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That's not really an option. It's the NHS so it's just the one appointment through the Bariatric multidisciplinary team. Therapy is really hard to get and the waiting lists are long. Once you get an appointment, you get 12 sessions or about 1 a week for three months.

1/2 a three cheese quesadilla with a heaping tablespoon of sour cream (and a side of curious kitty!) 291calories ate it all!

My win for the week is that I’m finally getting back to the fitness level I was at before my 7-week break. I’m almost lifting as heavy as I was, my endurance is better, and overall I’m feeling really good about my progress. I’m trying not to focus too much on the number on the scale (still being mindful) but paying more attention to how my clothes fit, how I look, and how I feel health-wise.

During my bariatric journey and I'm only one year postop I have learned that I do not force food in if I'm not hungry. I just don't eat. hunger fluctuates during the month one week I'm ravenous, one week I can eat OK, one week I cannot eat it's just I don't force it, but I think it's different strokes for different folks. I have heard people go back to some Hardy bone broths which are always yummy during those times.

Yes non-scale victories (NSVs) are sometimes just as important than being a healthier you. The scale is not what you should be on every day. Choose one day a week and just keep track. It is about health and wellness, not just loss of weight.

My team said walking only until six weeks post op. But as SpartanMaker stated, always get the clearance from your surgical team.

I haven't had any issues with my sleeve. Out of the blue about a month ago I had what I thought was the flu, didn't throw up but had bad nausea and intestinal pain. Then I went to urgent care and they said I was dehydrated and gave me Zofran. I thought I was doing better. I was at work and had excruciating pain in the top right of my abdomen. And then it stopped. The next day I was so tired. Had brain fog. Could only eat soft bland food, lots of intestinal pain. I went to the ER 8 days ago and they said that I had a hiatal hernia and gave me more Zofran and bentl. And they just said to follow up with the gastroenterology department. They did a CT and found a teratoma on my ovary and my main dr said that that is what is making me so sick. I went to the gyn yesterday and he said no way this thing is making you so sick and said I should get a vaginal ultrasound which I can't get for three weeks. I had to apply for short term disability which isn't going to pay the bills. My main dr said to get in with the GI department and they sent in a referral. I don't live in the same city where I had my surgery. I'm wondering if anyone has had symptoms like this so far after surgery? If I eat or drink anything that is spicy or acidic or has a lot of fat or fiber it hurts so bad. My whole abdomen feels swollen. Even when I eat soft foods it hurts my whole abdomen. I'm fatigued, I have brain fog, I have a headache every day, it hurts to bend over to pick something up. I cry almost every day because I can't do anything and there are no answers. Maybe I should try to get into a bariatric practice here?

I'm preOP. After reading form the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Manual of Metabolic and Bariatric Surgery (December 2024) I am confused by the diet supplement recommendations there which are very different than those from my program which they say are from ASMBS (and of course different than the statements of the vitamin sellers). The SAGES Manual of Metabolic and Bariatric Surgery says 1 or 2 regular multivitamins, calcium citrate 1200-1500, 2000-3000 IU vitamin D, at least 18 mg of iron, at least 12 mg of B1, and 350-500 mcg B12. I talked to dietician from my program today and she admitted they recommend the bariatric vitamin to everyone to keep things simple and she said it helped with compliance. I kinda feel misled because. The bariatric vitamins are not cheap, and aside from the calcium, Kirkland or Equate multi-vitamins with iron, a B1, and B12 would meet the basic needs per the SAGES Manual. The price of those three pills for a year costs as much as one month of some of the bariatric specific multivitamin supplements (not including Calcium Citrate).

I have been on Zepbound since Feb 2024, I have lost an additional 72 lbs while on this drug. More weight loss than my gastric sleeve. I lost about 52 lbs from that. I am on a higher dose now but have been steadily on it for the past 3 months without upping the dosage. It is not a dramatic loss but steady and Im good with that since I was at a complete stall of weight loss after the sleeve

I think I hit a stall earlier than I was hoping. I was 109.6kg on the morning of surgery and went down to 103 a week later and I'm hovering there. It's just frustrating! I know the stall will break, but I'm constantly thirsty, still wearing compression socks and doing the blood thinner injections and not seeing any progress. I know it will fall off eventually, I just want to rant for a moment.

