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Good morning! I had gastric bypass on 4/12/21. My highest ever was 293. I had surgery at 262. My lowest at my year mark was 135. Found out I was pregnant extremely fast after hitting my lowest and cannot budge out of the 150-155 range and I’m getting discouraged. I'm eating between 66 to 120 g of protein depending on the day. My fat intake I think is too high at around 70g, my net carbs range greatly between low 30’s to 100 g depending. My calories also vary between 800’s to 1200’s and I need to find the best range for losing weight while exercising now I started working out with the treadmill while concentrating on strength training and core workouts to help tummy skin shrinkage. I still have my restriction and often cannot even eat more than 4-6 oz a meal. I eat what I can of some fruit and veggies but mainly I’ll eat protein snacks like Catalina crunch, some small stuff from Atkins, Kodiak cake snacks sometimes. To name a few. I also drink a protein shake once a day which is either of the brand Ryze or Iso100 with 12oz of Fairlife low fat milk. Just to paint a picture. I work in corrections on night shift so there isn’t much moving around at night. But…I’m here to ask for advice and recommendations to help kickstart weight loss again. I’m miserable!!! please help if you can.

Small update, in case this is beneficial to anyone else going through the same stall & hunger issues in the future! I met with my Physician's Assistant (we don't see the surgeon post-op in my program - the PA does all the medical legwork) on July 8th since I was stuck in the high 240s for quite a while (roughly 112kg). The PA discussed what I was doing, agreed that I was doing almost everything right, minus somewhat larger portions at meals due to experiencing more hunger. We discussed GLP-1s (Ozempic, Wegovy, Zepbound, etc.), phentermine, topiramate + phentermine, Contrave, and other medication options. Since my insurance would not cover GLP-1s (I do not have diabetes) and they'd all be crazy expensive out-of-pocket, we decided to give the phentermine a try. Note that this is not a good medication to add if you have any history of heart issues - I'm not a doctor, so anything I say is personal anecdote and you should always consult a physician for any changes in your own medications, etc. Phentermine is a stimulant and an anorectic, which means it reduces appetite and can increase energy. It will NOT cause you to burn more calories without increasing activity, so reducing the amount eaten is critical (and increasing activity helps, too). The PA had me do an EKG in-office that day, and since it came out normal, I was prescribed half of a 37.5mg tablet for the first 4 days, to increase to a whole tablet daily if I still had residual hunger and was tolerating the 1/2 tab well. I did end up going up to the full tablet, as I had no side effects (except for some anxiety the one day I had a cup of coffee in the morning...don't combine stimulants!!). The result has been that I've dropped 5lbs in the last 2 weeks, and almost a week of that was spent at an outdoor music festival where the food options were far less than stellar (think "carnival foods" - I tried to stick mostly to all-meat options as much as possible, but I did help my spouse with some cheese curds and funnel cake...). I do have Narcolepsy and ADHD, and the addition of a stimulant has been a bit helpful for those conditions, as well. Another plus was that it cost me roughly $7 USD to fill at my pharmacy with insurance, so it was far more affordable for me than the GLP-1s would have been. My hunger has been curbed quite a bit, and this has helped me feel satisfied eating far smaller portions than I was eating previously. I have a check-in with my PA towards the end of August, and I'm pleased with my progress so far! I had an annual physical with my General Practitioner last week, and my A1C says I'm no longer pre-diabetic 😁

Thank you all so much!!! I'm definitely taking note of all of this. I've gone shopping and added more fats and a little higher carbs to my diet. I'm at around 1300 calories per day on average, but I'm working on upping the fats and carbs a bit. I'm also looking to keep my protein at around 100g per day if it's at all possible. Not sure about increasing the sugar and salt intake too much. I HAVE had to start using a little bit of Himalayan salt because my bp has been running super low since my hysterectomy (it's been 3 months and it stays around 97/50, sometimes a little lower) and we're trying to get it to come up. Last time I went to the doctor for my 12 week post op appt it was 88/51, so not having a lot of luck there just yet. I don't like the taste of salt anymore, so adding it to nearly everything is tough, but I'm working on it. Thanks again for all of the suggestions!!! OH, and the potatoes are going to be tried tonight. I'm hoping the carbs won't make me sick. And I can't do any kind of cow's milk at all because I'm severely lactose intolerant, so I use almond milk and non dairy cheese and nutritional yeast. Should I be looking at muscle building exercises, and if so, which ones do you recommend? Maybe I should try to bulk up just a little......

