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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. .

Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

I'll do my best to help, but I'm going to have to start by asking some questions: When you say the weight is "barely coming off", can you be more specific? How much in the last week, two weeks, last month? Can you clarify what your goal weight really is? In your profile, you're showing that you're currently at 78kg and your goal is 75kg. That's only about 6-7 pounds, not the 33-44 you listed. I'm thinking you probably have a new goal and have not updated your profile, but it's important to understand what you really are trying to do. When you say you are "eating pretty well", can you give some examples of what a typical day looks like? What is your daily caloric goal? What about protein, fat and carbs? How are you determining your what you caloric and macronutrient intake should be? How are you tracking your intake? Do you weigh everything in grams before it goes into your mouth? Let me explain why I'm asking these questions. Typically when people are struggling with weight loss, we see a few common issues: Unrealistic expectations. Especially if weight loss early on after surgery was easy, people tend to think it will continue that way until they reach goal weight. Unfortunately, that's not how this works. The heavier we are, the more we'll lose at first. The closer we get to goal, the harder it becomes. It can take months just to lose a few pounds if you are already pretty lean. You also have to really have your nutrition dialed in at that point.. I won't get too deep into the physiology here, but there are multiple reasons for this and it's 100% normal for this to happen. My point is that you may be right where you need to be. It's hard to know just that just based on what you posted above. Eating more than you think. Study after study shows that almost everyone thinks they eat less than they really do, even those that log their food using calorie tracking apps. It's sometimes simple things like those little tastes while preparing a meal, or that handful of nuts they forgot to log. Others, they just guess at calories because accurate tracking is really hard. Burning less than you think. Most people have absolutely no idea how many calories they actually burn in a day. We often use estimates based on height and weight, but these can be off by may hundreds of calories depending on age, lifestyle, percent body fat, etc. Further, your calorie burn isn't the same all the time. It can vary by hundreds of calories per day even before you consider exercise. Speaking of exercise, we drastically overestimate the impact of exercise calories. For the vast majority of people, the calories they burn in a day don't actually change all that much due to exercise. Blaming things outside your control. It's natural for people look for causes for problems. If we take ownership of the problem, we can then take steps to correct it. It's when we place the blame on something we perceive to be outside our control that we can run into serious problems. Let me give you an example here. We can't escape simple physics. If you burn more calories in a day than you consume, you'll lose weight. Eat more than you burn and you gain weight. If I take responsibility for this, then it means I need to eat less or burn more to lose weight. I realize that's easier said than done, but without first taking responsibility for the problem, I'd have no hope of fixing the issue. If on the other hand, I were to say "I have a slow metabolism", I'd essentially be saying this issue is outside my control, even though the solution is the same as before: eat less than you burn. Thinking a particular diet/macronutrient is more important than calories. I noticed you hinted at that in your post. Calories are king here. Specific diets that emphasize one or more macronutrients can help, but they never trump calories. I can go into more detail later, but this post is already getting overly long so I think I'll stop here. Please provide some additional detail and I may be able to provide better guidance.

I was allowed instant oats from purée (traditional oats, so more coarse than the instant, were allowed a couple of months later). I made them with more milk than they advise (extra protein) & ate them hot. Of course it took two or three days to eat a recommended serve of the oats in the beginning and I’d just reheat them & add a little more milk the next days. After a month or so on traditional oats I’d add blueberries. Besides vegetables & fruit, the oats were the other carb I ate but only three or four times a week. Now I add two big spoons of yoghurt, a spoon of mixed seeds, a scoop of collagen (vital proteins dissolves really well), cranberries & blueberries. Still made with lots of milk and still eaten hot. Only use about 1/2 - 2/3 of the recommended serve of the raw oats. I always have leftovers but I eat them for an afternoon snack.

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.

Did you have the same problems during your liquid and pureed phases? If not it might be worth going back a step to purees as summerseeker has suggested. I do understand that chewing food really thoroughly is basically the same thing, but it takes the guesswork and possibilities for errors out of the equation. I know I am weird but I quite enjoyed my pureed food (because it was my first non-protein drink intake for almost a month). So tasty 😍 At 2.5 weeks I was just just onto pureed food, made with a LOT of liquid, and I was eating about 40-60mls (1-2oz) of goo for a meal, depending on how much protein was in it. We are all so different. I have seen people here thrive on solids much earlier. If your surgical team are confident that it isn't a post op complication you might have room to experiment a little. At 2.5 weeks fluids are paramount - there is wiggle room with protein and other macros in most programmes. I hope it all settles really quickly for you - sounds unpleasant.

