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Hey! I think the important thing to remember here is that everyone is different, and at 6 weeks you are still quite early on post-op and your body is likely still healing The weight loss will happen for the first 18 months according to my surgeon, regardless of the rate of losing, so just know you are on the right track, and a loss of 10kg is absolutely amazing! Celebrate your wins, be kind to yourself, you are doing great

I know programmes differ hugely but my surgeon placed absolutely no restrictions on caffeine and I was hugely grateful. I have no idea whether there is good evidence that caffeine consumption affects weight loss after bariatric surgery but I suspect very much not. @GreenTealael do you have any evidence to share? I am a coffee, not a matcha drinker, but I know how much I valued those coffees in the weeks and months after my surgery. Might be worth drilling down into the actual evidence based practice with your team if matcha means as much to you!

How big are your bites? I was advised to eat 1/4 - 1/3 cup from purées. So it took three days to eat two scrambled eggs & the same with a serve of rolled oats. Would your 3 bites be equal to about 1/4 cup? (Was 6 months before I was able to eat a bare cup of food which was what I was advised too.) Eggs can be hard at first. Many can’t tolerate them so that could be contributing. What if you had soup at night. Easy & quick to heat. I used to freeze individual serves of lots of things like soup, meat balls & gravy, etc. Popped a serve in the fridge to defrost in the morning & reheated at night. Even took them to work for lunch. Or try your shake at night ( just sip until you’re finished even if it takes an hour) or a high protein yoghurt. There is a lot of trial & error in the beginning especially while you are still healing (takes about 8 weeks to be fully healed) & your tummy can be very fussy & temperamental . Plus your taste buds &/ir sense of smell can temporarily change making some foods disgusting. It dyes get better & easier.

I'm about 4 weeks post op so I don't have a lot of smaller clothes. I'm trying to go as long as I can without buy new clothes because I don't know what size I will settle at. But I really like these jeans because they are skinny cargo jeans. I might just buy these in 2 different sizes just in case. I also find leggings not being tight annoying. My problem has always been that I'm too short for standard leggings so I would need a size 22 leggings but they would be too long. Now they are baggy and too long. But I've always been able to wear legging a size smaller than jeans or trousers because of the stretch.

Okay, so as I see it, you have three potential issues with coffee. The first is caffeine, which is the main reason some (not all) doctors say not to drink it. It's a mild diuretic, and if you are struggling at all with hitting your fluid targets, you want to avoid anything that will make it worse. If, on the other hand, you easily can surpass 64oz water in a day, you're probably good to go. I never had issues hitting my fluid targets. The second issue is acidity. It's possible the coffee may upset your stomach (but if you are already drinking decaf without an issue, you're probably fine here too). I had to stop drinking coffee except for a few times a month well before I ever had surgery because the coffee was making me sick, so I switched to tea. And I started drinking regular tea at around 4 months because decaf was just sad. The third issue is all the stuff people love to put in coffee and forget has calories. That's just something to be mindful of, because if you mix up a large coffee with tons of real sugar, sugary syrups, and cream, you can easily consume hundreds of calories without even thinking about it. This happened to a friend who had VSG and didn't use sugar but would add a ton of cream to a very large thermal cup of coffee. He honestly thought he was just adding "a splash" of cream. Like, dude, that's 400 calories you just put in that coffee. And it's liquid, so it just goes right down without filling you up at all.

Looks like I've got cancer .Find out in a week for sure .🙄

Hello, all! I had gastric bypass on December 29th, so I'm only 6 days post-op, but I hit my first personal benchmark of losing 20 lbs since my 2-week liver shrinking diet pre-surgery today. If you are a visual person who is still on your weight loss journey or are looking to gain muscle, I wanted to share an awesome FREE app that helps track your progress visually and automatically takes measurements for you. It's called Me°-Three-Sixty. (No waiting for a partner to take your measurements or trying to do it yourself while holding one end of the tape measure awkwardly in your teeth or armpit.) As you continue to take scans, you can compare two scan dates side by side, both visually and with measurements. The measurements are approximations from taking a front facing and side view photo, but as long as you are consistent in where you stand & distance from the camera, the progress will be the same but may differ from actual tape measure. I took a scan pre-surgery and then took another one today. The app calculates the change in inches and percentages between any two scans. You can also use the slider tool and see what your body might look like with a weight gain or weight loss up to a certain pound percentage. Anyway, I thought you might like to try it out while you have something to compare a "Before" photo and it can still be in an anonymous way. I also loved Baritastic app, so if you know of other awesome apps we could benefit from please drop them in this thread!

