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Now, a year and a half out, I take a bariatric multi-vitamin, turmeric, calcium (with vit D3 and K) and omega 3 (as I don't eat fish) daily. I also take a serving of collagen powder most days, added to my coffee. I don't think I will bother continuing with the turmeric when the current supply runs out as I can't say I have seen any benefit to it.

Hey, I understand everybody knows their limits! Also miss the cookies right along with you! I spent a lot of time tweaking recipes to be bariatric friendly. These cashew buttercup like I can eat 2 to 4 of these a day and be fine and I cook big big batches and I don't go back for more so that's some real self restraint to be honest. Let me see I think the calorie content is. I think they are about 100 cal per cashew butter cup. People can adjust them to be lower switching out ingredients.

Cross-addiction after bariatric surgery is something I didn’t expect, but it hit hard. I swapped food for alcohol and didn’t even notice at first. Therapy helped, but I also needed structure and support from people who understood. I’ve heard that abbeycare group's clinics offer solid programs for addiction recovery, including for those of us dealing with post-surgery struggles. Finding the right help makes a huge difference in breaking the cycle.

I was looking for an introductions forum, which was mentioned somewhere, but couldn't find it, and this seemed the most appropriate place! I just joined the site after reading - well listening to - Alec Brecher's book on the gastric bypass. I'm George, I'm 43 year olds and I currently live in Spain after a lot of moving around. I've been overweight all of my adult life, but I have rapidly gained a lot more weight in the last few years. Considering bariatric surgery was first recommended to me by my doctor a few years ago, but it was right before the pandemic and that interrupted the process I was on at the time. I am now scheduled to have (hopefully) gastric by pass on April 15th, privately, at a clinic in Latvia. I decided to pay for it myself since the wait time to do it on my government plan in my part of Spain right now is said to be about three years. Currently I am on Rybelsus to help me loose some weight before the surgery, and there's been /some/ success. I expect to be on the liver reduction diet for a month before the surgery and I have to admit I'm not looking forward to it! I look forward from learning from everyone on this forum.

Just checking in to see how everyone else is doing. I had a rough few weeks after I got a virus. Just because of the chemo my body couldn’t fight it so I ended up septic and in the hospital for 10 days with pneumonia and a sinus infection. My white blood cells kept bottoming out but they gave me this shot two times to build them back and so far this time they are holding at low normal. Tomorrow will be a week that I’ve been home and I think I am out of the woods finally, but I am still pretty weak and I am supposed to do treatment Monday so I doubt I will get to feeling much stronger. Probably won’t feel like myself until I’m done with the chemo. 10 more weeks 🤞 I am trying to do a tiny bit of waking like a quarter of a mile at a time a few times a day just so I don’t get out of the habit of exercise but that’s about all I can do. I also contacted the cancer center that one of my doctors is a part of and talked to the yoga instructor and asked if they have a virtual option for the chair yoga and when I explained my situation she said she would get with IT and make it happen for next week. I thought that was so sweet and hopefully will be something I can do to start building my strength back. She said next month they are going to add mat yoga as well so I can build back up to that when I am ready. Anyways I’m pretty proud of myself that I’m still trying every step of the way to keep up with my bariatric journey. I may not be 100% right now but unlike pre surgery I am not letting this be an excuse to just throw it all away. I had a birthday and it was a little unconventional because it had to be virtual but it turned out to be a nice day considering. My mom dropped off carrot cake so of course I have that taunting me In the kitchen. I have been doing real tiny pieces though and it’s actually starting to taste a little stale. Who knew that cake can get stale 😂

When I was starting out and had alot of lumps and bumps to hide I really liked the Baleaf brand on Amazon. Since I have lost a little more I have gone with the gym People brand also on Amazon that are a little cheaper and have more color options but the material is not quite as nice as the Baleaf. They both are much better fabric than the ones you get like 4 or more in a pack in my opinion and they both have the pockets for your cell phone which I can’t live without now but of course in terms of fit that will vary from person to person. The good thing about Amazon is that you can easily return if you don’t like them but the Baleaf ones unless they are just too long or short or something I don’t think you will want to return. They are real soft and I had two pair in each size as I lost Navy And Black So they were washed every two days and the color never faded and they didn’t get the pills between the thighs. . Of course it was only a couple of months but that’s still like 30 washes and they still looked new. I suggested a clothing swap at my irl bariatric support group and I saved them because I know someone will be thrilled to get them as they are losing.

