does not mean you, personally, are able to do so. There are a few likely culprits to your issues with discomfort and vomiting. You may be eating too much, too fast, not chewing enough even though you think you are, or the food you are eating is too difficult for your system to handle right now. Check your portion sizes, how fast you are eating, and focus on soft foods. You may need longer between eating and drinking. Some people can handle 10-15 minutes. Some need 30 minutes. If I feel a stuck feeling even an hour after eating, I do not drink anything because it will make me sick. I had enough issues with vomiting that my doctor put me back on liquids at around 4 weeks and I did that a couple weeks just to give my body more time to heal. Even almost 9 months out from RNY, I sometimes get sick. It's usually texture/dryness related. It's gone from once a week to just once in a while, and instead of all the food coming up, it's usually just mucous now. I try to pay attention to why so I can adjust. Basically, you need to listen to your body and make changes based on what is working and not working for you because we're all different.

I agree with @SpartanMaker, @ShoppGirl. You can’t spot lose weight/fat. But be careful building muscle in your thighs as they could end up bigger. I have three pairs of slim legged pants I can’t wear anymore because they became too firm in the legs. Weight hadn’t changed. Pants still fit perfectly in the waist & around the butt but the thighs, and calves in one pair, nope. Waah! And no they didn’t shrink in the wash. (Remember when we used to use that as an excuse -lol!)

Saturday was crazyyyyyy for me. I went off my rocker, I snacked and grazed all day. I started my period Friday even and Saturday I was bitchy and wanted all the food. Sunday I felt like crap almost like a hang over. I didn't track my food, I didn't worry about my protein, I did work out that morning though, but still No bueno, but I am back on track and just let that day be. However these last two or three periods have been me fighting back eating the whole house but this last one I lost the battle LOL

Today was my one month post op appointment and I gave her my phone with the summary of all my macros for the past week since I’ve been on soft food and a “normal” portion size (3/4 cup) and told her my current steps and she was really happy. I was worried that since my stomach was not operated on and I can tolerate foods and the larger portion of the range that I was eating too much for a month out and she said that with my level of activity I actually need to increase my protein a bit and the carbs as well and that my calories were fine to go up with that. She said that my loss is excellent and to keep doing what I’m doing just to increase my protein to 90g. She even said that I can add more veggies and some other foods as tolerated. I was worried about trying like asparagus and corn or rice paper (I’ve been craving spring rolls since I seen a recipe while on purée). I had already done my grocery order for this week and was going after there to pick it up so I added them rice papers to my cart for next weeks grocery run. I went ahead and scheduled my appointment for next month but she said that if I am still doing this well I can reschedule to my three month for my labs. I’m pretty excited! I did not feel like this after my sleeve. I feel like I have a handle on this, I am actually enjoying the healthier foods and the exercise. My energy's and my mood have improved tremendously. .

https://a.co/d/5efMT0T The old one I have no clue what the care instructions are I just tried it thinking if it didn’t come clean then it was garbage anyways. That link above is the one I bought recently. They have really good reviews and they are cheaper than the Manduka brand. It’s really pretty and very vibrant colors in person. I have washed it in the machine three times now in a front loader and it still looks fine but who knows after a while. I take it out immediately and hang it up to dry (over my bar stool). Mine doesn’t have any kind of guarantee, though, that I know of anyways and no it’s not very thick at all. In fact when I went to the other gym that uses one mat I learned that my knees hurt when I don’t have that second layer where they cross one another so I guess i will be stacking two on top of one another for that class now. I quickly grabbed my towel and put that under my knees last time because they were hurting and that worked but it was a little awkward. I agree it sounds like a money thing them expecting you to use their brand specifically. If you buy their cleaner you basically end up paying for a second mat anyways and if you don’t they can say that you voided the warranty and not replace it. Either way they save money.

