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I'm sorry about the stalls. No matter how much we know they will happen, it doesn't make it any easier. I know in the past, the closer I got to my goal weight, the slower it would come off. @BlueParis this could be the case with you? How are things feeling... your body? Your clothes? My dietician told me that these things will continue to change even during stalls.

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.

Hi all! Sorry I've been in a whirlwind (I'm not sure thats how you say that in english...) of work for the last few days. The political situation in France is very unstable and unsettling right now and because I work with public funding it's been more than crazy. I'm in Canada but am having to unexpectingly having to fly back to France early later today ( was meant to be in the US next week) to be able to hit the floor running if **** hits the fan with the election results Sunday. That said... I am proud of myself because I put my foot down and will not work through the weekend. I'm going to a music festival in the loire valley instead and will dance and be merry. Happy belated birthday @LisaCaryl! I hope this next trip round the sun is a good one and that by the end of it you are where you want to be. @NickelChip I'm happy your holidays went well and applaud you making good choices when away from home. I've got to the point where I'm loosing very slowly ( 5 pounds in 6 weeks) and so am just trying to make the best choices I can without over thinking things. I've finally dropped to 67.5kg (148.8lbs) (BMI 23.9) and have accepted things are going to be slow from now on .... I have three weeks of hectic work left before I'm on holiday for 5 whole weeks before starting my new job in September. Once I'm on holiday I'm going to try and up my steps and focus on eating the best I can( and drinking less alcohol) and I'll see where that gets me. @RonHall908 Like every true Parisian I know .... I leave Paris 48 hours before the games start! I'll be away on holiday for 5 whole weeks with my partner. The longest holidays we have ever taken. The games are going to be hectic and access to a lot of areas in the city are restricted - most of the bridges are also closed ... so we're just leaving the city... like every sane person I know! That said... in France we get 5 weeks of paid holiday a year plus 1 extra week if we work over 35 hours a week (my case) plus 11 bank holidays plus basically unlimited paid sick leave plus like an extra day when you move houses, 3 days for a wedding, 3 days for the death of a parent, 2 weeks for the death of a child, 6 months full pay maternity, up to 5 days a year full pay for sick children under 14 etc etc etc ... so we only use holiday days for holidays so every summer ( office working ) Parisians tend to leave paris en masse for most of August - we all joke that the 15th of August Paris is empty every year ... so this isn't so specific to the olympics! I did go for a walk in Versailles not long ago and saw the prep for the horse racing ... it's going to look so so cool with the chateau as a backdrop!

Yes, I had sleeve 3.5 years before I started my journey to revision. It’s considered fairly “new” In the medical community but finally got endorsement by the ASMBS so it should become more prominent now but finding info on it as a standalone procedure was tough enough, nevermind as a revision. Like @Arabesque said I had a really difficult time making my decision between the SADI and bypass but i did finally land on the SADI and I am happy with it. This week at six weeks out I was down 40 pounds (including the weight I lost on my two week preop diet which was basically two shakes and a low carb dinner). With the sleeve I felt like I was on a diet. The reduction of the hunger hormone helped me to keep my portions small and get down to 167 (i’m 5’8”) but I was able to eat more than expected from day one. Not a lot more but enough that once the hunger came back and I was eating several times a day I was gaining from even healthy food. The fact that I felt like a failure for not reaching my goal and that I was gaining in spite of my best efforts discouraged me and bad habits started slipping in bit by bit but rather quickly I gained it all back plus some. Things that have been different with the SADI. For one, my level of commitment. I quit going to my follow up appointments at the Dr and stopped posting here when I regained a big chunk of weight post sleeve because I was so embarrassed and I never went to the in person support groups to begin with. After I started my journey to revision I began posting again and committed to doing the in person groups when they meet monthly. I also have made even more than the minimum required appointments with my team to acquire as much information as I can and I asked to do my follow ups more often which helps for now with my anxiety over healing but also will help to keep me accountable In the future. In terms of the surgery itself it seems to have made more metabolic changes for me. For one thing I was actually a salty snacker before my sleeve but post sleeve I craved sweets. I actually woke up from my sleeve surgery craving various desserts but with SADI I was craving Fish Tacos (a meal I never even enjoyed pre surgery) and I have been eating all kinds of stuff I had to force myself to eat pre surgery and I’m actually enjoying them. I mean not like pizza but still pretty good I am back to regular food now and I may have a sugar free popsicle once a week. Other than that I don’t really want sweets and my food cravings are very quiet and good choices are really good. In terms of motivation and energy I have a ton more. Part of that may be due to my exercising this time compared to the sleeve in which I didn’t do any. This time I started out a little shy of a month just walking to the end of my street and back and now I’m up to over 15k steps a day (sometimes 19k) and I’m getting ready to try YOGA at my community center (waiting for my 8 weeks post op just to be safe). I feel fantastic. It’s not just he honeymoon phase either. I actually wake up hours earlier eager to start my day and at night when I hit the bed I feel accomplished and I sleep so much better. Everyone I talked to said fat was okay with the SADI and carbs were the enemy but that has not been my experience. Maybe processed carbs are bad but in things like veggies, fruit and oats or brown rice are okay for me. I actually do lower fat because I had my gallbladder out so think almond milk and 2% cheeses or non fat yogurt (surprisingly not bad tasting though). In terms of carbs if I remember correctly she started me at. 60g and then increased me to 80 because of my activity. They did not resleeve my stomach so my return to food progressed a little slower than yours will if your getting re-sleeved though so that will not be the case this early out. You won’t be able to eat the volume of food that I do at this point. I can actually eat every 3 hours. Most times I’m already up but I have an alarm set for 8 and I wake up and have my proffee which I finish by 9 with my multi vitamin and then every three hours (12,3 and 6) I have a small meal with my three calcium chews. My last meal being a snack at 9pm and I take my magnesium and hair vitamins. I seriously have so much energy. I care so much about what I put into my body. I make everything from scratch and before it was all about convenience (hated to cook) and I won’t lie and say I love exercise but I want to do it. In fact I’m nursing three blisters now and they just weren’t healing with the continued training so I’m having to force myself to slow down today. It’s so weird. I haven’t exercised in over 20 years. I have avoided it at all costs!! I mean I had to make the decision to get started of course but the surgery gave me the energy to do it. Ooh, the recovery was a bit tougher for the SADI, well a lot for me but they took my gallbladder too. I was okay without pain meds once I finally was able to pass gas (like 7 times one morning) but I spent five days in hospital because I couldn’t pass gas and my pain was only managed on meds they wouldn’t send me home with. Once I got home I took half of one pill because my husband forgot to get the Tylenol and I had to wait for him to get it I the store but after that i managed without it. With my sleeve I work up and refused pain meds and was fine the next day. In fact i almost forgot I had surgery when I was out front and asked my husband to pass the basketball to me. So night and day difference in recovery but it wasn’t horrible. Just not expected. Anyways, I’m sure that once I get closer to goal I will be tempted by less desirable food choices and it won’t be as easy as it is now but I honestly do feel like it will be different this time. For one, I have more support but also, I am actually changing my entire lifestyle this time. I am even looking for organic and cleaner ingredients in my food instead of just processed junk that’s diet friendly. I feel great and I want to continue feeling this way for a long long time. That got kinda long, sorry. I really hope some of it helps.