At 65 - I am happier, healthier and slimmer than when in college! And, I will be a much smaller bride for 30th anniversary + vow renewal this April. Congratulations to all who took this courageous journey as an older adult! You are to be celebrated. Keep up the good fight...

Thanks again everyone for all the advice ❤️ After some thinking & a chat with my bariatric team, I have set a new goal!

10/10 would do again. I only wish I'd done it sooner. While no surgery is risk free, the mortality rate for bariatric surgery is pretty similar to other major elective surgeries, with the overall mortality rate at this point being right around ~1 in 1000, The factors that increase risk the most are higher BMI, older age, being male, as well as having pulmonary hypertension, heart disease, or liver disease. Obviously the more of those you have, the higher the risk. If you are younger, female, only moderately obese, and don't have any major illnesses, the risks should be much lower. It's also pretty well documented that the mortality rate from being obese is higher than the surgery, meaning the riskier thing to do is NOT have the surgery. I honestly feel like my bypass surgery probably saved my life. I felt at the time like I had one foot in the grave, but now feel so much better and healthier.

I discourage people from getting hung up on the number on the scale, because the non-scale victories are so much more important. The number on the scale is meaningless compared to things like your health metrics (blood pressure, glucose, lipids, etc.), fitness, and mobility. I am also curious how you can say you are 0.2 pounds from your goal weight because my weight can fluctuate by 5 pounds in a single day, so 0.2 pounds is far more precise than you can realistically measure your weight. Drink half a cup of water and your weight goes up by more than that. Somebody posted a video on this site a while back (maybe someone can repost it if you remember) with a doctor explaining why your "best weight" is not necessarily going to be in the "ideal weight" range based on BMI, especially for bariatric surgery patients -- and in fact, for many bariatric surgery patients, a "normal" BMI may be too low. BMI has limited use in determining a healthy weight for any specific individual. It is kind of a primitive measure of body composition; a much better measure of that would be getting a Dexa scan, which can determine your actual body fat percentage and visceral fat (which is what has the highest impact on health). I never really had a goal weight. I was required to state a goal weight for my psych evaluation, and I think I put 180 pounds based on the average weight loss from my starting weight. I never thought I would get to a "normal" BMI, but I am actually hovering right around a BMI of 25 (I'm maintaining between 135 and 140) with a body fat percentage of 21%. My goal now is to stay within that range because I think that's about the lowest I can realistically go without plastic surgery (nothing against that if it's what you want, but I have no plans to do so) or extreme measures.

I have been getting tattooed since I was 18 (so for 10 years now!), and I consider myself to be decently covered, but I have only had 1 tattoo since having surgery and it was so much more painful! My prep pre-surgery for a tattoo would be coming into the session armed with sugary snacks, but of course I can't do that now. I have a whole chest piece booked in for April, and I was wondering if anyone has any tips for preparing for a tattoo in a bariatric friendly way?

^ This. Post bariatric surgery eating is really hard! Never let anyone tell you that bariatric surgery is "the easy way out"! Regarding your protein intake, let's start with an understanding of why a protein-first diet is recommended post-surgery: Primarily, we are hoping to stave off something called muscle catabolism. This is when your body basically breaks down your own muscles. This happens mostly but not entirely to meet your daily essential amino acid needs. If we eat enough protein, this significantly reduces the amount of muscle mass your body will burn. That's important because the more muscle you have, the higher your metabolism, meaning you'll burn more calories even at rest. Most scientific literature suggests that 60 grams per day of protein is sufficient to meet your essential amino acid needs and thus hold off the bulk of the muscle catabolism that happens while on a weight loss diet. Note that some muscle catabolism is inevitable and no amount of protein intake is going to prevent that. The second reason protein is important is because protein is filling and relatively slow to digest. Studies have shown that eating more protein than the 60 grams per day minimum can help you feel more full. That basically will result in reduced overall calorie consumption. For this, amounts between 1.6 grams to 2.2 grams per day per kilogram of ideal body weight have been shown to be effective. For example, if 60 kg was your ideal body weight. protein intake between 96 and 132 grams would be suggested. I'm not sure what your surgical team told you, but since you're already getting over the 60 grams per day minimum, I'd say you're doing fantastic! As you get further out from surgery, you'll probably want to consume more, but keep in mind that all it's really doing is keeping you full longer. It's not going to sabotage your weight loss due to excess muscle loss. TL;DR: You're going fine on protein, don't sweat it.

