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That's tbd at this point. My current plan is week to week keep a low dose in my system that quiets food noise and gives some suppression that makes it easier to IF, but not so much I'll continue to lose weight.

I am super excited. Just got some shorts out on accident that were too small back when I bought them but I didn’t return because they were inexpensive and I hoped I would lose weight but of course I never did. Well, I tried them and fit me now.

So glad to hear your checkup went well and everyone’s plans a little different depending on their surgery their age, their activity levels, their medical conditions so you’re probably gonna get a lot of answers. My team doesn’t give a calorie goal either but once I showed her my Fitness app which logs my level of activity as well as my food blog she told me I needed to increase my carbohydrates and protein, which has been really scary and hard to do especially because I went three days without losing and then actually gained a pound after I increased it but I’m trusting the nurse practitioner that she knows what she’s doing and hoping it will work out. I haven’t had my three week stall yet so maybe that’s what’s going on. I mean, I’m eating probably a third of what I did before surgery and I’m exercising 10 times more so there’s just no way that I would be gaining. Oh, I should add that. I weighed myself this morning and. I lost that pound plus another one so I really lost 1 pound in the three days well in four days I guess. I do remember from my sleeve, but it does slow down quite a bit at a certain point. I just don’t remember when and how much. I am also trying to focus on the fact that I feel healthier and have more energy and I’m in a better mood than I have been in years.

Well, you didn't ask, but I'll let you know why I chose bypass vs sleeve: On average, bypass generally leads to a slightly higher percentage of excess weight loss. I wanted every advantage I could get. Because it has a bigger restriction and also has a non-absorption component, it's generally considered more suitable for severely obese people, which is where I started. Although I really had no history of GERD, they discovered something during my workup that made the surgical team concerned that sleeve could lead to GERD for me. Bypass is completely reversible, unlike sleeve. In a sleeve procedure, the "unused" part of your stomach is removed from your body and disposed of. In a bypass, even though it's a more complex surgery overall, nothing is removed. If there were ever a need, it's possible to put everything back like it was.

Wow, congratulations on your amazing progress! It’s so inspiring to hear how much your life has transformed and how active you’ve become—Zumba, Pilates, and Vinyasa Yoga sound like such a fun way to stay healthy and energized! I’m 4 months post-op now, and I find myself really curious about the science behind bypass. Sometimes I notice I’m able to eat a decent amount but still lose weight, and it fascinates me that it’s not just about restriction but also how our bodies absorb fewer calories now. It’s like my body is working with me for the first time! I’m so excited to see what I’ll look and feel like a year from now—I don’t even know myself in a skinny form yet! Stories like yours keep me motivated, so thank you for sharing.

I love what mom said that is so true we can be hard on ourselves....in other bariatric groups I belong too, I noticed a mindset amongst many that they were never satisfied. I will not be adopting that mindset and was glad I could listen in on groups early post op...I feel it's so unhealthy to never be satisfied with weight loss. Once I obtain my goal weight f**k it I am then in "maintenance" mode and I will allow myself 10 pound fluctuation. I'm not interested in loosing more after the goal weight. *it's unreal how much poop in the colon weighs..3,5, 10 pounds lighter

I've recently started going to the gym again! I was trying to go in my early post-surgery days but I just didn't have the motivation! I have noticed though, since losing 6 stone, I am now happier to go to the gym. My body actually feels capable and ready to go, and I don't ache from doing the minimum. I have been doing some light weights during a full body workout, and I do 20 mins of cardio on the treadmill on those days too, and today I have just implemented a 45 min cardio day!

Have you tried getting out your before photos and doing a side by side or trying on an old article of clothing. I mean, you could just be having kind of a blah week and associating that with weight. Sometimes we all can just kind of feel off. Try to think back on all of your non scale victories, and where you were before you started this journey. Maybe that will remind you of how far you have come!!

As of yesterday, I was back under 200 pounds, so that was an exciting milestone! I have been tracking my food, walking each day, doing a long hike on the weekends, and the weight has been coming off at the expected pace. I am averaging about 1300 calories a day in consumption and my watch says I am averaging about 2300 calories a day of burn, which works out to an average calorie deficit of 1000 per day and I am right on that target of losing 2 pounds per week. I am really pleased that my metabolism seems normal and that my restriction still prevents me from eating too much in a single sitting. I had a long chat with my husband about how "dieting" is so different this time around from when I had lost weight pre-surgery. This is my first time really trying to lose weight since my surgery and it is definitely much easier than it used to be.

