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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!

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.

Well, we are all different so take this with a grain of salt, but I was the same BMI prior to my preop diet as you are now so relatively close and I just looked back at my weight log and Iwas losing about 6 pounds per week on average in the beginning, but I also had the SADI which is quite a bit more aggressive than the sleeve or even the bypass so my loss statistically should’ve been more rapid than yours with a sleeve. Frankly, I think that you are doing very well with losing a pound a day and I wouldn’t be too shocked if it does slow down a bit. It definitely will not be a perfect line where you lose the exact same amount every day though. There may be times when you even gain a pound or three and hold it for a few days and then one day you will just drop those 3+ another pound. But if you only log your weight once a week, even if you must get on the scale every day, if you only look at the once a week or even once a month, your trend will be far more consistent. Some people only get on the scale once a week or once a month. I know I couldn’t do that but it really would be better for your mental health if you could hide your scale and just do what you’re supposed to do and trust the process.

A lot depends on you and how you respond post surgery & how long you stay in hospital. I slept a lot & wasn’t interested in reading or watching anything I’d downloaded. Didn’t have an issue with dry mouth or lips but they were pumping me full of fluids. Best thing I did was bring my own shower gel, own pjs & general toiletries. Nothing felt as good as that first shower, smelling nice and putting on my pjs. Wear home what you wore to the hospital. Disposable knickers. The possibility of very sudden diarrhoea with no warning is a real possibility. Wish I knew to bring them. I got up to do a wee, took three or four steps and whoosh. There was no saving those knickers and needed a shower. Those medical grade laxatives are super strong too and increase the risk. A friend wore hers first a good week after: wet farts! Make sure you have your over the counter meds (non NSAIDs pain meds, gas X, stool softener, Imodium, etc.) ready at home before your surgery. I got the scripts the surgeon gave me filled at the hospital before I was discharged. Make sure you have a script for nausea and a PPI as well as any opioids the surgery gives you. A heat pad can be handy to help with the surgical gas shoulder pain. Stock up your shakes, bone broths, cream soups as you’re allowed in the post surgery liquid stage ready surgery. Be warned, you may find what you enjoyed before surgery you dint like after as your taste buds temporarily change & I had a textural issue too. I found shakes too sweet and grainy & bone broths too salty so have a variety. I slept in my bed in my usual twisted side position from night two. No need for a recliner or to sleep propped up. I was the same with my gall removal and hysterectomy so it’s a me thing and may not be something you can do. Didn’t have any issues getting in & out of bed or from chairs. Just go slowly. Actually just go slowly is good advice for your whole recovery (it takes a good 6-8 weeks to be fully healed). And walk. Little and often is fine. All the best for your surgery and hope you have an easy recovery.

Congrats on 10 years! I think we all will have ups and downs our whole lives! Just life! I too was 277 at my highest ever. Lost 100 lbs before and 60 lbs three times, and 20 and 30 lbs several times and it always came back slowly over the next few years. So I got the sleeve done Dec 2 last year and have gone from 244 at start of liquids before surgery to 202.4 today. Almost to Onederland! I love all the tips you shared. Snacking and drinking calories are DEFINITELY culprits to regaining our weight! I bring divided out grapefruit every day lately if I do want something. Or berries or cucumbers. And I've been drinking water during the week and add in my tea and coffee on the weekends usually. But I use Stevia. I was divorced a few years back also and remarried and my husband is pre-diabetic. He doesn't eat sugar now so that helps me too. 🙂 He eats healthier than I do since he found that out too. Determined to not become diabetic. He eats baked fish, grilled shrimp, spinach and cabbage, etc. LOL! He's got some great willpower. You and I seem to have lots in common! But I don't like beer. LOL! It's probably better for me though than pina coladas, which are my fave! LOL! I haven't had one in a year or longer. And just had surgery about 3 months ago. You can tell I hardly drink at all. 🤣 I am so glad to know restriction stays! Some people say it fades. I'm glad it doesn't! Hopefully we can continue to lose and get to a weight we are happy with this year! 💗

I second the suggestion to track everything you eat or drink. I know it can be annoying to weigh/measure and record everything but it is the best way to ensure your portions are too large or you’re missing hidden calories or underestimating them. For example ate your potatoes mashed with butter, milk & are you counting them? Try to focus more on home made foods too so you can control the ingredients and cooking methods. I’d also suggest eating more regularly aiming for three small meals of real food not two meals of shakes. I was someone who lost their hunger and interest in eating for about a year. I ate to a routine to ensure I was getting in the nutrients I needed. I still eat this way. Even if I’m not all that hungry, I’ll still eat something. At 800 calories, most of your meal would be protein with some vegetables. Take your record of your tracked eating & drinking to your dietician and ask them to review it and make actual suggestions of what you could eat (add or remove). Demand better advice than an eye roll or general you must be eating something that’s sabotaging your weight loss.