Everyone is different! I’m 5years out. My dumping is more like a hot flash with a very upset stomach. I have to lay down until it passes. I never had the foamies but I am nauseous A LOT! Sometimes I can eat a piece of cake with a ton of frosting & it doesn’t bother me. Other times I can’t. I only eat 3.5 oz of food at a time. I never know what my body is going to do. I am also constipated all of the time. My daughter is 4 y out. She slowly eats 5 meals a day. She has very loose, stinky bowl movements. She can’t eat a lot of sugar & drinks diet Dr Pepper but she would really like to drink regular sodas. I don’t like the taste of diet beverages so I drink an electrolyte replacement beverage. Bariatric surgery is kinda like pregnancy & your own kids. You don’t know what you are gonna get. I would like to know if there is a correlation between how much or a percentage of weight you loose & your symptoms afterwards. Best of luck to you!

I think the first thing that comes to mind is just how varied dumping syndrome can be. When the bariatric teams talk about it, they tend to tell you all the symptoms and that it tends to happen pretty quickly after eating. Unfortunately, it's not that simple or straightforward. Some people may only have one or two symptoms. Others multiple symptoms. For some people it happens really quickly, and for others it can take hours before it begins. Time to recover is also really varied. For some it's over with in 30 minutes or less. Others can be in agony for many, many hours. As an example, I'm over 2 years out and for the longest time I just assumed I was one of the lucky (or cursed depending of your perspective), people that didn't really have to worry about dumping. I can eat almost anything and not have "typical" dumping syndrome. What I do have is what I was calling reactive hypoglycemia, meaning I was having low blood glucose issues ~3 hours of so after eating. After talking to my bariatric surgeon in my last checkup, she pointed out that what I was calling reactive hypoglycemia, is likely just a different form of dumping. Once I started being more careful about not eating a bunch of added sugar without sufficient protein as a buffer, the symptoms mostly went away.

I like Celebrate brand tropical twist chewable, but they also make soft chews in fruit flavors (and maybe chocolate?) if you prefer a less chalky texture. Any bariatric brand should be fine.

If it works with what you've been given for a diet plan, the unflavored whey powder (like Isopure) blends well into tomato soup or butternut bisque. I found that to be a delightful alternative to the sweet shakes. You might also buy Fairlife skim milk, which has 13g protein per 8oz serving, and blend with PB2 peanut butter powder (and a banana if allowed) for a really nice smoothie. Lastly, a few brands of the bariatric protein shakes make chicken, beef, or French onion flavored powders that you can heat up for a savory "shake".

Collagen Protein by itself is not considered a complete protein because it only has trace amounts (at best) of tryptophan, an essential amino acid. As @NickelChip mentioned, some collagen protein supplements add L-tryptophan to make a more complete protein. Looking at the one your husband is suggesting however, it does not look to have any added L-tryptophan, meaning it's really not suitable. Something else to keep in mind is that whey protein has a huge number of scientific studies showing it's better at muscle protein synthesis than collagen. A protein first diet is recommended for bariatric patients due to the desire to spare muscle catabolism when on a very low calorie diet. If whey is better at muscle protein synthesis, then it makes sense to focus on whey (or alternately on lean whole foods like chicken & fish). This is the reason almost all bariatric surgeons will tell you that it's fine to take collagen, but you should be careful if you are counting it toward your overall daily protein goals. FYI, due to your issues with artificial sweeteners, you probably should be looking for an unflavored version of whey protein isolate. Because it's unflavored, it's also likely to be unsweetened. I personally like Isopure brand, but there are others that are good as well.

