Search the Community

Hi there. So I will make this as short as I can I have had a good amount of health issues and surgeries throughout my life. I am a 34 y.o. mom of 3 who has no appendix or gallbladder. Also I have had a few brain surgeries and procedures before ultimately having to have craniotomy all thanks to a A.V.M. in my cerebellum. There was a time when I had a "G-tube" as well. I was 210 and was starting my lifestyle changes because I was completely unhappy with myself. My primary prescribed me semiglutide pills since my weight and my fasting glucose levels weren't ideal He also referred me to a WLS dept to gain information on the VGS. He believes that I am perfectly healthy just overweight. I have gone through 5 months of nutrition classes. One a month. My final class is Thursday (tomorrow) and I'm uncertain if this is for me. I am down to 184 which I am absolutely proud of myself for. I know that with my height (5'2) the normal but high bmi is 135/136. I believe 137 starts the overweight bmi section. I see the surgeon in Jan & psychologist in Feb. I am not sure id pass that clearance with these thoughts. And since im on the lower end for weight loss I am afraid I would be denied anyway. I don't have any health conditions req for WLS if you don't meet bmi requirements Haha I know im annoying. I want the surgery but then don't at the same time. I have improved my lifestyle choices, getting more active, proportioning meals etc but I'm not sure if I continue with just these things I could lose more weight. Ugggh I frustrate myself. Anyone start on the lower side? Does BMI really matter. 5'2s where are you? I know everyone carries their weight differently so it looks different on everyone. What is comfortable?

I'm going to preface this by saying I am not a doctor and definitely in no position to give healthcare advice, but the most recent studies seem to indicate that very occasional ibuprofen use after a bypass does not significantly increase your risk of ulcers. Not all doctors are up on the research and some just don't want to change their advice on the off chance a patient has an issue, but some doctors will outright say that if you take an ibuprofen or two for a really bad headache or that one time you have an unusual pain, it's fine. You just don't want to exceed maybe once in a week or a few times in a month. The study I read looked at outcomes for thousands of bypass and sleeve patients in Denmark who had been prescribed daily NSAIDs for less than 30 days or more than 30 days, and then looked at how many developed ulcers. Only the bypass patients who took them for more than 30 days had an incidence rate higher than the general population.

I looked up a few recipes online because I don't normally like them. But I make a lentil soup that's yummy. And I make a chili and a 3 bean salad that really ups the fiber and protein. I also use the pasta for not only mac n cheese but also a type of goulash. I use the pasta and add spaghetti sauce, ground beef, and 3 different beans. I also add shredded cheese that I melt on top. OMG it's amazing. And the protein and fiber are really high. I make a spinach salad with chick peas, some kind of meat (steak or chicken), cheese, bacon bits, artichoke hearts (also high in fiber), avocado, black olives, and hardboiled eggs. I like to make fruit smoothies with almond milk or I'll do a fruit salad with banana, blueberries, raspberries, strawberries, apple, and I mix it with greek yogurt. All of these recipes have high protein, fiber, and healthy fat content.

i had low levels of vitamin a the first 3-4 months. and yeah, ur right, for some reason most multivitamins dont seem to include much of it...so my doc had me take extra vitamins a (via supplements) during those months, until he was satisfied with my levels (i had my labs done 6 times the first 6 months) low vitamin a (all vitamins, really) is common among wls patients cuz we really just dont eat enough (i basically ate almost nothing the first 3 months)! Also, when u eat alot of protein (like we are all told to do), our vitamin A needs increase. further, prolonged protein UNDER-eating hampers vitamin a storage and transport within our bodies and blood systems (science, baby!) once i started eating more my levels became satisfactory. (fish, eggs, dairy! yum! green leafy stuff, practically all fruits and veggies! also yum! but liver too...not so very yum, ha) do you/have you ever track/tracked your macro consumption?

Y’all over here posting lavish dishes and I’m excited my groceries cost $82US this week. 😂 oh and also the meal plan for this week which we’ve already veered from and made pudding pies and angel food cake. 🤷‍♀️

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.