Is there any stick with the carrot? As in - if you regain weight whilst waiting for the surgery is there any chance they'll say - well, you couldn't stick the the diet pre-op so you mightn't post op? Not that I think they would, there just seem to be so many ridiculous hurdles to jump though beforehand sometimes. I wouldn't like you to get caught by any of them!

Exactly @Spinoza. It’s there all the time. Sometimes just a faint little voice whispering in the distance and sometimes shouting at you. Mine has been shouting a lot lately, Had to give myself a kick in the pants and getting it off my chest here has been a help. Always a such a supportive community here. Was actually thinking about asking my GP for a referral to a menopause specialist. She’s been great right from the start about prescribing HRT and putting me on alternatives when issues arose but I have been thinking I need some extra help. I reduced my estrogen a little last week (3 pumps down to 2.5) because of the bloating and sore breasts but now the daily headaches are back. Sigh! I see my bariatric follow up doctor later this month so I’ll what she says as yes, micro dosing had crossed my mind too. The man I was most surprised by with his bone loss was my cousin @SpartanMaker. He was a walker. Walked for miles, twice a day, up & down hills with his dog when he permanently retired. Still don’t understand that but he had a sedentary job which I think probably contributed and probably does for lots of men and women too these days. My dad was a farmer (horticulturalist) on his feet and lifting things every day. His bones were so hard that when he’d have his bone marrow tests for his multiple myeloma, the doctor would stand on the bed or kneel over my dad to put his weight behind the needle to get it into the bone Yikes!

Thank you, Arabesque. So great to reconnect. Missed you! A crazy past few years... YES, I do look forward to the ability to dance waving arms unencumbered by weight + jiggle! The boys say hello. Any fun new outfits to model for us? Once slim new arms are healed... I do look forward to wearing these favorite cotton toile dresses with fitted arms without jean jackets. Yay!

this is not the first time, but it happened again...and i think it's happened often enough now for me to consider it a "normal" thing: I. Lost. Weight. On. Vacation. it still fascinates me when this happens because the norm prior to wls was to GAIN weight during vacay. Every. Single Time. (even when i was not overweight) Went on vacay 20 days ago, and came back this afternoon. I did not count calories, track food, weigh myself, nor perform a lick of exercise (besides walking) all that time. And lo and behold, i lost 3.1 lbs. which is very unexpected, because me and Mr. basically ate and drank ourselves across a good part of europe, and i fully expected the scale to show a good sized weight gain when i got home (he says HE gained almost 4 lbs). honestly i felt like i ate (and drank) more in the past 3-ish weeks than i ever have since WLS 5+ years ago...but maybe i am mistaken? maybe i should have tracked my food intake after all... anyway, yay! i may just have to fully accept that i got this maintenance thing down pat. i didn't think about calories or portion sizes or whatever...just ate (and drank) what i felt like, in amounts i knew i could handle. yay!

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

Usually people experience their first stall at around the 3 week mark +/- and they can last 1-3 weeks. However this isn’t a hard and fast rule. There are some who experience small stalls of only a few days. I was one who wouldn’t see any loss on the scales for only a handful of days and then would drop again. I noticed this simply because I weighed myself daily and recorded my loss. As you weigh once a week you may have missed a brief plateau at around that three week mark and you are having a larger more average length stall now. Your friends may not have noticed stalls if they weighed once a week or less frequently. The only thing you can rely on is regardless of how often you stall or how long there last they will break. Just stick to your plan & everything will be fine when your body is ready to start losing again. Is there a reason you are only eating one real meal a day and your other meals are shakes? At almost three months post surgery most of your nutrients should be coming from real food not shakes. A shake should only be to supplement your protein intake or as an occasional convenient meal alternative (work commitments, travel, etc.). I also wonder if that could impact your weight loss and the length of your plateau. Personally I never had another shake after the first 2 week liquid stage & was eating real food meals from week 3 post surgery. By around week 8 I was eating all meats (fish, beef, chicken, pork, lamb) & 1 or 2 vegetables for lunch and dinner and eggs or oatmeal for breakfast. This is when you should be introducing better food choices and eating habits for the long term. This would be worth a conversation with your dietician & surgeon.