Every doctor I've seen recommends whey isolate, but you should check with your dietician. Bone broth is collagen and that is not the same type of protein, at least as I recall it being explained. I was told I could have bone broth but that it doesn't count the same way. I do know, however, that certain brands might be making versions that have the missing amino acids, so that could be an option. Definitely ask a registered dietician or your bariatric team.

I'm currently debating proteins with my husband. LOL He's sold on bone broth protein powder, but I keep reading about whey isolate. Which is better for bariatric patients??

I will! I'm currently debating proteins with my husband. LOL He's sold on bone broth protein powder, but I keep reading about whey isolate. Which is better for bariatric patients?? I guess I should post this in the protein section?

Well, I don't fit your criteria (I was at about a 47 BMI at my highest), but I wanted to provide some overall perspective. There will always be some people that regret having bariatric surgery regardless of starting weight, but studies suggest that the vast majority are happy they had it done. The satisfaction rates seem to be about on par with other major "elective" surgeries such as joint replacement. In the studies available, there was a very strong correlation between satisfaction and weight loss success. That makes sense, because if you can't maintain the weight loss, this would tend to make you think it was a waste of time, money and that you went through a lot of hardship for nothing. Another strong correlation existed between those with eating disorders and dissatisfaction. Again, this makes sense because of the correlation between success and satisfaction. If you have an eating disorder, it's certainly possible to out eat any surgery. Those that report the highest satisfaction would tell you it was nothing short of life changing. At the end of the day, only you can decide if it's the right decision for you.

This is my first time posting here, but I’ve scoured forums for so many of my questions. I’ve read lots of your stories and have found encouragement and new fears. One demographic of people I haven’t seen much from are those that are at the lower end of the BMI for bariatric surgery. I am 5’6” and at 35 BMI. I juuuust barely qualified for surgery. I will get my surgery date this Wednesday and my fears are at an all time high. I am relatively healthy and qualified based on one comorbidity which is mild sleep apnea. My question is to those who had similar situations as my own. Do you regret getting the bypass, or are you happy you did it? Did you form more problems after the surgery than you had before? Please give me your insight! I know I want the bypass rather than the sleeve due to GERD issues. Like many of you, I’ve struggled with my weight and portion control my entire life. But I am so scared that I’m going to have regrets and it’ll be too late to turn back. Another question I have is for those on antidepressants/anti-anxiety meds. For the first time in my life, my anxiety is well controlled on Prozac and I’m worried that the surgery will completely mess that up. Can I hear your experiences with meds post-op?

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

Welcome Kat. So sorry to hear of all the struggles you've had. It sounds really rough. I think almost everyone here has struggled with something over the course of their bariatric surgery journey and some have struggled a lot more than others. None of us are perfect. We simply can do what we can do. Please keep in mind: If the recommended changes regarding diet and lifestyle were easy to make, I'd wager that most of us would have simply made those changes without going through the surgery. My own perspective is that my weight loss surgery was a tool that helped me eat better and eventually allowed me to get to a weight that also allowed me to be more active. It's was not the other way around, where I had to do certain things for the surgery "to be successful". Please understand, I'm NOT saying you can do whatever you want after surgery. What I am saying is that the surgery itself is a tool that can help you do the things that will lead to success such as eating better and being more active. Those changes take time. You're not going to be able to make dramatic lifestyle changes overnight. Don't even try because that NEVER works. Focus on making just small sustainable changes before trying to make any further changes. It sounds trite, but slow and steady truly does win the race. I would also strongly advise you to consider finding a good mental health professional that specializes in bariatric patients. This one thing will probably help you more than anything with some of the struggles you're having. A dietitian can also help with the diet portion and is also strongly recommended. Please keep us apprised of how it's going and I think you'll find there are people here that can help with whatever struggles you may be having, whether it's being compliant with your surgeons instructions, cleaning up your diet, or finding motivation. We're here to help.

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.