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My doctor was originally going to put me on a patch that needed to be changed twice a week but decided to put me on a once a week patch instead. Could your doctor look at maybe switching you to that? I don't need any progesterone, though, because I don't have my uterus, so mine is estrogen only. Still, I know that Femseven Conti is a once a week patch that has both estrogen and progesterone in it.

I had a BMI of 35 but I had a sleeve. I also didn’t have any co morbidities - I knew they were likely ahead of me though. So I’m going to respond more generally using am I glad I had weight loss surgery not a specific surgery. Simply yes, I am. The bulk of must weight came on with menopause and nothing I did shifted it. Or if it did it would be back in a very short period of time. I reached a point where I couldn’t stand it any longer and made an appointment with my doctor for a referral. I was in surgery less than 6 weeks later (benefits of living in Australia with private health). Do I have any issues post surgery? Yes but they’re minor really and I had a quirky tummy before so no real change. I struggle a bit with the foamies but no dumping. I had reflux before but it was managed with dietary choices. Still have it though I take a PPI every day now vs a handful of times a year before & the symptoms are different now. (Best is I don’t get the hideous hiccups I used to get just the regular ones now.) One of the benefits of having surgery is you simply cannot eat the same volume of food. Of course if you are determined you can eat around some of your changed digestive system. But take the time in the initial months after surgery where its benefits are strongest, to learn about things like portion size, nutritional values, etc. and start adopting new behaviours. Reflect on your relationship with food and why you ate and start making changes there too. Seek the help & support of your dietician and a therapist as needed. Many seem to be concerned they won’t lose all the weight they’d like to starting at a lower BMI. I lost all of mine and more. It is important to remember that not everyone loses all the weight they’d like. The surgery (regardless of which you have), changes your body set point that is the weight your body is happy at which often is not the weight you think you’ll be happy at. With bypass it is always best to have a conversation with the doctor who prescribes your meds as bypass does interfere with the absorption of these. It may mean you need to swap some of your meds as @SleeveToBypass2023 mentioned. All the best.

So I’m two weeks postop and I know that’s early but I went from 217 to currently being 189. I know everyone’s like you have to give it time “Be patient” but emotionally., i wish that results were more rapid. I’ve been at 189 for three days and I barely eat anything. I enjoyed tomato soup recently, but the creaminess of it, kind of upset my stomach so it just feels like protein shakes are the only thing that will help and sustain me. I guess I’m writing for some support and encouragement that in time I’ll see more changes. The 28 pound difference did make me happy and I want to continue to see changes, but I guess I’m just not being patient enough. Please share some support😔 here.

I was the opposite in a way, I blindly went into the operation having being told the standard bit about possible complications but was confident in the team and was excited to start a new life so didn't over think it it all. Then suffered severe post op complications, spending months in hospital and having numerous procedures and only finished treatments 10 months after original op date BUT all of that said if your medical team are happy you are a suitable candidate I think it is worth it. You have done good work already to get to where you are and you sound like you could reach the 65lb loss yourself over time but the surgery would be a boost to that and if you work with the tool correctly over the years you should be able to maintain. That is how I looked at it, I had no problem being strict and loosing weight but it would just go back on and I would be on a yo-yo cycle. Plus who is to say what will be in a year, maybe your surgical team will change and you have to start the process again, maybe insurance coverage changes..... Travel wise I haven't had any issues, been to the US and other EU countries in the last few months and usually been able to find something suitable to eat though I always carry a few protein bars and powdered protein coffee with me just to be sure I meet my goals. A bonus on the travel is that I now fit comfortably in my plane seats and can do a little sprint through the airports if running late With regards to waiting for your wife to conceive, not sure about that one but recovery time is only a few weeks for 'strenuous' activities and wouldn't it be great to be over the surgery and well on the road to a fitter healthier you when she becomes pregnant so you can help her out more?

I have no guidance or experience to offer for the surgeon selection aspect as I went through the public insurance system where I live and once you go to the obesity clinic and they accept you (high BMI etc.) then the government takes care of the costs for pre-op testing, surgery, post-op tests and consultations. I did get a list of their surgeons to pick from, which I did and met her a few months out but then she didn't do the op for some reason and no-one ever had the decency to tell me, I only found out after the surgery! For the vitamins I was told to take the special bariatric ones just for the first year and then after that it was ok but if anything showed up in future blood tests to possibly start taking them again. I am only a year on from my surgery so I have decided (for now) to continue with the batch of bariatric vitamins I have at home and then just switch to basic over the counter ones going forward and not panic if I miss a day or three!

