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I was told by my surgery team to not drink at all. Due to the increased risk of ulcers, transfer addiction & alcoholism.

Sorry to hear you're dealing with all of this, it sounds rough. I know not all seasons of life can lend itself to it, but stress will cause the body to retain fat and prevent burning it. If there's any way to unload some of the stress, either by working out, meditation, going to a "rage room" where they let you smash stuff, anything that helps, it will help the weight loss process resume. I know its not always possible, having just come out of a season of life that felt like constant stress for 8 years with no seeming end. It was like I couldn't lose weight regardless of what I did, but I was always in a state of stress. I'm definitely not living a stress free life by any means now, but after years of therapy and practice, I guess I'm a little better at managing it now. That being said, my surgeon suggested a "reset" if weight regain happens 1 year+ after surgery. It was basically go back to the pre op diet to jump start things for a couple weeks, then slowly start adding back items from your normal diet, but keep watch to see if any of those are causing a stall or regain. Focus on hydration first, then protein, then unsaturated fat, then other fats, AND THEN carbs last. I wouldn't go as extreme as keto, but try to aim for single digit carbs per serving of something, or under 50-60g per day. Carbs are easy energy for our bodies, so it prefers to burn that first, and store any excess as fat, just as a survival mechanism. Everyone is slightly different, but some people's metabolism can be thrown off by certain imatation sugars and sugar alcohols. Even though they're 0 or low calorie, they can still trigger an insulin response like sugar or starches. You may want remove the biscuits for the time being and see if those may be the trigger for your body. Best of luck to you, and hoping things improve for you from here. Stay strong!

1. What was the best part of surgery for you? The best part is also the hardest to explain. The best way I can put it is that pre-surgery, I had a demon in my stomach. This demon demanded rich foods and thought that if one of something tasted good, then four of something would taste amazing (this made the demon a liar, but I had to obey these lies). The surgery removed the demon. I no longer feel controlled by cravings. 2. What was the worst part of surgery for you? The 48 hours prior to the surgery were miserable. I could only have water, Gatorades and black coffee. Then I had to take strong laxatives prior to the surgery, so I was defecating so much that my body was expelling food I hadn't even eaten yet. And I couldn't go to sleep because any flatulence had the potential to be ... explosive. So it's 1 am, I am starving, dehydrated, sitting on the john and I need to be at the hospital at 5:30. 3. Did you have any complications (minor or major) during or after your surgery? Nothing major. I greatly underestimated how sore my stomach would be and how long it would take for the soreness to go away. I am a stomach sleeper and it was three months before I felt comfortable sleeping on my stomach. 4. How has adjusting to your new life been for you? I love the new life. I am able to exercise (bike, jog, lift weights) like I never have, I have great energy. I can shop at pretty much any clothing store. It has allowed me to become a better version of myself. 5. How long did it take you to feel comfortable eating food? It was probably 8 months to a year before I felt like I could try any food and not have to worry about my stomach having trouble. 6. Is there anything you can’t eat anymore that you used to enjoy? Can't eat, as in, I physically cannot handle it? Nothing. But there are plenty of things that I used to love that I am uninterested in. Like I have no desire to eat a donut. Just seems like pure sugar to me. 7. What was your recovery like? Any vomiting or dumping syndrome? I did not have dumping syndrome (although some sugar alcohols hit my stomach hard). I did have some vomiting, but it was either due to eating too fast or eating a food that my stomach wasn't ready to handle yet (I had some stewed beef at like the 90 day mark and I wasn't as ready for it as I thought I was. 8. How long did it take you to feel semi-normal after surgery? I would say 90-120 days before I felt physically normal (could sleep on my stomach, could handle most foods) 9. Did you experience higher energy level post surgery? In the immediate aftermath of the surgery, no. This was my first (and so far, only) major surgery and I really underestimated how much it would sap my energy. I was walking gingerly for a while. But once I fully recovered, I have had way more energy. 10. Did surgery affect your mental health? Yes, in mostly good ways. The pre-surgery success-failure cycle of yo-yo dieting impacted my psyche way more than I realized. So this state of long-term success helped greatly (and success, both great and small, is an excellent anti-depressant). Will it cure your depression? Absolutely not. To the extent that you think your problems in life are caused by your size ("I'm single because I'm overweight" or "My weight is why they won't give the promotion" or "my weight is why my mother is passive-aggressive toward me"), the surgery will not make those problems go away. I'm very lucky and very blessed to live an amazing life and the weight-loss has only further revealed what an amazing and blessed life I have. 11. Do you regret it? Would you recommend it? I do not regret it. I make it a personal policy not to outright recommend it to anyone because everyone has their own journey. For many years, I saw bariatric surgery as a last resort, a kind of "pull in case of emergency" lever. I realized that I was 40+ yrs old with a wife and children and no diet had ever worked for me and I was only fooling myself if I thought the next one would do the trick. I had to either pull the lever or make peace with being morbidly obese for the rest of my life. I pulled the lever and I would pull it again without hesitation.

