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I am seeing so many variations of the pre-op diet. I guess it depends on the surgeon. Of course, I am on the two week liquid diet. I start it on 11-14 for surgery on 11-28. I am trying to psych myself up to get past thanksgiving LOL! I am thinking positive and keeping my eye on the goal which is better health! I am having my surgery at Desert Springs Hospital in Las Vegas.

I agree with @GreenTealael 100%. Your bariatric team is in the best position to help. We here on the forums really know nothing about you. To start with, your profile isn't filled out, so we don't even have basic info. Beyond the basics like starting weight, goals weight, current weight, age, gender, and height, I'd ideally need to see your food log, and would have your percentages of body fat and lean mass. Finally, I'd want to understand what you mean by "I work out 6 times a week for over 50 mins". Exercise type and intensity make a ton of difference here. Even those things might not be enough though and that's where your bariatric team can help. There is one universal truth if you're not losing weight: You are eating about the same number of calories as you're burning. Without some potential metabolic and endocrinological testing that your doctor can do, it would be hard to know if this is due to Eating more than you think Burning less that you think in exercise A slow metabolism due to the loss of lean body mass Maybe even a hormone imbalance As pointed out, the simplest place to start is making sure your are logging your food accurately. It's really easy to be off by several hundred calories and this can easily be enough to make a huge difference in how much you lose.

Stalls are common and normal. It takes a while for your body to adjust and your set-point to change. Be diligent in weighing and measuring. Eye-balling quantities just does not work. Weighing, measuring, and recording keeps you honest. If you have not already done so, get some bariatric cookbooks or look up bariatric recipes online so that your meals are not boring and repetitive. You might try cutting out all high carb items such as bread and other things made with flour, white potatoes, rice, processed foods, and anything made with sugar. Avoid protein bars and processed "protein snacks"--they are CANDY to your body and will trigger you to eat more. In the almost two years since I started in the bariatric program I have encountered stalls frequently. The worst one lasted for over three months. My best advice is to stay off the scale, no matter how tempting it is. Check the scale just once a month. Contra-intuitively, sometimes it takes eating MORE for a few days to help reset your set-point. Measure yourself instead: neck, upper arm, bust, chest below bust, waist, hips, thighs. Record the measurements in an app or diary. You'll see losses even if the pounds are sticking. You'll also see your clothes fitting differently or need to replace them with smaller sizes. My second tip is to shop at thrift stores! I've gone down from size 30-32 (4x) to 18-20 (1-2x). Who can afford retail with that many size changes?!

Lucky you. It will be harder when you have no restriction. It's essential that you use this period to learn how to eat differently and continue to hold the line. I lost half of my weight-loss prior to surgery. Because of complications, after my RNY>RNY revision surgery I had three endoscopy procedures which stretched my pouch and anastomosis. After a few weeks I had very little physical restriction. I've had to work very hard to eat differently and continue to lose weight. My post surgical loss is now equal to what I lost prior to surgery, and I struggle every day with cravings. I need to keep my calorie count in the area of 1000-1200 per day. I eat almost no sugar, flour, white potatoes, rice, or processed foods. But--it's worked and I will continue to do this for life, recording every morsel in my (Baritastic). app I know that as soon as I start to return to old eating habits I will regain what I have lost. It's hard work, but so worth it. Hang in there!

