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Hi all, I was on the forums last year for the gastric sleeve in Turkey but decided to wait a year & see if I could lose the weight naturally. Safe to write that I lost nothing & gained a lot more! I am having my gastric sleeve surgery with APERA (went to them for a rhinoplasty last year & they were excellent) so I’m not nervous about the operation.. more the discomfort of the gas & pain afterwards. Could someone please let me know the stages you go through with food consistencies, please?

I'm glad weighing once a week is helping. Sometimes it's difficult... I want to get on the scale way more often and sometimes do. All my adult life I have considered a loss of 2 pounds a week to be right on track. The first few weeks of this got me spoiled with bigger losses. At this point I'd be very happy with a consistent 1 - 2 pounds a week. It seems like the slower it comes off, the easier it is for my body to adjust. An NSV, well, not really a victory, but a surprise... I had to go to support group at the hospital last night. I was running late and threw some jeans and a T-shirt on after my shower. I hadn't had those jeans on in a few weeks, and oh my gosh, they were huge! Not just the waist, which is elastic, but the legs were so funny. I didn't have time to change them, and they are my favorite jeans. In fact, I have a pair that is 4 sizes smaller in my closet waiting for me! lol.

I’m only losing a pound or two a week. It’s super slow!!!! I had my post up appt which wasn’t super informative. I’ve lost 40lbs so far. Not all of my bloodwork was in yet so I’m waiting to hear how my vitamin levels are. She said the stuck food lasts til 6 months then comes back at 12 months and 18 months 🤦‍♀️🤦‍♀️ and I’m expected to lose my weight over 18 months. That was about it. Other than the stalls will get longer and longer she said. Ughhhhhhhh. Some days I feel like I’m where I was pre surgery trying to get the scale to move even though I know that’s not the case. I have started only weighing once a week now instead of every day so that’s less frustrating. Knowing we are all stalling definitely helps me to see it is just the way things are and I can’t rush it. Thanks for the continued support ❤️

Thank you so Much for your Answers! Both of you <3, yes i am seeking Therapy and be open about it, its sometimes that lingering fear of things not working out for me, in Germany i can get Plastic Surgery, and if the Documentation work is good the Health insurance would cover part of it. I also agree with, there is maybe a Special person who doesn't care and Loves me for who i am a Man can Hope. And Push forward.

You are looking great, well done. Not a man but feeling the same way and have a lot of self doubt about starting to date (my friends are trying to push me to it) because the excess skin is all fine when it is hidden under the clothes but God forbid anyone was to see me naked, it is bad enough when the good looking doctors have to take a peak! I realise that a lot of my fear is in my own head and of my own making but not helped by social media etc.. At the moment I am trying to focus on the mental side of things and practice a bit of self love (no not masturbation 😂) by reading books on finding happiness and learning to dampen my own negativity. I never thought it would be something I would read and try to act on but I am trying my best to put positivity out into the word and hope it comes back. I am learning to have a smiling face instead of resting bit*h face, it is hard work 😂 Not sure if or when I will ever put myself out there but the positivity is good to give and get. Anyway, I just wanted to say you are not alone plus everyone (not just bariatric patients) is weird in their own way and we just have to try and embrace it and find that other person (persons) who get us.

Hey, So lately i start to geht more and more anxious, I got my RNY-Bypass sept. 2023, i'm currently 36 years old from Germany. my Starting weight was around 230kg, i'm now at 125kg, it is a lot right?, But me being Anxious about my excess skin is kinda..Hart on my self esteem, i kinda think that even after my Fight is won, that nobody wants someone who is kinda...mhm.. Weird? , for comparions, a photo from 1 day to OP and one from today.

Sometimes you have to ring some bells like HELLO, i need some aftercare and followup. Congrats you finally got your appt. and your A1C going down! I'm not sure about B12. Some labs calculate it differently as the high end of the normal range for mine is 1245. I'm sure if it's an issue it will be or should be addressed by your team. The Vitamin D for sure should be. I know for me it was getting to the higher side of normal and my dietician had me drop down from bariatric vitamin to a regular multi and cut back on my calcium chews which also contain lots of Vitamin D. Woohoo on the weightloss. And the hair loss will eventually slow down. Mine lasted from about month 3-6 at it's worst and has slowed considerably and now I'm only just slightly annoyed at all the short hairs from regrowth.