A new week beckons 🙂 London was fab, a break that was very much needed by both of us. The hotel was very nice, the staff were fantastic, couldn’t do enough to help but some of the guests were just entitled dickheads. You know something is amiss when you say ‘thank you’ and the member of staff looks completely surprised. There were film crews there - one was something about a reality music show shown on MTV/Paramount possibly Love and Hip Hop Atlanta?? Not my thing so wasn’t too fussed. Did chat to a lovely crew lady though who filled us in on what was happening. Also there was some setting up to do regarding some additional Mission Impossible 8 shooting. Apparently the hotel was used for a lot of interior shots 🤷‍♀️ Didn’t see anyone famous though! Anyway, I was complemented on a couple of my outfits which gave me a real buzz! Having my makeup done was actually a lovely thing. It really helped that the MUA was very approachable and actually listened. The Pet Shop Boys were as brilliant as ever and a wonderful time was definitely had! Hubby bought me a commemorative PSB sweatshirt which is a XXL and fits like sausage skin. So, my next goal is to fit in to it comfortably. I think it’s definitely losing a couple of dress sizes 😬 (if not more) I’ve added 3.5lbs to last week’s weight, which isn’t bad, considering. I have my dietitian appointment in 3 weeks and I’m hoping to get that gain and a few more lbs off by then. I never thought I would miss protein shakes and protein yoghurt quite so much! I hope everyone has an awesome week ahead Onwards and Downwards!

some people experience hormone-related depression for a few weeks after weight loss surgery, but weight loss surgery would not have caused bipolar disorder.

I’m glad you questioned everything and have finally got your answers from the horses mouth as it were. Just try to maintain an air of zen now for the next couple of weeks!

I never really had the emotional ups and downs, mostly because at the time I had PCOS, and the influx of estrogen from both my surgeries actually normalized my hormones for a few months each time lol What I DID have, however, is the emotional issues that came with changing my relationship with food. I had NO IDEA that would be a thing lol Changing what you eat, how you eat, when and why you eat, how often you eat is like breaking up with a toxic partner. You've been together for a REALLY long time, and even though you KNOW it's a terrible, unhealthy relationship, it's really all you know and you're so dependent on it you don't think you can function without it. And now you have to figure out how to. You have to completely retrain your brain, learn the difference between true hunger and head hunger (there is an actual, real difference), and you have to learn to read the nutrition labels, track your calories and Protein and carbs, work out, don't cheat (and don't make excuse after excuse and justification after justification for why you went back to the toxic relationship even after you knew it was bad for you, yet still gave in), measure food, track fluids, take HONEST accountability for your actions (which isn't something most of us had been particularly good at) and make adjustments as needed to stay as compliant as possible for the long haul. Contrary to what so many think, there's actually a LOT of work that has to happen after the surgery. The surgery itself is just a tool. It's not a miracle cure. It won't fix all the issues if you don't put in the actual work. Just eating smaller amounts without making any of the necessary changes isn't enough, and that's a hard lesson many learn later on. All of this is such a mind eff, and takes a toll on a person. It's a lot of changes, and a lot of work, thrown at a person all at once. And no matter how ready you think you are, it can still cause so much emotional turmoil, and understandably so. What I, and so many, don't realize is that we all have ED (eating disorders) in order to get to being obese and morbidly obese (or in some cases, super morbidly obese). It's not just anorexia or bulimia. I genuinely didn't know that. We have to retrain our brains to get out of that, and sometimes that requires help, and we have to be ok with getting that help. And because we have to do that, we then get incredibly frustrated and defeated feeling when the weight comes off slower than we thought it would, or we hit stalls (or in my case, stall after stall after stall - which is COMPLETELY normal, by the way, and should be expected). I said all of this to say there's SO many different reasons we can have emotions all over the place. Influx of hormones all at once, changes in relationship with food, changes in routines and increase in the things we don't particularly like doing (or not doing anymore), learning we have to do a lot of work to get and maintain the results we want after the surgery, learning PATIENCE with the rate of weight loss and trusting the process (easier said than done, believe me, I know), realizing that body dysmorphia is REAL and we can and do struggle with seeing ourselves as anything other than our formerly obese selves (I'm 182 pounds and I still see 421 pounds sometimes when I look in the mirror), and of course, hair loss (also COMPLETELY normal, and will eventually stop). You won't go bald, there's nothing to prevent it or stop it, you need to increase your Protein, Biotin doesn't slow it down, and it's a COMPLETELY normal part of the process that many of us don't know about until it happens and then we freak out. So give yourself some grace and just know this is normal. You're doing great, and we're all here for you, just like everyone was here for me