Current recommendations vary a bit, but most suggest that to lose weight and prevent re-gain, 250 to 300 minutes of moderate physical activity per week are needed. Of that, at least 150 to 180 should be aerobic activities such as brisk walking, running, swimming or bicycling. Moderate by the way, is defined as attaining a heart rate of 50-70% of your max heart rate. The easiest way to estimate you maximum heart rate is to subtract your age from 220. For example, if you are 50, your max heart rate would be 170, so 50% to 70% of that would be 85 to 119 BPM. In addition to the aerobic activities, strength training should be included. The recommendation would be to perform 2-3 sessions per week for 30-60 minutes. Detailed recommendations are beyond the scope of what I can add here. For beginners, bodyweight training would be my recommendation. Doing so you'll be at a much lower risk of injury and IMO, bodyweight training should be the foundation of all other strength training. Google "bodyweight training for beginners" and you should see some recommendations. Just make sure the website is from a reputable source. there are lots of "fads" out there and some of them could be harmful. The reason strength training is so critical is that muscle is significantly more metabolically active than fat. By gaining muscle, you'll actually increase your overall metabolic rate, meaning you'll burn more calories even when you're not exercising. This means you'll be better able to lose weight or maintain weight at a higher overall number of calories than you would otherwise. In addition, strength training can help you age gracefully by reducing the risk of osteoporosis, improving mental acuity, improving balance and physical functioning, and helping manage pain. Finally, in addition to the aerobic and strength training recommendation, I also think it's a good idea to participate in functional fitness that helps improve balance, coordination, and flexibility. There are lots of options here, but yoga and tai chi are good choices if you need recommendations.

I’m 30 weeks post op and my menstrual cycle has been very off. Is anyone else having the same problem?

I want to clarify something here for those that are following along at home. A random blood sugar test can be used to indicate diabetes, but just because your blood sugar is less than 200 mg/dL, does not mean that you don't have diabetes. An analogy would be this: if you weigh over 600 pounds, you are definitely obese. Just because you weigh less than 600 pounds does not mean you are not obese. I'm diabetic, but my blood sugar was never over 200 mg/dL any time I checked. As I mentioned, it's much more common to use A1C and fasting blood glucose tests to diagnose diabetes. Fasting is good because blood sugar fluctuates throughout the day. It should be at its lowest point after an 8 to 10 hour fast, so for most people, this is first thing in the morning. The other common test most diabetics are asked to do is "postprandial". This means after a meal. Now timing after that meal is subject to some debate, but typically 2 hours after eating is used as the "standard" for diabetics. For everyone, even non-diabetics, your blood sugar will start going up roughly 10 minutes after starting to eat. While this is heavily dependent on what and how much you ate, in a non-diabetic, your postprandial blood sugar should peak within about an hour of eating and should be back to normal in 2 to 3 hours. For diabetics, this normally does not happen as fast, so the peak blood sugar concentration is typically closer to 2 hours after eating. In short, most type 2 diabetics are asked to take a postprandial reading 2 hours after eating. Both fasting and postprandial readings are used to determine how well the disease is managed. For example, a high fasting blood glucose test might indicate that your diabetes medication needs to be adjusted. Another example might be if the post prandial reading is actually lower than the fasting number. If this is a consistent trend, it might indicate reactive hypoglycemia.

I had my Bypass back in February and have been losong weight extremely slowly if any, I've only lost about 30 pounds in 8 months. I have felt almost no restrictions, I am being disciplined and not eating anything I shouldn't, eating portioned meals although sometimes its difficult to know since I dont feel any restrictions. I work out 6 times a week for over 50 mins and drink plenry of water...what can I do? Sent from my SM-S908U1 using BariatricPal mobile app

What’s the longest anyone has experienced a stall for? My longest stall has lasted almost 2 months and I’m 7 months post op and I’m having trouble losing my last 10 lbs.

I increased my walking 3 to 4 weeks after my surgery to 60 minutes a day. After 16 weeks I was finally able to complete a 30 minute hit cardio workout and also incorporated some lifting into my workout routine (nothing heavier than 30 lbs).

Was cleared at 6 weeks, but as some others here, I don't formally exercise. I just focus on moving more in general and have adopted a more natural, guilty-free, movement-based lifestyle for staying healthy, nothing to do with losing weight. Losing weight for me is a completely separate issue, it is an emotional, mental and keeping up a healthy diet issue.

I just wanted to give an update on my experience with ESG after having a VSG 8 years ago. I lost 120 pounds on the VSG and regained 60 pounds. The surgeons I talked to were hesitant to do a surgical revision due to potential complications. I did an ESG revision 5 weeks ago. Since then I lost 10% of my body weight, which is over half of what I had regained. I was very pleaded with the ESG procedure itself, I had it done on a Wednesday and was back to work on Monday. I had lost 4 weeks of work with the VSG. My program at the University of Michigan does a full 6 week liquid diet which I contribute to most of the success. I think the ESG success needs to be talked about more. It's lower risk with a speedy recovery.