So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

That's 15 pounds per month, or 3.75 pounds per week. You're more than on track. And I'm glad to hear you're doing well. I know the feeling about being anemic. I've been fighting that since 8th grade. Thanks for updating!!!

Here are some vegetarian recipes that are not only delicious but also great for weight loss: 1. Quinoa Salad with Roasted Vegetables: Packed with protein and fiber, this colorful salad is both satisfying and nutritious. 2. Lentil Soup: High in protein and low in fat, lentil soup is filling and comforting, perfect for keeping you full without excess calories. 3. Veggie Stir-Fry: Loaded with colorful veggies and tofu or tempeh, stir-fries are quick, easy, and customizable for weight loss goals. 4. Zucchini Noodles with Pesto: Replace traditional pasta with zucchini noodles for a lighter option, topped with homemade pesto for flavor without excess calories. 5. Chickpea Salad: Chickpeas are rich in protein and fiber, making them a great base for salads. Combine with veggies and a light dressing for a satisfying meal. These recipes focus on whole, plant-based ingredients that are low in calories but high in nutrients, making them ideal for supporting weight loss goals. Enjoy experimenting with different flavors and ingredients to find what works best for you!

I recently read about not taking your PPI within an hour or two of taking iron (or calcium) because of the impact on absorption too @JennyBeez. Very interesting! Also don’t take your iron with or around the same time you have any caffeine. Caffeine can reduce the absorption of iron by 60% or more. There is scientific evidence about this just not well publicised. Also the iron added to iron enhanced foods like breads, cereals, etc. isn’t absorbed well. Lot more research & education needed around all this.

I’ve slowed wayyyy down weight loss wise. I’ve only lost about 6 LBs in the last month which doesn’t thrill me. Since I rarely eat 800-1000 cal a day on average I guess I’m going to have to start exercising (which I despise 😂) but i know it’s better for me.

I slept in a recliner for a little over 2 weeks, and then got a wedge pillow for my bed to transition. I also slept with a pillow next to me for a while to discourage rolling in my most-common direction. XD Like others have said, your taste buds can be really all over the place after the surgery. I found a brand on Amazon called ProtiDiet -- their chicken protein soup was a godsend in my early weeks. I still like it now tbh. My team allowed sugarfree puddings during my liquid stage, and stirring some unflavoured protein powder into the pudding (after it was already set! wait until it sets!) got me through some rougher moments. See if you can find smaller samples of protein shakes (premade or powdered) until you find one you can keep down. After my surgery, anything with stevia caused me to vomit, and erythritol made me nauseous but not nearly as bad. Even now, I can really only handle sucralose/splenda and aspartame sweeteners (or monk fruit in low doses). You might be reacting to the sweetening agent in your protein shake. Also, most care programs I've seen seem to prefer whey protein to all others (for good reasons!), but some people develop lactose intolerance Post-OP -- so something else to maybe look into? I'm lactose intolerant and had trouble with whey at first but my body got used to it after about a week. We're buds now.

First, don't panic! And don't compare your progress to others, if you can help it. I agree with everything Nickel said -- including the book rec. Kristin Willard's Bariatric Meal Prep is a great resource, and I also really like "The High-Protein Bariatric Cookbook" by Stacey Gulbin and "Fresh Start Bariatric Cookbook" by Sarah Kent. I think a good Bariatric book might help cover some of the information you've been missing from your 'care-team'. Is it possible that you've been focusing extra/too much on calories and not enough on what makes up those calories? My team told me that calories can be important (especially later on) but the first several months it was definitely more about making sure you're getting enough nutrients. 60-80 g protein per day minimum -- my team told me for me personally, she'd actually recommend 70-90g -- and definitely 3 meals a day (+ 1-2 protein-geared snacks). If you have to make them smaller at first since you're used to eating two meals, that should be ok. Maybe while you get back into a regular routine, make one of your meals a protein shake or protein bar? It was suggested to me that both my day (and each meal) should be 50-60% protein, and the rest of my plate should be mostly non-starchy veg -- with any starchy veg or complex carb coming in at 10-15% (20% max). The types of carbohydrates can be really important too. A whole grain/whole wheat item or a starchy but nutritious veg is going to put you in a much better place than a processed corn taco or white tortilla. Are you taking any supplements? Also, maybe check out local nutritionists and see if any of them have experience with bariatric patients.

I've never heard of hot yoga. I want to start either yoga or pilates but I would need the waaaaay beginners stuff lol I'm not flexible or limber AT ALL. But I've heard such good things about both, and I was told yoga would be really good on my rest days, so there's that....