@julie. I think it’s weird that everyone’s pre op diet is so different. My nutritionist told me that it use to be all shakes before surgery but she asked the surgeon to include something chewy to help us not quit. I have to say it’s not simple. My surgeon is one of two drs at University of Miami hospital who does Bariatric surgery. He told me my husband could stay with me because the floor is his and he can specify a lot of things. I’ll be staying 2 nights because of distance and my age. Just liquid the day before surgery for me and two weeks after also. Then every 2 weeks the next step. I would love a slice pizza or a grilled cheese sandwich right now. It hasn’t even been a week yet:)

That's tbd at this point. My current plan is week to week keep a low dose in my system that quiets food noise and gives some suppression that makes it easier to IF, but not so much I'll continue to lose weight.

So today I’m two weeks post op and was my first big trip into the city. I went to my crochet group so I was just driving and then sitting but I was still excited that it wasn’t too painful and the three hours out didn’t Tucker me out too much. Also, while I was driving I noticed that my seat seemed too far back. I just asked my hubby to make sure he didn’t do it while I was in hospital and he says no so I guess my butt is a little smaller. My first NSV having to adjust the seat.

Welcome. Sorry to hear you're struggling. I want to touch on a couple of things you said since the truth may be different than what you thought? First, I want to hit on this idea of a "pouch reset". There really is no such thing. Your stomach expands and contracts normally, just like a non-surgical stomach. You can't make it appreciably smaller just by eating less for a few days or weeks. Sometimes people feel like this makes a difference because it mentally helps reset what it feels like to be full. (A lot of people overeat after a few years.) If you really want to go down this road, you certainly can, but just understand it's not going to magically reset the size of your stomach. It might help reset your brain a bit, but the effect won't last long if you go back to eating too much at a time. You can get the same effect by just reducing portion sizes. Second, I want to touch on you gaining muscle from going to the gym. There are a few things to unpack here, but let's start with the fact that scales are NOT your friend and I would strongly advise you to not use the scale as the thing you use to gauge your success. Let me give you a hypothetical situation: If I could give you a magic potion that overnight made you look just like a fitness model, but it also made you weigh 300 pounds, would you take it? I don't know what your answer is, but I'd guess that like most people, you probably would in fact drink the potion. I don't have a magic potion, but doing strength training in the gym is kind of the same thing. It just takes a lot more work and time. The point here is that muscle is a lot denser than fat, so you can in theory be even heavier than you are now, but still look a lot thinner because you've changed your body composition to favor more muscle mass. Keep in mind that most people find more muscle mass more attractive (well up to a point anyway). Also, you are NEVER going to actually lose weight from doing strength training. it's not a great way to actually burn calories, so thinking you're going to go to the gym and lose fat just isn't realistic. Cardio at the gym isn't much better, so don't think that's the secret either. It will burn more calories, but the reality is a couple of things happen when you do cardio (or resistance training) at the gym: You'll be hungrier, so you tend to eat more than you would otherwise (this might be why you're snacking more). It will seem subtle and may be almost unnoticeable, but you will move less the rest of the day because your body is trying to recover from the workout. This means you don't actually burn many, if any additional calories. Said differently, your body will do everything it can to keep you right where you're at, so it is literally slowing your metabolism down to make up for the calories you burned exercising. I'm not trying to discourage you from working out. It has a LOT of health benefits, but as a way to actually lose weight, it's not so great. Now once you get to your goal weight, working out at least 5 hours a week can REALLY help you stay at your goal weight, so keep that in mind as well. The final thing I'll add here since this post is already pretty long is that the one sure-fire way to lose fat is to eat fewer calories than you burn in a day. I know that seems fairly obvious, but people think sometimes they're special, or that it doesn't apply to them. I don't know how many calories you're eating right now, and it honestly does not matter. Right now, whether you're eating 1500 calories or 3500 calories, you're eating at maintenance for you. If you want to lose fat, then you've got to eat less. The way to do that is whatever way works for you. There is no secret diet that works for everyone. All diets can work if they have you eat less than you eat now. You've got to find not only what works for you, but what is a sustainable way of eating for the long term. Crash diets almost always fail, so I wouldn't look for something that works in the short term. What you need is something that you can do for the rest of your life. Best of luck.