I believe you completed enough exercised for three people. Can I be one of them? 🤔🤣

Hi everyone! Sorry for the information dump, I'm just incredibly overwhelmed right now and would love to hear any experiences you've had. I've been talking with my surgeon about all this. I just need to get some thoughts from other people who've been through it. I'm in my 20s, autistic and ADHD, and got the SADI early May. It's been 5 weeks. I've basically failed almost every instruction (except to lose weight, I've done great with that! I've lost over 30 lbs post-op). Like protein shakes. I'm very lactose intolerant, and intolerant to several fake sugars, AND allergic to yeast (which is in every soup known to man). After surgery I became intolerant to every fake sugar, even stevia. The three shakes I had managed to tolerate became intolerable post op. Two have things that burn my insides now, and one just makes me puke because it tastes gross without too much sugar for me to tolerate. So I tried a bone broth and then eventually foods (in line with the stages) to try and get protein. Lactaid didn't work unfortunately so no cheese, creamy soups, ECT. Meats are hard to tolerate. Eggs are ok, and vegan Greek yogurt, but after eating anything consistently (like every day) it makes me nauseous. I wasn't picky before surgery, and actually had a protein shake daily, so I wasn't prepared to find food I tolerate literally vomit inducing after a few meals of it. I have massive food aversion now. I get nauseous anytime I think of food, or smell food, though I manage to find something to choke down with my pills so I don't get more nauseous. I've tried to force myself to eat/drink things, but it always ends in dry heaving at best. Its mental, I'm sure, but I liked eating the same foods pre-op so that's confusing for me. Water was fine when I was in too much pain to sleep and had all that extra time, so the first week, but now I'm mentally and physically exhausted and want to sleep a lot. Or even just lay down, and with the GERD that means not drinking while laying down. With all the meals and the not drinking around them, I get 40-48 oz of water a day. I'm not exercising (another ding) so I don't actually seem to be too dehydrated? But once I hit the 40-48oz I stop being able to drink, even if I stay up 2 extra hours to get some more down much more slowly. It just makes me nauseous past the amt mentioned. I don't know what that's about. Also intolerant to the anti-nausea pills btw. For some reason they make the nausea worse and give me stomach cramps to boot, yay. There's more issues, but that's the gist. There's so much to juggle, and it seems like everything I try to fix my issues leads to nausea. How do you do all of this? And not go crazy? And please tell me it ends soon?

Good idea. I think it’s pretty standard to require all the labs at three months but my surgeon did require me to go to my PCP a couple weeks after my surgery also. I think it was more of a cookie cutter thing for people that were on medication’s and things that may need them adjusted, but it was in the paperwork so I just did it. it couldn’t hurt. I bet they could answer most questions. Perhaps email your teams office and ask them exactly what labs they suggest.

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.

Many team will just start you out on the vitamins that people tend to become low on to try and get ahead of it, but you should be getting labs every three months for a while and then at least once a year once you are on track. Your team should tell you what to change based on your labs.

Love LOVE seeing all your wins!! I'm excited by the way my clothes are fitting now, especially when I wear something that actually FITS - I feel like ITKYK - sometimes my belly just isn't feeling a snug waist band or a bra tightly cinched around my chest. (Usually after a meal, when I accidentally gulp too much water too fast, or after taking my morning medicine. Something about taking my three pills in the morning just leaves me feeling icky. I think it's the capsules before they make their way down, IDK) I like that the tops I was comfortable wearing pre-surgery (and kept)can pretty much be worn as nighties now. The other day I was able to wear a big poofy sweatshirt OVER a huge oversized flannel and look like I was swimming in both. I'm was into more grunge style clothing in my youth and it was absolutely something I would have worn as a teenager when I was hiding my body. Conversely, I can wear a properly fitting shirt now in a 2x, down from a 5x, and it be flattering. I took a look at myself closely in the mirror yesterday and could see how my hips and back have changed. I definitely can tell the difference in the size of my arms and the way bras got too big. Keeping up with bras that fit is my biggest challenge right now!