I am 3 months PO from VSG. My surgeon and dietician were not on sync. Post OP instructions were different than what the dietician said. Make sure you clarify everything on your post op, ie timelines, restrictions. Break up with food! I was at the point of hating food before surgery, it helped with the post op. I am being pretty strict with what I eat so far. I still mainly eat protein, very few starches/carbs/veggies/fruits. FOMO (Fear of missing out) does suck at first. Head hunger for me was the worst for 2 weeks post op. Exercise is still my downfall, my arthritis is still wrecking my knees, but less and less as time goes on. Be prepared for constipation. Find out your Dietician's timeline if you drink coffee/alcohol. Every single one is different, they don't follow a guideline. Some are super strict and some are more relaxed. Find you protein drink you like, you will be drinking quite a few of them. I need to drink one everyday to make protein goals. Find out what medications you can take before/after surgery. If you need to change them get it done before surgery. I am allergic to tylenol, so I am still able to take NSAIDs (Ibup) when I need it at a lower dose than before. i had to give up my knee meds as they are nsaids. Also if you are on blood pressure meds you will need ones that aren't a diuretic. Get your supplements before surgery or right after, you will be taking them within a few weeks. Try and get chewable everything. Pills suck to swallow at first.

I loved the Thai flavors of Kettle & Fire, though they are costly. Not as costly as a dinner out though! LOL I also love the fuzzy navel version of Syntrax Nectars. You can get samples of them pretty easily. I like these more than pre-made waters because there are no sugar alcohols in them. MyProtein makes clear whey isolate powders in Mike and Ike flavors, I like the watermelon the best, the cherry was weird. I had to drink the Premier Protein ready made shakes for my pre-op diet according to my doctor so I tried all sorts of those, I like Pumpkin Spice, Cinnamon Roll, Vanilla, and Cafe Latte the most. But they are not my favorite protein. My favorite one is R Kane Nutritionals Pro-Cal powders. They taste like melted milkshakes when you make them with milk. I have no clue what sorcery they used to manage that, but they do. BariatricPal also makes these little protein shots in fruit flavors that are sweet sour and pretty tasty when you need something fast. The tartness makes them easier for me to drink. I will caution one thing, don't buy a ton of things, get samples when you can. Because post surgery your tastes may change dramatically. Mine did, I can't taste sweet spices anymore and I can taste the whey in ANYTHING. I ordered a ton from Unjury and I can't stand any of it... I'm so annoyed. But my biggest issue is that whey sits heavy in my stomach and I couldn't get any protein drinks down for at least two weeks. I'm just starting to ease them back into rotation, but it is still hard to get a whole one down. So have a variety of samples for post op, but be careful what you buy full sized unless you have someone else that will consume what you don't.