Last night I felt the need for a walk so even though it was -2c / 28f I decided to go around the block and post my Christmas cards. Didn't plan to post them until at the office next week (and they won't be collected by post any earlier) but it was great to get out for a 1.5km brisk walk. In the olden pre-op days I would have ignored the feeling and just stayed on the sofa with popcorn and tv. I had also earlier walked to and from the dentist, normally I would have taken a bus so that was another few km done in the day.

Hi yall! I found out after my endoscopy my tentative surgery date is Nov 21! So excited to have the sleeve done. I've been seeing soooo many success stories on YouTube. I watch them every day. So encouraging that they changed their habits and many are 1, 3, 5 years out, etc. Great to see!! Wishing you all the best!!!

I am 1 week 9 days out. When I first came home, I felt so hungry several times. I was thinking, this is my life now. I'm always going to have a growly stomach. But then I read somewhere that our stomach still needs to learn our new signals for hunger. Also, we have head hunger. Our brain has to learn the new signals as well. So, I am keeping the prescribed diet until my body can learn to communicate. In addition, some of those hunger signals could be thirst signals. So, making sure I drink enough water does help.

lol no, not at all i am just a ridiculous exercise addict these days. started in the summer and now i just can't seem to stop...i actually feel BAD (mentally and physically) if i don't do SOMETHING every day. i am paying the price though...my body just feels worn out every day now when i'm at rest. the only thing that makes the pain and achiness go away is more exercise. its a vicious cycle honestly. the weight loss is not on purpose. i got myself braces in September, and my total annoyance of having to clean my teeth after every single time that i eat something, has effectively stopped me from snacking. so i'm eating less overall and its showing on the scale (and my abs! lol). i started adding an afternoon protein shake about 2 weeks ago and gained back 2-ish lbs....(two weeks ago i was down 13 lbs, today i'm down just down 11 lbs since september) BUT...i have to say that i actually kinda like that i lost that bit of weight (how's that for body image issues?!?!). but i also know i need to eat more for health's sake.

Well not to scare you but I felt something in my breast about 2.5 months post op and when I got the call I was 3 months post and it was breast cancer. I think I honestly may not have found it if it hadn’t been for the weight loss though so at least now I have a fighting chance. 🤷‍♀️. I truly do hope yours is absolutely nothing but i just wanted to mention that it’s always best to get anything like that checked (as you are). I had my mammograms annually and even had my breasts checked at my Pap smear only ten days prior to feeling it myself and the Dr had missed it so I really had to go with my gut to get it checked out anyways. It was hard to believe that she wouldn’t have felt it and I figured that they were going to just laugh at me because it was supposed to be there but it wasn’t. I would probably be stage 4 instead of 3 if I had waited until my next mammogram instead of trusting my gut. Definitely don’t worry about it until you have a real reason to, but also for anyone else reading this don’t ignore it because it does happen. Just get it checked out and enjoy your life. All we can do. Maybe when you go ask the radiologist to do a self exam with you and tell you what things you feel are so you know what’s normal and what’s not. I would only trust the radiologist that has the imaging in front of them though because my gyno when I went to tell her I felt something said that she was 99% certain it was just fibrous tissue but would send me for mammogram anyways. I actually almost cancelled the appointment because she made me feel like it was a waste of time and money. Thankfully I didn’t. I finally got into the Christmas spirit when we took my five younger cousins out for a night of Christmas Lights and Hot Cocoa. That’s usually the end to our big annual Christmas crafts day with the kids but with chemo I can’t do a whole day and night of five kids right now energy wise so we just did the lights part. I usually don’t get into the spirit until I’m around the kids. My Christmas treat is the Ghirardelli peppermint chocolates. They are individually wrapped so you can easily have just one and they have it in dark chocolate. It’s definitely off plan and a splurge but you can freeze them to make it less tempting to not waste.

That's an amazing gauge; before my surgery (Sept '23), I had to use the last hole, and it was...snug. Here we are now, a week short of 14 months post-op, down 135lbs and I use the 4th hole unless I'm working out, when I use the 5th hole to tighten it up a little to keep the sensors away from the bottom of my (tattoo) sleeve.