A 3 month stall??? Holy smokes, you are definitely stronger than me. The worst I ever had was 2 months and I was climbing the walls. I was trying soooo hard to pay attention to the NSVs but 2 months of nothing moving on the scale nearly drove me to insanity. I have no idea how you handled 3 months, but I give you all the respect, props, and credit in the world for getting through it. CONGRATULATIONS on hitting the 100 pound mark. That's absolutely AWESOME!!!!! I'm really happy for you. It feels amazing, doesn't it? Not only are you solidly in ONEderland, but you're so close to your goal!! I know you'll get there. Just be ready, because the lower your bmi, the sloooower the weight comes off. It took me a full 2 years to lose my weight, so don't get discouraged if it takes a while. But you can definitely get there. You got this!!!

Not that uncommon and comparatively not more strict. There are variations between surgeons and surgeries with many of these things. Sometimes it’s also related to you, your health, how much weight you have to lose, your relationship with food, etc, Not being allowed carbonated drinks is common. The differences arise in length of time of this avoidance and then whether you can tolerate it. Also you may be allowed sparkling water that you let go flat a bit but not sodas. Same with alcohol avoidance but there are three main reasons often behind this. One is concern for addiction transfer which can occur after weight loss surgery. Secondly, alcohol is calorie dense and offers no nutrients which are vital while we are losing and eating small portions and lastly it will slow your metabolism & dehydrate you. Again some surgeons just put a time frame on it but it does depend on your surgery too. Caffeine is another thing that is allowed by some surgeons and not by others and again there can be differences in for how long you should avoid it. Deconstructing meals is not a forever thing. Certainly while losing, focussing on eating the protein component of your meal first is very important. If you are able after you’ve eaten the protein in your meal. you then can eat your vegetables then any carbs you are allowed. (There were many times I could only eat my protein at a meal and nothing else.) This is because of the small portions we can eat initially & the necessity of getting that protein in to meet your protein goals. It does make tracking your food much easier too. When you near your goal, and are eating larger portions, it’s not as important to eat your protein first but you must continue to hit your protein goals forever so it will be something of which you are aware when you’re eating. In saying that I often ate soups, stews & casserole type dishes, omelettes, etc. which combined protein & vegetables while losing but not every meal and not every day. Actually not allowing protein shakes is also not uncommon. For example, in the UK, many aren’t allowed protein shakes in the pre surgery diet (they drink milk instead). Protein shakes aren’t the sole source of protein & nutrients in that first stage after surgery. Bone broths, consommés and cream soups are also options. Thank goodness too because after surgery those protein shakes can be disgusting. I found them unpleasantly grainy and crazy sweet & struggled to drink one a day. Best advice is to follow your plan while you are losing.However, if you find it difficult to tolerate your food options or to reach your goals ask for alternatives that will allow you to still meet protein goals & other nutrient requirements within any calorie guidelines you are given. How and what you eat once your weight has stabilised is up to you, what you’ve learnt about your eating and relationship with food and if it allows you to maintain a lower and healthier weight & lifestyle.

I almost never post here because I hate the format on this website and prefer fb but wanted to try to inspire more people. The first photo is how big I was the night before the surgery. The other 3 were taken within the last week. I had the duodenal switch December 30, 2021 at the age of 24. My weight immediately going into the procedure was about 301. (My highest weight of all time, I believe was 320) I now hover between 157-160 and basically eat whatever I want. I'm fairly active and also malabsorb a ton (common channel length is 85 cm) Depending on the day, I eat somewhere between 3500-4000 calories a day. My weight doesn't budge. Still, life sucks in other ways. I struggle with serious depression that has crippled me. Mental health is always a work in progress. Any questions feel free to ask.