I am preop and was just reading through the folder my surgeon's office has given me. There's a section called keeping the weight off where they talk about portions after you've gotten past the honeymoon period. They say that a meal should be 3-4 oz of lean protein with 20-25g protein, 1/2 cup of whole grain or starchy vegetables, and then half of the plate is leafy/non-starchy veg and fruit. The most important part for me was where they said: Sometimes portion sizes increase over time. If you feel you are able to eat more at meals, increase the portion of non-starchy vegetables. I would start there, because I think the tendency as appetite increases is to grab a bigger plate and increase everything proportionally. So now you may be eating 5-6 oz protein and 3/4 to 1 cup of starch or grain. And maybe adding in more sauces, more fats, a piece of bread, some alcohol, juice, some sweet treats, a daily snack. My surgeon's plan emphasizes keeping to 3 meals per day without snacking once you're past the first few weeks where you need to supplement with protein shakes just to meet minimum protein goals. But if you can regularly get 20-25g protein at a meal, plus 1/2 cup starch or grain and some veg/fruit, you don't need to eat more than 3 times per day, 4-6 hours apart. This is something that isn't always made clear. When I started this journey, I was certain that gastric bypass would mean having to eat lots of small meals all throughout the day, which is exactly what I'm being told not to do! But you do need to get at least 64oz of water or more all the time, and you can add as much veg and fruit as you need to feel full. I think that is where I would start in your position. Go back to measuring your meals, setting timers to remind you when your meal times are if you need to, eating only food you prepare yourself and/or know exactly what's in it. Check your cupboards for temptations and get rid of them. Pay attention to the urges you have to do something that isn't part of your plan, because that's probably going to show you the problem areas and help you figure out how to change. And most of all, give yourself a little bit of grace, because this isn't easy (no matter what people try to say). Take care of yourself. Get enough sleep. Get fresh air and exercise. Be kind to yourself.

Congrats on the surgery! Expect the first month to be a roller coaster of emotions, hunger, anger, and a day or two of regret. That's a rite of passage for us, where I think everyone second guesses their decision. By week 5, I finally started getting a better handle on things and I'm still very happy with my decision. 10 weeks out and I'm in better shape than I've been in decades! As others have said, you feel hungry because you are hungry. Your body is used to the previous amount of eating, and panics when it realizes you're not eating what you used to. Since you were a candidate for surgery, then your body has enough fat cell reserves to live off of that for a few weeks, which is why they have you focus only on water the first two weeks, while working in more protein to prevent you from burning muscle. However, our bodies don't understand that logic and kicks into survival mode. It only understands "food" or "no food". The first six months is critical to the process because that's when we have the best opportunity to retrain our mind and bodies to adapt. In a sense it is traumatic to our bodies, and it will fight until it understands that this new normal is safe, because that's its job, to keep you alive! Once you're back to solid foods, that's when recognizing head hunger becomes more important. Around that time (somewhere around weeks 4-6), you'll have worked up to eating enough calories to be sustaining metabolism, while still running enough of a deficit to burn fat. At that point, your body will try to tell you "hey, we're close to the old normal again, go ahead and eat more!". As my therapist reminds me, remember to listen specifically to your stomach, and not your mouth. Practice eating enough to where your stomach feels full, and not pressured from too much, but at the same time, study your habits to see if you're eating to stay busy, to deflect stress (I'm guilty of this), or just because your body thinks you should keep your stomach topped off. During that period, if you feel like your stomach is craving more, double check what nutrients you are getting. If you're deficient in vitamins or minerals, you will develop insatiable cravings, but your body can't tell you exactly what its missing. It just yells "I'm Hungry!". Check with your doctor on which supplements to add or remove, and also branch out with different styles of food as long as they fit your calories/macros. I felt like I was starving for most of last week, then I got some Korean food (sort of a bibimbap inspired kale and cabbage salad with beef) on Friday, and the cravings stopped. I'm still trying to figure out what itch that scratched, but obviously I was missing something in that! Also, be very careful with sugar, starches, breads, rice, etc. That can send you into a craving spiral that lasts 2-3 days. Some sugar alcohols like Sorbitol and Xylitol also trigger that for me, while Monk Fruit, Stevia, and Splenda don't. Everyone is different, but pay attention to those ingredients, because that can make the hunger feel worse!

