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Insurance in Australia doesn’t cover pharmaceuticals in there same way as the US. Prescription meds here are either on the PBS (pharmaceutical benefits scheme which are meds subsidised by the government to keep the costs low - about $31) or not. If you have private health insurance they may cover some of the costs of non PBS drugs but I think it depends on your insurance company and your cover. My insurance would pay the difference in the cost of a prescribed non PBS med and if it was a PBS drug. So if non PBS drug cost me $35, I’d get $4 back. Think ozempic is on the PBS but there have been lots of shortages & there are restrictions on who can be prescribed it (diabetics only I believe). Not sure about the other semaglutides. Wegovy only recently became available here for weight loss - it’s not on the PBS currently.

You go girl!!!!! I love to f**king hear it! In so many other groups I'm in nobody is satisfied with their weight loss! Once I get to 160 baby I am done and then maintenance will start. I am so happy for you!! I too will have boob surgery in April 2025 once I make 1 year! My gift to myself! I have lost a lot of weight really quickly! I can not wait to have those girls out summer 2025 in a halter/tube top! 😂😂😂.

I love that they gave you daily goals. I feel like the drs only gave me a protein goal and it’s 114 grams… and I’m still in the purée stage to needless to say, I am failing that every day. But everything I eat has high protein and I probably am getting about 60 grams a day, so your post made me feel better! I feel like my weight loss is super slow but at least it’s in the right direction and happening! I can’t wait to start getting rid of clothes that don’t fit!

THIS ^^^^ I never dropped a lot of weight in a short time. I averaged 1-2 pounds a week and as long as the scale was moving in a downward direction I was happy. If I hit a stall, I stayed off the scale to preserve my mental health. LOL I kept telling myself slow and steady wins the race. Distracting myself with moving and thrifting. I found that I breezed through clothes sizes way faster. Which was sooo much fun. Almost 1 1/2 years after Gastric Bypass. I'm still losing pounds and inches. Not sure where I will end up and people are telling me to stop but I'm letting my body dictate that. For now. I walk a couple miles a day. That's it. Today I am 5 pounds from goal weight. And I personally know someone who had WLS GB many moons ago and regained the weight back and more. She's a bad reminder of where I don't want to end up. Enjoy the journey and WL and mentally prepare yourself more so, for the maintenance part when it comes. GL

Our surgeons did their very best to educate us in a manner that would be easy for a broad population to understand but sadly WLS is not as simple as restriction driving weight loss. Check out these excerpts from a review on the Endocrinology of the Gut and the Regulation of Body Weight and Metabolism and also a study that tried to predict outcomes of various WLS on (hedonic) hunger and weight loss : The mechanisms behind the success of bariatric/metabolic surgeries remain to be fully elucidated but post-surgical changes in gut-derived hormonal peptides, bile acids (BA), gut microbiota, and vagal tone are suggested to be involved (13, 14). Read more here: https://www.ncbi.nlm.nih.gov/books/NBK556470/ Bariatric surgery engenders weight loss through a number of biological changes, which alter eating behavior and thereby result in a reduced energy intake, which is the main driver for sustained weight loss. Gut hormones, metabolically active polypeptides secreted along the GI tract in response to fasting and eating, act upon CNS centers involved in appetite regulation and generate either orexigenic or anorectic responses. Following bariatric surgery, gut hormone secretion profiles change as a result of the anatomical changes from the surgery. Altered gut hormone secretion profiles are thought to be key mediators for weight loss following RYGB and SG. RYGB results in a marked rise in meal-stimulated circulating levels of anorectic hormones peptide YY 36 (PYY) and glucagon-like peptide 1 (GLP-1); these changes are also seen post-SG but to a lesser extent. SG, in contrast, leads to a significant reduction in the orexigenic hormone ghrelin, by means of removing most of the ghrelin-producing cell population from the stomach. Ghrelin and PYY/GLP-1 act on appetite-regulating areas of the CNS in an opposing manner, stimulating orexigenic or anorectic responses, respectively [16]. Read more here: https://link.springer.com/article/10.1007/s11739-022-03063-0#:~:text=A reduced energy intake%2C as,weight loss following bariatric surgery.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

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.

Because restriction isn't everything. It's easy to eat around your restriction. Restriction doesn't stop hunger, or food noise, or just wanting to eat food that is delicious but calorie dense. I had 20# of "good" regain. I got too thin after WLS, and I didn't like how my body looked at that weight. The normal bounce was good for me, and is what I've found to be my ideal weight. Over the last 3.5 year I slowly gained weight. At 20# over my ideal weight, i didn't like what I saw in the mirror. So I got on a GLP routine and quickly and easily dropped the excess weight. IME, GLP's are going to be revolutionary. I'll likely use them as needed to regulate my weight indefinitely.