So unfair isn’t it?? Does your LA offer anything health & fitness-wise? Ours has something called Better Living and offers free 12 week courses for such as keep fit, various diet programs etc. I had to do one of the slimming world nonsense things through them before I could be referred for WLS. My GP told me about it all so maybe your GP could point you in the right direction should there be something similar where you are?

@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!

Welcome @Gypsy_Life 👋👋👋 There are lots of lovely people on this forum, all with different experiences and at different stages of their WLS journey. I’m pre-op, waiting for my surgeons appointment next week. I’m in the UK and my NHS Trust is relatively new to offering the mini-bypass. How have you found it so far, with recovery etc? I’m interested in it but haven’t made my mind up until I speak to the surgeon. I hope your new surgery works well for you this time around 🤞

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.

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.

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!

Try not to be too discouraged at your "stalled weight loss." Your body has undergone a lot of change and just needs time to catch up and adjust. If you're following the recommendations, I'm guessing the stall will only be for a week or so. That was my experience. I am 7 weeks out from my RNY, and I had a "stall" as well, which lasted about 5 days. Since that point, I have had a pattern of staying the same weight or even increasing a pound or two for 3-4 days of the week, and then having a 2-3 pound per day drop for the other days in the week. As long as I am trending down, I don't care how I get there. Also, I'm curious about your not tolerating foods past soft. I had immediate trouble when I tried to advance to meats, and had testing done which revealed a surgical stricture. My body had reacted to the surgery site by closing down too much. I had an endoscopy with dilation and am doing better. I do still have to really focus when I eat to not eat too fast or too much. When my pouch gets too full, I get chest pain, which is just me feeling that stretch of the pouch. We all will experience differences in our bodies. I think it's really important that we all listen to our bodies and learn our new subtle signals in order to have success.

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?

Two weeks is the usual length of the pre surgery diet. But there are difference in what format the diet actually takes. Some are all liquid like yours (can be shakes or milk based drinks or other liquids) or two shake meals & one meal. Mine was keto. It, as @ShoppGirl said, can be influenced by your staring weight & how much weight they want you to lose to reduce the size of your liver before the surgery. It may be your general health status. It can also just be your surgeon’s preference. My two friends & I were each on a different pre surgery diet but all were two weeks long (2 of us had the same surgeon .) Each of us were in different places (health, weight) when we began.