Best advice is stick to your plan. (Have to admit I’m surprised by the peanut butter. I know some use peanut butter powder to add as a flavour to their shakes but not actual eat peanut butter until maintenance but then plans are different.) You said candy is a trigger for you. This is a head hunger not a real hunger. Have you spoken to your therapist about this? They’ll help you identify why you crave candy, what situations, what emotions, habits, etc. trigger it & will help you work out strategies to manage your craving. This is part of the head work we do to change our relationship with food & our eating. Remember the surgery changes your body not your head. Sure, once your weight stabilises, you’ll work out how much & how often you can have some of your old favourite things, if you even still want them. I didn’t really crave sweet things as such but certainly enjoyed eating something sweet every night after dinner. Now I rarely eat sweet foods - a couple of times a year & don’t miss it. I have about 5g of added sugar a day. I do very little artificial sweeteners (in yoghurt & protein bar but they don’t taste sweet at all) or sugar substitutes either as I’m pretty sensitive & foods can easily taste excessively sweet. Who would have thought food can be too sweet! If I want sweet now I have some fruit. The sugar alcohols can cause bloating & diarrhoea in many which is why your plan likely says to avoid it. All the best.

I would get the drinks with the sweetener of your choice and just add the unflavored protein to them, or brew tea and add the erythritol to it, then add the protein powder. I hate artificial sweeteners but I have decided part of my journey to surgery is learning to tolerate them as this is a lifelong change and I don't do well with sugar alcohols like erythritol. My surgeon requires the 2 week pre surgery liver reduction diet to be done with the Premier Protein premade shakes and those are sucralose based... I think I have like 10 flavors of them now. LOL I still cringe with the first few sips but having them ice cold helps. With fruit drinks I find a sour component helps cut the artificial taste and sometimes watering them down more than the package states. I like adding cold brew coffee concentrate to the shakes, the bitter component balances out the sweetness. I'll have to get decaf for after surgery! But really, the pumpkin spice flavored one with coffee concentrate makes a pretty decent pumpkin spice latte!

No acne, but a pimple which is odd at my age (56) and then I broke out in a rash at my thyroid area, asked my nephrologist about it and he said it isn't my thyroid so now I have no idea WTH it is??? I have had my surgeon say and a surgeon I am following on Youtube, Dr. John Pilcher out of San Antonio, Tx, say repeatedly about how the bariatric surgery somehow resets your hormones so I'd say it is probably "normal" to have hormonal changes affecting your body like a teen in puberty. I normally have very clear skin and it is usually in great shape for my age but it has been very dry since surgery (but I had also discontinued my thyroid meds at the time of surgery and have since re-started) and I feel like I look like my skin has aged 5 years since! IF this doesn't improve and the red blotch doesn't go away by next week I'm going to see a regular md and then a dermatologist bc I hate the look of it. Another weird thing to consider: We are all probably eating more fats/meats than before surgery? Broths and cream soups can have high fat contents, eggs, cheeses, etc. especially if it wasn't your "usual" diet. I rarely ate eggs/breakfast foods but have been waking very hungry and it is one of the few soft foods so I've gone through nearly 3 dozen eggs these last 31 days! I don't think I've ever eaten so many eggs. Ditto with Chicken broth and cream of chicken soup. /for the pimple I just wiped it with alcohol, used my metal face pimple clearer thingy to scrape/pop it off and reapplied alcohol and it was dried up and gone the next morn. p

Welcome to the forums. Let me try to hit everything in no particular order. Much of this is general stuff that may or may not be helpful to you, but may help others that read. Congratulations on your successes to date. Beer: Be very careful of transfer addiction, which is common when one coping mechanism, such as food, is taken away so we find another mechanism to replace it. Additionally, with a bypass alcohol is harder on the liver than with normies. Again, be careful. Muscle loss: Is very common and expected. Rapid weight loss such as we experience causes loss of fat, muscle, and in many cases organs (which is why rapid weight loss for too long is unhealthy). Additionally, it takes extra muscle to move our pre-op bodies around. As we lose weight we require less muscle to move less weight around. 6 meals: At a year out it's ok to make rational adjustments based on your experience and requirements. As an example, I'll share a personal anecdote: My plan is 3 meals a day of 3-4oz protein 1oz veggies. No protein drinks or snacks. This is my surgeon's hard and fast plan, period. At about 2 years post-op I decided to challenge myself to a 'Couch to 5K [C25K]' program that gets one to running 5K in 30 days. It turns out I enjoyed running so started binge running. As my miles per week increased my surgeon increased my meals to 4 per day. Then 5. Then 6. Then added a protein drink. I very much disliked 6 meals per day as I felt like I was always eating. When I stopped running it was back to 3 meals per day. Point of the story is there are times to make rational changes. In your situation, it may make sense to reduce your meals (and slightly increase meal size. Or if you want to stay close to where you are, 3 meals + 3 snacks. Or whatever works for you. I'd wager that the author of your plan would be on board with rational changes. Compliance: In the first several months patients will lose weight no matter what they eat or drink. Being compliant to your plan builds success with the positive reinforcement of losing weight. It's the new, healthy habits that keep you from regaining weight. Trying to start compliance when the weight loss stops too soon puts us into the same diet and fail cycle we lived pre-op, with the same results. Good luck, Tek