So I'm about the same size that I was in high school. I weighed 160 my senior year when I was going into the military. I weigh 176 now. I've had kids, so I don't expect to get to my high school weight. REALLY hope I don't lose another 16 pounds!!! But I'm in a size large now (XL is getting a bit big now) and I haven't even had my skin surgeries yet. I have to be able to maintain my weight for a year before I can have it, and so far I haven't been able to stop losing to be able to be in maintenance. Hopefully my body levels out soon... I know about the 2-3 year rebound weight gain, and I'm actually looking forward to it lol My final goal was 190, so even if I gain 10 pounds, that still puts me below goal. I'd like to maybe get to 185-187 and maintain so I can have my skin surgery (I may drop another 3-5 pounds after that, but more importantly, I'll likely go down a size because of how much skin I have that will be removed).

Hello there!! I had my SADI on August 5th, I chose to start with the SADI for multiple reasons. You will need to take a couple of vitamins - the Bariatric multi I chose is actually called Barimelts, it dissolves easily and doesn't taste bad at all, just turns to powder in your mouth. I also get my ADEK from Barimelts - both are on Amazon and quite affordable. For Calcium I use the Bariatric Fusion Calcium, it is soft and chews easily, the texture is like a soft caramel (they come in fruity flavors, chocolate, and caramel I believe). Have to take the Calcium at least 3 hrs from the multi with iron though or it can cause stomach upset. My main issues at a month out are fatigue and an icky feeling when a bowel movement is coming on. Not dumping syndrome, just kind of a gassy, mild cramping feeling. I'm on what they call mechanical soft at this point, and have noticed that chicken and fish are definitely the best for getting protein - plus an unflavored protein powder called Genepro my nutritionist suggested. Read the package on it closely, it tells you to consider a scoop like 30g of protein instead of the nutrient fact 11g (or 9g, can't remember). I haven't had any nausea or negative effects from basing my macros off of that, but I also only use it once per day and try to get as much protein from my actual food as I can. I use Baritastic to track all of my food - keeping on top of hydration has been tricky but is working so far for me. I'm eager to get my energy level back up. I do time 30 mins of no drinking before a meal, at least 20-30 minutes for the meal itself, and 30 minutes after before drinking anything! I max out at 1/2-3/4 of a cup per meal, sometimes less. There is the SADI is lonely thread and also a lot of information shared on the August Surgery Buddy thread. I'm overdue to post there, been busy prepping for a friend's wedding I am in on the 8th. @ShoppGirl - I see you!! Will try to update elsewhere soon 👋🏻

Hello! Thank you for posting here as well! I'm scheduled to have my 'virgin SADI/sleeve' on Monday morning and I was SO happy to read your post so I could get a realistic idea of what my life will be like post-surgery. I hadn't gotten much feedback yet on what to expect after a couple of years and had only read that the malabsorption would diminish after 18 months. Your experience seems to match up with that pretty closely. I've got the same three week diet guidelines to follow post-op; do you remember any particular foods that gave you trouble as you were adjusting to life post-op initially? Or do you have any suggestions on what to start with in the soft food week? For the liquid diet I've almost entirely relied on shakes and a few helpings of sugar free jello. Today I got some zero sugar yogurt and added that, and had a sugar free popsicle. I know that I'll have to be eating / drinking room temperature for at least the first week if I remember right.

Hey! 👋 I hope your post op went super well! Once you’re out of liquids it’s a whole new world! The feeling of fullness might start kicking in. I’m probably under on protein but my focus is hydration and getting protein from eat of my meals. I’ve add 3oz of protein in the morning after my coconut water before my walk and it’s doing good. My baby stomach just can’t handle water, food and protein shakes all in one day, it’s too much. So my doctors and nutritionist said don’t worry about it stay hydrated then protein. The video was neat! The hospital actually provided it to the doctors and they sent it to me. They recorded all the medical procedures. I’ve found that 3oz works really well for me 2/3 hrs . I weigh everything and I got some new cups.

I’m considering a balloon and want to see how others have faired. Mostly interested in the middle bit since it seems like most people get better but some still struggle with nausea etc. and nausea is the worst. And I’m a toddler teacher which is impossible to do when you’re not feeling 100% Nw I’ve got two girls. How many weeks/days until folks started to really feel like themselves again. Thanks!

My surgery got cancelled. We have no idea why. I got the notification on my portal app for my health plan so I immediatly contacted my surgeon's office because they have been going forward like I still have one. I was able to check the actual surgery schedule and sure enough I'm not on it. I'm beyond angry right now. I put in to have a whole week off of work next week that while I can definetly not take off, half of my team is going out of town for a conference so I would have to reschedule for the end of this month. That also sucks because I've pushed things out to the end of the month because I knew I would be in recovery. Now I have to somehow move them back and push other things. I want to scream.

