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Yesterday, I had my final appointment before my surgery date. I finally started having doubts about the whole thing and I'm relieved. Having doubts probably doesn't sound like a good thing, but it finally gave me chance to unload everything that was on my mind to the doctor. I was able to tell him that maybe I wanted the bypass instead. I've been on other forums and people seem to be really against the sleeve because long term weight loss is less than with other surgeries. But he reassured me that due to my age, no comorbidities and the fact that I'm on target with my weight loss, he still thinks this is a good surgery for me and my goals. They last time I spoke to him, he told me I wasn't sticking to the diet, and then he told me "most people lose only 3-4kg pre-surgery anyway" So why was he worrying me when I ONLY lost 5kg? But I guess he was in a better mood because he was back from holiday? 😂 Next appointment is a phone appointment where I just tell him my weight. And then the surgery weigh in and bloods before the surgery. I'm so ready for this now.

196 lbs is reasonable. My original goal was 199, and they said that was completely do-able if I was compliant with the program. Most people do end up either "overweight" or "class 1 obese" (which is not very obese...) - only about 10-15% make it to a normal BMI (my surgeon said that - and the research I've read confirms that). I told them when I hit 170 that I wanted to try for 150, and they told me that that wasn't very realistic, that not many of their patients manage to get down that low, so don't knock myself out - but I did make it (in fact, I got down to the 130s for a while - which was way too thin for me), but I did have that bounce back in year 3 that most people have. It'd be great to lose 10 lbs, but I'm OK with where I ended up. Anyway, I'm glad the appt went so well for you! You're going to be so happy you made this decision!

Made 130g air fried octopus calamari. Consisted of instant pot cooked octopus, rolled in breading: nutritional yeast, potato starch, soy sauce, olive oil, and fiesta spice. Total calories: 226 calories. I ate about 3/4 of it.

How is everyone? I'm doing well here. My knee feels a lot better, although I'm not sure it's completely healed. I've finished my steroids. I'm praying it won't flare up again! Today was my weigh day and I was down 3 1/2 pounds this week. That's with no exercise and minimal movement, so happy about that. I hope you all are doing well!!!