Try sparkling water instead of soda. All the bubbles but no sugar or artificial sweeteners. The artificial sweeteners in the zero sugar drinks could be what’s upsetting you @naynay77. The sugar alcohol ones (any ending in ‘ol’) are the usual culprits.

Checking in. Just short of my 6 month mark (11/15/2023). Down 99 pounds (SOOO CLOSE) at 225. I have a stretch goal of 35 more pounds (190) which my wife hates. She is pretty happy where I am now and worries that I will look "anemic" if I lose that much more, but I was at 192 when we first met 20 years ago, so that has been my blue sky target (although I would be ecstatic with anything below 200 and happy under 210). Been working out 5-6 days a week, but my diet has been middling honestly. I have been eating too many carbs in the afternoon. I think they are better carbs than they used to be (Nut Thins mainly), but they are still far from ideal. I need to be eating more fruits and veggies for sure. I am also pretty much back to my normal alcohol consumption (which isn't much, 2-4 drinks a week, and consists mainly of red wine). Weight loss has slowed down considerably, but is still pretty consistent. Because I am a numbers nerd, I have been tracking a bunch of stuff since I started and here are my month by month losses 5/4/2023 6/1/2023 35.9 6/1/2023 7/1/2023 19.9 7/1/2023 8/1/2023 16.0 8/1/2023 9/1/2023 10.7 9/1/2023 10/1/2023 6.3 10/1/2023 11/1/2023 9.6 11/1/2023 11/6/2023 0.3 I have my 6mo follow up with the nutritionist next Wednesday where hopefully she will tell me that I am not losing too much muscle (something she cautioned me about on my 3mo visit). I'll post some before/after pictures sometime in the next week as well. And finally, welcome to the thread Meana, great results so far!

You’ve had a pretty major abdominal surgery so it isn’t unusual to still feel bloated or swollen for a good week or so. Your shoulder pain indicates you haven’t breathed out all your surgical gas yet. Even though liquids pass through your tummy more quickly, they could be making you feel bloated especially if you’re not used to drinking large amounts of fluids. Check your shake for sugar alcohols (end in ‘itol’) as they can make you feel bloated. Lactose can also cause bloating. As for the abdominal pain, it may be the sex you had last night. It may have been too much at the moment. Remember all the sutures & staples holding your tummy together & all the muscles & other organs that were pushed & prodded during the surgery. We usually told just to go for short gentle walks in the beginning. I added a list of the symptoms of a leak below. If you are experiencing some of these head to your nearest medical centre. Check in with your surgeon if you are still concerned. All the best. Rapid heart rate Fever Stomach pain Drainage from a surgical wound Nausea and vomiting Pain in the left shoulder area Low blood pressure Decreased urine output

I was told a year, but I sipped a beer at about 6 weeks, hated the taste and still do 8 months post op. Had my first official drink 8 weeks post op, a margarita with lots of ice to dilute the drink. It will hit you fast, 2 sips in and I started to feel a tingling sensation in my nape, that's how I still know I'm getting tipsy. I did notice that even though it hits faster, it also metabolizes faster. I tasted wine about 4 months post op, prefer not to do it, cheap wine its not the way to go, my palate separates the alcohol and it taste like a sip of juice, followed by a sip of alcohol. Since then, I had done a skinny mojito twice. I do try to limit the amount of alcohol I'm consuming because of the empty calories, and because I do not want to go back to bad habits, socially I think is fine.

