Search the Community

Hi all, my name is Kevin, and I'm new to this board. I just signed up because, for the first time, I think I have a story to share. I've been reading on this board for months as I've been weighing surgical possibilities, and now it's weird being on the other side. I did my gastric sleeve with Renew Bariatics in Tijuana about 4 months back, and I'm at -82 lbs to date. If you're undecided or on the fence—believe me, I'm there. I wasted YEARS jumping around, attempting every diet, every exercise craze, every miracle pill. Nothing held. I'd lose 20 lbs and gain 30. I was at my all-time high last year at 312 lbs, and it started affecting every area of my life—my knees hurt all the time, my energy level was zero, and quite frankly, I just didn't know who I was anymore. I eventually made the decision after my first doctor quite kindly suggested WLS. Insurance here in the US would take an eternity with all the pre-reqs, so I investigated Mexico (fairly skeptically at first). But Renew Bariatrics would keep coming up in every search, and I started watching videos, reading testimonials, even stalking threads here. I ended up deciding to go for it. The Tijuana experience was much better than I expected. The hospital was clean, the staff were nice and genuinely professional, and they were very organized. I went alone (which intimidated me), but I never at any point felt in danger. My coordinator was responsive and the time to prepare me ahead of time, like what to bring and how the day would go every time. Surgery day was actually a blur. I was terrified of heck, but the surgical team made me feel comfortable and at ease. I had no severe complications—only some expected gas pain for a couple of days. The hardest part? The adjustment in my mind afterward. Eating slowly, learning to stop when full, and knowing that food wasn't going to be my crutch anymore took work. Still does. But here's the thing—I got my life back. I can move again. I sleep better at night. I walk into rooms upright. I've still got a long way to go, but this has made such an amazing difference, and I'm glad that I pushed the limits and gave it a try. If you're considering Renew or just need to talk to someone who's gone through it, go ahead and comment or contact me. I recall how valuable it was reading actual people's posts when I was still on the fence. Happy to return the favor. Thanks for reading my long tale—I'm happy to be here!

I post here for advice, encouragement and always get such uplifting/helpful comments. I just need this to get out to my bari-fam! I am 15months post op. I have done well, got down to my goal weight fairly quickly, made leaps on my fitness journey and just pretty proud of how far I have come. Lately, body dysmorphia is really rearing its ugly head and I am not dealing with it well. I am punishing myself with binge eating...All of April has just sucked a$$ for me. I am maintaining, continuing my workouts, my days are great then I go home at night, I grab a few chips, leads to some sweets, leads to some bread and butter, ect....do I eat a ton of it? No but I don't feel good when I eat it. Last week, I went on a week long drinking fiasco- I used to drink...a lot pre-surgery- Last night I ate Jack in the box tacos.. you know those disgusting delicious mini tacos and my feel like garbage today! I am letting my emotional eating get the best of me and I am struggling to get back. I woke up at 5 walked on my treadmill at 10incline 3.8speed but at the end of the day you cannot exercise a shitty diet. I wake up every single day and tell myself okay new day lets get back on track. And every single day I just cannot seem to get my ish together when I am at home. I am getting rid of all the bad snacks and getting everyone on the healthy train. I am trying and I am so terrified that I will get back to 300lbs again. Looking at the mirror, I see how big I am, I see the tummy, I see the hanging skin, I see everything negative when in reality I probably look fine. Not sure what I am looking for outta this post, but I needed to get it out and not hide my food struggles because I did that and it lead to me hiding food and getting up to 300lbs.

