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I'm not really surprised considering the amount of money involved here. That said I'm seeing reports that many providers of Tirzepatide have already stopped providing it. I would expect the same for semaglutide soon. I guess time will tell if the FDA will allow other companies that are essentially skirting the rules to continue to do what your provider is doing. Keep in mind that dosing schedules within 10% or compounding 2 drugs not on the shortage list are not allowed as ways around this restriction. It may suck for consumers, but cost alone is not a factor in whether or not the FDA allows medications to be manufactured and sold by someone other than the patent holder. Any compounding pharmacy that tries to get around the rules is at least subjecting themselves to more regulatory scrutiny. Some may find themselves out of business. I honestly don't have a dog in this hunt, but I do think folks here need to be aware that the playing field may be changing if they already have, or are planning to try compounded GLP-1 drugs.

Hi! my name is Shana! I had the DS Loop on 10/31/23. My HW was 309.4 pounds. My SW was 263.7 pounds. My GW was 150 pounds, achieved 7/21/24. My LW was 117.7 pounds on 2/3/25. As of this morning, I am 121.6 pounds. I am not too upset about gaining weight because I feel that I look too thin. I have lost 104 inches since WLS day. I am having excess skin removal in 3/17/25 (bilateral tummy tuck and breast implants. Glad to be joint these forums.

Well, it's highly dependent on where I'm at in a training cycle, but it might look a little like this: Monday: Rest Day. Tuesday: This is my speedwork day when I do intervals. What that specifically looks like is different depending on my current goals. For example, If I'm training for a shorter race like a 5k, I'll probably do more intervals at a faster pace, but the intervals will be shorter in duration. For example, I might do 8 total intervals at RPE 9 for ~2 minutes. In between each interval, I'll rest for 2 minutes. On either side of the interval work, I'll do a 10 minute warm up and a 10 minute cool down. Thus the entire run takes roughly 52 minutes. If I'm training more for a half marathon, I'll do more like 3-4 intervals but they may each be as long as 6 or 8 minutes. Rest periods will probably be ~2-3 minutes. Note that these are done at a slower pace, so more like an RPE of 7-8. Regardless of what the intervals look like, I always warm up and cool down for at least 10 minutes each. Wednesday: This is typically a strength training day for me. Sometimes I may run 2-3 miles afterward, though more often than not, I cross train on the bike, or sometimes do some rowing. Thursday: This is what I call my "Distance Run" day. It's typically going to be between 50% and 80% of my long run mileage, so if I'm doing 30 miles a week, it might be somewhere around 5 to 8 Miles. This is almost always done at an easy pace, but I do tend to add in strides toward the end. (Strides, for those that don't know are short 20 to 30 second accelerations followed by a minute or so rest. Because they are so short, they don't tend to add a lot of extra systemic or muscle fatigue or increase injury risk like you'd have for normal speed training.) Friday: This is when I do Race Specific Pace Runs, Hill Running, Tempo Runs or Threshold Runs. Again, this is highly dependent on where I'm at in a training cycle, but an example leading up to a half marathon might be a 10 minute warm up followed by 40 minutes at my half marathon goal pace, followed by a 10 minute cool down. Saturday: This is my other strength training day. Here, since I've accumulated a lot of weekly fatigue by this point, I'm a lot less likely to run afterward, meaning if I do anything after the strength session, it's going to be on the bike or rowing (or nothing at all if I'm wiped 😄). Sunday: This is my long run day. As a general rule, I don't want this to be more than about 30-33% of my overall weekly mileage. Thus if I'm at ~30 miles for the week, my long run won't be more than 10 or at most 11 miles. Most of my long runs are done at an easy pace, but I do sometimes add in some faster pace work toward the middle or end. It's all dependent on my goals. Overall, 30 miles per week is really not that hard for me at this point. Keep in mind, I'm retired now and my kids are grown so I don't have to worry about fitting this in around work or my kids needs. Now as I increase my mileage working up to 50-60 in prep for my fall marathon, I'm expecting that will be a lot more challenging. Physically I think it will be fine, I'm more worried about my ability to dial in my nutrition. It will be a lot of extra calories burned in a week and my fueling strategy has to be really dialed in for the 18 or 20 mile long runs I'll be doing toward the end. I have a tendency toward hypoglycemia if i don't get my fueling perfect. It would not be good to pass out when running!

