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You're only eating one salad every three days?

This sounds like the three week stall. Totally normal! Your body burns glycogen for energy, and during extreme calorie restriction, you burn a lot of it. Glycogen is stored in the body along with water, so each gram of glycogen you burn for fuel also releases 3 grams of water, which you flush out. This is why you lose weight so quickly the first few weeks, not because you are burning all of that weight just from fat stores. After the first few weeks, you start to be able to eat some solid foods along with your protein shakes. This gives your body a chance to replenish the glycogen you burned, which is vital for survival. But it means that for every gram of glycogen you store, you also store about 3 grams of water. Your body is continuing to burn fat during this time, but you won't see it on the scale because it kind of zeroes out with the whole glycogen/water storage thing going on. After a week or two, your body will be back to normal in terms of glycogen reserves and you should start to see your weight decrease again at a moderate pace. I really wish doctors would explain this to patients before surgery because it's just basic science, and people totally freak out when they are eating nothing and not seeing the number on the scale go down. I think doctors forget that their patients have failed at about a million attempts at weight loss prior to surgery and we are naturally prone to believing we are failing again. But you're not! Also, counting calories at this stage is pointless. You're in a massive calorie deficit. It's impossible not to be unless you are doing something terribly wrong against every bit of medical advice. Focus on protein and water but don't stress over calories until you get to a point many motnhs from surgery where there may be a legitimate possibility that you are overeating.

Could you please give us some more details Age, weight, weight lost in three months, activity levels and lastly foods eaten, the portion sizes or daily calories. Thanks

In my view for what its worth, Your arms are brilliant. The surgeons have given you good advice and saved you some money. Your torso is not bad. Do you really need a 360 ? There are smaller surgeries these days. If you put your surgery into the search engine you will get pictures of the scarring. Everyone heals differently so scarring is never the same on two people. There is also a small risk of infections and abcesses that will make a mess of any surgeons handy work. Any work on your stomach area would hurt for at least the first 5 days. Three months ago, I was opened from my pubic bone up to my navel for unrelated surgery and I was walking around like a woman broken in half. Just sitting up from lying in bed is a feat that will leave you sweating. Which is why people advocate recliners, because they stand you up with out using your sore midsection. With a 360, you will struggle to find a comfy spot to lay on. BUT all this passes, good meds help, having someone with you helps. In the end its a very personal thing. If I were younger and unmarried I may think differently but I am old, I have a mass of extra skin but I live in a fairly cold country. I am only ever showing my arms and legs when I go abroad on holiday. I don't give much thought to what people say as long as I don't hear it. I park myself on the beach, doff off and enjoy the sun on all my saggy baggy bits. Then I come home and hey presto, I back in leggings and long sleeves that hide everything. Good luck with whatever you decide to do. Be happy in what ever amount of skin you can live with.

This is a good analogy about cheap gas. We had my work Christmas Celebration which included a sit down, three course meal. I had to leave one course untouched because it was not worth the space in my stomach. While I'm sure it would have been delicious, it's just not good for me. The waiter looked a bit upset that I just didn't touch it, but I'm learning to choose the things that are better for me, not just what my taste buds feel are better. Side Note: At another time though, I will remember to look for a black cherry sorbet recipe and hopefully find a sugar free version. I still over did it a little bit as I should have stuck to just the turkey and veg and not has as much of the stuffing, but even making one good choice is better than making all bad choices.

In addition to @Hop_Scotch’s suggestion of stomach acid being the cause, you could also be experiencing head hunger. The surgery and all the changes are very stressful on you physically, mentally and emotionally. Many of us always turned to food in these stressful times but of course food can’t be the answer now. However your brain hasn’t got the message and is telling you you’re hungry so you’ll eat to comfort yourself. And the more you don’t eat to comfort yourself, the more your brain says hungry so eat. Ask your surgeon for some PPIs (Nexium, prilosec, etc.) to combat the excess stomach acid your body is still producing which is causing the burning & growling. PS - What are the three meals you are eating each day? Usually the first two weeks are liquids only so shakes, bone broths, strained cream soups, strained consommés are your ‘meals.’.