I’m only 2.5 weeks out. So, I’m not super helpful… but is there anything in particular that you’re struggling with?

Tomorrow, I will be one week out. So far I have been doing well. Today I really wanted to eat grapes and some plums but I am still on the full liquid meal plan, so I went for a walk instead. 😀 My first post-op follow up is next week, then hopefully I will advance to the puréed meal plan. Hopefully, your recovery will become less challenging. Trying to figure out how to add my information and pre-op pictures.

wow - they didn't knock you out? I've had two or three of them and they always sedate me (and you're right, it's not general anesthesia - it's the same type of anesthesia they use for colonoscopies. You're technically awake, but you have no idea what's going on and don't remember anything afterward). I've never heard of an endoscopy without any kind of sedation. That would be awful!

I spoke to one before I was discharged and she told me the most basic stuff 1 week clear fluids 1 week fuller fluids 4 weeks purees Then some examples of food to have during each stage. Qtys are like cup wise but no mention of calories anywhere. I am currently on full liquids so I'd have a protien shake premade or powder using almond milk or normal milk + frozen Berries Greek yogurt low fat non flavored And I made a oat and chicken chicken soup which I blended and I have q cup of it a day. I did call the dietitian today and she said just eat healthy and I am eating right No mention of calories 😭😭😭 I am literally fetching info on this website or tiktok and just going eith it with the knowledge I got.

I’m 5 years out. I take a docusate at bedtime twice a week. Just enough to keep things regular with my high protein diet.

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

Hi I'm scheduled to get the Sleeve 5/6/15. I have two-year old twins and wanted to know how quickly you were able to get back to normal after the sleeve. My BMI is right at 40 so I don't have a tremendous amount of weight to lose so I'm hoping I can get back to normal in a couple days, just no lifting. I plan to go back to work in a week. Anyone please, how much downtime did you experience? Thanks, Nerkerle

He just had me work an elastic band and said to do that but I ended up not doing it. But I can walk probably for 2 minutes or so everyday and increase it to 3 minutes next week. Especially when I have to go to saranac next week for my last followup before my surgery. I kind of want to tell them I've been exercising. I don't have a smartphone my wife has one and brings it to work with her everyday but I have a computer that I can setup reminders on. I go on it every morning so it would work perfectly. If that doesn't work I do have a tablet that I can use for reminders but I'm not on my tablet very much. I mostly just go on my tablet to check my email once every few days. My team will be taking good care of me after my surgery yeah. Even if I choose not to have the surgery they want to keep me in the program because I'm overweight and eligible. But I want the surgery because it should be a good tool for losing weight. Next Wednesday is just around the corner and hopefully I'll get all of my questions and concerns answered. I think even if I'm hungry though as long as I fill up fast I don't think I will eat as much as I am now. My problem is I am NEVER full even if I eat 3k calories in one sitting. It's ridiculous. The surgery should definitely change that.

Only you know the answer as you have to be ready, mentally, physically and emotionally, for the surgery and the changes you will have to make to be successful with the surgery in the long term. I was healthy, no comorbidities at all yet I knew at my weight and age (almost 54) the chance of them developing was very high. I also knew I could lose weight myself as I had many, many times before (though it’s much harder as a menopausal woman) but I also knew I could put it all back on again which I always did. The decision was easy. Woke up one morning and said enough. Made an appointment with my GP and 6 weeks later I had my surgery (no or very few hoops to jump through in Australia if you meet the criteria). Yes, the first couple of months aren’t easy: restricted diet, temporarily changed tastebuds and interesting discussions with yourself around food, eating, hunger, etc. (the head work we talk about begins). Pain was gone after 4 days though if you have surgical gas pain it can linger a week or so. You’ll discover and decide how & what you want to eat in the long term to maintain and that may be different from others. It’s all about what works for you & your lifestyle. Many people still eat ‘unhealthy’ food but it’s all about the portion they eat and how often they eat it. Everyone travels & then it often comes down to making the best choices you can and not beating yourself up if you do indulge while away. I just came back from a short girls trip and ate an obscene amount of cheese & drank more than I usually do. I’m okay about it and got back on my usual path when I got home. Like @NickelChip there are things I avoid. Bread, rice, pasta sits heavily in my tummy too. Foods can be super sweet so I generally avoid sweet things (I do indulge at odd times like at Christmas). I don’t find it hard to avoid or reduce my intake of those foods I struggle to eat or choose not to eat rarely. I don’t want to waste the opportunity I’ve been given. And yes, I’d do it again in a heart beat. All the best whatever you choose to do.