So I had my 3 month post-op follow up yesterday (at 14 weeks out). It went... about as well as my cynical little heart expected? Maybe better? LOL My follow up was virtual, so I didn't have to go in to the hospital which is a plus. The dietician I saw today is mmmm... fifth I've spoken to in my program. I honestly would feel a little better if I could have the same dietician every time but I understand that can be hard to schedule. Plus it's still not the worst -- to be honest, I've only actively liked one of the dieticians and yesterday's I passively was ok with -- so at least it's better than the weirder three I've seen in between. Review of my meds, of my health conditions as per usual. Somehow there's always something being left off from last time -- or several last times. Like, yeah, still have diabetes. My numbers are obviously a lot better now in my latest bloodwork, but considering it was one of the comorbidities that got me approved for this program/surgery it would be swell if I didn't have to surprise my care team 4/5 times by informing them of my past diagnosis. Review of my eating habits. Fingers-rapped (gently) over a few things -- not getting enough fruits / veg with skin, not getting enough fibre in each my meals and snacks because it's mostly just in one or two meals. I mean, if my fibre intake is within the 25-35 per day range that they suggested, does it really frickin' matter if it's split up between 3 meals and two snacks? (Also, the fibre range wasn't brought up until yesterday -- it hasn't been mentioned to me at all by any of my care team, or in the pre-op and post-op guidelines and manuals they've distributed to date. The only actual numbers I've gotten from my care team has been about protein, everything else has just been "keep it low fat" and "keep it low carb" and "stay away from sugars" etc in mildly vague terms. I figured out my own daily goals and limits for everything else by taking the average of what I could find online / in books / through the forum) I asked specifically if my bloodwork reqs could be combined with the bloodwork my PCP wants since both of them want it every 3 months for mostly the same things, and I'd rather not take time off work for multiple blood tests -- or sacrifice my blood twice in a one-month period due to timing -- particularly because of the low iron. And considering they both get copies of each other's test results anyway (thanks Ontario Health Care!). But no, no, we can't do that. They can't put his name down in the 'send a copy to this physician' area right in the form. Because apparently even though my PCP is the one to referred me to my endocrinologist, she's the one who referred me to the program. So they send the results to her, and she's on a network with my PCP which is how he gets my results as well. But they can't directly ADD him. ((Can my PCP just ask for the tests that he wants to check but they don't? Nope, cause in order for it to be approved by insurance they look to make sure there are corresponding requisites. Can I have my PCP just add them to his requisition? No, because as the surgery providers they need the requisition under their name for Ontario insurance purposes, and there are certain tests that my PCP can't request 'without reason' and that reason seems to be that everyone wants to bill the government insurance plan for every test they can, and my iron will 'replenish' so it's fine. Nevermind that I've had anemia on and off for most of my life and know from personal experience that the more often I'm tested, the more slowly my iron is replenished.)) ((He was just a dietician. I shouldn't have bothered asking him. But the fact that he had an answer ready makes me feel like they get asked this a lot)) Other than that, it was ok. I've lost half the weight towards my goal weight. He reminded me to expect things to start slowing down. I nodded along even though I started a stall literally the day I hit my halfway score and even though my logic knew to expect and accept all this, my gut reaction was of course 'what have I done to eff this up???'. He was kind of crossing all his t's and dotting all his i's in terms of chiding me on dietary choices -- ie, every meal and snack being 50% protein, 25% non starchy veg, 25% complex carb. Suggested that I eat all these things that their own program handouts say not to start until between month 4 and 6, like nuts and seeds. I was ever so grateful for the internal consistencies. ((This happened with the last dietician at my 1 month -- which happened at my week 3. She was asking me why I hadn't been choosing to eat this or that, and I had to remind her that their handout and biweekly seminars both said not to until week 5-9)) All in all... I feel 'meh' about my follow up, but good about myself and good about my loss so far. And great about the salt & vinegar roasted edamame beans I just had as a snack even though it was lacking a vegetable and isn't 'high enough in fibre per serving'. In other news, I'm only day 7 into my second stall and have been fluctuation between calm acceptance and riotous panic that I'm messing up somehow even after nitpicking my diet and exercise with a fine tooth comb. My ADHD is saying I'm only working in one extreme or the other today/this week.

Oh yes, you never open a medication that is a capsule form. can’t belief they told you to do that. The outer shell is to protect your digestive system and to ensure the medication is absorbed slowly. People with sleeve usually don’t need to take as many supplements as those with a bypass, Sadi, etc. as sleevers don’t have as much of a malabsorption issue as they do. I had to take a multivitamin and vitamin D with K. That was it. I only took the D with K for about 3 or 4 months and stopped the multi at about 8 months. But I stress that was me and what my blood work showed I needed (or was lacking in) or in my case didn’t need. Some sleevers are also required to take calcium and iron. Does your blood work show you have existing needs i.e you are lacking in some vitamin? This would be a staring point as to what you may need even pre surgery. Then subsequent tests will show if you drop in anything. As to whether you can take tablets or need to have patches, chewables, liquid, or mouth spray versions is really up to what your surgeons requires and what you are able to tolerate. I could swallow capsules from about day 4 or 5. (Regular sized capsules not those giant horse sized ones 🙂). General advice: take your multi after you’ve eaten. They can cause nausea if taken on an empty tummy. If you have to take two or more multis as your dose, spread them out across the day. Try one in the morning and one in the evening. don’t take your calcium at the same time as your iron. Your body can’t absorb them at the same time. Try one in the morning & the other in the evening. don’t take your iron within an hour or so of consuming any caffeine if you’re allowed caffeine. Caffeine reduces your ability to absorb iron by more than 60%. Ensure you’re getting regular blood tests. My surgeon required once every three months before visits but my GP had me do one in between so I was having one every 1.5 months. That way if anything unexpected was happening, we knew about it quickly. All the best.