Week 11 tomorrow, and I definitely notice more shedding now -- and all of a sudden, the ends of my hair seem to be getting drier and more brittle. I guess it's 'begun' 🙈

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

i was JUST posting about this. (and "arguing" with mr. about it) for me, though, its not guilt...is actual pain. since ive been doing pilates and hot yoga (i started again after a years-long hiatus 8 months ago) i have discovered that all the aches and pains and stiffness and soreness i seem to constantly experience in certain areas in my body goes away soon after i start a session and lasts for several hours afterwards. then it comes back. then it goes away again when i go back to the studio. i don't get as much of the relief after a run, but its the best during/after hot yoga...i feel AWESOME and pain free. im sure the super hot room contributes to this. so i like to go everyday, and if i dont, i feel not as awesome. back in october last year, i was doing hot yoga once a week, pilates 3x a week, and a 5k maybe once every 1-2 weeks, if im lucky. plus my lazy-mans strength training in front of the tv. so i generally had 2 full rest days per week (the weekend for me). now, 8 months later, per week, i do hot yoga 7x, pilates 3x, a 5k 1-2x, rock climbing 2x plus the lazy workouts. which has me doing multiple "sessions" per day with zero rest days. been at this level of activity for about 3 months straight. oddly enough i dont feel any worse for wear, other than the usual aches after my hot yoga magic wears off. i am still an insomniac and have energizer bunny energy. but i am definitely stronger, so there's that (well i still suck at opening jars...hot yoga doesn't work on my grip strength lol) anyway, long-a$$ story short, i know i need rest days for recovery and injury prevention. i just really like the several pain-free hours after a strenuous, sweaty session, and missing a day sucks, but not out of guilt... wow. sorry! this was really long.

Hello Everyone! It has been a while since I posted on here, but I wanted to get some input and reassurance/knowledge from others who have potentially dealt with this. I had GS surgery done on 9/5/23 and things were ROUGH at the beginning. It did not help that my surgeon is out of state an their office was not the best with returning calls and in a sense "caring" about my progress/recovery. It is a longer story for another time, as this post is about something more current but somewhat related. Since my surgery I have no gone to my follow up appointments being that 1. I decided to not work with them after the complications and lack of any kind of support/communication from my surgeons office until right before my 3 month appointment, 2. They are out of state and I had not found a primary care physician in my new state, and 3. Probably because I am stubborn as hell, LOL! On the 5th I will be 9 months post op, and after I somewhat got my food/liquid intake figured out I was able to get things moving. Being a food addict I have a love/hate relationship with food and emotional connections to them. I am not the type of food addict that if its there I am going to eat it. Once I am full I do not crave or even want to think about food. So, with the lack of hunger from the surgery I was feeling like I was unstoppable. I was eating when i thought i was hungry/knew it had been several hours. Looking back i think it was the common fear of it all that probably set me up wrong, but we live and we learn. I was afraid of eating too much and afraid to see the number go up as well. I would basically only eat at breakfast and dinner and maybe a snack somewhere in between. I thought i was doing well honestly an thought it was normal. Well here we are nearly 9 months later and I was maybe eating 5 ounces a meal and it was like a single taco or 1.5 sausage patties and some eggs. again, thought it was totally normal. Then i spoke to a friend who did the surgery and she informed me of what she was able to eat by the time I am at and i realized i am eating way way way less than what she listed. So, I have been trying to increase my portions/time in between meals. I have a food scale and weigh out majority of my ingredients and now am calorie obsessed. I am doing it to hopefully eat enough and make sure I am getting enough in me to help with my dizziness and hair loss/brittle nails issues. Since doing so though now I have MAJOR fear that i am eating too much and i am doing it wrong. I am terrified i stretched my stomach and something is not right because i am not gaining weight. I am up 4 pounds and in my terrible mind it feels like I've gained 40 pounds. I was consistently walking everyday until mid-December, but stopped due to pain in my hips (another long story), but have started walking again consistently as of last month. I am also trying to find a new doctor/surgeon here in Tuscaloosa or Birmingham to have a consistent source of information/support. But until then I am in mind panic mode. Has anyone felt this way or dealt with stretching? My family is convinced it has not stretched, but I being the crazy one worried about it feels like i have. I am open to private messages if thats a thing and willing to answer any questions as well!