Do you track (weigh and measure) everything you eat and drink? Are you following the plan set by your surgeon and dietician? Are you meeting your fluid (alcohol doesn’t count) and origin goal every day? Are you focussed on eating protein rich and nutrient dense foods? Yes, alcohol will slow your weight loss. Did your surgeon really say live your life? Did they mean alcohol? Did they know how much you drink? Did I drink alcohol while I was losing? Yes. I had a gin & tonic at around month 3 (nursed it for hours) and then a couple of single glasses over the next 6 or so months after that. This first 6 months to a year or so are a gift. You want to embrace this time to lose the majority of your weight. So yes, you will have to make some sacrifices but for these few months it’s so worth the lifetime of future benefits. Doesn’t mean you can’t go out and socialise. It just means you have to make best choices you can in whatever situation you’re in and put yourself first. The reset diet of returning to the liquid stage is an old wives tale. You’re not trying to reset your tummy but reset your head, your thinking. You can do this.

Thank you so much for sharing your journey—it’s really encouraging to see how far you’ve come! Your progress is amazing, and it’s a great reminder that the weight loss isn’t linear but still consistent over time. I definitely need to shift my mindset and focus more on my own path, like you said. I love that you're fitting into jeans from when you were 22—that’s such a huge win! Hearing how your weight loss has unfolded over the months gives me hope, especially knowing that you’re still losing at 7+ months post-op. I’ll try to keep that long-term perspective in mind, and stop stressing about how fast or slow the weight is coming off right now. Thanks again for the advice and inspiration! I’m feeling much more positive about my journey now.

There are lots of averages around weight loss and the different surgeries but, trust me, there are a myriad of differences around those averages. And there’s nothing wrong with that. It’s how they get those statistical averages. Everyone loses at their own rate and as with all averages, some will lose more or faster and some will lose less or slower. You’re losing and that is the only thing you should consider. If you are losing any amount, you’re winning. Celebrate every pound you lose. You’ve lost 10kgs! That’s amazing. Congratulations!

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

I'm 6.5 years out and still have a very restrictive sleeve. But I definitely seem to be an outlier. I can eat about 4 oz at a time. For instance a Taco Bell taco or small McDonald's hamburger. But even with small stomach capacity, it's easy to regain. My stomach empties quickly so there's nothing stopping me from eating to excess. I've had to make a conscious effort to maintain a weight I'm happy with. I use both IF and GLP meds. Along with calorie tracking for accountability.

Nice thanks! We shall see as time goes on. Right now I will drop weight as quickly as possible while I still have no appetite and a VERY restrictive pouch!!!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

In one of my groups I'm in a licensed therapist on the baratric team stated when we see ourselves gaining again, go back to the beginner basics the way we treated our bodies right after weight loss surgery: Go back to those high protein meals/ veggies getting full on that and not snacking and indulging. That stuck with me.

P.S. I meant I lost weight for 20 MONTHS, not lbs! Can't believe I didn't catch this!

I was about 270 so it's about the same. I think this is some new NHS weight loss diet and I'm the test group or something.

I know it’s easier said than done, but don’t be in a rush and don’t compare yourself to others. It’s not a race or competition. Everyone has different circumstances and factors affecting rate of weight loss. For example, the more excess weight you have, the faster it comes off, so you can’t expect to lose as quickly as some who started 50 kg higher than you. i know most of us go down the path of WLS because we are fed up with being obese and we are desperate to lose the weight after a lot other attempts. Of course we want it to happen as fast as possible. But here’s something to consider. WLS makes it virtually impossible to fail at losing a significant amount of weight. That’s the “honeymoon period” for about the first year after surgery and almost everyone has amazing results. What really matters, though, is what comes after the honeymoon period. It is heartbreaking to see people go through all of this to lose 100+ pounds only to regain it. It doesn’t matter how fast you reach your goal weight if you don’t stay there. You have a whole lifetime ahead of you, decades, to enjoy your new chance at life. Trust me, in 20 years, you won’t care how many pounds you lost in the first month or two or six. Don’t worry about how fast of slow you’re losing now. Keep following the program and you will lose a lot of weight. Set your sights on the rest of your life, everything you will get to experience in your new body, and how you will keep it.