Im posting this here in case it helps someone else. These are the workout video creators I follow on YouTube. I am three months(ish) out from gastric sleeve surgery so I like to switch it up. Leslie Sansone-Walk Away the Pounds. She is the OG of walking videos. Her walks range from ten minutes to 45 minutes. The majority require no equipment and the ones that do have it as optional. I started with her immediately after surgery. Now to challenge myself, I do them in my pool for more resistance. The downside is she is EXTREMELY OVER THE TOP PEPPY so sometimes I've muted her and have followed along to my own music. https://www.youtube.com/channel/UCVl6ZdslZz2Zj-34bMJFPbg Burpee Girl-I just found her and I do at least two of her workouts a week. She can be modified for all levels. She has videos that are walking to Pilates to dumbbell work. Her music she uses is extremely upbeat and engaging. She also has active break segments in her videos so you get a chance to cool down in between rounds. She doesnt talk or explain the moves but there is a ten second preview of each exercise before you do it. Highly recommended if you're wanting to challenge yourself a bit more. I put her at an intermediate level. When I outgrew Leslie Sansone, I found Burpee Girl and love her content. https://www.youtube.com/c/BurpeeGirlLiss Billy Blanks-Tae Bo. AS a 90's girl, I remember doing this in gym class and sweating to death. He has his own YouTube channel with really good workouts. A lot of focus on kicking and punching, great for when I need to expend a lot of negative energy. https://www.youtube.com/channel/UCMGIp3jifsoufZv_y8_c1Qg Yoga with Kassandra- She is so soothing. I love her videos and do them on my off days to stretch. She's very calm and it makes you feel like you're in a yoga class. If you cant do a move, she recommends ways to do it so you can modify your practice. I am not a yoga person but the stretches help and she doesnt make it new agey.https://www.youtube.com/c/yogawithkassandra

@Mandalynne Welcome! I'm due for surgery the day before you - It's feeling really real now. And the August surgeries have started here. Looks like you have some good prep work done! As long as you are getting your protein, you shouldn't lose very much muscle (what my Dr. told me, because I also do weight resistance) - you'll be burning fat. The headaches should go away soon, and energy will return. Mine were a bear to get over. My LSD is 3 Fairlife shakes, with one meal of broccoli and 4 oz. of chicken breast. After 10 days, I'd kill for a V8 or pudding, haha. Let us know how everything's going!

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

Wow! This reminder is so helpful. I'm only 4 days PostOp and I am already overwhelmed with the thought of...getting up at 5AM, to get to gym and workout, be showered and ready to for work by 8AM at minimum 4 days a week... like OMG! But you are so right, having something you enjoy doing makes it less of a "chore". I really love yoga; I mean truly love it. I remember going to classes and having the ability to do poses that were "potentially questionable" for my size and thinking how much more amazing it would feel and benefit me to do the poses at a smaller size. This goal was and remains on my list of experiences I am looking forward to. I will say, remember @Bypass2Freedom it's about healthy movement so to me... any and everything counts.

the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version)

Okay. I am not new to the purée diet but I am new to the possibility of dumping. Everything on the list is no sugar that is specific but I am allowed puréed veggies so I thought I would be okay with a few bites of veggies with teriyaki. They have 6g of sugar per serving a glass of 1% milk has 12 g but of course one is natural and one is added. Well I guess the fact that it’s added sugar really does make a big difference because I had like 3 bites and waited to see how I reacted and my face started to feel warm. I don’t even know if that means dumping but it was enough to make me wait. I will start with lower added sugar and work my way up to be sure that I’m not going to dump. If I am going to dump on a tiny bit of added sugar I really hope it’s temporary. Then again I guess it will keep me in line.