I had no problems hitting my fluid goals just a few days after surgery. Starting hitting my protein goals within about a week and a half. I always measured my food so I knew I wasn't eating too much and ate VERY slow to be safe. Your stomach is still healing, the nerves have been cut so don't push it even if you can. You won't have full sensation until your stomach heals.

I slept till after four am! Better than I thought. Today is the day! I gotta be at the hospital at 8:30 a.m. (45 min drive which isn’t bad for my rural area). I got nerves! My life is already better by loosing 90 lbs this calendar year, over 100 in less than 18 months. Good things gotta be in store for me. It’s my time to live life and be happy and not embarrassed about my size all the time. good luck to all going through pre op, post op or surgery today, or even just preparing… we are all in this together.

I'm 1 month & a week out & I had 0 trouble drinking & eating especially in my liquid & puree stage. Everything went down smooth & I had no pain. I would say that's the ideal situation. Or do you mean you're eating large amounts without problem? Do you know how many ounces of food you're eating?

It still happens occasionally. Funniest & oddest time was almost a year ago. I attended a farewell for someone I’d worked with on & off for years. I caught up with a team I’d worked with for about a year until a few months before my surgery. I greeted two of the men, hugged & kissed each on the cheek & sat with them for a while catching up. Later on, one admitted he had no idea who I was for ages. The other admitted it took him a few minutes. I thought it was hilarious that they had hugged & kissed a ‘stranger’. Another man kept saying he didn’t know who I was & I had to tell him my name twice before he accepted it was me. (The women knew who I was as I had seen them a few times since my surgery.) Two weeks ago I went to a funeral & people didn’t recognise me & some told other people I was my s-in-l. She is 7 inches taller than me! She also has a bigger build, is a couple of sizes larger than me & didn’t know the person who had passed away. I was a bit peeved about that one. I say enjoy it while it lasts.

For the first 3 months, I had the "foamies" meaning if I didn't chew well, I'd get a lot of excess saliva. If I chewed really well, no problem except for fruits with skin early on, those always gave me problems in the early months. After the 3 months passed and my stomach healed completely, I can tolerate everything. I just came back for a vacation, and my siblings insisted to go to all their favorite restaurants there, and I took a bite of practically everything, and no problems whatsoever, from seafood to beef, to desserts to sourdough bread to pasta. I may be in the minority in how smooth everything has been but this has been my experience. I was also this way with the vsg except (I know this is weird) I dumped from time to time with the vsg. Weird, I know.

I'm the same way. One week out and I'm easily getting my water in (70-90+ oz a day). I don't need to sip and feel like I can drink a lot at a time. I can't necessarily chug anything (tbh I haven't tried cause I'm scared) but I have caught myself gulping a few times and it was fine. I contacted my team and they say to be grateful to be staying hydrated and that some people handle it better than others. And liquids run through you quicker. It should be way different when we get to solid foods. Mashed potatoes are pretty thin compared to something like a chicken breast which should fill us up more. I have my moments where I worry about it too though. I'm really trying to trust the process and follow my programs recommendations. Mine recommends no more than 1/4 a cup per meal so I'm sticking to that. I'm not full but satisfied enough that I'm not starving. Puree stage sucks lol.

Hi guys. I am 1 week and a few days post Op from my sleeve surgery. I’m a little concern because I have notice that I am able to drink Water like normal. I’m also able to drink Protein Shakes without a problem. I had mash potato and I was able to eat a good amount without having to feel horrible. I know everyone is different. I just find it strange. Has anyone dealt with this? I’m just nervous that this surgery did not work.

Hi guys. I am 1 week and a few days post Op from my sleeve surgery. I’m a little concern because I have notice that I am able to drink Water like normal. I’m also able to drink Protein Shakes without a problem. I had mash potato and I was able to eat a good amount without having to feel horrible. I know everyone is different. I just find it strange. Has anyone dealt with this? I’m just nervous that this surgery did not work.