I had a gastric bypass about 6 years old. Fast forward to today. I was recently hospitalized with severe anemia (hemoglobin 5.2). I had to have emergency blood transfusions. I'm still receiving weekly IV-iron infusions (8 weeks). I am also deficient in several nutrients despite taking my bariatric vitamins. My bariatric surgeon figured out the reason for the anemia. Two ulcers detected by an EGD (upper scope). I was slowly bleeding out. At one point, my family thought I was falling asleep... when I was really passing out. Anemia hurts. Your whole body aches. Recovery is slow... the fatigue is unreal but I'll get there.

Yes that’s awsome I start my diet tomorrow to get the weight off that my Dr says I have to loose before surgery. This week has been an emotional roller coaster my uncle suddenly and I had to fly to Florida with my mom and sister and we have done nothing but eat out.

I was allowed greek yogurt on my full liquid too, but I found it too thick in the beginning. I watered it down with a splash of milk until it was a thinner consistency, but after a week or so I was able to get it down on it's own.

Week One: Clear Liquids & Protein Shakes Week Two: Full Liquids Weeks Three & Four: Soft Foods Weeks Five & Six: Modified Regular Diet (soft regular foods & soft carbs, if you choose to eat them) Week Seven: Soft fruits w/o skin, ground meat, and moist chicken/turkey Week Eight: Raw & Crunchy fruits/veggies with skin, nuts, seeds, and dried fruit Week 12: Dense meat (like steak), and caffeine and alcohol (if you choose to partake)

@BlueParis Oh, what a nuisance! The long stalls are so hard. I'm sure it's just that your body needs some time, but that doesn't make it any easier to deal with emotionally. Will you ever have a point where you don't have a lot of travel, or is that pretty much your normal schedule?

Oh, yes. I'm just a bit ahead of you surgery-wise at nearly 10 months post-op, and I've noticed a few things as time has gone on. First, the number of pounds I'm losing in a month has slowed. Early on, I was losing 10+ lbs in a month. Two months ago, I lost 6lbs in a month. Now, I'm losing more like 2lbs in a month. Second, there's more noticeable daily fluctuation now. (I like to weigh myself every morning right when I get up, just to have a record.) In the past, I would bounce up or down a few ounces over a few days and then continue my downward progress. Now, I see half a pound or more difference, and I might bounce around for a week or two before reaching a new low weight. I'm currently about 12 lbs away from a "normal" BMI, so that has a big impact on how quickly weight changes. My smart scale also tells me I have higher than average muscle and bone (taken with a grain of salt since I know they're not completely accurate). One thing I notice now is that some of what I see on my body as "areas for improvement" are no longer simply "would look better if less fat." Now it's more like "would look better if more toned." As for staying on plan with nutrition, I'm not going to lie. This time of year is a challenge. There are sweets everywhere, and sadly, I can eat them with far too few side effects. I'm not going crazy like I would have pre-surgery, but I would say it's pretty easy to not be in much of a calorie deficit, either. Plus more eating out at restaurants, more holiday parties, etc. Nutrition is something I will tackle again in January.

@Greekmom4, that sounds a lot like my liver shrink diet, but I can only eat 1 meal a day, the rest is protein shakes (at least 3). I am doing ok so far, still able to do my treadmill without being weak or dizzy, but i go from zero to homicide in a hot second. My sister is a naturopath and said I will finish detoxing in 2 weeks (assuming I'm not incarcerated by then). She told me some things to help. I agree, @ShoppGirl, it's weird how different the protocols are. I would not want the all-liquid diet (I'll get enough of that after surgery). I have my surgery the week after you and @ShoppGirl, on August 12. It's getting so close!

Generally full healing takes about 8 weeks but of course some are a little faster others take a little longer. There will be some abdominal swelling from the surgery & being poked & prodded, your organs being shifted about & the external wound areas. Again recovery is very individual. If I remember correctly it took me about a week. Some abdominal swelling is from the surgical gas (it’s not in your tummy but the abdominal cavity) which you will slowly breathe out over about a week or so. They also pump you full of a lot of fluid so you may be retaining some fluid from that. It can take a few days for you to pee it all out. Some shakes can cause bloating from the lactose or if they contain sugar alcohols (sorbitol, xylitol. Erythritol, isomalt, etc.) Some find if they sip too quickly they can swallow air & become bloated & gassy too. GasX can help with any gas. All the best.

