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Losing too much weight before surgery
Crystal-clear posted a topic in General Weight Loss Surgery Discussions
Hello all. I started the process for bariatric surgery in February 2022. I weighed 310 lbs at 5'6, BMI 50. I completed my 6 months of supervised weight loss in August. I received approval for my surgery in September from my insurance company. I am STILL waiting for my surgery to be scheduled. My pre op testing was just completed last week. After the testing they said to allow 2 weeks for it to be processed and then another 4 weeks for them to call with the surgery date. Then I will 2 weeks of pre op diet. So likely it is another 8 weeks until my surgery will happen. My problem is I have been on Ozempic since May and steadily losing. My current weight is 245 which puts me right at the BMI cut off of 40. In 8 weeks I will likely be around 230 which will definitly be below. I guess my question is... my insurance requires a BMI greater then 40 for bariatric surgery, If I show up for surgery with a BMI lower than that will they cancel my surgery? I hate stop all the progress I've made this past year. I'm in a good weight loss groove. But I really never expected it to take 5-6 months AFTER my 6 months of supervised weight loss and insurance approval to actually get in for the procedure. -
October 2022 surgery support
ashleydashley replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
I got my surgery on October 6th about 3 weeks in. I had about a three week. Where I wasn't losing weight... I was having 600 to 800 calories a day because that's what my doctor suggested I should be sticking to with the gastric sleeve... I was very strict on amount of protein I was getting. I was getting 60 to 90 g of protein a day. Was also getting my water in everyday. I felt so defeated and overwhelmed like I was doing something wrong. So I even called my doctor's office and they said no. It's totally normal your brain. Your metabolism are trying to catch up with your new stomach... Hang in there. My only suggestion would be to double check with your doctor on what your calorie intake should be this soon after surgery... Let us know if you need any more suggestions. I hope that my story helped you in some way. Hang in there girl -
November 2022 Surgery Buddies
Jmr5829 replied to Crystal Leifheit's topic in Gastric Sleeve Surgery Forums
I’m 3 days post op and struggling I was doing so well until this afternoon and I tried to drink some protein shake. Now anything I have water, yogurt, broth about 10 minutes later I get a horrible throat pain and I start coughing and dry heaving. Has anyone experienced this -
Hey everyone, here's my update: Surgery was 10/11. I was 259.8 (heaviest weight) right before I started my 1 week preop diet. Down to 248 right before surgery. Current weight is 219. I'm now on a regular diet since week 6 (currently week 7 since Tuesday). I can only tolerate about 3-5 bites before I'm too full. I eat 4-5 times a day to get my protein in and prevent myself from getting sick due to my stomach being "too empty". I'm averaging about 500-700 calories a day most days. I still struggle to slow down when eating, especially if I've waited too long to eat. Work in progress. I have started back the gym this week. I have made a goal of doing a 5k in the spring, and I have gotten a trainer to help me until I get situated and comfortable around the gym. I had the dreaded 3 week stall. It lasted 3 weeks. Broke this week. I think the gym helped. I still struggle to get my fluids in. However, I feel great. I have turned the corner and gained energy. My mood is better as well. I have decided to take a weekend trip somewhere (that part is not decided) as a reward for getting into Onderland when I get there. My reward for going to the gym 4x a week for the next 2 weeks is a new pair of shoes (I really need them because my shoes have gotten too big since the weightloss, its a bonus to use them as a reward though). My NSV: I can put on my shoes without wanting to be taken out by a sniper. My back pain and knee pain are gone (I hadn't had the pain long though, so it went away quickly versus someone who had longer chronic pain). I have energy and smile more!
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Mine started at 2 weeks, too and it just broke a few days ago. About 3.5 weeks for me, too. I noticed that during that time, my ring started slipping off my finger. My favorite skirt started slipping down my hips. I'm definitely losing inches, even if the scale isn't moving. I also started working out - running on my elliptical - 30 minutes a day and I'm going a little over 4 miles. My abs are still sore, so no weight lifting for me, yet.