My whole life I used to think that. Through my adulthood (age 19-29) I was in great shape, worked out regularly, ate well and maintained a great physique. I always had the propensity to gain weight if I wasn't careful with how I ate and my activity level. I lost over 45 lbs and kept them off through staying active and eating well and my belief was, if I could maintain being in shape doing that, anyone can. It worked for me through 2 pregnancies and a whole decade. Fast forward when my hormones got out of control, I gained 10 kilos in 1.5 months, my weight kept going up, had a bad sports injury and in 5 years I was 30 kilos overweight. I still ate well and worked out 5 times a week but NOTHING WORKED and by nothing, I mean NOTHING not even injectables, not one pound lost, NADA, Zilch. I counted calories, walked 10k steps ...etc. the whole shebang. I was sad, depressed, so uncomfortable and I finally got how sometimes, you try your hardest but it just doesn't happen for you. It was so ironic because I was seen as the health guru who lectured people on how they should work harder and not create excuses (hard pill to swallow, I admit). I finally decided to give in the fact that my weight isn't going to budge dieting and working out like it did in the past. I bit the bullet and got the surgery. I lost a lot of weight fast, but went back to working out regularly and staying consistent and disciplined, I wouldn't have been this successful (not with just the weight lost, but my actual physique, being lean and fit and all) had I just gotten the surgery and depended on it to achieve what I had in mind, I had (and continue) to put in the work, choose to prioritize eating well, etc. Yes the surgery is a tool to HELP you lose weight and BUILD good habits. It doesn't do the work for you in the long run ,that is on you and how you utilize this tool that will determine your success. I would however (very general advise), suggest that before resorting to surgery, that one does try to see how far they can get naturally, and if they can't maintain/fall off the wagon/don't get to their goal weight or physique that they do utilize WLS, but it has to come with a mindset shift. I had that mindset, I just needed the kickstart. Evaluate where your body and MIND is because that is as important.

@AmberFL 8.5k! I will take an additional 1k to play around with I want to get my teeth whitened, I'm getting a keloid removed, I also want to get the Ultra Reformer III treatment on my neck. (Maybe Botox) all that weight lost my neck needs treatment it's does not look bad but it has to be done. I'm getting all Things it would cost an arm and a leg here to do.

I first looked into WLS about 15 years earlier. I went to an information session and a consultation with a surgeon, and my mom came with me. My mom cried and begged me not to get the surgery. Thought it was too dangerous and I should do it "naturally." Obviously, that didn't work and I ended up getting the surgery anyway, after 15 more years living with obesity. That was a big part of why I didn't tell anyone -- I made an informed decision and didn't want to give anyone else the chance to talk me out of it. Exactly... When people get nosey about how I lost weight, my go-to answer is, "I made a lot of lifestyle changes." Even though I did get the surgery as a tool, it is 100% true that I made a lot of lifestyle changes. I worked hard to get to my current weight, and I work hard to maintain it. Every single day, I have to prioritize my diet and fitness. I got up early this morning to do a 5:00 am Orange Theory workout before work. I've logged my food every day for over 5 years. The surgery didn't do that for me.

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.

Thank you to everyone who has responded! I wrote down all of these wise words. I think the hardest person for me to face is my son who BEGGED me to not do the surgery. He swore if I came and lived with he and his wife for a few months and ate what they ate and worked out like they do, he could have me in shape and down 100 lbs without the surgery. (I think he wanted free childcare as well). I’m pretty sure he hasn’t paid attention to my weight loss struggles for the 40+ years of his life. I love these responses and intend to use them with family and friends the next time one of those passively aggressive snarks are made. Thank you thank you. It only matters that I know that this is hard work butI’m doing it for ME!

Its not easy, even I thought it would be easier than it was. I thought I was in the know too. Maintenance isn't easy. So they are not friends if they dont back you. I told my husband and son and my two besties from our ancient school days. I was backed by them. I told no one else until weight loss began to show. I only told three people who asked how I had done it and they were very obese too. The rest got the ' oh I have been walking a lot lately' or I stopped eating carbs. Judgers will always judge, its human nature. Wise words

Offer to be the designated driver. Nurse one glass for hours (did that a lot & still do it but for an hour or so now). Say you’re not really in the mood to drink. Or you have been fighting a headache all day & you don’t want it to come back. Or if you’ve realised you’ve been drinking a bit lately & decided to have a dry couple of weeks. They will notice your weight loss soon if not now so you could be semi truthful and say you’re making a few changes and trying to lose some weight. Whatever you decide to say add you’re glad to see them and to spend time with them & make sure they know you’re okay with them drinking or eating whatever they want.