My NHS offer 3 ways of completing the LRD - all shakes/meal replacements or 2 meals of replacements and 1 of food or all 3 meals actual food. All 3 ways are for 3 weeks and must average between 800-1000 calories. If you’re having food for say dinner, they say you can have a healthy ready meal of approx 300 cals plus a yoghurt of around 100 cals. As @Bypass2Freedomhas said, different providers seem to have different rules and expectations so I would contact your dietitian or Bariatric department just to double check 🙂

For me, the pain wasn't bad. I needed liquid Tylenol for the first 3 days, a few times per day (tip: look for the ADULT formula because the child formula tastes horrible and is thicker, like gel). I had one incision that would give twinges for about a week, but it passed quickly. I did not experience gas pain. I found a weighted heating pad on my abdomen at night was very soothing. I was very tired and found it difficult to focus. If possible, don't tax yourself.I walked frequently, but not far. So I was moving around but not logging a huge number of steps. By week 3, I felt relatively normal. By the end of month 2, I was pretty much back to my old self with the bonus of quite a bit more energy, and I could navigate eating in restaurants without too much trouble (I went on a weekend trip out of town at around 8 weeks post op).

I know how you feel! I was hoping I'd be more active but tbh I just made realistic short goals Like my goal now 3 weeks post op to walk 30 mins 3x aweek Then increase the goals slowly. I work better with short term goals and also when I'm allowed to go to the gym I'll get a membership for like 1 month then ill def feel guilty for not going but if I have 1 year membership I'll also say I have time. I'll go tomorrow! But that's just me teehee!# Don't feel so bad as long as u r sticking to Yr program of eating right! It's 80% food and 20% working out! WE GOT THIS!

On 1/22/25 I had surgery initially to bring my remnant stomach down from my chest and they said while they were in there, they'd repair a hernia.. It was done robotically, so I anticipated the dreaded CO2 shoulder pain. I was up & walking, doing what they recommended & was discharged the next day.. After about 48 hours, it had subsided but had occasional twinges.. Unfortunately, I wasn't informed that I would need to be on straight liquids, but I had a Roux-en-y in 2008..so piece of cake. What wasn't so simple was taking my various pills & having one get stuck 3 days post-op. I had no choice but to throw it up. Apparently that caused swelling, so I ended up in the ED... After about 10 hours, the swelling reduced & I was able to swallow again. After a few days of taking bare necessities, I flew home to CO. I will be doing my 2 week surgical follow-up via tele-health. However, I am now 10 days post op & I am having intermittent what I assumed was CO2 shoulder pain. It is excruciating and extends up my neck & radiates into my ear. I couldn't figure out why I was suddenly having shoulder pain again as the CO2 should be out of my system by now. After reading about everyone else's experiences, at least I know I'm not crazy but hope that the stress and swelling after the pill incident didn't mess things up. Needless to say, I will be calling my surgeon first thing in the morning. BTW.. Even though I had some complications after my bariatric surgery in 08..I would do it ALL over again. No regrets.. I was 333 pounds the day off my surgery and 169 today.. And here's something only a bariatric patient will appreciate.. At 5'8", I was no longer considered OBESE, just overweight.. That is until osteoporosis hit and I am now 5'3, still 169 but back to being obese.. It sucks cuz I have maintained my weight between 167-169 for over 15 years but I can't control the fact that I shrunk 5 inches in the past 6 years.. The joy of getting older 😁 Thanks to everyone for sharing and saving my sanity..

Lol. Sounds like something a son would say to their mom. A friend of mine told me about a product called pou pouri that they use at her work since they only have one small bathroom for everyone. I found it on Walmarts website but they have it elsewhere. A pack of three small ones for ten bucks. They sell bigger ones too but I am most concerned for when I am away from home so the smaller size is good for me. They have a pretty comical animation on the manufacturer website that demonstrates that it puts a barrier on the top of the water that somehow blocks the smell and makes it smell like flowers. Anyways, she hasn’t had any bariatric surgery but claims it helps a pretty good deal for their situation so I’m going to give it a shot.