Yes to both questions. 🤗 It was my first thought as well and the first thing I mentioned to both doctors. I think, after doing extensive research after I thought to look at possible ties to GLP's I might have an answer to the sharp nerve pain as well as the hypersensitivity/pain on my leg. Its a very little known side effect of Ozempic-Wegovy type Glp-1's especially at the higher dosages (above .5). Apparently not so with Zepbound. Luckily, I have an appointment with my GP in few weeks at which time I'll mention it. Although, most ppl with this said their doctors dismissed it being associated... but it is listed as a rare side effect and ppl said it stopped upon switching or lowering the dosage. Luckily my doctor is always receptive to my suggestions/questions/research. Fingers crossed! As far as the joints hurting...still researching that! Thank you for your response and questions. Hopefully if anyone else ends up with this they'll find this forum topic!

Oh, yes. It really is so disheartening, and knowing it's normal/expected doesn't make it feel any better! To give you an idea of how my weight loss has fluctuated, here are my monthly totals so far: February: -16.4 lbs (2 week pre-op diet plus surgery on 2/21) March: -11.6 lbs April: -7.6 lbs May: -2.8 lbs June: -11.2 lbs July: -1.6 lbs August: -8.4 lbs And so far in September I'm at a whopping -0.4 lbs for the month. Let me tell you, May and July both sucked, and I honestly don't think I did anything differently in June or August to explain the variation. It just is what it is. I'd say stay off the scale, but personally, I enjoy having the daily number because I'm obsessed with having a record to look back on, so I get having to do it every morning. I'm sure you're far from done losing, even if you're at a slow point right now. Just for fun, I'm attaching a side by side comparison that I made of myself yesterday. It's a photo of me from last summer at my highest weight alongside a pic of me from my walk yesterday. When the scale stalls, making something like this cheers me up and helps me see beyond the numbers on the scale.

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

The time has come in my journey where I have had a little weight gain - about 3lbs in 10 days. I know it is to be expected it is just a little frustrating! For reference, my typical day of eating includes some protein porridge for breakfast, a sandwich or a salad with some chicken/avocado for lunch, some soy marinated boiled eggs as a snack, and then for dinner is usually some form of meat for protein, some veg and some carbs (I'll eat the veg/protein first). I try to aim for 2.5L of water a day - usually manage anywhere from 1.5-2L if I am honest! I do drink tea & coffee, and I go to the gym 3-4 times a week, mostly doing a range of weight training, and also 20-30 mins of cardio: my go to cardio at the moment is on the treadmill, on a 12 incline, speed at 4.8-6 and walking for a set amount of time. ANYWAY - just feeling a little disheartened!!

Exactly @Spinoza. It’s there all the time. Sometimes just a faint little voice whispering in the distance and sometimes shouting at you. Mine has been shouting a lot lately, Had to give myself a kick in the pants and getting it off my chest here has been a help. Always a such a supportive community here. Was actually thinking about asking my GP for a referral to a menopause specialist. She’s been great right from the start about prescribing HRT and putting me on alternatives when issues arose but I have been thinking I need some extra help. I reduced my estrogen a little last week (3 pumps down to 2.5) because of the bloating and sore breasts but now the daily headaches are back. Sigh! I see my bariatric follow up doctor later this month so I’ll what she says as yes, micro dosing had crossed my mind too. The man I was most surprised by with his bone loss was my cousin @SpartanMaker. He was a walker. Walked for miles, twice a day, up & down hills with his dog when he permanently retired. Still don’t understand that but he had a sedentary job which I think probably contributed and probably does for lots of men and women too these days. My dad was a farmer (horticulturalist) on his feet and lifting things every day. His bones were so hard that when he’d have his bone marrow tests for his multiple myeloma, the doctor would stand on the bed or kneel over my dad to put his weight behind the needle to get it into the bone Yikes!