I detoxed from carbs and alcohol. It was difficult for only about the first 3 or 4 days. The less you eat carbs the less you crave them. I did 3 protein shakes and one solid, super low carb meal a day. Lost about 30 lbs in 30 days before I even started my 2-week pre-op liquid diet.

im 5 years post. at this point i eat what i feel for, when i feel for it. i don't avoid anything except large amounts of sugar in one sitting (or on an empty stomach cuz im a dumper) everything else is fair game. yes i eat chips and chocolate and hot dogs (with buns!) and all sorts of deep fried stuff and drink alcohol along with my salads and roasted veggies and sashimi and grilled chicken breasts. normally (not right now cuz im super sick), i eat about 1800-ish cals a day without gaining or losing any unintended weight, and can consume roughly 1 cup-ish of food "material" in volume in one sitting. more if its salad, less if its dense meat or fluffy bread. give me a couple hours and i can down another cup of food. so long as my cals stay around 1800 a day, it doesn't matter whats its made up of...at least from a weight gain/loss perspective. from a health-wise perspective, well that is likely another story...cuz im sure 1800 cals of chicken breast is better for my body than 1800 cals of buttered popcorn. so far so good as my last labs (this time last year) were a-ok. we'll see what this years labs say when i get them done at end of month. i realize i haven't really answered either of ur questions. for the latter, i can't really comment, but for the former, below is a screenshot of what i ate when i was 8 months post op (trusty ol MFP!) note i had already reached goal and was in the process of upping my calories to settle into maintenance at this time. it took me another 2-3 months and another 10+ lbs lost before i figured out what my maintenance calories were. (sorry this was so long!)

It was at about two months. I had a gin & tonic which I sipped for hours - not kidding. Then it was another couple of months before I had another. I actually sort of lost my taste for it. Four years out & I still don’t drink often - usually a glass about once a month (except last weekend with girlfriends & a wedding - was a glass & a half of champagne each day for three days). A glass or two while you’re away likely won’t hurt. But do check with your team because plans differ. Remember it does slow your metabolism & the effects of the alcohol may be stronger & you may feel the effects more quickly. Track the calories & keep your non alcoholic fluids up.

I was cleared to drink alcohol at 3 months post-op which was right on July 4th. I made a mix of sugar free Cranberry juice and a shot of vodka. Tasted good, didn't make me drunk, sick or passed out. But made sure I ate something beforehand and drank very slowly. Have fun!!

One of the sugar alcohols gives me horrible diarrhea but I forget which one. The rest just give me gas which I can live with. I think everybody's different

I think only real sugar can cause true dumping syndrome (in some people, anyway - the majority don't dump) - HOWEVER, a lot of people have issues with certain artificial sweeteners, esp sugar alcohols (those with names ending in "-itol", like xylitol). They can cause cramping and diarrhea in people who are sensitive to them.

I have just arrived home from our 14 day holiday. We had it booked pre- covid and the company allowed us to continue postponing the booking until we could go. It was a All inclusive type holiday where you stay in a big resort and everything is at hand which suits us when travelling, my husband needs a wheelchair. We were a little nervous of the airports and flying as it is such a hassle with a wheelchair. It all went quite smoothly except for the times I was stranded with a hubby, wheelchair, two suitcases and two bags and a large handbag. At times it felt like I was the puzzle where you have a river to cross with a bag of grain, a hen and a fox. I wore the bags like a bandolero, pulled the suitcase and pushed the wheelchair with my stomach. Oh the joys of checking in at airports. I ate what I wanted, which being me, was always the best fish, seafood, cheeses and a vast amount of serrano/ parma ham. They made their own cookies and bread so these never got bypassed but in small amounts. I even had butter and ice cream. I drank strong coffee with liqueurs and some long cocktails. Usually one or two a day. A few times I felt really drunk when the bar tenders had made the cocktails stronger than the last. It was not a good feeling but I found something to eat and then the alcohol was absorbed quickly. I was a little worried to get on the scales this morning. Pre surgery, I could put almost a stone on in the two weeks [14lbs] a lot of it was water weight around my swollen ankles. I weighed in at exactly the same and TMI moment, had 8 days of poop inside me. So may even loose weight when the medicine kicks in [ or is it out ? ] So te he he another win win for my bariatric surgery

Oh wow this is one of those things on which different programmes are so very different! I was cleared to have a glass or two of wine 7 weeks post op (xmas though so that might have accelerated my request). And I have had *some* alcohol on one or two days pretty much every week since then. Honestly I don't think it has held me back at all. I know this might be very different for others though. Can't see that one or two drinks on a holiday will impede your progress. Hope you have a lovely holiday OP!