I don’t know about weird, but definitely a win for me. I grew a little a booty!! My booty was such a signature one back in the day LMAO, it went completely flat after VSG. I have been hitting legs HEAVY twice to three times a week and man do I feel the difference. My weight is pretty much the same (although my running average has gone down a bit to the lower end of my stabilized weight). But I am 100% sure my body fat has significantly dropped and muscle mass has gone up (wishful thinking, indulge me).

@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:)

I think it may be too much volume too. I was advised 1/4 - 1/3 of a cup from purée. Also try thinning the purée more so it’s more liquid like for a coupe of days & see if that helps. But yes, going back to liquids for a couple of days or so won’t hurt either. Maybe try one meal puree, the other two liquids? I found tinned fish pureed disgusting and survived a lot on thicker soups & yoghurt. Luckily I could have thin scrambled eggs and thin instant oatmeal as well.

Exactly as others have reacted. What is your definition of a normal size? I can eat about a recommended portion size and that took me well into my 3rd year. Sometimes it depends on what I’m eating or if I’m feeling hungry & then I can’t eat the whole portion. Not unusual to have leftovers in my fridge. As an example I can eat about 3ozs of protein plus a cup of vegetables for dinner, 2 golf ball size rissoles/meat balls & cup of vegetables, about 2/3 of 2 scrambled eggs, a tub of yoghurt, 1/2 a large apple, 8 macadamia nuts, 8-10 grapes. If I go out to eat I can eat about 3/4 of a main meal in a fine dining restaurant when meals are pretty much recommended portion sizes. In Australia our servings aren’t as large as some of the American servings though they are getting larger in the casual eating places. For example, I ordered a small salt & pepper calamari meal at a pub & took half home for dinner. This is an Australian site (below) but I’m sure there’ll be US sites about recommended portion sizes to give you an idea. However, you need to work out what size portions will provide you with the appropriate nutrients and calories your body needs to function effectively and for you to maintain your weight. https://www.eatforhealth.gov.au/food-essentials/how-much-do-we-need-each-day/serve-sizes Your nutritionalist will help advise you on this too.

Everyone is different. I am almost 6 years out. I made it to my goal weight about 1 1/2 years after surgery using the Fast Metabolism Diet for the last 6 months of that. I went back up 15 pounds but my body is happy here. I have never thought about calories. I have always concentrated on how many ounces I eat at a meal. I never go above 3.5oz total. 2oz protein & 1.5oz. I also eat 5 times a day. 3 meals & 2 snacks like cheese or fruit. You have to figure out what works best for you.

@ShoppGirl I don't, actually. They've changed their offerings a few times, so I'm actually still paying for the group access under a membership level that doesn't exist anymore. I do know they offer a platinum program for $999 that includes 3 personal visits with Dr. Weiner, 3 personal visits with Zoe, plus 3 months of membership for the group meetings (and a bunch of other things like help accessing prescription meds, etc.) but not sure what the cost is to book a single appointment. Although, if you need/want all 6 appointments and planned to do 3 months of groups anyway, it works out to about $140 each with the platinum package, which isn't bad.

Not only did we have surgery at about the same time, but we started at a pretty close weight and have lost the same amount (I had to google how many lbs was 21 kg; It's 46 lbs, which is where I'm at) so we seem to be losing weight at about the same rate. I definitely have noticed the weight coming off but it does suck sometimes to lose weight slower than other people. I'm glad your dr was supportive of how things have been going. I feel like Christmas has been harder than Halloween and Thanksgiving as far as making healthy choices. I think Halloween, I still wasn't eating completely normal so it helped me avoid candy. Thanksgiving, I don't really like pie so that helped. But Christmas, there have been all types of goodies around (including the baked goods I made for my neighbors) that its easy to take a piece of a cookie or a little chocolate and not think much of it. I for sure eating less than I would have in the past and only taking a 1/3 or 1/2 of a cookie still feels like a win, but I hope I can kick this habit after Christmas, because I don't want to get too comfortable again with grabbing sweets when I'm craving one.

Also just to add, in those initial weeks post-surgery, my team recommended that I limit each meal to around 8 mouthfuls (using children's cutlery), just because the signals which tell us we are full aren't healed just yet, and that limited the over-eating!