I had my sleeve done by Dr. John Rabkin at St. Mary's (he also works out of California Pacific.) I was in LA at the time, but the Rabkins had more experience with the sleeve than anyone down there (they had been doing them as part of the DS for around twenty years then.) Other names to look into are Dr. Gregg Jossart and Dr. Paul Cirangle. Jossart did his DS residency with the Rabkins and Cirangle seems to have specialized with the sleeve. I like that all three are DS qualified, even if one is not particularly interested in that procedure, since owing to its technical challenges, only the better qualified surgeons perform it routinely. And, as it is based upon the sleeve, it means that the DS guys tend to have more sleeve experience than others. Also, while they are all fully capable of doing bypasses, they generally don't do them as a default, reserving them only for those patients have a particular need for it. If one has any liver related comorbidities (not uncommon in the obese population,) Rabkin would be the choice as he is also a liver guy, doing biliopancreatic transplants in his "spare" time. The other thing that I liked with the Rabkins is that their whole process is pretty straightforward - no extensive pre-op diets (other than the usual day before thing,) and a fairly rapid post op progression, as tolerated. Good luck in getting through all of this!

Hi, my name is Barbara and I had my gastric sleeve surgery 5 days ago. I was told that I wouldn’t be hungry. But I’ve been hungry every day now since the surgery. My stomach growls and is burning from all the pills I have to take. I’m drinking two shakes a day and three 2 ounce meals and I’m still hungry. I’m trying to drink as much as possible but I’m still trying to get the shakes and pills in any suggestions. Thank you

1/2 a three cheese quesadilla with a heaping tablespoon of sour cream (and a side of curious kitty!) 291calories ate it all!

Congrats on how well you have been doing!! I had the gastric sleeve and would love to share my story The good: I had my surgery on January 24, 2024, and I am now almost one year post-op. I reached my goal weight about seven months after the surgery and have been maintaining it within a +/- 3-pound range. Once I started weightlifting, I noticed a significant transformation in my body, which has kept me motivated because I am starting to love what I see in the mirror. I have gone from a size 2/3X top to an XS/S top, and from size 18 pants to size 4. I never imagined my body could look and feel this good. My health has vastly improved, and I have so much energy. I am happier, and that positivity radiates from me. The bad/challenges: I still experience episodes of binge eating, although it is not as severe as it was before. However, when I'm not being mindful, I tend to grab chips and eat too many, or take mini candies and other snacks that I shouldn't have. I am aware of my actions, but for some reason, I don't seem to care in the moment. It has happened maybe two to three times, and each time, I feel really angry with myself. I recognize that this is something I need to work on, and I'm conscious of it. I understand that this will be a lifelong challenge for me, but I am actively working on it and taking it one day at a time. I tend to be hard on myself because I am so afraid of going back to my old habits. This is a second chance at life and I want to make the most of this! Everyone has their own journey. We will all face challenges and struggles, but for the most part, this is an amazing tool! Make the most of it in the first 12 to 18 months. Take advantage of the rapid weight loss, work out, and engage in activities that intimidated you when you weighed more. Take risks, because I promise you will be so happy that you did!

First, congratulations on your surgery. No, it’s not uncommon to start having doubts, worries, be a bit emotional about things. This is a big thing. Something you have never gone edits so and have absolutely nothing to base these new experiences and emotional reactions you’re having upon. With a sleeve, about 75% of your tummy is removed. This differs person to person & depends upon the size of your tummy. Larger tummy, more is removed. I actually got an internal photo of my tummy being removed (it’s not framed up on my wall 😄). It is impossible for you to regain if you’re following your plan and the volume of food/calories you’re consuming. A very common occurrence, which almost every one experiences, is called the three week stall. Around the three week mark (could be earlier or later than then) your weight loss will stall. It may last from 1-3 weeks. It’s very normal & just your body taking a moment to adjust to the changes and reassess your new needs (metabolic rate, digestive hormones, etc.). You will start losing again. Because there is no hard and fast rule as to your rate of loss, surgeons don’t tend to set weight loss goals - interim or final. There are just lots of averages around how much you may lose and how long it may take. Your surgeon may have spoken to you about how much weight you may lose by a certain time but it’s no guarantee of what will happen but just an idea of what might happen. They may ask how much you’d like to lose and then advise if it is possible or not. Whether it is possible or not is based on stats (averages). Don’t worry about not meeting your fluid or protein goals in the first weeks. It’s not easy in the beginning. As long as you’re making an effort and aren’t too far off. You’ll notice you get closer and closer and some days will be easier & others will be a real struggle. A quarter cup of food seems like nothing to begin but is again not unusual. My advice was 1/4 - 1/3 cup from purée to about a cup at 6 months. If you’re struggling eating soft food you may need to go back a stage for a few days & that ‘s okay. Sometimes we’re ( our tummies) just aren’t ready & healed enough yet to tolerate the more & more dense food as you progress to each new stage. Often weeks 3 & 4 are purées and then soft foods in weeks 5 & 6 but plans do differ. Trust me, it does get better and easier in time.