Almost 5 years out and I haven't told anyone other than medical professionals that I had surgery. Haven't told any family, friends, or coworkers. I didn't want the judgment or the fear or the skepticism, and didn't want to have to justify or explain myself. I think it's absurd that people criticize WLS or medications (Ozempic et. al.) as the "easy way out." First of all, fat people are ridiculed and criticized, and then when we find a way to lose the weight and have bodies that are socially acceptable, well now we've done it the wrong way and get criticized for THAT. Second, anyone who thinks WLS is easy obviously hasn't researched what we have to go through just to qualify for the surgery, and then the miserable pre-op diet, and the long and difficult recovery and diet progression. Finally, have you ever heard anyone criticize a cancer survivor for taking the easy way out by getting chemo? Of course not -- when it comes to just about any other medical condition, we obviously all want to use the most effective treatment available. We have to take the risks and benefits into account, but for most of us who get WLS, the benefits far outweigh the risks, so of course it makes sense to do it. People who have never struggled with their weight want to believe that they're thin because they're superior to fat people. They're resentful of anything that can level the playing field because they feel like it takes away from their superiority.

Just tell them you've made a life choice to be and eat healthier to lose weight and wine has empty calories for you, so as its a wine "tasting" you'll taste it but not drink it all down. Explain you want to enjoy the flavor and time spent with good friends but don't want to sabotage your health plan!

I didn't tell any family members or friends as you know they can be the most negative and there is also that hint of envy and jealousy. As far as being the easy way out please dealing with a lifelong battle of obesity. This surgery is the best thing that you could've done for yourself to combat this horrible disease! congratulations! I am one year postop VSG so any questions any concerns we are always around. when people say it's the easy way out they really don't understand the complexity of the disease of obesity. The disease of obesity is complex, its metabolic, chronic and systemic and it gives no fucks. It's also a very smart disease. When you try to lose weight on you own without the tool of surgery, your body always fights you and then we play this game of lose gain lose lose gain. Obesity hates to see you win. Enjoy this new life its very hard yet very rewarding . Every day is hard. And No one deserves to know to hell with them lol

I am now in my second week out of gastric bypass surgery, can’t wait to get to puréed stage. I have immediate family and close friends who basically told me that I am taking the “easy way” out or flat out say that I have not shown enough discipline in the past to be successful at weight loss. I haven’t shared that I’ve had this surgery with anyone else, friends, neighbors, colleagues because of this. I am feeling good about the surgery, I feel competent to succeed all by myself if necessary, but I was wondering if others have run to this barrier in support and if so, what they’ve said or done.

Wow that’s great! Are you still in the GLP 1 medication? If not, have you regained any weight?

I was going to say the peri-menopausal syndrome has struck again. I had to switch to 50mg DHEA while the hormones were swinging around. I had my various doctor’s blessing. It is a hormone therapy treatment so please talk with your physician. Formal Hormone replacement therapy would have been better but alas, insurance. Now I’ve weaned off to 25mg at age 57. I live just fine on 900-1200 kcals at 5’4” and I’m not frail, I weight lift and have a super active job, and walk 20-30 minutes a day. Each of us is different. Soups make me very full, and salads when I can’t stand the hungries.

Hi there!! I have a vacation food photo build up. Here are some of the things I have eaten over the course of 8 days - of which all were shared with the hubby and my 2 kids - , the goal was to put on some of the weight I've lost in the past one and a half months, but came back to see that I lost even more weight, Boohoo.

Hi Guys, I'm thinking of going on the Mountjaro - how are you getting on with it ? I'm not sure whether to opt for a gastric sleeve or injections because I'm concerned when the jabs stop, I'll gain weight again. 😣

To everyone who has responded....thanks, lets keep in touch and get a good start to our journey. I look at this surgery as a new volume in my book, not a new chapter. I'm not looking back and I will be able to not only lose weight to feel better, but I will be able to get the much needed hip replacement. I'm due to have surgery on the 12th of May, signed my consents today, got my pre-op class done and met with the surgeon and he was quite pleased with my weight loss and my A1c both have gone down. I'm just as eager to get rolling on this new journey. What is next is the clear liquid diet a few days before surgery as they found I do not need to be on a liver reduction diet. I have my supplements as instructed, I have protein water for after surgery. We have 4 days of clear liquids only, then we can go on a soft diet, we don't have a puree, which is a blessing, I can't imagine eating chicken in a puree form, can't have meet until day 11. I'm taking this seriously, and will follow all the rules. I think I am more excited than anything for the 12th of May to come. Ealbers, you are right on track, let's get on with the journey. CJPom, you are first on the list being May 7th, let us know how you are doing post surgery. Jena, we will do this as a team, let's keep each other motivated!!! Congratulations to everyone! Every week, find a win other than is on the scale. Don't check your weight every day, it will fluctuate as your body adjusts and changes. Find other wins to celebrate, but don't stop celebrating. This is not just weight loss, but it is a metabolic shift in our bodies. Movement is important so let's keep walking. WendyJane