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October 2022 surgery support
katvondemon replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
I just finally broke my stall this week. Mine started week 2 and lasted 19 days. I don’t track overall calories but I started tracking protein and fluids. Turns out I wasn’t getting as much as I thought I was. I aim for 64 ounces of fluids (most of which is water) and 60 grams of protein. I also started moving more. My doctor wants me to work up to 150 minutes of movement a week. For now I’m just walking 20-30 minutes a day. Eventually I’ll add in strength training. I also switched to weighing in weekly so it was less of a focus for me. Finally this Monday the scale dropped from 192 to 189 (the last couple of weeks it kept shifting between 192-191) so I’m hoping the stall has passed. It’s hard not to stress about a number but I have also been noticing other changes. My clothes fit better and my confidence is going up. So I try to focus more on that then the number. Every doctor is different. I’m allowed 3 meals and 2 high protein snacks a day. Usually I don’t even eat all that. But perhaps reconsider what you’re snacking on at night. If it’s not nutritious pick a different snack. Or spend that time moving instead of snacking. This surgery is all about creating better habits. I was a terrible bored snacker and would binge eat constantly. I would eat something while already thinking about what I was going to have next. I work night shift so when I’m home I’m still up late and my family is asleep so there would be no witnesses to my episodes. Now I try and fill the time with something else. I walk on my treadmill, play video games, read a book, etc. It helps take my mind off wanting to snack because I recognize that I’m not hungry, I’m bored. Good luck. It will break soon I promise. In the meantime focus on what you can control. -
September surgery buddies!!
Hope4NewMe replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Congrats!! Hope we both have paid our stall dues and get to stay away from anymore long stalls forever lol. 20k steps a day is amazing! -
February 2019 weight loss buds
froufrou replied to TheMarine79's topic in Gastric Bypass Surgery Forums
Just a quick update - started wegovy 1.5 weeks ago and am down 11 lbs. it totally takes away my obsession with food and I’m loving it. No major side effects. -
September surgery buddies!!
Garfield1987 replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Yay! Congrats!!! Stalls are super discouraging. I had been in a stall most of November and then went to the amusement parks in Florida for a week. Came back to find the 20K+ steps a day must have revved up my metabolism and I finally broke the stall. We got this! -
October 2022 surgery support
rparker3313 replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
Anyone other October surgery individuals still in their dreaded stall? Mine has lasted 3.5 weeks! Doing everything I'm supposed to be. I might be snacking too late at night, but I'm still around 900-1100 calories. Very, very low sugar and/or carbs. Mostly in the forms of soft veggies, and a little coffee creamer. Anyone else's stall taking forever to pack it's luggage and leave town?!?! -
September surgery buddies!!
Hope4NewMe replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
I was really scared to weigh myself and get depressed again but I did it this morning and I had actually lost a little over 2 lbs in the last 4 days! Sooo relieved!! Honestly stalls are my biggest mental challenge and I was not ready, so I'm glad that I'm safe for a few more days lol. -
Let me start by saying I know stalls are normal. I know it won't drop off over night. I know this is a process, and I must trust it. But I can't help thinking that I might be doing something wrong here?? I am 7-8 weeks post op, and since my three week stall 😞 I will lose half a pound, then stay that weight for a week or longer, then loose half a pound, then stay that weight. This has been happening for over a month, and it is so frustrating! I haven't seen anyone else have something similar to this happen. The only thing on my plan that I haven't completely 100% followed is working out consistently. I walk as much as I can, daily, but haven't gotten to really do weights or anything because I have no idea what I am doing in the gym (meeting with a free consultation to get a better grip on what they have and what is what at the gym tonight) Could not weight lifting really cause this though?
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Newly post op - Struggling with finding my limit - Advice?
BellaLuna posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi! I am about 2.5 weeks post op. I am currently on puree stage until 12/12, after which I move to soft foods. My recovery has been surprisingly easy. I am getting my recommended protein (averaging 70g) and water in and I haven't found any food tolerance issues (so far). I have had zero issues with keeping things down. My question is... I am fresh off the liquids and just starting into anything of "substance". I started purees this past Monday. I am struggling with the boundary between "satisfied" and "too full". I have noticed that I either eat too fast or too much (haven't figured out which yet) and get the chest tightness/esophagus fullness, where it feels like food is sitting in my chest/throat. I know this means I have done something wrong and I am trying to correct it, but having a hard time finding my "stop" moment. I really want to get this figured out before starting soft foods. I also really don't want to cause any damage to my still healing stomach, but I feel like that "one bite" can be the one that is too much. For example - this morning I had 1/2 a Fairlife Core Power (26g) protein shake. About an 90 mins later I had a hard boiled egg. That was about 45 mins ago and my chest feels tight. So, how did you start to figure all this out? Is it normal in the beginning to struggle with finding the new limit? I am feeling a little overwhelmed at the moment. Liquids was so easy, I almost miss them. 😆 Thanks! -
I have hit a Plateau...
