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Semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/ Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/ Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are protein shakes. *edited to add: These meds can cause constipation so any weight gain could be due to that You really should consider checking in with the prescribing/administering physician to ask about your progress. Best of luck!

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.

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.

@pinkneymm@aol.com Another AOL account? Great, have you had it for a long time? I’ve always had mine. Anyway I’m on my 2nd week of pre op diet and having a hard time with it because I don’t know why?? I’ve lost a lb a day so far and my esophageal hernia started really acting up and it hurts to swallow anything. But other than that it’s great to already be losing weight. I can even fit into some clothes that I couldn’t before. My surgery is 10/21…really looking forward to it! Yours is not too far away! Yay!!! Best to you!

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.

My favorite tofu dishes are either agadashi tofu ( firm tofu, drain, pat it dry, roll it in corn starch and bake or fry it) mix 2tbs soy sauce, water, mirin in a bowl with 1 tsp ground fresh ginger, drop tofu in and eat immediately. or tofu tofrites: extra firm tofu (drain, pat dry and allow to dry wrapped in paper towels with a plate on top to squish out water, while you make the batter. I have a bunch of batters. Off the top of my head 1c almond meal/flour, 1/2 c coconut flakes, and like 2 tbs Cajun seasoning. Cut tofu into fat fry sizes and dunk it milk or a scrambled up egg then batter and place on baking sheet with parchment paper (or it sticks and is bad ) 15 min at 400 and or until outside is panko crispy. Salt if needed. Good as is or with dips also great with shrimp. Or tofu chocolate pie/ mouse: everyone likes this with different amounts of sugar (if I eat sugar I suddenly can’t think about anything but binge eating for a week). So I just use the darkest and most cocoa powder chocolate I can get and melt 1.5 cups and toss it in a blender with an already prepped block of silken tofu (prep, wrap it in paper towels 2-3 layers till try, so not squash silken to get out water). I then add a sprinkle of salt and a tap vanilla. Scrape it into cups or a pie tin…. Refrigerate for 2 hours. My sister makes this with a cup of sweetener… I skip. Pardon.. seriously all day I think about food. Get a notebook or notecards. Separate it into categories by how long it is to prepare. Start with your under 5 min, 30, or whatever times you need. Put carb, protein, etc info in the back. Make your recipe set. When you are bored with food… a crazy good recipe like sukiyaki with konjac noodles or muscles in a savory broth, spoil yourself. Or mix up your cards you have saved. Add cards as you like things. But make sure you have a ready supply of “crap I can make with on hand pantry stuff when I didn’t go shopping,” “crap I can make under 5 min, I am starving,” and “crap that freezes great for oamc food prep so you are never having to resort to crap take out.” You will feel like you’ve got the Bariatric eating down after you have your recipe book.

Absolutely. I had the sleeve four years ago and now the revision and you definitely want to make sure that you’re in a good place with your mental health because it takes just as much mental energy as it does physical to deal with all the changes you will be going through. It’s like a whole new lifestyle post surgery if you’re doing it right. They are really great changes, but it is still alot in short time. Be honest and trust their judgment- they have done this a lot of times and they just want to make sure that you’re in the right headspace when they do it so that you can be most successful immediately post surgery to keep you safe but also long term so that you will be successful in your weight loss. One thing I did too was to ask my team if it would be okay for me to just check in with them a little more often than they typically require. They agreed to that and it has made the process a lot less stressful this time. I just get super anxious about everything and medical stuff is even worse so stuff like this creates a million questions and it’s hard when you call the front desk and they don’t know about your mental health for them to not be annoyed when you call a bunch of times. This time I just go in and have a chat with the NP about all my concerns and she reassures me everything is fine and I’m on my way. Also, you will want to let your prescribing Dr know about your surgery at some point if you haven’t already. They will want to check in with you a couple of times post op because sometimes with the absorption changes in the body your medication doses may need to be adjusted a bit. And keep posting on here. There are so many people who have been through anything you may have a question or fear about or if you just want to vent about a stall. People are so wonderful here and eager to help. Staying active on here and the in person support groups has really helped me. Im excited for you. It’s a pretty incredible journey and you will get there soon enough.