I’ve been having the same problem. I started putting 1 tsp of psyllium husk in my protein shake. It thickens it up a bit but after about three days I had relief. I stopped for a couple days and got plugged up again. Just a thought😊

I don’t know about weird, but definitely a win for me. I grew a little a booty!! My booty was such a signature one back in the day LMAO, it went completely flat after VSG. I have been hitting legs HEAVY twice to three times a week and man do I feel the difference. My weight is pretty much the same (although my running average has gone down a bit to the lower end of my stabilized weight). But I am 100% sure my body fat has significantly dropped and muscle mass has gone up (wishful thinking, indulge me).

Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

It looks like you've already got some great suggestions! I had my surgery back at the beginning of August, and have since found that I do have to set the timer to pace myself when eating. I also will play a simple game or do a basic activity while I'm eating for those minimum thirty minutes; a crossword on my computer, or a puzzle on my machine, or pick up and flip through photos on my phone - just something to keep my hand busy when I put the fork down. I know we're supposed to eat mindfully but I think my racing brain really needs some form of stimuli to keep me from automatically eating until my food is gone. I've been guilty more than a few times of putting more on my plate than I should eat, too, so I suggest going back to measuring your food, if you're not doing that, and then eyeballing the amount to split it into sections before you start your timer. A meal is supposed to take at least 20-30 minutes I believe, so I divide what is on my plate into either two or three sections - you could always put most of your protein in one section and then eat that section first over the course of ten minutes in case it ends up filling you up. There are times I can eat more than other times, so I am never really sure how much to get. This post reminds me to be mindful and follow my own advice! OH - the other thing that helped me was moving up to eating at least every three hours. Even if its just a little bit of a protein after three hours, then wait another hour and a half for a meal - by eating a little bit every three hours I'm not as likely to start eating way too quickly due to hunger. Hope this helps!

Oh yes, you never open a medication that is a capsule form. can’t belief they told you to do that. The outer shell is to protect your digestive system and to ensure the medication is absorbed slowly. People with sleeve usually don’t need to take as many supplements as those with a bypass, Sadi, etc. as sleevers don’t have as much of a malabsorption issue as they do. I had to take a multivitamin and vitamin D with K. That was it. I only took the D with K for about 3 or 4 months and stopped the multi at about 8 months. But I stress that was me and what my blood work showed I needed (or was lacking in) or in my case didn’t need. Some sleevers are also required to take calcium and iron. Does your blood work show you have existing needs i.e you are lacking in some vitamin? This would be a staring point as to what you may need even pre surgery. Then subsequent tests will show if you drop in anything. As to whether you can take tablets or need to have patches, chewables, liquid, or mouth spray versions is really up to what your surgeons requires and what you are able to tolerate. I could swallow capsules from about day 4 or 5. (Regular sized capsules not those giant horse sized ones 🙂). General advice: take your multi after you’ve eaten. They can cause nausea if taken on an empty tummy. If you have to take two or more multis as your dose, spread them out across the day. Try one in the morning and one in the evening. don’t take your calcium at the same time as your iron. Your body can’t absorb them at the same time. Try one in the morning & the other in the evening. don’t take your iron within an hour or so of consuming any caffeine if you’re allowed caffeine. Caffeine reduces your ability to absorb iron by more than 60%. Ensure you’re getting regular blood tests. My surgeon required once every three months before visits but my GP had me do one in between so I was having one every 1.5 months. That way if anything unexpected was happening, we knew about it quickly. All the best.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

That's not really an option. It's the NHS so it's just the one appointment through the Bariatric multidisciplinary team. Therapy is really hard to get and the waiting lists are long. Once you get an appointment, you get 12 sessions or about 1 a week for three months.

Three weeks out from brachioplasty and reverse tummy tuck. Some swelling and bruising down. Not cleared to drive or be out and about quite yet. Remain on Tramadol 50mg and Arnica 30X to manage the burning, deep tissue and nerve pain in arms. Tylenol remains ineffective, but will keep trying to wean off narcotics. Doing some light cooking and housekeeping. No heavy lifting, but practice reaching to second kitchen shelving. Utilizing silicon cream, paper tape and wraps on sutures + arms daily. I suspect another two weeks for initial recovery. Personally, unless your arms were as heavy and problematic as mine, I would not recommend this surgery. The recovery and downtime has been arduous.