rparker3313 replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
I'm at a stall too. A pretty frustrating one. It started 2 weeks after surgery and has lasted 3 weeks! I'm walking, lifting small weights, staying below 1200 calories, eating well......and I want this stall to be over! -
Not hungry, at gain of 20lbs, HELP!!!!
rparker3313 replied to RDC2019's topic in Gastric Bypass Surgery Forums
I think snacking is sabotaging my weight loss too. I'm not hungry and I am 5 weeks out from surgery. I stopped losing weight. I know people say there always a plateau or stall, but mine has been 3.5 weeks long! Still only tracking 900-1100 calories per day, and going on walks, but the scale isn't moving. -
first of all, pouch resets are discouraged by most dietitians. It just puts you back into "diet mentality". Just go back to basics - protein first, then non-starchy vegetables, and then, if you're still hungry, a small serving of fruit or complex carbs. And log everything you eat so you know how much and when you're eating. secondly, the vast majority of us have a rebound weight gain of 10-20 lbs after we hit our lowest weight. It's just your body settling in to a weight it's comfortable at. I used to "attend" Unjury's Zoom support groups occasionally, which often feature speakers. There was a really interesting dietitian on once who said at her clinic, they don't even consider it a regain unless the person has gained more than 15% of their lowest weight (so for you, that's 25.5 lbs). I regained about 20 lbs in year 3 (it usually occurs in year 2 or 3, after you hit your lowest weight). It really bothered me for a long time, but clearly this is where my body wants to be. I could always go lower by cutting my calories, but then, I've been sitting at this weight for quite awhile, so it evidently is not as important to me as I think it is, otherwise i'd be doing exactly that (cutting calories). I know it'd be a struggle trying to get down to my lowest weight again and staying there, because my body seems to be comfortable where it is. Do-able, but it would be a lot of work and then a challenge to stay there. I've kind of given up the ghost at this point. if after tracking you find you're taking in too many calories and are doing too much eating while you're not really hungry, then do what you need to to get back on track (the suggestions people had of going back to your clinic for support - therapy and/or dietitian is a good one). But if that's not really the case, if this is just the normal rebound that most of us experience, then know it's just that...normal - and also, expected.
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Everyone experiences at least one stall. They usually last 1-3 weeks. They’re just your body taking a break from all the stress you’ve been putting it under - changed diet, weight loss, increased activity, etc. (There’s a more scientific explanation but that’s what it boils down to in simple terms.) Just stick to your plan & you’ll start to lose again. How long long takes you to lose the rest of the weight you want to lose is very individual just like the rate at which you lost the weight you have so far. Thing to remember is that your weight loss will slow as you get closer to goal so it will take longer to lose the last 20 than it did to lose the first 20. You’ll be consuming larger portions & a wider variety of foods so getting closer to the calorie intake your body needs to function. This is meant to happen. Your body also gained a new set point as a result of the surgery. This is the weight your body is happiest at. It may be more or less than your goal. So you may not lose all your weight or you may lose more. If you want to push below your set point you will have to work harder to get there & harder to stay at that lower weight (lower calories, more activity) & that usually is not sustainable in the long term. Also your lowest weight is rarely the weight you are a couple of years later. Everyone gains some after - varying amounts. Your body settles, you modify your diet to be more sustainable & better compliment your lifestyle, & often just life in general. I lost more than my goal. 48.2kg at my lowest but have settled at 50.5kg 3.5yrs later but it’s a weight that’s right for me. Lots of people cried ‘too thin, too thin’ in the beginning. Now they don’t say anything at all. Just like we can have trouble seeing the reality of ourselves, so do family & friends. Don’t let your friend, as well meaning as she may be, sabotage you or make you doubt your intentions in anyway. You know what you’re doing. You have access to a dietician & to your surgeon & their team to guide & advise you & ensure you are healthy. All the best.