So a month and a half ago I started working 12 hour shifts overnight 3-4 days per week. Everyone said by now my body would adapt, but that hasn't happened. Instead, as time goes on, I'm getting more and more fatigued. I sleep all day and wake up feeling like I haven't slept at all. My joints hurt all the time. I talked to my doctor and my nutritionist and they said to get more rest, eat more dark leafy greens, increase my protein, and maybe drink some coffee. I've done all that and it's been no help at all. Then I was told "maybe you shouldn't do overnights" but that's not an option. It's a requirement for my job. Energy drinks don't work on me (I'm not caffeine sensitive so no matter how much I drink of it, I don't get any kind of a boost) and b-12 doesn't do anything for me, either. I'm at a loss now and I was hoping some of you might have some suggestions. Thanks in advance!!!

Eugh…I have to have 3-monthly blood tests as I have Methotrexate injections for Rheumatoid Arthritis. I’ve been on Methotrexate for 12 years now. Occasionally there’s a blip in my liver function test but this is generally when I’ve been unwell as the slightest thing can change my results. Anyway, I made a cock-up on my test 2 weeks ago. It was Bank Holiday Weekend and I had a couple of drinks on the Saturday and then more on the Sunday. I can count on one hand how many times we’ve been out this year and I don’t drink at home unless it’s a glass of champagne before we go out to dinner for example. Anyway, I wasn’t thinking and did my jab as normal on the Monday and then my bloods on the Tuesday. This resulted in a phone-call from a Rheumatology Nurse on Wednesday saying my liver function test levels were way, way up, what had I been doing? I was honest and said I’d been out at the weekend and had my jab when I should have left it a week and then had my bloods after. So, I had to miss the next two weeks jabs and have my bloods again which was yesterday. Phone-call today - levels have dropped some but still high. It was then a mass of questions - had I been drinking? No. Any infections? Not that I know of. Any ‘herbal’ ingestion (er…what???) No. Any NSAIDS? No. The list was endless and she sounded completely disbelieving of me, which has pissed me off no end. Could I miss my jab this week and have my bloods again on Monday? No. We’re out for our anniversary dinner on Sunday and there will be alcohol so it would be pointless. I did offer to have them on Friday but she said it wouldn’t be enough time for things to reduce. Now I have to have my bloods again in 2 weeks. It turns out that my levels have been creeping up for the past few months but no one had told me. She did tell me that the other things I’m tested for are all good (4 things in total so only be of them is bolloxed) I’m not happy, especially as I’ve been managing my condition and medication for 12 years. I drank more often earlier in my treatment and never had any issues. My worry is that this could affect my WLS journey. I know I may be worrying over nothing but the worry is still there. It may be that my liver has just had enough of the Methotrexate (as it’s a poison - lovely) and it’s time to stop it. Anyway, I’m not asking for advice, more a rant ☹️ I will now do some research on how to deal with toxins in the liver and how to reduce them. Sigh…

You’re not going to feel the restriction until you are much further along in your healing (takes around 6-8 weeks) & eating solid foods. A lot of nerves are cut or damaged during the surgery so messages simply aren’t getting through or are distorted if they do. The staged return to eating is to protect your recovery and to ensure you don’t damage your healing digestive system (think of all those sutures and staples holding your tummy together- I believe it’s around 12inches of sutures+staples with a sleeve. You should only progress your stages if your surgeon advises you to. It’s also one of the reasons why we’re advised to eat slowly and are given portion sizes we should stick to. Also remember that liquids go through the tummy much more quickly than solid food so you don’t really get full in the same way as you know sipping your shakes slowly. Purées go through a little more quickly but nothing like solid foods.

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.

How soon after surgery did everyone start vitamins? I’m a week post op and am still dealing with antibiotics and other things the drs gave me. I was under the impression, that starting vitamins was good when you hit stage 2; yes or no? Also, what are everyone’s must have vitamins?

Sorry to hear about Covid and all the calls back and forth, not fun at any time but especially when feeling unwell. Do what your body feels it needs this week with regards to rest and food, the healthy plan you have been following will hopefully help you come out of this better than you might have if you had caught Covid a few months ago. Take care.

everyones pain tolerance is different. so it really depends on what YOU can handle. i did not take any pain medication after i left the hospital for WLS. but after plastics (tummy tuck, arm lift and breast lift), i finished the entire 2 week Rx i was prescribed in said 2 weeks. i would have taken more if i had any, and i was too lazy to see my doc to get more, so i just left it at that. but yeah, plastics recovery pain was a bee-yatch compared to wls, and the meds helped tremendously. but thats me...i know others who felt the opposite (i.e., wls was more painful)...so yeah everyone is different. i would say if u are suffering then maybe consider getting an prescription, even if just a couple days. good luck! ❤️