Hey there! I had bypass back in February. My best advice is to ignore other people's stats and focus on you. I, too, was worried about my progress, but 7 months in, I am still losing weight and just bought jeans in a size I have not worn since I was 22 years old (I am 50 now). Here is how it went for me, just so you can see one example, but we are all different. Starting weight: 251 lbs (BMI 40.5 as I am 5'6" tall) Pre-surgery loss (over 6 months): -12.2lbs (this was from nutrition changes) 2 week liquid diet: -15.4lbs Month 1: -8.2lbs Month 2: -10.8lbs Month 3: -3.8lbs Month 4: -11.0lbs Month 5: -3.4lbs Month 6: -5.2lbs Month 7: -3.6lbs So far in month 8: -2.2lbs Today's weight: 175.2lbs (BMI 28.3) My goal is to lose another 20lbs in the next 5-6 months, which would be 3-4 lbs per month. That would get me to a "normal" BMI of under 30 and would be about the same weight I was when I was 18 years old.

22 pounds in 6 weeks is awesome!! How many times have you lost almost 4 pounds (1.8kg) a week on any diet in your life or been able to stick with it for six weeks? Seriously, you really have to work just as hard at the mental part as you do at the physical. The mental meaning stay away from the scale as much as possible, and don’t compare yourself to other people because their situation is entirely unique like others have mentioned even if someone had the same starting weight as you you don’t know their age their activity levels, there medical history, all of that plays a role in it. I have seen people on here who have continued to lose beyond 18 months even. Like any other obstacle in life keep your focus on the aspects that you actually have control over and try not to worry about things you don’t.. Congrats on joining the gym, big step. I really hope adding more movement makes you feel as amazing as it has for me. I am still concerned about the weight part obviously but I’m telling you that feeling as good as I do, I’m not focused on it nearly as much.

you are fine. Most people seem to lose somewhere in the 7 - 11 kg (or 15-25 lb) during the first MONTH, and you've lost 10 kg in six weeks, so you're absolutely in the normal range. I lost 16 lbs (7 kg) the first month, so I was probably exactly where you are at six weeks out. I went on to lose over 90 kg (200 lbs). (you will always find people who lose less or more than the range I stated, but they're either outliers, or they started out at MUCH higher BMI's than most of us have - such as the people on shows like "My 600 lb Life"). Your nurse and doctor are fools. I had a resident tell me the same thing when I was a few weeks out, and I wish that jerk could see me now!! I'm sure I lost much more weight than most, if not all, of the people who went through the program when I did! rule #1 with this is; don't compare yourself to others! Your rate of weight loss depends on so many things, only a couple of which you have much control over. Age, gender, metabolic rate, what percentage of your body weight is muscle, genetics, starting BMI, whether or not you lost a lot of weight before surgery, diet, and activity rate are all factors. How much you're eating and how active you are are really the only things you have control over. Do well with those, and the weight will come off, whether fast or slow. But don't forget - 10 kg is six weeks is completely normal. Just carry on and don't listen to foolish crap like this. EDITED to add: I lost weight for 20 lbs. Yes the first month tends to produce more loss than following months, but just like with regular diets, that's because some of it is water weight. One kg a week is pretty normal after the first month - but that'll gradually drop as you approach a normal BMI.

Thank you @FifiLux, @ShoppGirland @Bypass2Freedom 🥰 I managed to shove a cotton bud up my nose (hate the sneezing and ‘scratchy’ feeling at the back of my throat 🤢) and I’m now clear of Covid - hurray! Hubby is still in its thrall though: headache, sick, generally feeling out of sorts. Amazing how it hits people differently 🤷‍♀️ 3lbs of my gain off this morning - thank you water weight! Just over 2lbs more to go and I will be back on track. This morning I went through my underwear and nightwear drawers and binned lots. All the too big and/or tatty items have gone. I do have some really nice things that I’ve not worn due to sizing so hopefully I will be wearing that at some point in the near future. I am enjoying getting on top of things once again as I think I really lost my way for quite a while. All down to a lack of interest in pretty much everything I think. No gym this week but hope to get back to it next week when hubby feels better. I have missed it and my knees are definitely stiffer for not going. I’m on with the circulation booster in the meantime, just to get the blood flowing in my lower legs. Can definitely feel a bit of the autumn chill now ☹️ I received an email from M&S saying it’s Christmas food stuff is now available to order and it feels quite strange not to be bothering with any of it because I don’t know where I will be on my WLS journey. All that stress, gone!! 🥳 Has anyone done the LRD over Christmas, just out of interest? As it stands, I’m not bothered if I have to do it then, be nice to have a festive season where I actually lose weight 😉

That's a lot of calories so early out, and yes, alcohol will definitely stop your progress. Especially this early out. What are you eating? How often are you eating? Slider foods can also derail things. Prioritize protein first, then veggies, then carbs and healthy fats. Make sure you get enough fiber, hit your fluid goals, and cut way down the alcohol. There are significant dietary changes you have to make with weight loss surgery. Eventually, like at a year or more out, you can start to live/eat/drink more normally, but this soon out, there are big changes that should be made to maximize your weight loss.