Hi guys. I am 1 week and a few days post Op from my sleeve surgery. I’m a little concern because I have notice that I am able to drink water like normal. I’m also able to drink protein shakes without a problem. I had mash potato and I was able to eat a good amount without having to feel horrible. I know everyone is different. I just find it strange. Has anyone dealt with this? I’m just nervous that this surgery did not work.

I think if you really chew well and don't eat much, you can eat many things. We just get told this for pre caution. I will not have sugar or starches for a bit but I am having any kind of meat now 2 weeks in and had pot roast today and barbecue pulled pork tomorrow. (Sugar free). We shall see how that goes.

Had my 6 month post op appt today. Went FANTASTIC, but still in this stupid stall. Officially 3 weeks today. So so annoying. Really ready to have it break so i can get on with it. Oh well. Have to get bloodwork done, but all vitals and stats look excellent. Happy with my progress and my NSVs and my improved health. Just gonna keep on keepin on until the stall breaks and the scale makes me happy again.

I wasn’t particularly excited to be converted from VSG to RNY either but I knew I needed to do it. I was eating specifically to avoid GERD flare ups towards the end. Surprisingly my lifestyle is nearly identical between the surgeries except I’m super careful with (known) dumping triggers. There was a small adjustment period but other than that not much of a difference EXCEPT GERD has been gone for 3 yrs and counting. Good Luck!

The mini bypass has been kicking around for a long time - it was around the periphery of bariatrics some twenty years ago when my wife and I first started looking into WLS, and it's still there today, not having achieved mainstream status (and many, if not most, US insurance companies still don't cover it.) in the meantime, the BPD/DS, VSG and now the SIPS/SADI have gone mainstream, gaining acceptance by the ASMBS and insurance industry. It would pay to understand why that is. When I last looked into these things, 2-3 years ago, ASMBS was fairly positive about the SIPS/SADI, but they didn't yet have the data to recommend it; they apparently do now. I would suggest looking through their site to see if they have any current opinion on the MGB and why it doesn't get on their recommended list. Amongst the MX surgeons, the MGB seems to mostly be sold as a cheaper alternative to the RNY rather than a technically better one. Classically, bile reflux is one of the problems with these simplified, single anastomosis procedures. There are claims that some techniques have been developed to mitigate that problem, but I don't know how much of that is real progress and how much is marketing. The MGB does seem to be more mainstream in other countries, so there may be something to the claims of improvement, and it simply lost its best opportunity to be sold to the US industry and authorities. Given that, I would be apprehensive about getting it done while living here in the states, if for no other reason than long term support - how many US doctors, bariatric or otherwise, understand it, and how to treat you in the years ahead should there be a problem. It's something like owning a French car here in the States - parts and service are a problem. My wife has a DS, which has something of that issue, despite being mainstream and approved, as it is still something of a niche procedure, with few surgeons understanding it. It, however, has the redeeming value of having demonstrably better performance - both initial loss and most particularly regain resistance; the MGB doesn't, as it's not markedly different than the RNY or VSG in performance. Have you had your GERD evaluated as to its cause? A hiatal hernia or shape issue can usually be corrected while still maintaining the sleeve, though some surgeons may not be well practiced at that and would simply revise to a bypass to correct it (the old "VSG + GERD=you need an RNY" thing rather than fixing the basic problem - it might need an revision, or it might not.) In correcting regain, these revisions seem to be only moderately successful - count on maybe twenty pounds or so - about what one would expect from the intense dieting required around surgery time, and one can expect similar results from a hiatal hernia repair. Basically, you have already learned how to eat around a small stomach, so shrinking it further with a revision doesn't yield nearly as good a result as your virgin procedure. Some do show remarkable improvement, but they seem mostly to be those who take the regain seriously and swear to "not let that happen again" and really buckle down and get with the program. One can almost consider the revision to be a placebo. If I were looking to seriously tackle a regain problem, I would lean more toward the BPD/DS as that more directly addresses the metabolic problem, though not the GERD as it retains the sleeve - that would remain an issue as to whether the sleeve itself is the cause of it and that can be corrected.