@SpartanMaker is pretty much on point as usual. 😁 If you decide to go down the weight loss surgery path, I’d still probably look at doing the gall as soon as possible. I had mine removed 2 years after my sleeve. My surgeon (who did my sleeve too) said once you start experiencing gall pain it will only get worse & you ‘ll experience it more and more often. I had one stack & it was horrendous - was rolling on the bed writhing in pain fir about 40 minutes until it passed & I have a pretty high pain threshold. My surgeon removed my gall about 2 weeks later. The alleve may have worked but it was more likely to have been the just wave of the pain passing. The cider vinegar wouldn’t have done anything - just a co incidence. A dose of cider vinegar isn’t going to dissolve the stones to stop the pain or get rid of them (like some old wives tales advise and influencers selling cider vinegar promote). Checkout the you tube channels of Dr John Pilcher and Dr Matthew Weiner (under pound of cure as is website). They are excellent resources for anyone considering weight loss surgery or who’ve had surgery. They have a lot of videos so you may have to scroll through a lot. Dr Weiner also has podcasts.

It's easy to forget that "weight" and "fat" are not the same thing. You can burn fat and go up in weight, and it's normal for daily weight to fluctuate by several pounds. You've been really lucky so far that the scale has gone down consistently, but you're getting to the 6-month mark and that's when the surgery's fat burning effect starts to slow (not stop, but slow). In the past, you were burning enough fat quickly so that even if you went up in weight from water or the food in your digestive track, you wouldn't see it on the scale. Now, though, you might only lose a small amount of fat in a week, so you could see the scale become a little more erratic. It's totally normal and you aren't gaining fat. It's also very common to hit a stall around 6 months post op as your body recalibrates. You'll probably see slower weight loss once it breaks, but you'll still see the scale go down for many more months. And if I just base it on my own experience, you will experience this type of thing the closer you get to a number that feels important to you because the universe is like that. The moment I dropped below 200 lbs, which was such a psychological milestone for me, my weight bounced back up and it took another 10 days to get back into the 190s again. My third month post-op, I stalled and only lost a total of 3.8 pounds. The following month was my best month so far for weight loss. So don't read too much into a little wobble on the scale if your habits have been reasonable. If it takes 3500 extra calories to gain one pound, unless you can identify some really bad choices that would have led to a 14,000 calorie surplus this past week, it's not anything you're doing. Just keep following your plan and ignore the scale.

Have someone take pictures of you once a month (I had my husband take them from all four sides). You may not detect a difference from one month to the next, but if you compare a picture to one taken three or four months ago, yep, big difference. Plus it's fun to have a pictorial documentation of your journey.

How are you doing? I had my SADI two weeks ago and just starting to feel more like myself. I got out of the house today for more than a trip to the grocery at least.

When was your ur op? But as I know it is pretty normal as @ShoppGirl mentioned it could be leftover food or water or if ur aunty flow is around the corner.. I decided to stop weighing weekly and check in 2 weeks at my 1 month post op appointment! And I'm hoping to see a good decrease and avoid disappointment with the daily or weekly checks!

I am struggling to keep up with my 3 day workout (walk on treadmill) a week. I'm just feeling lazy n blah. Is everyone working out? Also I was adviced no strength till 2 months post op! I feel once I am back to work and can actually join the gym I'd have a routine.