i've tried these picture calculators and am not entirely convinced they get the cal count right...especially with intricately-plated resto meals with those 10-ingredient sauce swooshes and crab-infused potato puffs lololololzzzzz. my own inquiry mind, ha! i like to know what calorie burn im at, and these days im on super-exercise mode, so i know im probably at a higher level than "normal". plus, i've sort of been trying to put on some weight since February, and my "unsuccessful-ness" of it all is starting to annoy me. (though secretly i kinda enjoy seeing a low number on the scale. sort of. kinda. i thinks. hello eating disorder!) ironically, i feel great. no health issues nor complaints. energy for days, and i can keep up (if not surpass) all the 20-somethings in class (p.s. im 53 this year). so i dunno.

just a note on BMR - I've heard this from both a former dietitian of mine and from a nutrition class I took a couple of years ago at UW-Milwaukee on obesity and weight loss, so it's likely true (seems to be the case with me, anyway...). It's very common for formerly obese people to need to eat 300-400 calories less per day than a person of the same height/weight/activity level who's never been obese in order to maintain their weight. So in other words (and I'm just pulling this example out of the blue), if a calorie calculator tells you that it takes about 1800 cal/day to maintain your weight, if you were formerly obese, that could mean that for you, it's probably more like 1400-1500 calories to maintain. That being said, I do agree with some of the others that you may be underestimating your calorie intake since I would think you'd be losing weight at that intake level. It might be helpful to cut back by about 100 cal/day for a couple of weeks and see if the scale starts moving again. if not, cut another 100 calories for a couple of weeks. Rinse and repeat until the scale starts moving. I've had to do this a few times to get things moving..

I agree with @SpartanMaker eating more might sound crazy but it works! Resistance training has completely transformed my body. I started incorporating it around 4–5 months post-op, and the weight started dropping like crazy. My body looked significantly better compared to when I was just doing cardio. Around 6–7 months post-op, I added 30 minutes of running at least 5 days a week, and at that time, I was eating between 2,100–2,300 calories daily. Even with that intake, I was losing weight and had actually dropped below my goal weight. I had to take a break due to surgery, and during that time my weight fluctuated upward—which was really frustrating. Even though I cut my calories and kept my macros on point, the scale wasn’t moving the way I wanted it to. But now that I’m back to resistance training (I’m not cleared to run yet), my weight is slowly trending back down again. I say try it! If you would like some guidance I have a few circuits that I do and has worked really well! I am happy to share ❤️