Ohh, I didn't know you had access to a gym! I might have modified this a bit because I was trying to make sure these exercises were something you could do without equipment. Here are some suggested modifications if you are using a gym: If your gym has a hip thrust machine, feel free to use that instead of doing the glute bridge. As I mentioned, hip thrusts offer a bigger range of motion, so are an even better exercise. Push Ups are probably fine as they are, but once you get to doing 10-15 knee pushups, you might also start doing the chest press machine, or doing a bench press with dumbbells. Once you get to unsupported squats, you can start adding some weight. Some gyms have hack squat machines or leg press machines and both will work great here. Another one to consider would be a goblet squat (google it). The nice thing about this one is that it will emphasize your quadriceps a bit more, which might be good since we're hitting your glutes and hamstrings pretty hard with the hip thrusts and lunges. As to rows, feel free to skip all the ones I wrote and do a seated cable row or do something called a bent-over row with dumbbells. With leg raises, do them as listed, but if you get all the way through those, then the next logical progression is to move to hanging leg raises. These can be done on a dedicated machine (sometimes called a captain's chair). The lunge exercises are probably fine as they are, but feel free to add weight (hold some dumbbells in your hands), if you get to where the versions I listed are not enough for you. As an optional thing, if you wanted to add in one additional exercise per session, I'd do a Bicep dominated exercise one day, a Tricep dominated exercise another day, and a Calf dominated exercise the 3rd day. The actual exercise selection does not matter much, so do whatever exercise you like or whatever machine your gym has. You can even do a different one every week. Again, if you're happy without this, then skip it. it's not going to make a huge difference, because we are hitting these muscles some already. Best of luck!

Here is some info: https://www.uclahealth.org/news/article/semaglutide-weight-loss-what-you-need-know#:~:text=After 68 weeks%2C half of,nearly a third lost 20%. https://www.nejm.org/doi/10.1056/NEJMoa2032183 https://www.nature.com/articles/s41591-024-02996-7 You should know rather quickly (a month or so) if it’s working for you. Speak with your specialist about all of your concerns.

I am in the same saggy boat. It is depressing isn't it to go through all this weight loss, still not be comfortable in our own bodies and just wearing smaller size clothes but still hiding the same areas? For me, I have bad lipoedema so from the knees down is horrible and nothing can be done really unless I want to go down the lipo route and then wear compression gear for life and even then no guarantees. Where I live in Europe, if you can prove justifiable reasons such as saggy skin interfering with your life and mental health following weight loss the national healthy insurance will pay 80% of the costs. I got approved last week for an arm lift so I am just waiting to hear back from the surgeon with a date. When I had my initial consultation with him he said he had a six month wait list so I have asked if possible to be fit in during October or else wait until January as I don't want any impact on my Christmas travel plans etc. I have not told my family yet as I live overseas and they got upset at just the thought of me doing something elective as I had such a bad post-op sleeve experience. My Mum actually broke down in tears when I told her I was going to schedule an initial consultation so not sure how or when I will say anything but will cross that bridge when I have an op date.

I think it's a sad state of affairs when we feel like we have to hide our decisions from others because of how we know others will react. I'm not judging anyone that makes that choice since I did it too. I told my family, but specifically decided not to tell my co-workers since I was expecting people to say dumb things like this. The cheating comment I find specifically odd, personally. To me this was life or death, and I chose life. It definitely wasn't some game where the concept of cheating might be meaningful. I feel like it would be no different than if someone were to say to me that I "cheated" when I had open heart surgery. How could you even think that? My choices were either have the surgery, or die. As to weight loss surgery being "the easy way", as all of us here know there is nothing easy about this. Those of us that have reached our goal weights know that the surgery was just a tool, but the important change is what had to happen between my ears. Nothing about that was or is easy. It's still hard work every. single. day. I also wanted to comment on this: I can virtually guarantee you I eat better and workout harder than your son. I NEVER would have been able to workout as hard while I was still obese. It took losing almost 100 pounds before I could even really walk much. Now I run 40+ miles a week. It's hard for people that are not obese to understand just how hard even simple movement can be. Weight loss surgery was the catalyst that allowed me to be where I'm at today.