What struck me here is not really the macros and much as how different the calories are. The thing is, no calculator is going to tell you what the calorie count should be. My suggestion would be to simply track your existing calories for 1-2 weeks to see where you're at now. I assume your looking to maintain based on the fact you are showing to be at goal. If that's not accurate, then we might need to make some adjustments to what I'm about to propose. At this point, you can completely ignore anything a calculator spits out in terms of calories since by tracking your calories at your current weight, you know exactly where YOU need to be to maintain. Let's say for the sake of making the math easy, you determine that 2000 calories is working for you at maintenance. Skip the calculators and do this: Protein should be somewhere between 1 and 2 grams per kg. If you are inactive, 1 gram is probably minimally sufficient, but if you are very active or shooting for body recomposition, then you need to be closer to 2 grams per kg. 1.5 to 1.6 g/kg might be a good target if you are working out, but not super active, or are not really trying to add any muscle. The next thing to determine is grams of fat. If you are just maintaining, anywhere between 1 and around 1.5 g per kg is probably fine. If you are actively trying to lose or recomp, it would be better to be closer to 0.7 g per kg. Carbs is next and really will just be the rest of your calories, vs. a specific number of grams. Here's how that looks in practice: Again, just to beep the math simple, I'm going to stick with 2000 calories at your current weight of 170lbs, which translates to about 77kg. If your goal is body recomp, then 2g/kg should be your target protein, which equates to 154g per day. 154g at 4 calories per g equals 616 grams from protein per day. Fats when doing a "recomp" would be 77 x 0.7 = 54 grams of fat. 54 grams of fat at 9 calories per gram would be 486 calories from fat If we subtract 616 and 486 from 2000, we'd get 898 calories from carbs. This would be roughly 225 grams of carbs per day. A few notes: This is all based on research, but I also am not "carbophobic". My personal experience is that sufficient carbs are needed to fuel workouts. Some people have success with fewer carbs and more fat. I have no problem with that approach if it work for you. If so, feel free to adjust fat up and carbs down. Either way, the protein is the key, since you'll need that to build muscle. If recomp is not your goal, feel free to run the numbers with lower protein and correspondingly higher fat and carb numbers. Don't go lower than 0.7 g of fat per kg. You need a minimum level of essential fatty acids to stay healthy. In terms of how to change this if you are working out more than you are today, it really comes down to both the types of workouts (endurance sports virtually demand more carbs), but also how vigorous your workouts are. If you are trying to lose weight, I would recommend eating back at least half your calories from your workouts. Any less and you're likely to feel too rundown to put the proper effort into the workouts. If you just skate through workouts, then you lose a lot of the benefit of them. If you are trying to maintain or recomp, then you really should eat back all the calories from your workouts.

I had a revision to SADI two months ago (which is a modified DS) and I’m very happy with it. After the sleeve I always felt like I was just on a diet. I still craved unhealthy stuff and didn’t have all the extra energy that people explained. So I lost a lot of weight but once my appetite came back I gained it back. Since the SADI it’s different. I would obviously still like to have pizza and pasta but I still enjoy the healthier choices and I have tons of energy. I walk about 5-7 miles a day and just started YOGA twice a week. I want to do an aerobics/strength class that meets two other days but I’m not quite there yet. I have lost 48 pounds total in 2.5 months (which includes the two week preop in which I lost 13 pounds). Not all surgeons do the SADI yet and there is not a whole lot of help out there in terms of what you should be doing nutrition wise. I spoke to two different nutritionists and they just gave me the same info as they would give for bypass but the NP has been looking at my fitness and food log charts and helping me to adjust my macros and it’s working. I was warned about diarrhea and stinky bowel movements but I have not experience either. In fact I’m still weaning off the stool softener. My surgeon did a few tests first to make sure my sleeve was In good shape because he does not make adjustments to the sleeve. He feels the risks are too high. The recovery was a little tougher this time and you have to be disciplined with your portions because physically you can eat more but once I was healed I was able to tolorate all the same foods as before since they didn’t operate on my stomach. I am now back to pretty normal portions of healthy foods.

Try wearing it across your chest it seemed weird at first for me but now I wear it everywhere like that. It’s really nice when you have to use a public restroom and you don’t have to put it down anywhere if they don’t have a hook. Ooh and the running belts would be a great idea. I got one for walking and they are flat so they may feel better even if they aren’t totally snug fit because they aren’t pulling down with the weight that’s sitting out from your body like a fanny pack. I got mine on Amazon for cheap and it is awesome. Here’s the link https://a.co/d/iS0FHrf

I was finally able to get in over 10k steps yesterday. I'm still two weeks post op so no strenuous activity or lifting so I have to walk to work instead of cycling. At first I was annoyed because I love cycling, but I think having to walk will kick-start the weight loss. I've lost 8.5kg (18.7lbs) in the two weeks since surgery and walking helps.