I have also dealt with hives, even before I had the surgery. One day they just appeared. Long red welts on my abdomen and thighs. I went to an allergist, who couldn’t determine any cause for the hives. I was diagnosed with Chronic Idiopathic Urticaria (hives that have been there for longer than 2 weeks without apparent cause. After trying several medications alone, my doctor and I decided to try a “cocktail.” I was on 4 medications, but I only remember Ranitidine and Zyrtec. When the hives showed up again, we tried a couple of different combinations and finally landed on Doxepin and Benadryl. If I go a few days without the meds, the hives start itching again. During one stay in the hospital, the doctors gave me a topical cream called Sansa. It’s helpful.

So I am around 6 weeks post surgery I think! Seems like it has been so much longer! I have found that my restriction recently has been annoyingly high. I just have 0 interest in eating, and when I do take a bite it takes a while for me to get into it - I feel full quickly, which was something I wasn't struggling with a couple of weeks ago! I have started going back to the gym as of last week, and I am nervous but excited. Quickly realised my body is a lot weaker than it used to be 😅 I did 3 x 10 sets of squats and was walking like a cowboy for 4 days 🤣 I want to try swimming but I am nervous about wearing a swimming costume if I am honest, even though I can tell my clothes are bigger on me! Which is another thing...stuff just isn't fitting right! I was excited for this part, but I didn't think it would be annoying 😂 I can't wait to buy new stuff! Thanks for reading my useless waffle ❤️

Well I showed the NP (nurse practitioner) last week and she said she isn’t concerned yet because I still have swelling but the steri strip was still on it and it didn’t look as bad as it does now (to me at least). I have another appointment Monday so I will show her again. It is on my right side and that’s where I get pain when I get it. It’s not really bad pain it’s just not like the left side where I have no pain. So I really don’t know. I am hoping that maybe the stitches are just too tight and when they dissolve it may go back to normal.

Hi hi x The protien powder and premade are all approved. Low cals and less than 2g of sugar so that's good and also my protien soy milk is less than 2g sugar so it fits the criteria and since inputting all that I eat n drink on MFP, I am mindful but alil more guidance would be appreciated. On Sunday (first day of the week here) I'll try to get in touch and demand some attention from either surgical team or anyone!

@Onemealplan, that's a great question. I work from home, and my job is entirely sedentary, so I doubt that I will need three to four whole weeks off. But how do I know? I haven't done this before! My husband is having surgery on the 21st of August, so another big question is whether I'll be ready to be there for him after that. My surgery is on a Monday, and my plan is to take the first two weeks off (which will include my husband's surgery nine days after mine). Then I'll try to go back to work, but I may start with half-days if I need to. What are other people doing?

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.

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.

You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck!

@LisaCaryl glad to hear your knees are better. Just wanted to mention also that I’d wait to worry on your A1C until they test it again later. It’s an average of your blood sugars over about 3 months if I remember correctly so it’s very very possible it just hasn’t been long enough for it to start coming down. 🤷🏼‍♀️ and LOVE the quest chips! I like the ranch and the taco ones, just wish they weren’t ridiculously expensive. 😩 And I think we’re 4 mo today woohoo. @NickelChip hope you have a great time on vacay! @Noelle74 wishing you luck on the new job! Hope ev1 else is doing well, I’m on one of my longer stalls and it’s driving me nuts! Doing what I should, tracking food and started a little Pilates bar exercise . I know it’s normal but like ev1 always says it’s just sooooo frustrating. plus my 6’1” skinny hubby is losing weight (that he absolutely does not need to lose), eating about twice what I eat (that I cook) and still eating out at restaurants with clients at least 1-2 x week. 🙄 Ain’t life a b@#&h! I know life’s NOT fair, but I just want to whine a little and say once…… Totally NOT fair! 😂

Our stash is actually running quite low lol Normally those shelves are full. You should see our pantry and the 3 freezers we have. Mama don't play when it comes to being prepared. That's how we made it through every time I missed work because of a surgery.

I haven’t tried this yet but I just got another idea for a gadget that will come in very handy if it works like I think it will. A coffee mug warmer. For the broth and the cream soups for full liquid for sure. And maybe even the purée and soft stage since everything is supposed to be real moist. But At least for this soup stage because it just cools off so fast. The more I think about it this may not be as helpful for everyone with tiny tummies since you can only eat like 3 bites early out anyways. I am a little different since they didn’t operate on my stomach. Supposed to keep my portions small but I physically can eat more.

Well it’s always something. Our AC just went out and it’s 83 degrees already. Can’t even imagine tomorrow. 😩. My husband says he has to move stuff in the garage so they can get to everything and he can’t get it all tonight so he will call at 8am tomorrow and get someone out. I took a shower and used my leftover surgical soap on my belly so if I sweat and it soaks the steri strips at least it will not have bacteria in it. I have been reserving it for days before and after I will be out of the house and sweating like that so I still have a little left. I guess it could be worse, could’ve happened the first week while I was already miserable. I am gonna feel like a lazyu person when they come in and see my house too. It’s been two and a half weeks and I haven’t done much at all. I know they don’t really care but I always worry it will further the stereotype. I just assume they are judging when they see the overweight lady and think of course she is lazy. Ooh well between my stomach pain and the current temp I’m not moving from my two fans. 😂