Hi Sarah! I did not have that fear at first, but I can tell you that if you do not meet your fluid and protein goals you will run yourself into the ground. Trust me! I am 6 weeks post op, and after 2 weeks, I didn't drink my fluids or have my protein. When I took a shower one night, I came VERY close to passing out. The plan is so important (and sometimes really annoying) to follow, but it is for your safety, health, and to achieve the weight loss that you desire. Drinking fluids (all 64 ounces +) will really help your weight loss. I worry about stretching my stomach out later on. Like, if I succumb to mental hunger and have something that I should not have, and I just keep eating it because it tastes good - but I am told it will take a LOT to get it stretched out. I know it will eventually stretch out some, but nothing like it was. Good luck on your journey! I hope the worrying subsides and you are able to heal and start seeing the good things. My first non-scale victory was putting on a pair of jeans I hadn't worn in years and they fit...comfortably. Those are the kinds of things that keep you going. I'm down 38lbs since 4/10 (pre-op diet) and 23lbs since my surgery. I haven't weighed in a bit, so hoping it's more like 25-30lbs since surgery, but as long as it keeps going down, I'm good.

Everything you are about to do is new. I won't lie for most of us the first month is tough. Not because of pain but all the new things that need learning. The two main things are - Your first will be drinking. You will have a tiny stomach to begin with that will have a swollen stitch line. This makes sipping drinks a full time job. The more liquid you can get in you, the better you will feel. Secondly its going through the food stages. Just do your best. Be prepared for some foods to repulse you. Don't bulk buy. Use you team post surgery for the big questions and worries and this forum will give you great guidelines and advice. I read a lot of back pages of the forum whilst I waited for the surgery. It hold masses of information. You will only find help here, we don't criticize. We all did the surgery, we all managed the process, you will too. You don't need to know everything right now.

I don't like Semaglutide....too many side effects. I looked into it for a bit before surgery, and it wasn't worth it IMHO. I have had a few friends on it that it caused too many issues, and they quit taking it. And both of them didn't lose much weight 5-10 pounds. One of my other friends take it and she does well with it, lost 40-50 pounds, however once she stops taking it, she gains everything back and then some. So now she has to lose the weight, go off of it, then do maintenance shots with it every other month or she will gain everything back. My cousin has been taking it for ~6 months now, and she is doing really well, she lost about 60 pounds, but hasn't gone off of it yet. They are both a tool to help you, they aren't a fix all. If you think about it, you could do the same diet as Bariatric surgery, if you have the will power, and you will lose the same weight. I needed the tool to assist me, I had dieted before and lost 100 pounds, but over the years I put it all back on and then some. It is all about your mindset. I have tried many things before, phentermine, qysimia, diet/exercise, among others. The best thing that has helped has been the sleeve. It may be your best option to try semaglutide and see if it works for you, it is the cheaper option at first, and if it doesn't work and you aren't happy with it, look at other options.

Hi there, I was 198 on the day of (height 5'6) and lost close to 27 lbs at my first month mark. What I'm trying to say is that every body is different. We lose at different rates and our bodies do what they feel comfortable doing. I had morbidly obese friends who were really really slow losers but kept losing until 24 months post op, but they lost it all! So please don't feel worried or demotivated because 13 lbs are fantastic! And it definitely is very obvious from your before and after! Plus losing slowly is much better for minimizing loose skin especially that you lift heavy objects for a living. You are doing great and you will get there, slowly but surely

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I think it can be difficult to differentiate between head hunger and actual hunger when food has become an addiction instead of fuel for our bodies. Giving up other addictions, like smoking for example, isn’t the same because you remove the tools of that addiction from your life - you bin ashtrays, throw away lighters, stop buying cigarettes etc. You fight the cravings for just one more cigarette, you get help from different sources, whether emotional or medical. You find that as time goes on that can manage your life perfectly well without smoking. Food differs as we need food to live. We constantly need the thing that had us gaining weight in the first place! We can’t ignore what our bodies need but we have to be more discerning and disciplined about what we put in it. I know, from my own experience, that my ‘full’ button is broken and my hunger ‘tells’ are all screwed up because I’m a food addict. To quote a saying of my late mother-in-law - I can eat a potato more than a pig! I know I have to learn new behaviours and to truly listen to my body instead of using it as a dumping ground for terrible food choices. I know it won’t be a straightforward lesson because if it was, I wouldn’t be obese.