Yeah, smaller goals is definitely better for us mentally. And paying attention to how you feel instead of what the number is on the scale. I mean, I am still only halfway to the goal that I would like to reach but I am feeling so much better. I put a lot less stock in what the scale says these days. Plus, like you said, you can always adjust and set another attainable goal once you reach your first one. They will have you up and walking the same day as your surgery and encourage you to keep doing so. I started wearing my fitness watch again, which surprisingly was able to update after a lot of years being in the drawer and it’s really fun to be able to watch how many steps you take, calories burned and how everything is improving every day. I got an alert a couple of weeks ago that my resting heart rate has gone down like 7 bpm which probably isn’t a lot, but it’s headed in the right direction for sure.

Just echoing what the two very experienced forum members say above. A regain in 2nd and 3rd year post op is almost the norm. Please try not to worry about it unduly. Your set point is the weight/body composition that your body wants to hover around. The video below is short and might help. Your set point gets lowered drastically by WLS. But - processed food raises it. Eating cleaner keeps it lower. Building muscle mass keeps it lower. Might those be things you can work on a bit? Lots of people focus on cardio and that's brilliant, but lifting weights or using resistance bands (even if you never do cardio!) can add another really significant layer to that. Do you or have you ever tracked your intake? If that has slipped just tracking again might make you aware of what you're taking in and what you're using up. I am saying this as someone just about 3 years post op who regained 16lbs this year. I personally wasn't happy with that because it didn't stop as others' seems to, so I lost 10lbs by strict keto and am now back where I want to be. I had dietary lapses I needed to correct too and am working on that. I had this surgery to stop dieting - I feel like I can tweak things to keep me where I want to be without that and that I've learned a lot by stepping back and really analysing my intake the last few months. Also huge kudos to you for thinking about this with only 9lbs on. Much easier to look at what you can change now, if you even need to do that, rather than further down the line. I wish you the very best.

My win is I haven't had Red Bull or either type of energy drink for a week and I don't even miss them! I'm sleeping better as a result. It was a vicious cycle, couldn't get enough sleep, needed large amounts of caffeine, couldn't get enough sleep!

I had my gastric sleeve last week on Tuesday. I was able to start back working on Friday. I was just a little bit sore but wearing the ab binder really helps especially if you’re dealing with children and you have to be down a little bit because without it on it hurts a lot have been down already back up to walking without any problems I do about 9000 steps a day. I don’t have any small children. I have teenagers but they’re just as bad as toddlers. I have to do stuff around the house. They help out a lot but at least for me. It was only a couple days after surgery that I feel like I was able to do enough, so take your time to listen to your own body we’re all gonna be different. My results are not usual and even my doctor thinks it’s crazy that I’m able to do the things I’m able to do.

you won't always have to sip. I can't remember how long I did that (I'm 9+ years out), but maybe a few weeks (?). At any rate, it's not forever.

Do you track (weigh and measure) everything you eat and drink? Are you following the plan set by your surgeon and dietician? Are you meeting your fluid (alcohol doesn’t count) and origin goal every day? Are you focussed on eating protein rich and nutrient dense foods? Yes, alcohol will slow your weight loss. Did your surgeon really say live your life? Did they mean alcohol? Did they know how much you drink? Did I drink alcohol while I was losing? Yes. I had a gin & tonic at around month 3 (nursed it for hours) and then a couple of single glasses over the next 6 or so months after that. This first 6 months to a year or so are a gift. You want to embrace this time to lose the majority of your weight. So yes, you will have to make some sacrifices but for these few months it’s so worth the lifetime of future benefits. Doesn’t mean you can’t go out and socialise. It just means you have to make best choices you can in whatever situation you’re in and put yourself first. The reset diet of returning to the liquid stage is an old wives tale. You’re not trying to reset your tummy but reset your head, your thinking. You can do this.

There would be no need to do nicotine testing if you don't smoke, vape, or use a patch or gum. I can't speak to all surgeons, but mine requires testing to see if you have sleep apnea before surgery. If you're already diagnosed with it, you just have to continue using the cpap machine before the surgery and for the first 6 weeks after.

Thank you for this post. It meant a lot to me. My bypass is scheduled for Aug 12, and I am on day three of my two-week liver cleanse. Your post just added to my excitement. Thanks again.

@MrsFitz Thank you! I was so so nervous as I had failed 4 times in a manual pre-covid, so it was definitely a long time in the making! I shall make sure to get one up asap! Hope you are having a great start to the week!