I am asking for your help/advice. I am a physical therapist and I underwent my own bariatric surgery in 2022. I am looking to develop a unique bariatric program that provides exercise programs and support to people undergoing rapid weight loss whether from surgery or from medication. If you guys could answer a few questions for me it would be greatly appreciated and would help me build my practice! 1. Did you exercise before surgery? And what was your biggest challenge? 2. Would you have benefited from a preop physical therapy appointment to develop a customize strength training program that took into consideration your current limitations and orthopedic issues. 3. how were you educated on post operative activity and physical restrictions? Would you have liked a week by week guide on what activities you can return to and when? 4. Were you educated on exercises to maintain muscle mass through your first year postoperatively? 5. What kind of exercises did you do postoperatively in the first year? Did you hire a personal trainer? Join the gym? Search online? 6. Did you develop any new or worsening musculoskeletal pain as you were more mobile and your body composition changed? 7. Let me know if you have any other ideas on how having a physical therapist on your bariatric team would have benefited you both before and after surgery. Thanks so much everyone. I may be piloting this program with a few patients. Email me if you’re interested (I’m licensed to treat in N.C.) contact@localpointpt.com

Most of the people on here have said it. I do cook most of my food now, hence the name. I think I’m weird because I like to food prep. I weigh myself at least once a week or check how my jeans fit. Then jump back on track (if I’ve wandered) by weighing food, measuring, recording and checking in with my son or a friend to hold myself accountable. I stay in touch with my bariatric group of fellow WLS patients because it’s good positive energy from people working hard to maintain weight loss. I pop on here too, again nice positive energy from folks trying to be supportive and helpful staying healthy!

stalls will happen no matter what. You can't avoid or prevent them. Now if you start to gain weight back, then re-evaluate what you're eating, how much, and how often. personally, I stay away from potatoes (especially in the beginning), grits, pasta, rice, breads, etc... The first 6 months is when you lose the most the fastest. Eating things that slow down that process during that time is counter-productive. At least to me. I would wait until you're MUCH further out before you start eating those kinds of foods.

I think it's fantastic you're thinking about this now. Unfortunately a lot of people don't really think about that until it's too late. My goal is not only to increase my lifespan, but possibly even more importantly, my healthspan. By that I mean I want to remain healthy and capable as long as I can. Changing topics a bit, as you continue jogging, I wanted you to be aware of something that not a lot of people realize. This is a bit of an oversimplification, but you can break up the parts of your body that are involved in running performance into two big buckets: The first is your cardiovascular system. We're talking about heart, arteries, veins & capillaries, as well as the intracellular components that deliver oxygen and glucose to your muscles. Interestingly, this system tends to improve faster than the next system. The second is your musculoskeletal system. Obviously we're talking about your muscles, bones, tendons and ligaments. All of these will improve over time, but tend to be a bit slower to get stronger. I mention this because not understanding how these components react is probably the top reason new runners hurt themselves. As they start running, they find they're able to run farther/faster fairly soon as their cardiovascular system improves. Unfortunately, their musculoskeletal system (especially their bones, tendons and ligaments), aren't quite ready for the extra stress. In short, take your time pushing farther and faster and make sure to take an occasional deload week, just like you would for your strength training.

Hello everyone. I hope you all are having a more exciting kickoff to your holiday weekend than I am. (Hubby had to work half the night so I’m just here watching TV. I had two things I wanted to post but now I’m only remembering one for some reason. The first was my annoying stitch. Yes. I have this one stitch at the end of an incision that is sticking straight up and every-time my arm brushes across it the incision feels like it’s being pulled. Been driving me nuts for three days since the steri strip came off. Well I finally came up with a solution. Two shirts. It doesn’t poke through the second shirt so when brush past it doesn’t snag it. Not sure how common it is but just in case there it is. Ooh my second thing. Motivation for exercise. My good friend that lives in another city came up with a great idea to motivate us both to exercise. We are going to do it together. But instead of driving an hour each was everyday we are just going to walk at the same time and talk on the phone while we do it. We are starting tomorrow night. Just thought I would share in case that idea works for someone else. i hope everyone has a good night.