Hello there and welcome! I was sleeved about 8 weeks ago now and I spent countless hours, days and months before surgery stressing about every little thing that I read and heard. Right up until surgery I was still hyperventilating! I totally understand how you feel right now. Now I'm on the other side I have to say there are some major challenges for me to deal with. I have been big my entire life and this is like a baptism by fire to me. What do I mean by that? Well I knew I had a food issue especially comfort eating but I didn't realise how bad it was until after my surgery. Head hunger is my biggest enemy I crave food a lot of times during my day. Interestingly enough I don't really crave junk food anymore because I have avoided that from the get go, I just miss the comfort of eating more if that makes sense. I did feel really drained and miserable months before surgery, I was so afraid of things going terribly wrong too, but I was Ok and it was worth it. I don't regret it and I am still early days. I have lost over2 and a half stone in that time and I am feeling much better than I was pre op. Now, you say you don't enjoy healthy food but what do you class a healthy? You will eventually be able to eat chicken, lean beef and pork mince, fish, cheese, yogurts, protein drinks, protein puddings and much more. You will also be surprised how much your tastes and cravings change post op, I know! I didn't believe it either! I make a healthy version of pizza with my own low calorie wholemeal base and low fat protein cheese with ham. It tastes better than the one I used to have before and it is a much healthier version. There's literally loads of ways you can alter your favourite foods to make them lower in calories and healthier too. Get on Pinterest and tiktok there's so much content out there for bariatric surgery patients. The main thing I should tell you with absolute certainty is that the sleeve is a tool not a quick fix. You really need to be fully prepared for the changes it will bring. You will need to put in the hard head work and explore a healthier way of life, Be willing to try healthier food and you may learn to like it. You will not be able to eat unhealthy food and get all the nutrients you need from your diet. If you are certain this is what you want to do then you need to research. you said you don't like healthy food but you also said you don't know how to eat healthy. This is where your research will come in. I noticed you said that you can't find the discipline but when you have a smaller tummy you physically can't eat as much, you will be in a lot of pain and then you will throw up! I wish you all the best on your journey, it's a hell of a ride! x

Hi everyone. I'm a bit of a complicated outlier, as my duodenal switch will be a modified duodenal switch with Demeester adjustment. I'm getting a duodenal switch for biliary diversion ( bile reflux). And I have a herniated stomach, so it will need a hernia repair. This means my stomach will not be reduced, but it will be restored in terms of hernia. And the new bile limb will only be around a 100 to a 150cm down. Enough to prevent bile from flowing into my stomach, but less malabsorption and weight loss issues. The issue is, that my stomach gas gastroptosis ( which means it is very elongated and stretched down towards my pelvis) this means it is quite painful and traumatic when vomiting occurs. I have read so many horror stories about vomiting post op or even within the first 3 to 6 months. I'm wondering, does that mainly occur due to reduction of the stomach? Or is it an unavoidable cause of the new limbs being created. I'm terrified of obstructions, ileus and other nasty complications.

i started drinking carbonated water (i.e., perrier) around 1-2 months post op and haven't stopped since...it does make me burpy (always had), but i kinda like it lol. alot of the time the burps give me relief from pressure or fullness i often feel. i started drinking coke zero regularly again around 2-3 years post op. again no issue (that i am aware of at least). i probably drink at least one glass of coke zero a day. sometimes more, sometimes less, depends on where i am, what im doing, its availability, etc... but i mean if you dont need to drink diet drinks in particular, and you've gone long without and and can stay away, with minimal angst, i'd suggest just keep staying away, especially if u can do it with little effort. there are lots of studies out there that artificial sweeteners may not be the greatest for you so may as well keep staying away if u can. just plain carbonated water probably has less to worry about health-wise, tho.

Oh my gracious. I remember there were a lot of issues with the earlier meshes they used for various surgeries years ago which must be what you’re experiencing. Let’s hope it’s an easy remedy. PS - the second lap smear was still inconclusive. It didn’t pick up cervical cells at all so still no idea. So decided after a conversation with the surgeon on Tuesday to progress with a hysterectomy just in case and also if it is nothing untoward it likely will still continue to grow & then may cause issues in the future. Surgery is in three weeks Monday. Have a few events so I put it off until after them.

Your weight is up likely from all the fluids from the IV. The gas can take a good week to leave your body. But the more you walk, the faster it dissipates. The pain will go away and the bloating will, too. The only thing that really helps is the walking and a heating pad.