Hi everyone! Is anyone still around in this group? Its been 4 years since my surgery, and what a ride it has been. I have had ups and downs, and now I am trying to work on myself a little mor and loose some more. I had my tummytuck done in April and in three weeks I will have my inner tight surgery. To keep the weight down I have used Ozempic and Wegovy. Would be fun to hear if anyone is still around and how have your been since surgery!

https://a.co/d/5efMT0T The old one I have no clue what the care instructions are I just tried it thinking if it didn’t come clean then it was garbage anyways. That link above is the one I bought recently. They have really good reviews and they are cheaper than the Manduka brand. It’s really pretty and very vibrant colors in person. I have washed it in the machine three times now in a front loader and it still looks fine but who knows after a while. I take it out immediately and hang it up to dry (over my bar stool). Mine doesn’t have any kind of guarantee, though, that I know of anyways and no it’s not very thick at all. In fact when I went to the other gym that uses one mat I learned that my knees hurt when I don’t have that second layer where they cross one another so I guess i will be stacking two on top of one another for that class now. I quickly grabbed my towel and put that under my knees last time because they were hurting and that worked but it was a little awkward. I agree it sounds like a money thing them expecting you to use their brand specifically. If you buy their cleaner you basically end up paying for a second mat anyways and if you don’t they can say that you voided the warranty and not replace it. Either way they save money.

Hi I'm currently three days into my liquid diet I've been googling about things I can have so my question is Egg Drop Soup would it be ok to have I figured I could get an accurate answer from someone who's been through this process before

I struggled to eat enough to slow my losing though not as much as you are. I reached goal at 6 months and was barely eating 900 calories. It took another year to get to about 1300 calories and for my weight loss to stabilise. To increase my intake I was eating all day long or it certainly felt that way. I had three meals and 5 or 6 snacks, predominately in the afternoon and evening. It took another year +/- to get to around 1600 calories which is about what I eat now to continue to pretty much maintain that initial stabilised weight.. And yes I still snack but only 3 or 4 times a day now to meet my caloric needs. So, yes, some of us do take time to get those calories up. But you are a more extreme case. If this has happened in rare other cases, what did they say what treatment was used in those cases? Can they stretch your pouch via an endoscopy or balloon? Have they suggested you incorporate those nutrient dense, high calorie smoothies like Ensure used for those with digestive and eating issues?

Chewing for 22 times or 22 seconds is fine. But then wait at least that long between swallowing and taking the next bite. That's how you make your meal last 20-30 minutes. Very small bites, lots of chewing, and pausing between bites to let your fullness signals have a chance to catch up. It's hard to explain how small your bites will need to be after surgery to remain comfortable and not make yourself sick early on. After surgery, I bought a set of cocktail forks and demitasse spoons. They are tiny, like something you would use for a doll. For the first three months, I ate with those. My bites were the size of a pea. Picture your golf ball size meal. Mentally cut it into 20 pieces. Or literally get yourself a 3 oz meatball and actually divide it into 20 pieces. Right now, you don't have any restriction, so it will feel crazy to do this, but after surgery, you can consume one piece per minute and you will most likely feel great. Faster and you risk feeling bad, at least for the first many months. I just made the mistake of eating about 1/2 cup of raw baby carrots too quickly because I was distracted by work, and I am filled with regret. And belly pain. I feel like I've gorged myself on Thanksgiving turkey and all the trimmings and gotten it stuck halfway down my throat. I now get to reflect for the next few hours about why that was a bad idea to not slow down. It's a learning process, even well after surgery.

Since 2014 I have been gaining weight. I've gained 75 pounds. I was 150 at 5'7 inches tall and at that time I was relatively inactive but ate normally. A decade later I'm 225 and 34 and have not been able to lose. I cut out sugar, I joined a gym and got a dietician three years ago. I have still gained ten pounds per year. I've been tested for PCOS, Cushing's and Thyroid disorders and they have found no evidence. I eat less now than I did ten years ago. I love in Canada and rely on government healthcare. They won't approve me for gastric bypass. They gave me ozempic last year and it was a nightmare and worsened my IBS. I didn't lose weight I gained another 12 pounds on that drug. I'm out of options. This has basically destroyed my life. I haven't dated in ten years. Tried to commit suicide twice three years ago. The weight gain never stops. It's awful. I'm not doing it to myself. I don't over eat. I exercise, I go to the gym, I don't eat sugar and I just butt. It's a cruel joke this life.