Thank you, I ended up just adding it to the burrito and it was fine, but I was starting to really question why I was not able to figure this out after going through two boxes!! I used the instapot, three different kitchen pots, made a larger portion, cooked it longer, added more water, and anything’s else I could think of. Finally I was like maybe it’s just supposed to be like this. The one good thing that did come from that experience is that now I know the Insta pot has a rice setting. I may try it with the regular rice which I’m sure is less chemicals.

Yes - I have that. Or at least that is what my physician thought after I had occasional symptoms like that and they couldn't find anything else wrong with me (had the workup about four years ago). She said to eat something about every three hours - preferably a protein or something paired with a protein. It works - I rarely have those symptoms any more. P.S. any kind of protein is fine - even a thing of yogurt.

I’m not allowed to eat any tortillas for three months. I know it sounds dramatic but it’s driving me insane! I love the tiny zero carb ones and they were always in the house prior to surgery. I felt like it made portion control a cinch.

Frustrating & upsetting I know but like everything about this experience (including the amount of weight you lose, your rate of loss, your time line for losing, etc.) the three week stall is just an average. Some will stall earlier & some will stall later. They usually last 1-3 weeks but could be more or less. Don’t worry, you will start to lose again. Just give your body time to reset it itself and work out your new needs. You’ll notice the scales dropping again when your body is ready. Can’t force it. You’ll only stress your body & yourself more.

Do you mean SADI? Or is SASI another newer surgery? I had a sleeve revision to SADI and they warned me that diarrhea would be an issue for the first three or so months. For me I haven’t had this issue. Some days my stool is loose but it’s only once a day. I have been eating extremely clean though so perhaps that’s part of it. I would keep a log of what you’re eating and when it is happening and get with your team. You may have developed an allergy to something. That’s not at all uncommon.

I've been trying to puree tuna with some yogurt instead of mayo and I think it's just too much for me right now. (three weeks post op) But I I've definitely taken the advice about blended thick soups so they are thinner and cottage cheese. I also had some cream of tomato soup and blended some cottage cheese into it and it enhanced the flavour of both. I used to love cottage cheese when I lived in the US, but it doesn't have the same texture as the UK so I didn't like it anymore. Now, it's a godsend. Funny how life works. I'm really struggling with purees so I'm going to stay on liquids for an extra week.

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!

I flew to Turkey for my procedure and I honestly don't know that it could have gone any smoother. The hospital in Istanbul was the nicest hospital I've ever seen and everyone was so incredible thorough. I am going on my 5th day post op mini-bypass and I was able to walk three miles yesterday. Going to see the Hagia Sophia today. So far, my only regret is that I wish I made the decision sooner. On another note, I didn't expect to feel hungry and crave food so quickly. Has anyone else experienced that?

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.

No capsule wardrobe in my house. I’m guilty of having far more clothes than I need. A example of the proof of me having too many clothes is this dress which I found in my wardrobe recently and couldn’t remember buying it. Obviously worn (no tags) but where and when I had no idea. Wore it last weekend because of my guilt & than I remembered the last time I wore it - to my friend’s daughter’s hens party three years ago. Oops. Where did you go for your holiday?