I have fiber in the turkey chili (kidney beans) I make and I also take 6 (2 morning, 2 mid and 2 evening) of the Psyllium Husk Fiber Supplement 1450mg, 240 Capsules from Amazon just a bit above recommended daily dosage, but my GP said it can't cause any issues other than maybe gas..but I have noticed anymore than normal with a bypass.. I also eat 3 (again 1 at different times throughout the day) OLLY Probiotic + Prebiotic Gummy, Digestive Support and Gut Health, 500 Million CFUs, Fiber, Adult Chewable Supplement for Men and Women, Peach, 30 Day Supply - 30 Count. I started the psyllium when my GP started me on Ozempic to break my 3 month stall and to stop the annoying food cadence in my head! I'm holding at 1mg dose and have had very little constipation if any. I don't "go" regularly at 7am everyday like I used too, but I do go each day. I just make sure I get my water in and all works as it should. I hope this helps!

I'm almost 3 months post op and gone from a UK24 to size UK16. I haven't been that weight in years. This time last year, I never would have even thought it was possible. This time 6 months ago when I was approved for surgery, I never even thought any of this would be possible! My knees hurt less when walking, although my butt hurts because I have less padding, so sometimes I actually prefer to stand. Never thought I would do that. I do sometimes still grieve food but not for the reasons I thought. I grieve the way I used to be in some ways because my best friend and I would get together and eat and we don't really have that anymore. We are still trying to find other things we can do together. But also, sometimes I grieved I can't order a pizza or other takeaway anymore because I live alone and don't have anyone to share it with so to avoid wastage, I actually need to cook even if I'm too tired. This year, I'm going to get my health on track and finally move out of London. I can't afford to live here anymore and I want a new start. Now that I know goals that seemed impossible are now achievable, I want to start new goals.

ShoppGirl- I went from ER to operation room and then was out of it for 3 days so they didn't say anything at the hospital about billing but when I contacted the billing department, they told me that they got preapproval from the insurance for admission. They refused to submit the bill with the correct codes and referred me to a company that would decide if I qualify for financial assistance.

@Mspretty86 I am satisfied! I want to work on shaping my body and getting strong. Then hoping that the boobs will make me look curvier. I am a small A where Victoria Secret told me I am an A but I still have gaps because I am all skin LOL I am ready to be a full DD. I am doing my breast aug 3 weeks before I hit a year (I know I know its a no no) but my surgeon only wants maintenance. and the date is perfect since my hubs is taking off to be my caregiver and it happens to be the same time as the kids winter break so I could not pass up the timing. but I am so ready to wear a bikini, tank tops and all the shirts because I look like a teenage boy right now LOL

Do you like seafood? I mean have you tried it post surgery. I didn’t like it presurgery. Would occasionally have a little Mahi just because I knew it was good for me but never really liked it. Post surgery I usually eat seafood at least twice a week, I also have things with ground turkey such as a Mexican skillet, meatballs or turkey taco filling (I just do the meat and toppings without the taco shell or the lettuce). The lettuce would be fine of course but it just takes up valuable room. I also do things with lean beef such as chili. I will also do a “pasta” dish once a week which is either the ricotta bake which I make with a protein and veggies added, zucchini noodles with fresh basil pesto, or a low carb Italian bake that I found the recipe for online although I make mine with turkey sausage to cut the fat a bit. There are quite a few bariatric recipe sites that have some great recipes. I did like 3 weeks of all different recipes. You can also do like a white chicken chili or southwest chicken with peppers and onions. Just so your don’t have to eat just plain chicken nuggets. If you don’t love to cook the southwest chicken and the chicken chili are recipes from seasoning packets so they are fairly simple if you have a Walmart the southwest ranch is a street taco seasoning from McCormick and the white chicken chili seasoning is by McCormick as well. Those two and the McCormick tex Mex chili are three of my favorite meals that are relatively simple and the chili Freezes well so I have been doing a double batch and then use my souper cubes to freeze single servings. The chili does have healthy carbs though so of course be mindful of that. I am allowed some carbs because I’m pretty active but I still budget for them by doing pretty low carb for breakfast and lunch on days I know the plan is chili is for diner.