GLP-1's have been put back on the shortage lists? The pharmacies have been adding other compounds for quite awhile which is how I originally started on Ozempic. The articles I've read though as of a few weeks ago stated since glp's were being removed from the shortage lists compounding would no longer be allowed, which is why I was asking.

Hi everyone 🩷 I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I lost about a 100 lbs and kept it off for about 4 years but since having a baby 2 years ago I’ve really been struggling with my weight again. TIA 🩷

Breakfast, lunch and dinner today. Breakfast- wheat toast with laughing cow cheese, strawberries and a protein coffee. Lunch- a mini raspberry danish. I actually made 2 dozen last night. Baked a dozen and the other dozen are in a freezer bag ready to bake when I have surgery in a couple weeks. There’s leftover jam in the fridge for toast/french toast later this week. (That’s what I get for using all 36oz fresh raspberries I’ve bought the past week!) Dinner- I picked up some vegan chicken on clearance so we had that in rice bowls. I ended up eating about 3/4c fluffed rice, a total of 1 cup cucumbers, about 1/2 cup carrots, and little less than 1/2 cup of the stir fried “chicken” with onions, epis, and garlic in it and 1/2tbsp of sesame seeds. I didn’t eat the seaweed and the grandbaby ate what I didn’t. Also had a protein fiber bar as a snack. Might have another protein shake before bed but honestly, I’m not hungry.

@Mspretty86 I think if I lost more weight I would look frail and I want to look strong and fit. Once I get my boobies in 6 weeks I am going to be feelin' myself HAHAH!!! 😂 Thank you!! We are all winning!! I was strolling on Youtube and this guy who is a personal trainer, Trent Harrison, posted a video how we cannot always live our life in a calorie deficit, that being hungry is normal and a good thing! He has realistic foods that we can buy from a ton of places with high protein and low carb/cal. I have been really trying to dig deep- last couple of weeks I have been binging/grazing and just unmotivated for some reason, like I would still do my workouts but kept looking at the time because I wasnt feelin it or just doing an "easier" workout to say I worked out, but I snapped outta of it and back at it! Now I am feeling like myself! Try out her channel, tomorrow I am doing her glutes and I know I will be feelin it tomorrow whoowee! I used to follow Sydney Cummings- dont get me wrong she is good, but I needed something that pushed me harder and this chick does that. Lemme know what you think!!

So many awesome WIns this week ladies! My win for the week is keeping moisturized and hydrated. I will share this for neck, face, under eye! It is heaven! I love a good face routine. While loosing weight it's important to focus on our neck as it may start to droop! Well we have to focus on our entire bodies! So many changes!

Not sure if this is a win? my weight has pretty much remained the same for 1.5 months now, but the last couple of weeks my arms, abs and legs have shown a lot more definition and my pants definitely feel looser. I’m more or less the same weight In both pictures but I can tell my body composition is different. September: October:

2024 was a very tough year for me and my family. Both my mother and husband Dx with Cancer. My poor darling Mum old lasted 21 days from Dx. I haven't really had a chance to deal with it, have been drinking a lot! Christmas hit hard. Fortunately Hubby is doing well, but Chemo has knocked him around, poor fellow. Last round this week, so fingers crossed it all goes well and he gets the all clear!! 2025 goals: Successfully get through PreOp (starts 1st tomorrow😬), Op (16th Jan) and Post without issue!! Finally lose the weight I have been carrying most of my adult life! Spend less money! Find some exercise I enjoy and do it regularly. Be more grateful and appreciative of all the good/great things I have in my life. Happy New Year everyone!!!