was not exactly in the same situation as u, but here's my anecdotal input nonetheless: i had a breast reduction way back in 2006 i was 34 and was only starting to get overweight (probably maybe 150-160 lbs back then) but had ginormous boobs. best decision ever. my back no longer hurt, i stopped hunching forward, my bras didn't leave railroad tracks on my shoulders, no mote safety pins to keep my shirt closed...all of it! yay! had wls in 2018 (boobs ginormous again as i was then 235 lbs). a year later at 115 lbs, i had a breast lift - kinda like a breast reduction ? but more skin removal vs tissue removal - and again, best decision ever! this time though, it was more for aesthetics. but still a good reason to get one! long story short, the breast reduction in 2006 improved quality of life. the breast lift in 2019 improved how i looked naked. keep in mind though they are different procedures, one is usually covered by insurance while the other is considered a cosmetic procedure and is usually self pay. after u lose the weight, will you still be considered a candidate for a reduction? who knows...maybe, maybe not. personally, (and im just a stranger on the internet so what do i know??) if the large boobs bring suffering to a point that its affecting quality of life, get em done if u have the means and resources to do so. life is soooo much better when aren't in pain all the time.

Hi all! I had VSG back in Dec of 2016. I was very involved in this community for a long time. I lost 124 pounds over about 18 months and maintained a 105-110 pound weight loss for almost 3 years. Then the pandemic hit. Then I had some non related medical issues. I went on a medication that caused weight gain. I got frustrated. I fell off the wagon and tumbled down the road and I’m now facing a 60 pound weight gain in about 4 years. I made a lot of excuses! I also started picking up bad habits like drinking alcohol, not counting calories and indulging in carb heavy snacks. But hitting 260+ again shook me. I was only 15 pounds down from my surgery weight. It’s time to get off the pity wagon and get back on track. so I’m back. I’m counting calories. Eating low carb. Cutting almost all alcohol, bread as pasta out! 10 days down, forever to go! My Stats: SW: 305 SD: 275 LW: 181 MW: 195-200 RW: 263 CW: 258 GW: 200

Thank you so much, guys. I love that this is a safe space to speak our truths about this surgery. So many people think it's a miracle cure, and it's not. We have to do the work. It really is just a tool for us to use while we do the work. You guys have been so supportive. Thank you so much. I'm going to go back to weighing once per week, meal prepping again, sticking to my diet, and start back with my work out plan. I'll work to lose 10 pounds, to get back to the weight I'm happiest at. You all are awesome!!!

I'm wiped out! This morning I went with my husband to get him settled in for his neck lift. I drank about 10 ozs of water while waiting. After he got to recovery i came to the apartment and drank some tomato soup and protein shake. They are concerned that I haven't pooped but I'm thinking there's nothing in there. The nutritionist told me to drink papaya puree with water. The doctor told me to do laxatives if that doesn't work. Our coordinator came and we went to the central market to get souvenirs and papaya juice. I've been sipping it and it has no sugar so it's very much just fiber and water. 😆 Will report back on the results. 🤣 🤣 🤣

Regarding malabsorption of gastric bypass, I find that most people contemplating surgery way overestimate the impact of this. In gastric bypass, only a small part of your small intestine is bypassed. Just from a nutrient absorption perspective, the amount of malabsorption is around 5 to 10%. That's really an oversimplification however, because different nutrients are absorbed differently across various parts of the small intestine. I'm not an expert on depression meds, but if that's your major concern, it's entirely possible your current prescription might work just fine if you did end up having bypass surgery. I don't take any depression meds, but I do take a pretty high number of other medications and have not had to take MORE of any of those meds due to malabsorption. In fact, most of them I've had to reduce or stop entirely because I'm a healthier, smaller person than I was before. Even if it did become an issue for you, I'm sure your doctors would be able to find the right combo of meds for you. Regarding remembering to take vitamins, it's really not a big deal. Like anything, you get used to it over time and there are ways to remind you if you need those reminders.