Late posting today as I’ve been to the gym this morning and thoroughly enjoyed myself 🥳 Hubby is off work this week so he came with me. We like going together as we both wander off to do our own things but touch base occasionally. Unfortunately there were couple of teens who enjoyed pointing and laughing but it didn’t stop me and it just made them look like a pair of dickheads, especially when others glared at them. I don’t know if they expected me to pass out within a couple of minutes of beginning my workout but I did over an hour so sucks to be you, kids…I did have a chat with a member of staff as to when the quieter times are (without teens as there were quite a few and they have no absolutely no gym manners) and he said before 3pm when the schools go back. Thankfully that’s this week so we will be back Wednesday afternoon to have another go 🙂 Of course it will be interesting to see what state I will be in tomorrow but I didn’t hammer it, just familiarised myself with everything again. I did have a protein shake when I got back home plus a hot bath with some Epsom salts in the hope of counteracting the worst of the aches and pains. Looking forward to trying some free weights to get some hardcore toning going on! Couldn’t today as the free weights area was busy. Went out for lunch yesterday and kept it relatively healthy. Gains from the past week or so have pretty much gone, which is good. I’d thrown on a pair of leggings and a t-shirt earlier in the week and hubby commented on the fact that the weight was coming off my legs and backside. I think his exact words were “you’re losing weight off your legs and arse love”. Such a way with words, what can I say?? Clothing does continue to improve fit-wise, so I'm happy with that. Granddaughters first day of school on Weds and her 5th birthday on Thursday so there will be cake this coming weekend when we’re there for her party. I can’t believe she’s almost 5 - time really does fly! Surgeons appointment coming up on Friday - eek! I think I’m as prepared as I will ever be for it. I’ve got over the initial shock re the speed of it and I’m now just looking forward to it. My mini food processor thingy has been delivered and I’ve downloaded a couple of additional Bariatric recipe books for my Kindle (all freebies, thankfully) I’m trying not to think too deeply about the puréed phase as none of it sounds appealing but I know it’s something that has to be gone through! 6 weeks isn’t too long in the grand scheme of things. Have a super week everyone 😉 Onwards and Downwards!

Had an appt with my Dietician and I am so irritated, like so bothered! I told her that I weight train 6x a week on top of cardio 6x a week. Went over how much I ate and what type of foods and she told me I am eating too much protein, and I need to stop drinking my proffee in the morning only have decaf coffee. She said I need to eat under 100g of protein even though I am weight training. I could not respond, I am not trying to be thin my goal is to get fit and shapely which is why I weight train. My multivitamins I have to adjust which I knew I needed to. I feel so discouraged by what she said, she told me that the 1000 cal is "ok". I asked what that meant, she said I am on the higher scale of what I should eat at 5months post op, I told her but I workout for an hour plus a day? If I ate less I would pass out from exhaustion. My post surgeon team completely left me to figure this all out on my own. I was supposed to have a 6 week and 3 month group appt which she asked why I didn't attend....I told her because your team never called me to set them up and I didn't know that was even a thing. So I have been on my own since week 2. I thought I was kicking ass and taking names, now I am so bummed. Just venting

Yea. The mind is pretty powerful and it is possible to swap disordered eating patterns. Going from emotional overeating or binging to under-eating. Talking to someone about your fears and guilt is a great idea. But from a non professional two chicken wings is definitely not a lot and your food choices sound great to me. The one thing you have to realize is you’re not going to eat your 2 ounce or half a cup portions forever. eventually you will land somewhere close to a normal serving size. Everyone is a bit different, but you will get back to a new normal at some point it just looks like a lot of food after eating so little for a while. Will you get to follow up with anyone at 3 months? I actually asked to meet with my nurse practitioner more often than they require just because of my anxiety. I always have too many questions to email or call and ask, but they normally require it at three months because they do labs to check your vitamins. If so, you could ask them what to expect in terms of portion size. What you should be aiming for over the next how many of months until you see them again. Do you find that you do not crave your sweets as much after the surgery? Before I had my sleeve, I was actually a salty snacker, and after the sleeve I started craving sweets, which I think may partially have to do with why it wasn’t so successful for me. so far since my Sadie, I do not crave sweets, so I think it reverted back to where I am a salty snacker again. Well, I mean right now my snacks are not something that I actually feel like I need because I’m not hungry but something that’s necessary to reach my protein goal.

Hi! I got approved for the surgery in May of 2024. Doctor first told me that I would most likely have to wait until 2025 because of how the long the hospital waiting list is. Suddenly, I got called last week saying they were able to do it in October of 2024. So this is the first day of a 12 week liquid diet to lose 10% of my body weight before the surgery. My birthday is coming up and I have wedding that I'm going to next week! I'm happy that this is happening this year, but I also feel bummed because I feel like this is bad timing. I'm really happy that this journey is starting. I've always been overweight and so was my mother. We were the only one's in the family who were. We moved to the UK when I was 14 and my stepfather was also overweight and he passed away in 2022 due to pneumonia and other weight related complications. My mother had gastric bypass in 2008 and due to surgical complication, they couldn't fix a bowel perforation and she passed in 2023. She and my stepdad were the only people in my life who were really supportive of anything I did. I fell a little bit alone going through this now, but I'm feeling optimistic at the same time. Just looking for other people to share my story with.