Tested positive for COVID on Saturday morning. I suppose it explains why I’ve been feeling like I was coming down with something all week plus why my joints felt so painful. I just put that down to being back at the gym 🤷‍♀️ It will also account for why my liver function test was off too. It always amazes me how the LFT can show something amiss before I’m even aware of it. So, the weekend was a complete bust - no anniversary dinner, feeling like I’ve been run over and just general yak. Dealing with an out of hours NHS service has tried my patience to the nth degree this weekend. Due to having a suppressed immune system, I’m supposed to be given antiviral medication if I contract COVID. Huh, it’s Monday and I still don’t have it. Many phone calls all asking the same set of questions (and giving the self same answers) being discharged from the OOH Dr via text, twice, for no apparent reason, waiting for calls that never happened, receiving other phone calls at almost midnight on Saturday, blah blah blah. Thankfully I was able to get through to my GP surgery at 8am this morning (a complete fluke) and explain the situation. They will find out what needs to be done and get back to me. Honestly, sometimes the NHS is brilliant and other times it’s just dire. Health eating? LOL…do you know when you read about the effects of an illness and it says ‘loss of appetite’? Ha, Ha, Ha, I’m the complete opposite, every single time 🙄 I’m not fretting about it right now as I’m more concerned over getting the COVID stuff sorted out. Hey, at least I didn’t have any alcohol on Sunday so that won’t interfere with my levels for when I do manage to get my bloods done again. Obviously I can’t have them done until I test negative. I’ll test again on Wednesday and see how things are. My anniversary dress did actually fit, so that’s a positive! I wouldn’t have been able to wear it on Sunday though as it’s so cold and rainy here now. Hubby has rebooked dinner for 2 weeks time. I don’t think it will be warm enough to wear the dress though but It’s not the end of the world On the plus side, I will have it altered professionally once the weight comes off post-WLS as I really do like the dress and would like to keep it. Missing my gym time, obviously , but it was nice to go back. Muscle memory definitely kicked in which helped enormously. It also gave my mental health a boost so it was win/win for me. I don’t know if my case was discussed in the MDT meeting last Friday or not. They will let me know at some point I’m sure. I will focus on getting any gains off once I start to feel a bit better. My hairdresser put some layers in my hair in order to give it a bit of body and movement. It’s just a shame that i haven’t actually bothered stying it as yet! I’ve just been washing it and leaving it to dry naturally. It looks OK anyway 🤷‍♀️ That’s me for now. Have a great week everyone 😍 Onwards and Downwards!

Hmmmm this is great to think about! 1. Coach my daughters or sons basketball team or any sports teams (I signed up as my daughters basketball coach for the winter, I missed the window for my son since he's in Junior High and I was too scared to do that when I was 300lbs) 2. Finish my bachelors and get a job in my field (got the B.S now need the job lol) 3. Get into fitness and health (its amazing how much my body has transformed with taking up fitness) 4. Buy a pair of REALLY expensive jeans when I am done losing weight!!! (right now I wear Old Navy, A&e on clearance but I want a pair of really nice perfectly fitted jeans, just once in my life!) I know there is lots more but this is the tip of iceberg!