i wouldn't worry too much about a 3 lb gain over 10 days, especially if you haven't drastically changed your eating habits and/or activity level. maybe if those 3 lbs are still there a month from now, you can do some re-evaluating, but until then, TRY not to stress (yeah, i know easier said....) case in point: 3 nights ago, i weighed myself and i was up 5.2 lbs. now i don't usually weigh at night, and i hadn't pooped in a few days, AND i JUST had dinner, AND i had a super extra-salty vodka caesar. then yesterday morning, i was a little over 1lb less than my "normal"...(i pooped! lol, and it was morning, my usual weigh in time). i didn't eat less nor more, i didn't exercise less nor more either. long story short, our weight will fluctuate (sometimes by alot) day to day. what matters is your average weight over time (and not over 10 days, but over months) good luck! you are doing great ❤️

I think it's always Good to talk about GRIEF and anger. Yesterday I was driving around Houston Texas running errands and the overwhelming grief took hold. If anyone has visited Texas you know our food is TOP tier so much seasoning so much flavor. I grieve not pulling in the drive thru after shopping. (Taco Bell, What-A-Burger, Shipleys Donuts)! I GRIEVE OUR ever so plentiful TACO TRUCKS at 2am where I would order 10 street tacos and a burrito with the red/green sauce I grieve boba TEA I grieve the comforts I grieve just being able to drink alot at one time. Who knew that a few sips of Water could make you so full In noticing the griefs you become aware of how addicted you were to the food and the feeling. Sighs*

Weight will fluctuate but should not be that big of a difference, I would toss the scale you have and try another one. But then again, I don't weigh myself very often, I wait for my post-op weigh-ins because it is the same scale, same place, same lack of dust, etc. If your scale is on wood one day and carpet on another day you will see a different weight too. On the first floor or the 7th floor, it can make a difference, and don't forget with vs. without clothes. These are typical differences. My scale is about 10 pounds off from my doctors office. Remember that there are NSV (non-scale victories) that you should be focused on too, like the size of your clothes, how well you walk now than before, if you measured your waist, thighs, arms and the rest, are they going down in numbers? Celebrate the 43 pounds that you did lose and look for your win that you did have. You should remember that your body is different than others, and your wins will be different than others as well. I know you have other wins you can share from this last week post surgery. Mind work is just as important as physical work.

I wanted to address this because it's just not correct. I'm not trying to discourage anyone from doing resistance training since there are a lot of benefits, but this idea that it helps you burn more calories is based on outdated science. We used to think that adding a pound of muscle mass would on average burn an additional 50 or so calories in a day. More recent research shows it to be closer to just 6 calories per day. Considering that the average woman that strength trains might do well to add 10-12 pounds of muscle in a year, Strength training consistently for a year is only going to get you to a place where you burn maybe an additional 60-70 calories a day. For comparison, this is roughly the equivalent of 1/2 a scoop of your typical protein powder. Yes, you do burn some calories as you do resistance training, but it's not even close to the amount you can burn doing moderate to heavy cardio such as running, spinning, etc. Resistance training does contribute to a higher level of something we call EPOC, or Excess Post-exercise Oxygen Consumption, but the contribution there is also minimal. Even with the increased EPOC amount, resistance training simply can't touch the amount of calories burned in moderate to intense cardio. Once again, I'm not trying to discourage anyone from doing resistance training. There are some tremendous benefits, from increased health and longevity, to being more capable (and bad a$$), to making you look seriously hot, but as a way to burn more calories? Eh, not so much.

3 lbs in 10 days sounds like water retention. Have you had more salt than usual? I gained almost 4 lbs in a week at Christmas, but it was gone within 2 weeks and now I'm back to slowly losing. If you've had a disruption to your routine, that could explain it. Or hormonal shifts. Or just your body messing with you because you were looking forward to hitting a certain number on the scale and the universe finds it amusing to taunt you (been there).