After three months I would have thought everything is healed sufficiently for nothing to open just from eating or moving but I'm no expert. If you are in pain or have serious concerns call your doctors office to see what they recommend, I have made the egg bites a few times and varied the recipe but the most recent one I logged on MyFitnessPal was;

Lots of people have posted about food, so I’ll tell you my behavior changes I make. I measure my protein on a scale. My personal dietitian told me 4oz protein per meal, or diabetic protein count 20grams. I record it either online in a phone app, or write it down. I can eat as much raw veggies or baked, or steamed veggies as I like, but only at meals with protein. No root vegetables due to sugar content. I drink 2litters of water, sometimes more during the day. I take my vitamins daily. Three meals look like that, then I’m back on track. If I’m hungry, one boiled egg before bed. That’s what the dietitian told my 5’10 son too. When we really want results we share and compare information to hold each other accountable, including weighing in on the scale. I watch the glucose goddess online for tips and recipes, and Dr. Weiner. In maintenance the fruit, nuts, seeds, cheese can come in one once quantities- those are “extras.” Alcohol is only for maintenance, just major holidays. Recap; weigh/ measure food, record it, share with a trusted friend or family to keep yourself accountable. Your dietitian should be telling you what a portion of protein is for you specifically.

I’m right there with you. I’m 1 month post-op and I’ve only lost 16.5lbs. 14 were in the first 11 days. I’ve only lost 2.5 lbs in the last two weeks. I’ve been on soft foods and trying to count the calories along with measuring, as I only am able to eat about 1/4 cup of food per meal. I don’t know what’s causing the slow. I barely get 600 calories. I’ve been moving quite a bit since we’re trying to move into our new home. I’m still under the target weight loss the doc gave me. Just discouraged.

I did the small meals throughout the day too. Mine is every three hours but I have alarms set to remind me or I would never remember because I don’t feel hungry either. Speaking of jerky. Chomps brand makes a turkey jerky that is pepperoni flavored that’s really good. That and cheese sticks are super convenient for on the go. Ooh and the yogurt drinks if you can find one that relatively clean. I did find one but it’s pricey so I started making my own. It’s really easy just Greek yogurt, milk and fruit in a blender. i use a container of non fat plain greek yogurt, 1/4 cup berries and 1/2 cup of almond milk. I just drink it out of the nutra bullet cup if I’m home but I also wash and reuse the containers from the ones I purchased to take on the go. They are $4 each in the store for the ones without added garbage and I always have fruit and almond milk on hand that usually goes to the waste anyways so I just have to buy the yogurt which is a lot cheaper than 4 bucks each.

As you probably know, PCOS can affect metabolism. This means you may be getting a double whammy from PCOS and your height that really pushes your metabolic rate down. As I mentioned earlier, without having an expensive metabolic test done, we can't know for sure how many calories per day you burn on average. If I had to guess, I think it could be as low as about 1000 to 1200 calories per day for your Basal Metabolic Rate. This is basically the amount your body burns just keeping you alive. If we add in a bit more to account for the fact we all burn some additional calories (even if we're mostly sedentary), then that could put you around 1300 to 1500 calories per day. If you're eating ~1000 calories a day, that means at best, you'd lose about 1 pound a week, but it could easily be closer to 1 pound every 12 days or so. If you do the math (I did ), then this would put you losing right about 2.5 pounds per month or 10 pounds in 4 months, which is right where you're at. Now for the record, I didn't factor in anything for the fact that as a DS patient, you are actually also benefiting from reduced absorption. These are all made up numbers anyway, so don't get too caught up in the hard numbers here. Remember: Even if you think you're super accurate in logging food, variation in caloric content from one piece of food to the next means your calorie counts may or may not be that accurate. Don't trust manufacturer calorie counts as accurate either. They can be as much as 10% or more off. We don't actually know how many calories you burn in a day on average. My guesses are just that, guesses. Bottom line, you've got a few things working against you here, but as long as you continue to follow your surgeon's plans, there's no reason you can't lose the excess weight. It's just going to take you longer than most people. I know that sucks, but it is what it is. Knowledge is power, so hopefully you'll come away from this with a little more knowledge. That should give you a little more power over your unique situation. All the best.