Had my dietitian appointment this morning and it went really well 🥳 I’m a healthy fat person, which was good to hear. All my tests have come back good, no issues with diabetes, high cholesterol, heart disease etc. We had a really good talk, told her about this forum and the ongoing support everyone receives, showed her my two food diaries - one pre-watching what I eat and one for now. She was very happy to read both, laughed at some of my comments regarding how I was feeling when I was eating, and congratulated me on the changes I have already made. She asked if I had a surgery in mind and why. I explained that I felt that a bypass would be more beneficial for me due to not feeling full, snacking etc, and she agreed. Thankfully she has no issues with me, and was happy to refer me to the surgeon, which was such a relief to hear. Honestly, I felt quite apprehensive and anxious this morning (thanks menopause 🤨) and was definitely snappy with hubby. I went in on my own as I didn’t want him to know what my weight was/is - does anyone else keep their weight secret from their other half? I know it’s just shame that makes me not want to tell him 😕 The dietitian thinks a reasonable target post-surgery for me is around 14stones (196lbs) but reckons I will sail past that as I am fully onboard with it all. I’m glad that she hasn’t given me an unrealistic expectation and I do feel it’s fully achievable. We discussed lowest adult weight plus weights my body had ‘stuck’ at previously. She also went through the post-surgery diet - will be 6 weeks on the purée diet due to having a bypass, and gave me the info for that. She also explained about the bounce back once the body has reached its lowest weight and that it did not signal a failure. Next steps: appointment with the surgeon, which should be September (eek, next month!!) After I’ve seen the surgeon it’s then the MDT weekly meeting for everyone to agree that I’m OK to go ahead. As long as they agree, I will get my surgery date which is looking to be either Jan or Feb next year. She’s put that I would like to see the surgeon ASAP and will take a cancellation for both his appointment and also for surgery as long as I have one day to get ready for the 3 week liver reduction diet. She warned me that I could be on the LRD over Christmas but I’ve said that it’s fine, I’m truly not bothered in the slightest. I asked about going away next September and she said everything will be done and settled down by then but not to buy holiday clothes until the last minute! Just to wait for the next stage now. I’m certainly glad I lost some weight pre-appointment though as the weight the Dr gave and the weight I was actually was a 5kg difference, and not in my favour 😮 I’m still 7kgs lower than the wrong weight given and it’s the initial referral weight they go off so I could coast now if I wanted to (but I won’t ) A relief all round!

Thanks! I'm definitely focusing on protein! I'm going to see how it goes until my follow up appointment in two weeks and discuss with the doctor.

Working out real hunger from these hunger is a major learning for us all. Takes time though to work out which is which. Unfortunately you won’t get proper or true signals about hunger, fullness, etc. until you are fully healed (about 6-8 weeks) cause all of the nerves that were cut during surgery. As someone arise who really ‘ate’ two meals a day in the beginning, I too had that dizziness or wooziness, ensure up you have something before you do anything active. It will help ward if possible hypoglycemia episodes too. You may find too that your blood pressure drops which will make you dizzy, woozie or light headed, doughy in the head, find your vision narrows (lasts a couple of seconds) or at worst you may faint. Try adding an electrolyte powder to your water or take an electrolyte drink with you when you’re more active. It will give you a boost. I found it very helpful. For most people none of these things last once you are eating more regularly, eating a wider range of nutrients and are eating a little more. I’ve always had a tendency to low BP and had random episodes of hypoglycemia. Since surgery they’re more frequent. (The low BP is an every day thing now.)

there aren't any calories in Coke Zero, so it shouldn't make you gain weight, but carbonated beverages can irritate some people's stomachs (which is why surgeons don't allow them the first few weeks or months post op - and some surgeons "ban" them for life). I drank Diet Coke occasionally before surgery, but then didn't have any for at least three years post-op. I tried one once while I was at an airport and after a sip or two, I dumped it out. It tasted like chemicals (which basically, it is...). After all that time away from it, it tasted awful. So that was that - haven't had one since. I do drink flavored carbonated water a few times a week now. I still can't drink things that are highly carbonated because after nine years out, carbonation can still irritate my stomach. I can handle mildly carbonated drinks, though. But then again, if faced with a beverage that's too carbonated for me, I just let it sit there for a while until it flattens out enough for my stomach to tolerate it.

I am a huge fan of these new meds because: they work and it’s moving the research of obesity forward instead of continuing to moralizing it. For our population, it’s not clear whether or not this a life long commitment because there are no current trials for this. https://onlinelibrary.wiley.com/doi/full/10.1155/2022/6820377 (section 2.9. Potential Roles of GLP-1 RA on Prevention of Perioperative and Postoperative Complications of Bariatric Surgical Individual) https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30157-3/abstract GRAVITAS Trial from 2016-2018

It always amazes me how doctors will dismiss reported health concerns attributing it all to being obese! When it could be something else entirely! I'm glad you're finally getting the healthcare you need! If there is one thing I've learned over the years and having been in the hospital for weeks - the bitchy squeaky wheel gets the attention. I watched myself and others who were "easy going" patients get ignored and over looked all the while "complainers" get the medical attention they needed. Needless to say, I'm no longer quiet or complacent about my healthcare needs or others after having experienced and watched neglect.