Love it! This is a very reasonable menu for the day. I like that it relies mostly on real food and supplies a lot of nutrition from veg, fruit, and beans. My dietician would be thrilled with the macros. If you wanted to avoid the protein shake, you could maybe add 3oz of ground turkey to the chili to make up the protein. I'm 10 months post-op and this would be a manageable/very filling amount of food for the day.

Just jumping in to say that 60lbs in 3 months is a tremendous amount of weight to lose! Have you ever lost that much in three months before? Or at all? Pre-surgery, I could never lose more than about 40lbs before I plateaued and then slowly started to regain. But, I understand you have a long way left to go, so it probably feels like you'll never get there. Focus on building the good habits now, like you are. If you can, go for a daily walk. That may be plenty of exercise for now if you are currently sedentary. But protein, vegetables, and fruits are great choices. Also, take photos of yourself to see the progress. I swear that even at over a year out and within 10 lbs of a normal BMI, I still FEEL obese sometimes. And then I see a recent photo of myself and I am shocked to see a normal weight woman who kinda looks like me. How can I see myself so wrong in my own head? In the first year, I took a progress photo every month on the 21st so I could compare. I'm so glad I did.

I second that. I am at a lower BMI and hover between 18-19% body fat. I would say that 12% is quite far fetched. I suggest you see another clinic/doctor to determine your body fat percentage.

Hi everyone, kinda new here but I figure I should share my personal experiment in the guys room since it involves "strange" elements. I’ve noticed my cut stalls whenever the late-night dopamine loop hits: doom-scroll, snack, repeat. Decided to run a one-week reset to see if trimming *stimulation calories* can help actual calories. **Reset checklist** □ 8 p.m. screen cap: phone goes in desk drawer, watchface only. □ 90 % whole-food rule (any “fun food” must fit before 2 p.m.). □ 3-min cold rinse after workouts. □ Picked up a silicone cage to keep wandering hands + browser tabs in check. (if you're wondering where it goes, the cage is from a funny shop called lockthecock so I'll let you figure that out) □ Lights-out meditation playlist, then bed. **Tracking** • Target intake: 1,950 kcal • Steps: >10 k daily • Sleep (Oura): aiming +45 min average • Craving score (1–5) each night **Starting numbers (Day 0)** Weight: 164 lb Waist: 31.8″ Sleep: 6 h 05 m avg Cravings after 9 p.m.: 4/5 I’ll loop back on Day 4 with a quick note (good, bad, ugly), then final results on Day 7. Anyone tried something similar—phone jail, NoFap streaks, cold therapy—to rein in nighttime nibbling? Drop tips! Cheers

New here but usually trolling,I'm having such a hard time with food no matter what it is fish,chicken, lean meats etc. Some days or should I say most days just the thought and smell of food wanna make me gag,lately I have been passing days of not eating just supplementing with protein shakes. My situation is everytime I do eat something I'm spending the next whole day visiting the bathroom 8-10 times a day and feel terribly crabby and have no value of life as I cannot leave the house without having an accident os two. I am getting very frustrated and getting depressed of this situation. I'm 9 weeks out this coming Tuesday and have lost 55lbs and down 2 pants sizes but not very happy about this bathroom thing and my quality of life as I can barely leave the house unless I don't eat a couple of days,and I don't even get hungry or feel like I can eat anything right now food just disgust me. Any help I will appreciate.

I'm a 40 y/o mom of 3. HW 265, GW 150, CW 142. Sleeved January 2023. I loss my first 90 lbs within 6 months of being sleeved and maintained for another 6 months (without quite getting to goal). Unfortunately, at the beginning of 2024 I had some health issues (unrelated to the sleeve) and had to have a total hysterectomy. I turned to my old comfort of eating and gained 20 lbs in 2 months. My appetite came back with a vengeance and my head hunger was getting the best of me. In a moment of panic, I seen my Dr and she prescribed Zepbound. OMG, where has this drug been my whole life?! I loss the 20 lbs. I gained plus the rest of the weight I needed to lose to get to goal weight within 5 months. Unlike the sleeve, Zepbound also helps with the head hunger which is an issue for A LOT of us. It's truly a miracle drug! I was on Ozempic pre-surgery for diabetes and it did NOTHING for weight loss so I didn't expect much from Zep but turned out pleasantly surprised. Despite severe constipation in the beginning, my side effects are minimal and manageable. I feel like Zepbound + my gastric sleeve was a match made in heaven. My health is the best it's been in 20+ years. Diabetes gone, fatty liver gone, triglycerides were high and are now in a normal range. My life no longer revolves around food and for once I feel "normal." I maintain with 10mg every 10 days and it's been working perfectly.