I'm almost a year and a half since my RNY (November). I've lost about 135 give or take (I bounce between 125-130lbs). I haven't lost any fat free body mass since month 3, and have actually gained 5lbs of fat free mass since May. At my 1 year, in May, my body composition said I was at 18.1% body fat which is on the low end of "lean" I did another one last week because I was feeling off (tired, muscle cramps, brittle nails, headaches) My body fat percentage was at 12.3% which translated into roughly 16 pounds of my overall weight (130 at the time of the test) being fat. Anything under 15% is "at risk". I eat, what seems like all day long, I get my calories, protein, healthy fats, fiber. I take all my supplements. All my blood work I've had this year for random things and specifically for post surgery, has been normal. Nothing, other than feeling off, pointed to this. I do have an appointment with nutrition and my bariatric team this week. But wanted to see if anyone has gone through this, heard of this... Anything? My initial thought is how my body is absorbing nutrients, but again, my labs have been normal.

@MrsFitz the body scan etc is not included free, there is a €150 charge for the administration/set up and then it is €85 every two weeks hence I only signed up for a six month agreement, to see if it is worth it longer term. That said it does include about 8 or 10 personal training sessions in the six months as well as general gym access. That main course sounds lovely, I love steak and pepper sauce though I tried it in July and it did not stay down, think the sauce I had was too creamy.

Hey guys, The last few days have been super hard I just want to eat all the time I feel so empty! I know its mainly head hunger and at nearly 8 weeks out it is my mind fighting against the changes I have made. I miss eating more! I have had slight cravings for junk food lately but I will not eat it because I know it will do me absolutely no good and it will make me worse off. I haven't eaten any of it since before my surgery and have no plans to in the future. As a recovering food addict a little bite would be a massive trigger to eat way too much and I can't deal with that. I know I have been addicted to food pretty much my whole life but I honestly didn't think that my addiction was as bad as it clearly is. I don't regret having the surgery and having lost 2 stone 6lbs is amazing in such a short time, it's just so hard to get used to the huge life change. I am all in and will continue eating healthy unprocessed food because my body loves it and I feel so much better physically. It's taking my mind a long time to catch up though and I'm struggling. I have heard plenty of ideas about finding a hobby and doing things to focus my mind away from food but I need to face up to my food demons and learn to live with them. I don't want to avoid these feelings coming up, they need to be dealt with. So I journal when it gets too much and I post on here too. I'm just looking for some one who understands how I feel and who can tell me it gets better! Thanks again guys x

I had the SADI-S on June 14, 2024. Tomorrow (Aug 2) is my 7 week post op day. I was 278 when I started my liquid diet. I was 268 on surgery day. I was 275 directly after the surgery. Last week I was 238 and I had a combined inches lost of 31. I have been experiencing a stall for a few weeks. I’ll lose some and gain some but it’s the same 3 pounds. As such I’ve been trying to get more movement into my life. I’m eating, at the advice of my surgeon, in a trial and error way. He wants me to be able to eat normal foods as it is easier to get to your protein goals. I haven’t eaten bread, sugar, pasta, or potatoes. I probably won’t go back to those foods. The pain feels like you went hard on Abs day. It was pretty much gone after 3 weeks. Eating too much (even by a single bite) or drinking too soon after a meal hurts worse than after the surgery. If you feel full and you think it’s too soon, take a break then pick it back up. You’ll be able to get it down eventually. Your anastomosis will be swollen (the link between your stomach and intestines) so there’s a bit of backing up before it goes down. I found shaking my stomach helps the food/liquid go down. Get good with your food being cold. Even if it’s hot when you start eating, you can’t eat it fast enough for it to stay warm. This has been the worst change for me besides the smell of my 💩. Work on finding low fat/non fat substitutes for cheese, dairy, etc. Sugar free substitutes for drinks can help get water in. I like G Zero and the added electrolytes are helpful. Track your food in an app. Weight/measure everything. Avoid “eating out” even if you can find reasonable foods to eat, it’s impossible to know your macros when you’re only eating small bits of meals and maybe removing bread etc. I only have been out once and that was two days ago. I ate a few bites off my husband’s plate. I kept looking at everyone’s full plates and thinking about how I would have eaten all of that and still been hungry. You will be exhausted from lack of food and energy. However force yourself to at least walk laps around your home. Only weigh once a week. I had my husband hide my scale. It was pissing me off that my weight was fluctuating. You will see more movement in measurements than you see on the scale. Try not to fixate on the numbers and remember not to compare yourself to others. People with more to lose will be losing faster than you. Some will not follow a good diet and lose very slowly. Let your doctor guide you on follow ups. Trust the process. Im new to this message board but feel free to reach out to me if you want. I’m on instagram as @BariatricBunnyBabe and TikTok as @Bariatric.Bunny and when I find things that work I post about them. I also share my wins and my weight loss stats. SADI-S can 100% feel lonely but we’re out here doing the thing!