I'm now 4 weeks post op. I'm not really in any pain except my hip which is unrelated. I'm about to start the soft foods phase,. I'm nervous about when I will start solid foods because solid foods are what helped me get big in the first place. I have my ne month review with my surgical team in the 7th of November.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

Hi all. Im 7 weeks post op as of today. I’m curious if anyone has hired an independent bariatric dietician… in other words, someone outside of your surgeon’s office to support you? I am not really satisfied with the level of support that I am getting from my surgeon’s office. I’d like at least a weekly or bi-weekly check in with someone and to discuss goals and things I can work towards. When I asked my surgeon’s office at my last follow up appointment if I was where I should be weight loss wise, I didn’t really get much of an answer. I asked where I should be at my three month follow-up and she couldn’t find her chart. So I never got an answer. I live in an area where I haven’t been able to find any support groups locally. I’ve located someone online with a wealth of experience in working with bariatric patients and is a certified dietitian. She works primarily online with patients. I am hesitant to move forward based on the price. Just curious if anyone has had luck with this or has any thoughts about it? I haven’t decided against it, just hesitant due to cost.

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;

I went back a little over a week after. I work remote and in person. You will be on pain meds for awhile, so you might not be great at work on those.

Chewing for 22 times or 22 seconds is fine. But then wait at least that long between swallowing and taking the next bite. That's how you make your meal last 20-30 minutes. Very small bites, lots of chewing, and pausing between bites to let your fullness signals have a chance to catch up. It's hard to explain how small your bites will need to be after surgery to remain comfortable and not make yourself sick early on. After surgery, I bought a set of cocktail forks and demitasse spoons. They are tiny, like something you would use for a doll. For the first three months, I ate with those. My bites were the size of a pea. Picture your golf ball size meal. Mentally cut it into 20 pieces. Or literally get yourself a 3 oz meatball and actually divide it into 20 pieces. Right now, you don't have any restriction, so it will feel crazy to do this, but after surgery, you can consume one piece per minute and you will most likely feel great. Faster and you risk feeling bad, at least for the first many months. I just made the mistake of eating about 1/2 cup of raw baby carrots too quickly because I was distracted by work, and I am filled with regret. And belly pain. I feel like I've gorged myself on Thanksgiving turkey and all the trimmings and gotten it stuck halfway down my throat. I now get to reflect for the next few hours about why that was a bad idea to not slow down. It's a learning process, even well after surgery.

Oh my gracious. I remember there were a lot of issues with the earlier meshes they used for various surgeries years ago which must be what you’re experiencing. Let’s hope it’s an easy remedy. PS - the second lap smear was still inconclusive. It didn’t pick up cervical cells at all so still no idea. So decided after a conversation with the surgeon on Tuesday to progress with a hysterectomy just in case and also if it is nothing untoward it likely will still continue to grow & then may cause issues in the future. Surgery is in three weeks Monday. Have a few events so I put it off until after them.

to this question: i was told to have 3 protein shakes a day for two weeks (and that was all). that said, i HATED the protein shakes they told me to drink (too sweet, omg), so i maybe had 2 shakes a day for the first maybe 8 days, then went down to 1 shake a day until the end. (btw, after surgery, i found a less sweet protein shake, thank goodness).

Today’s win for me is finally starting to feel like I have found a bit of a balance with my life. For the past two months everything has been on hold and life has been 100% about my recovery, nutrition and fitness but I finally able to juggle my crocheting and make time for my hubby to hang out and do things. I was really not making time for crochet very often so I joined a second group so at least I am working on it twice a week but I have been working on it more than that this week. I did decide no handmade Christmas gifts this year though. I make chemo caps for the local cancer center and they are more important than my family getting new towel toppers if I have to pick one.

all the chocolate-peanut butter talk last week got me all excited and i finally dragged myself to grocery to get the ingredients ( 70% dark chocolate chips and peanuts-which i ground to diy peanut butter + some diy confectioners sugar as well) whipped up these sad looking cups but oh so yum...i'm with @Lilia_90 ...dark chocolate for-evah! yeah i ran out of chocolate so one cup was topless lololzzzz ate one...approx 105 cals.

I never got an advice on "mindful eating" until AFTER I was a week post-op. I had a total of 15 minutes with a therapist pre-op. I have had to go back to staying on liquids because I just can't stop eating too quickly when it's purees. Even yoghurt is too heavy. It's definitely better to get in the habit now. I still haven't mastered it.

Thank you!! I lift heavy 3/4 days a week (legs/glutes, back/chest, arms/shoulders, strength and conditioning) and do Pilates twice a week. I also run/jog daily on the treadmill, I do HIIT once a week and I close at least 10k steps a day! That’s pretty much it! I focus on protein mainly and enjoy eating out on weekends.