The ready made Fairlife shakes have been my main source of protein and I’m having to remind myself I’m just 2 weeks out because I’ve felt so good until yesterday. I have tried cottage cheese and that didn’t settle very well and I love cottage cheese. I’m not giving up on it. I’m just very impatient. I did try ribeye steak last night…..I grilled a small portion then ground it in my meat grinder which pretty much pulverized it and grilled potato slices until very soft. I was able to eat a small portion with enough for probably 2 meals. I had not thought about refried beans. I will definitely give those a try. It’s quite difficult to have small meals during the day due to working in a busy cardiology clinic. I have lost a total of 22 lbs since my pre-op visit which was 3 wks before my surgery but I started the liquid diet 1 month before surgery.

Mexican was my first restaurant after DS surgery. I was only twe and a half weeks out. I ate the beef and cheese from a taco and refried beans. I had enough beans left for 3 more meals at home. It was perfect!

Thank you @FifiLux, @ShoppGirland @Bypass2Freedom 🥰 I managed to shove a cotton bud up my nose (hate the sneezing and ‘scratchy’ feeling at the back of my throat 🤢) and I’m now clear of Covid - hurray! Hubby is still in its thrall though: headache, sick, generally feeling out of sorts. Amazing how it hits people differently 🤷‍♀️ 3lbs of my gain off this morning - thank you water weight! Just over 2lbs more to go and I will be back on track. This morning I went through my underwear and nightwear drawers and binned lots. All the too big and/or tatty items have gone. I do have some really nice things that I’ve not worn due to sizing so hopefully I will be wearing that at some point in the near future. I am enjoying getting on top of things once again as I think I really lost my way for quite a while. All down to a lack of interest in pretty much everything I think. No gym this week but hope to get back to it next week when hubby feels better. I have missed it and my knees are definitely stiffer for not going. I’m on with the circulation booster in the meantime, just to get the blood flowing in my lower legs. Can definitely feel a bit of the autumn chill now ☹️ I received an email from M&S saying it’s Christmas food stuff is now available to order and it feels quite strange not to be bothering with any of it because I don’t know where I will be on my WLS journey. All that stress, gone!! 🥳 Has anyone done the LRD over Christmas, just out of interest? As it stands, I’m not bothered if I have to do it then, be nice to have a festive season where I actually lose weight 😉

My surgery is in two days so I'm thinking WAY down the road but I'm curious - does anybody use a healthy meal delivery service like Hello Fresh, Hungryroot, etc? I'm a single mom of two with a demanding job and I wonder if it might make sense to use a service like this (eventually) to take the pressure off meal prep once or twice a week. In your opinion, are any of these services bariatric-friendly, specifically the keto plans?

Hi everyone 🩷 posting here as well as in the revision surgery forums in hopes to get a discussion going. I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, what surgery you ultimately went with for the revision, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I had gastric sleeve surgery and lost about a 100 lbs and kept it off for about 4 years but since having a baby about 2 years ago I’ve really been struggling with my weight again. Gastric sleeve to bypass seems to be the most popular route however I also see that some people have had other surgeries done such as a duodenal switch. Just curious as to how you and your doctor decide which surgery is best for you. TIA 🩷

Hello everyone, Yesterday, offically was my third week post surgery. I have been walking at least 2 miles M-F with my husband and feel I have my activity under control. I am working towards starting my strength training exercises. Really need to work on my Triceps and my thighs. I have lost about 20lbs post surgery date not sure if this is common loss or if others have lost more. I struggle with my pureed diet, I feel like I eat all day long. Takes about 2 hours to drink a protein smoothie in the morning, then worry about my H20 intake, then trying to get my meals in. According, to my Pureed stage, I am suppose to have a protein shake in the morning, then pureed lunch, then another protein shake for a snack a couple of hours later, the pureed for dinner. I feel as if I am eating all day. Takes so long to get through a smoothie with sips and pureed meals are 1/2 cup which is supposed to take about 30 minutes to eat. Am I doing something wrong? I have a Bariatician appointment next week hopefully will get some more information. Just want to make sure I dont stretch or doing anything adversely to my stomach pouch. Thank you in advance for any advice.

I'm supposed to get down to 111kg (244lbs) I started at 123KG (271lbs). I've currently lost 4kg (9lbs) since July 15th. My weight has been fluctuating between 118kg and 120 kg for about a week now. I think the other thing about the 12 week diet is I am an NHS patient so it's taxpayer funded and it's a teaching hospital so they are more strict on guidelines before surgeries but also I think they are trying new techniques. I was also asked is I wanted to take part in a trial about dental health on this new pre-op diet which requires everything from blood to a stool sample. I don't mind taking part except now the pretty Spanish periodontist knows I poop!