You may reach goal, you may not or you may exceed goal & all are okay. Remember though if you have to work harder & be more restrictive to reach your goal you will always have to work harder & be more restrictive to maintain the lower weight. At that point it becomes all about sustainability: can you maintain the exercise and eating plan in the long term without feeling it’s too restrictive or you’re missing out. As for the possibility of regain, there are a myriad of factors. Could be just the bounce back regain many experience (around 10-20lbs), stressful situations (personal, work, etc.), health issues, changes in meds, too restrictive maintenance, not dealing with issues that lead you to gain in the first place, returning to your old way of eating, etc. Some things we can have some control over and some we have no control over. Personally I maintained for almost 6 years but a complete hysterectomy Sept last year has messed up my hormones and I’m seeing regain. I’m fortunate I have supportive doctors and we’re looking for ways to manage it. Regardless where you settle, you are winning and have successfully made changes to improve your health and life. Enjoy.

I started my journey in late July and was planning on surgery over my Christmas Break ( I'm a teacher). Due to a rare side effect from medication I had tendonitis in 3 areas and could barely walk. My NUT told me last month that she thinks I'll be cleared for surgery mid to end February depending on PT progress. I was getting super excited and even more motivated. Then I looked at the calendar and realized that surgery would probably be in mid to late March. I hate to use 10-15 sick days this close to summer break when I don't have a lot built up. What would you do? I'm also freaked at the possibility of switching insurance carriers March 1, but that's a different story!

I had a reversal from sleeve to mini bypass 10 years ago by dr illan. I owe him my live.

Yes, Core Power is a Fairlife product. They actually make a number of different products, so it can be confusing. Fairlife Core Power Elite is 42 Grams of protein in a 14 oz serving, for 3 grams per oz Fairlife Nutrition Plan is 30 Grams of Protein in a 11.5 oz serving, for ~2.6 grams per oz Fairlife Core Power (Regular, not Elite), is 26 Grams in a 14 oz serving, for ~1.88 grams per oz Finally, they have "Fairlife Ultra Filtered Milk", which also has more protein than regular milk. it has ~1.6 grams of protein per oz. If you compare that to an 11.5 or 14 oz serving respectively, it would have ~19 or 23 grams of protein. For comparison, regular milk has about 1 gram of protein per ounce. Edited to add that all the "shakes" (in other words everything except the milk), are flavored and at least to me taste about the same. As such, I'd recommend Core Power Elite for most folks here since it has the most protein for a given volume. I use the milk religiously for everything I'd use regular milk for as an additional way to get more protein per day.

My surgery date is 10/28 also! Good luck!!

this is pretty much it. i lost weight at a consistent rate until i made efforts to stop (i lost roughly 10 lbs a month from months 2-7...and while months 1&2 had larger drops, they were not indicative of my average rate of loss). i lost another 10-15 lbs after that over about 4-5 months trying to figure out how much exactly i needed to eat to keep me at a constant weight without gaining nor losing (which honestly is harder than losing weight man) i finally sorta stabilized at 115-120 for the next 4 years. basically i stopped losing weight when i started eating enough calories to sustain me and my lifestyle choices. now here's kicker: i am now 6 years post op and recently lost about 10 lbs in 2-ish months, again because i was/am eating less than i am expending. so i guess i'm saying it doesn't matter how far out you are, you can still lose weight if you are at a caloric deficit for YOU and YOUR lifestyle. ...and the only (easy) way you can really determine if you are in fact in a caloric deficit is if you track your intake and compare to your weight/body composition (which you'll have to track too) over time. but i get it, this is not for everyone...just offering a strategy that has worked for ME all these years.