When I was at my Heaviest I was at 44DD lost all the weight and was wearing a 36A. Now I have boobies via plastic surgery and I believe I will settle at 36DD once everything is dropped and fluffed. I am also tall and just bigger framed so they dont look super duper fake. I have to say that was the look I was going for. bwhen I walk in a room folks look and say "Wow shes blessed" not "wow those are some fake boobies" LOL We are about the same height, I am wearing a XS/S and size 4/6 pants now too. I got 495cc Gummy Bear Implants with high profile just for reference. Also to add, my doc told me I am all implant, I had almost no breast tissue so I needed an internal bra, and lift to go along with the augmentation. I was not willing to have a smaller implant so I paid extra to have all the things

Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

Sorry you have Covid but so glad to hear you had a good trip. I bet your cats missed you too. Wow 25,000 for multiple days good for you. I have been doing like 10-15k average just around the house and neighborhood and the one day I did almost 20 and boy oh boy my dogs were barking as my Dad used to say. I am so looking forward to being a little further out and being able to truly do whatever I want in terms of activity. Told my husband I’d like to do a trip when I reach my goal weight and if he been asking people for suggestions. I don’t want anywhere hot. Someone suggested Iceland. I’ve gotta research that. After my sleeve, alcohol was the exact same for me. I used to drink the flavored rums with my Coke Zero so I tried it post surgery with crystal light and margaritaville mixes and it tasted okay-ish but I was expecting this super fast buzz that everyone talked about and it did the opposite. Tried it a few more times over the years and even two or three in a night and I still felt nothing. I decided it’s a waste of calories and money for me and I haven’t drank since. I mean I never did it to get trashed but the point usually was a little bit of a buzz at a party or occasion. Your poor boyfriend who gained a few. Tell him he was taking it for the team, lol Seems like men usually can drop a small amount of weight pretty quick if they really want to 🤞. For future you may want to remind yourself that when you’re in a situation like that it is okay to waste a bit of food. I know it’s hard wired into some of us that we shouldn’t and I have been freezing things and having leftover nights at home to try and avoid it but it is okay if you don’t even have a refrigerator to put it in. It’s better than you or someone else having to overindulge. Now if he was secretly was looking forward to your leftovers that’s a different story. 😉 I hope you feel better really soon!!

Big decisions ahead! I think the size you choose should be according to lifestyle and personal style. Do you feel more comfortable with a larger cup size? Are you going for any particular silhouette?Since this is reconstructive will the implants be over or under the muscle? I wish you had more time to think but since you do not, try looking at models with a similar frame as you. As @ms.sss pointed out, cup sizes and band sizes look different than what we think especially when implants are thrown into the mix. Here are pics of me with a wide frame and small bust. The range is 38B and 36B (maybe A) , I had a breast lift without implants (surgeon wanted to place implants in a separate stage, maybe one day but I like being smaller now because my largest pre WLS size was 44G) It’s possible that you may go back to a 32 band size at your lowest weight, 34/36 was my lowest band size ever. Good Luck!

also, your surgeon may not want to do a re-sleeve. Some still do but many consider it to be too risky and it yields too little reward (the weight loss for a second sleeve is statistically less than a virgin sleeve which is already less than the other surgeries). The typical surgery for revision is usually the bypass although a newer alternative to that is to revise to a surgery called the SADI which is what I just did and it is a little more aggressive so it yields faster loss and so far the research shows more durable loss as well. I have lost quite a bit rather quickly with it. You don’t need to know any of this yet. Your doctor of course will know if any of the options apply to you and explain them at that point but just know that it may be a little different surgery if you do go with a revision. One that alters your intestines this time which is a bit riskier.

I struggled to eat enough to slow my losing though not as much as you are. I reached goal at 6 months and was barely eating 900 calories. It took another year to get to about 1300 calories and for my weight loss to stabilise. To increase my intake I was eating all day long or it certainly felt that way. I had three meals and 5 or 6 snacks, predominately in the afternoon and evening. It took another year +/- to get to around 1600 calories which is about what I eat now to continue to pretty much maintain that initial stabilised weight.. And yes I still snack but only 3 or 4 times a day now to meet my caloric needs. So, yes, some of us do take time to get those calories up. But you are a more extreme case. If this has happened in rare other cases, what did they say what treatment was used in those cases? Can they stretch your pouch via an endoscopy or balloon? Have they suggested you incorporate those nutrient dense, high calorie smoothies like Ensure used for those with digestive and eating issues?