From what I'm reading about the Ozempic and Mounjaro injections, once you stop taking them, their appetite suppressant effects wear off and the weight comes back. I have a friend who takes one, but she takes it because she's diabetic. She has lost weight, but she'll most likely need it the rest of her life due to the diabetes anyway. She's told me that at times, she won't inject herself if she goes on a trip (for example) so that she can indulge in alcohol and decadent food without feeling nauseated/vomiting/cramps/diarrhea. But again, she doesn't take it for weight loss. If they're being used solely for weight loss, they will help, but I guess it all depends on how long you're willing to take them. It's possible you can use the injections until you reach your goal. After that, however, it would be up to your self-discipline to continue to foster the modifications that the injections provided. I imagine you'd also have to consider insurance coverage, personal expense, and what short-term and long-term side effects they'll have on you, and whether those effects are cohesive with your lifestyle.

I do both. I use the Baritastic app, and I set my calorie and carb goals and try not to exceed them. I think some people take issue with carb counting because there's good carbs and really, really bad carbs. For me, carbs are really important to monitor because I really don't like vegetables. I can eat a bit of fresh salad, but that's about it because I have texture issues. I can't stand cooked veggies, to me it's inedible slime. Lol! Obviously, good carbs are necessary for vitamins and minerals and proper digestion, but carbs with no nutritional value (junk food) only "nurture" us emotionally. Ironically, after we eat crap that makes us feel good momentarily, we start to feel like crap, emotionally (guilt, mood swings) and physically (joint/muscle pain). I stand by my carb detoxes. I never realized how mood-altering crap food can be. I was starting to use junk food like I was using alcohol, just for instant gratification and distraction, alcohol and carb hangovers be damned. However, I was extremely frustrated, and easily irritated all.the.time. My joints hurt when I eat crap. My sleep suffers too. Once I went below 50 carbs a day, my whole attitude changed. I felt better physically and emotionally. Very healthy proteins are moderately high in calories (beef, chicken, seafood), but protein is very necessary with our bariatric surgeries. This is why I give myself more leeway with calories than carbs.Bad carbs, on the other hand, offer nothing but momentary satisfaction. Momentary satisfaction is good once in a while, but the problem with loading up on bad carbs again is that, like a drug, the more we ingest it, the more we crave it. The less we have it in our system, the less it calls our attention. People think I'm being dramatic, but I know how I feel when I detox from carbs and when I start eating crap again. It just snowballs, and eating junk becomes more and more "important" as the day progresses. Using the app really helps me keep a realistic awareness of my nutritional goals. Because I'm only 3 months out, my goal settings right now are 750-800 cal, 70-80g protein, and <50 carbs. I have good days when I hit only 600 cals, 30 carbs, but 85+g protein. I also have my bad days when I consume 875 cals, 60 carbs, but only 65g protein. I think they really go hand in hand because the more carbs I eat, the more calories I'm consuming (and the less protein I get). I worry more about my carb intake because when I go over on my carbs, I know it's because I had bites here and there of junk food (not good carbs). At the end of the day, it really all comes down to what kind of carb intake you have. If your carbs are coming from fruits, vegetables, and whole grains, then it's great! But if not, then maybe take stock of them. Either way, I wish you the best always on your continued weight loss journey! P.S. Prior to my surgery, my doc wanted me to lose weight (so he could help me lose weight) so I did a semi-liquid, hyper-low carb diet and lost 32 lbs in 38 days. Didn't count or give a flip about calories. I only drank 3 shakes a day, they wanted me to drink 5. Tan locos! I couldn't drink 5. I did 3 shakes and a hearty all protein dinner.