Getting back to the OP's question about what do do: If they really feel they are accurately logging and are also having a hard time eating less, then the option would be to take steps to increase metabolism. Yes, GLP-1 drugs can do this, but there are other options. First, would be adding muscle mass from strength training. Estimates are that each pound of muscle increases calories burned per day by roughly 6 calories, Each pound of fat contributes ~2 calories burned per day. This latter fact surprises some people, but fat is metabolically active tissue. It's just that muscle is more metabolically active. If someone were to gain ten pounds of muscle and lose ten pounds of fat, that would lead to an increase in BMR of roughly 40 calories. That doesn't sound like much, but it adds up over time. If you also add in EPOC (Excess Post-exercise Oxygen Consumption), from the strength training needed to add muscle mass, then I'd estimate this would over time lead to ~400-450 extra calories burned in a week. That would lead to a loss of ~6 pounds in a year even while eating the exact same amount of food. If this is not a sufficient amount, then one can always reduce calories a bit as well. Alternately (I know this will sound counter-intuitive), but the OP might well want to consider UPPING their calories a bit for a while. Our bodies were designed to upregulate our metabolisms slightly when calories are available and downregulate it when calories are scarce. This means our bodies can maintain weight at a wide range of calorie intake. If we're constantly in a calorie restrictive diet, our bodies do downregulate metabolism to keep us from what it perceives as starving to death. What I'd recommend instead is going up 200-300 calories per day for about a month. After this "diet reset", drop down again to 1200-1400 for no longer than 2 months before cycling back up again. You can keep this cycle going on indefinitely. One of 2 things will happen here. Most likely the OP won't gain anything during the increased calorie intake diet reset because their metabolism will increase to compensate. However, when they start back at the ~1300 calorie range, their metabolism may not drop immediately, meaning they'll lose a little bit in the following 2 months. If they do find that they gained during the diet reset, but fail to lose when back in the diet phase, then worst case it shouldn't be more than about 2 pounds (less than 1% of body weight). This isn't likely, but even if this does happen, it will at least tell us that 1300 won't work for weight loss for them and they'll need to go lower. I'd also be remiss if I didn't come back to exercise here. I mentioned that low levels of exercise (30 minutes of cardio), really are not going to do anything toward weight loss. It's obviously going to be different for everybody, but current research seems to suggest that the tipping point is about 400 calories per day. What I mean by that is if you can burn OVER 400 calories in exercise in a day, the body can't suppress your metabolism enough in other ways to keep you from going net-negative for the day. Said differently, you'd need to do something that burns more than 400 calories before it "counts" for weight loss and the only part that counts is the part above 400 calories. Unfortunately, 400 calories is A LOT for most people. The good news is the heavier you are the more you burn, but even at 215 pounds, you'd probably have to run over 3 miles to hit 400 calories. Keep in mind, this would just be to break even, so if you're actually trying to burn more calories this way, it will take even more. I'll use myself as an example here. I'm not trying to lose weight right now, but I have found that if I run over roughly 28 miles in a week, I tend to lose weight. If I run less miles, I maintain. Do the math, and for me that's right at about the 400 calories a day mark. In my use case of one, I'm pretty close to the statistical average as shown in the research. Best of luck whatever you decide.

If the OP thinks it's the solution and can find a way to pay for it, then they can certainly try a GLP-1. Keep in mind current studies suggest up to 20% of people are non-responders, meaning they don't work for everyone. Also, even compounded versions can be prohibitively expensive for some people. I would also caution the OP to be careful when seeking out compounded versions. As a nurse, you're in a better position to find a decent compounding pharmacy and also not make medication administration errors. Unfortunately compounded GLP-1s are a bit like the wild west right now, with shady operations and less than ideal directions/administration of the drug. So much so that the FDA has put out an advisory: https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss Caveat emptor was never more true.

It is going very well. The TORE procedure combined with a GLP1 medication has gotten me a 113 lbs. weight loss.

I guess I shouldn't respond late at night like I did above because I left out some common mistakes people make when logging calories: Mindless eating: either failing to log those little nibbles here and there (including when tasting food during prep), or trying to log it, but guessing after the fact as to how much they actually ate. Not understanding that raw vs cooked food can have vastly different calories. A classic example: The USDA says 100 grams of raw chicken has ~106 to 120 calories per 100 grams. The problem is that when cooked, 100 grams of this same chicken is ~165 calories. The primary reason is due to water lost during the cooking process. This is not an issue if you properly portion out how much of the chicken breast you ate, but if you are using the raw calories and weighing it when cooked, you'd actually be eating a lot more calories than you think. This is a big one: not counting liquid calories. for reasons I don't fully understand, a lot of people just either ignore or don't log liquid calories. That juice they drank for breakfast? Didn't log it. The milk in their coffee? Nope, not logged. That energy drink they had in the afternoon? Not logged either. I think you get the idea. If you haven't figured it out yet, I'm not a huge fan of logging calories since it's really hard to do correctly and even when done to the best of our ability, it's still often wrong. I think, as it may be in your case, it also can become a crutch. There is no cheating physics here. If you eat more calories than you burn in a day, you'll gain weight and if you eat less, you'll lose. As I hope you'll see from what I've posted, in all likelihood, you're eating more than you think. Let's just for the sake of argument say you're really great at logging and you really are just eating 1200-1400 kcal a day. The only other explanation would be an exceptionally low BMR. This would really suck if it's true, but if we assume it is true, then that would still mean you're eating too much. Either way, you have to eat less than you're eating now if you want to lose.