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During my pre-op research phase I really got into reading studies published online (pub med or other reliable sources), mainly looking for the expected weight loss trajectory if I went through with it. You can Google your specific procedure and find many such articles. https://pubmed.ncbi.nlm.nih.gov/33042006/ - Timing of Maximal Weight Reduction Following Bariatric Surgery (China), N = 409, compares various surgical outcomes by type of surgery, gender, starting BMI, and other factors https://pubmed.ncbi.nlm.nih.gov/34768441/ - Long-Term Weight Outcomes after Bariatric Surgery (Saudi Arabia), N = only 91, but check out figure 3. I like that they measure by excess weight lost, not total weight loss. Older studies only refer to total weight loss which is meaningless because everyone starts at a different weight. Here's a chapter from a 2020 textbook about weight regain after bariatric surgery: https://www.intechopen.com/chapters/74559 - Great summary of the medical literature, if you are curious about the stats for weight regain after RNY and also want to know what doctors will recommend for you (structured physical activity, tracking diet, re-operation, etc.). Spoiler alert: you are far from alone in this! For RNY, at 2 years, 17.1% regained > 15% of their 1-year post-op weight lost, but it's TWL not EWL. That study was large, N = 1426. Hope this helps. Currently, I am post-op and obsessing about whether my EWL % is on par with successful outcomes in the medical literature for my procedure (Endoscopic Sleeve Gastroplasty). But that's a whole 'nother Oprah.
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November 2022 Surgery Buddies
ConnieElain replied to Crystal Leifheit's topic in Gastric Sleeve Surgery Forums
I had gastric sleeve on November 2nd. Boy was I nervous! I saw my husband go through through gastric sleeve and he did great! I had a VERY hard week following surgery. But once I got past that week I have been moving forward. I am managing to get in my protein and water daily (sometimes it’s really hard). I started going for walks this week and I think the sunshine is helping. Everyday I’m feeling better! I haven’t had an issue with hair loss and am cautiously optimistic about that. How many calories is everyone averaging? -
My date is January 10th! Less than 6 weeks away! Who else is going to be starting their new life in January?
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Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
a ginormous salad that i shared with the Kid. We ate it all, and i'm guessing i ate about 3/4 of it, while she ate the rest. 409 calories for the bowl. -
Drinking water with meals and other post-op fears
kaylee50 replied to LMorales's topic in Post-op Diets and Questions
I still struggle with the need to drink water during meals, at about 8 weeks post-op. I allow myself small sips, no more than if the food was well-sauced. Question for everyone: what about when you eat hearty soup? Does that count as liquid with the meal? I am in CA, so it is just now starting to get cold enough for a [small] warm cup of soup to soothe the soul! -
the stall won’t last .. it’s natural especially at the three week mark.. your body is adjusting and needs some time for the scale to reflect.. eat healthy, check your macronutrient count and the scale will move again … if in doubt you can also add different exercise to get things going
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I have hit a Plateau...
KimA-GA replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
stalls happen!!! i am 27 days out and in a stall …. but i have to be burning fat at less than 1000 calories a day all you can do is make healthy choices; stick with your program; make sure you are not eating too much or to little and trust your body is changing even if the scale isn’t … take some measurements and pics and compare for changes that the scale doesn’t show -
stalls are common. Just keep following your program. If more than a month or six weeks go by with no weight loss, you can always lose more by cutting calories - if you're willing to do that. You and your body may or may not be comfortable eating less than 1000 calories a day, and that's fine. weight loss does slow down a lot the closer you get to a normal BMI. I'm trying to lose 10 lbs now, but it's REALLY hard. But then, there are only so many calories I can cut (about 200 is all). When I weighed over 300 lbs, I could cut 1000 calories a day and lose weight pretty quickly. Right now, it takes about 1600 calories for me to maintain my current weight. If I cut 1000 calories NOW, I'd only be eating 600 calories/day. That is not sustainable. Even cutting 200 cal/day is challenging, but at least it's do-able. But that also means that my weight loss is going to be very slow....only 2-3 lbs a month. as far as losing too much weight, you can always increase your calories a bit to stop the loss. So unless there's some medical problem that's causing the weight loss, you have control over whether you stop the loss or keep losing.
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