In the summer, I'm a huge fan of "bowls" for lunch/dinner. Take a base of your choice like rice, brown rice, farro, quinoa, etc, add whatever veggies you like and then your protein of choice. If desired, you can also add some sort of sauce/dressing. The nice thing is you can easily meal-prep these and even vary the ingredients slightly in every single bowl just by having a few different base/veggie/protein choices available. It's also easy to adjust them to your tastes, as well as change the proportions to fit your macros. Also, for the most part you don't even need to heat these up. I eat them cold (or more often at room temp), all the time. I'm also a big fan of soup (yes even in summer), because it helps me rehydrate (due to the salt and fluid), as well as get some food in me after my workouts. I totally realize that for many people, the thought of something warm post workout seems odd, but it works for me. As to the amount of protein you're eating, I think that's okay (and not likely dangerous), but honestly is a bit higher than you actually need. I know in some gym circles, they push as much as 4 grams per kg of body weight, but there's not a lot of evidence that even strength athletes need more than about 1.6 to 2 grams per kg. Keep in mind that your body can't store excess protein, thus what it doesn't use for muscle repair just goes to waste or gets stored as fat if you're eating in a surplus. Another consideration as @WendyJane mentions is that your ability to metabolize protein is limited. While I think the rate at which it can be metabolized is actually variable and likely somewhat dependent on overall bodyweight (some studies suggest it's around 0.3 to 0.4 g/kg/bw), the net effect is that it may actually be a lot less than 50 grams for most people. For this reason, it would be ideal to actually plan on eating about five meals a day, rather than the traditional three. Further, keep in mind that the ability to metabolize protein IS NOT the same as the rate at which your body can induce muscle protein synthesis (i.e. use protein to repair repair your muscles). That rate may be as low at just a few grams per hour! That said, there's not a lot of evidence that high amounts of protein hurt the kidneys in healthy people. Yes, certainly if you have kidney disease, you should follow your doctor’s advice and limit your protein intake. For everyone else, the danger is pretty limited (or even nonexistent). I would say that if your higher protein intake is coming exclusively, or almost exclusively from meat (especially red meat), this is a lot more likely to potentially cause renal problems. Now keep in mind that when we look at whether or not a high protein diet can cause kidney issues, scientists always look at EXCESS protein. In other words, it's not the total protein intake that matters. It's the amount in excess of your needs. As someone involved in strength training, you do need additional protein to repair your muscles. As I pointed out, your actual needs may be less than you think. Like a lot of things, it's best to not assume that more is always better. Obviously some protein is essential, additional amounts can be beneficial for some people, but there are potential downsides to eating more than you actually need. Certainly your call, but you might try dropping that down to ~125 to 140 grams. This will open up some options to get some additional veggies or whole grains in you that will help with athletic performance, while still supporting your goals regarding body recomposition. FYI, my statements about protein needs for athletes is based on the latest Nutrition and Athletic Performance position statement from the American College of Sports Medicine. Sorry for yet another long post. I geek out on this stuff and just wanted to share.

1kg a month is perfect right now. Instead of thinking in terms of a specific number you should be losing, think in terms of a percentage of your overall weight. This has an advantage in that the actual number to shoot for drops as your weight goes down. The ideal amount for most people would be one to two percent per month (and certainly no more than three percent). This is right where you're at. Believe it or not, slower is actually better here. The faster your weight loss, the more likely you are to be causing your body to decide you're starving to death. When this happens, your body starts doing things that slow down your metabolism to try to keep you from dying. Of course we know intellectually that we're not actually dying, but your body's metabolic regulation system doesn't know that. It's an amazing system, but it was designed before we had almost instant access to unlimited amounts of highly palatable foods. Thanks for clarifying on the new goal. 65kg sounds like a good goal for now and there's nothing wrong with adjusting up or down even more as you get closer to that. Regarding diet, calories and macros, I'd obviously tell you to defer to your dietitian, though I will say I'm very surprised by the recommendation to lower your protein. When dieting, there are literally hundreds of studies that show the advantages of eating more protein. You should know that overall, I personally am not a huge fan of tracking calories. I know that some people here seem to do so effectively, but for me it just does not work. As I mentioned, most of us aren't very good at actually tracking calorie intake accurately. Even more important to me, none of us have any way at all to know how many calories we are actually burning in a day so tracking intake is only showing you one side of the energy balance equation. Plus, energy expenditure can be highly variable day to day, so even if you did somehow know the exact amount you burned today, it's not going to be the same in one month or one year from now. With all that said, if tracking is working for you, don't change it. Do keep in mind that you may have to reduce calories as you continue to lose since the biggest contributor to metabolism day-to-day is body size. Regarding exercise, I'm going to recommend you stop thinking of exercise as part of your weight loss goal. It simply doesn't work. I don't say this lightly, nor to discourage you, simply to state fact. We have a huge amount of evidence now to show that our bodies tend to slow down in other ways in response to exercise. This is something called the constrained energy model. On a practical level, exercise is still critically important for your overall health. In addition, we do have a lot of data that shows people that have lost a lot of weight are better able to maintain the loss if they exercise on average 1 hour or more per day. In short, do it because you'll feel better, because you'll live longer, AND because once you reach goal, you'll have a much easier time keeping the weight off. I think I can speak for most of us here on this board that we have experienced the exact mental anguish you're feeling. It's normal to worry and let doubt creep in, so know that you are not alone, Mental health is not my area of expertise, so my advice will always be please seek help from a mental health professional if you think you need it.

I got mine and I didn’t weigh it but it comes with the batteries separate (not installed). I wonder if that’s the difference. Just three AAA’s though.