Could you please give us some more details Age, weight, weight lost in three months, activity levels and lastly foods eaten, the portion sizes or daily calories. Thanks

Thrilled to have lost enough weight that I can now avoid incontinence issues. Haven't had accident in over a week. A new life for sure. Sent from my SM-T580 using BariatricPal mobile app

I had a leak at 3 weeks post op and spent 2 weeks in the hospital with a drain and feeding tube. I am 7 months post op now and doing better but my stomach still doesn’t like hardly anything.

Thank you 🙏🏻 my gastroenterology appointment is in three weeks so I am going to start there and I look forward to figuring it out because it’s not fun I have talked to a few doctors on the scope of my PCP…. One has seen complications/odd symptoms in long term gastric bypass patients. When I say complications, I mean digestive complications because there are plenty of people who don’t have enough nutrient, etc., and have issues that are beyond that. I pretty much covered all of those in my first 10 years when I really didn’t know how to take care of myself from a nutrient standpoint and vitamins. I do think it could be a parasite, or potentially a combo of diverticulitis and acid reflux. Most of the potential diagnoses have weight loss associated with them, and that is definitely not the case unfortunately lol. Yes, I would love to press the fix me button, but I know I have to do the work on this

There is a thing called the three weeks stall, but if you do a search on here, you will see everybody basically has it and it can be like the second we grow the fourth week it’s not exactly 3 weeks like clockwork, but it is just your body kind of recalibrating I’m 99% sure that’s what’s happening

So we are at the middle of the week - how are we all doing? What is something that has gone well so far/or something that you are looking forward to? Anything you'd like to learn from/improve on? My week has been okay so far! I have a driving lesson and then I am getting my hair cut, which I am in desperate need of as my fringe is in my eyes 🤦‍♂️ I am trying to increase the amount I am eating, which is proving difficult, but I'll get there! I also start with a personal trainer tomorrow which I am excited about!

Weight loss calmed down this week - 1.5lbs. No complaints though after the losses of the week before 🙂 Feeling tired today. Visited family yesterday, 6 hours all together sat in a van and my knees are so unhappy with me. It was our first time to our son’s new home which is a longer drive than his previous place. Will try and be better prepared next time. At least we spent time with the grandkids, which is always wonderful. A NSV yesterday…I bought some (non-stretchy) 3/4 cropped jeans a couple of years ago for £5, telling my daughter-in-law that I would fit in to them eventually. I broke them out yesterday, took the tags off and they fit perfectly!! 🥳🥳 The only downside was that it was far too hot for denim but the point was made 🙃 However DIL recognised them yesterday and was really pleased for me. Hubby has been a bit weird lately. Don’t get me wrong, still as massively supportive as ever but the ‘you will probably leave me when you lose weight’ comments have popped out more than a couple of times. Why do blokes always use this?? I did remind him that I didn’t leave him when I lost weight previously so why would I now? Do they think we’re only with them because we’re too fat to bother looking elsewhere? Jeez, I haven’t got the energy for anyone new, never mind all the stuff you generally do at the beginning of a relationship like shaving my legs or wearing matching underwear 🙄 Anyway, physio for knees tomorrow and Bariatric support group at the hospital on Wednesday. Have remembered to dig out my food diary to complete this week, ready for the dietitians appointment next week. Have a slimmer week everyone, we deserve it 🥰 Onwards and downwards!

Two months?! No, my diet changes week to week. Second week after surgery, I started full liquids. Third week, pureed foods and things like soup, yogurt, pudding, applesauce. Later this week I can start with soft foods: eggs, white fish, mashed beans. The week after, I can try tuna, salmon, chicken, cooked veggies. The week after that, I can try beef and pork. Every doctor has different post-op directions.

Unfortunately you can stall many times while you are losing. Each time it is just as frustrating, They will break. I wonder if you are making too many changes and just need to stay your coarse for a while. Remember a stall occurs when your body needs to take reassess and take stock of your current needs in regards to metabolic rate, digestive hormones, etc. The weight loss and duet is quite stressful to your body and it too needs to take a time out, shut the door, and take a breath much like we need to do mentally in stressful times. Certainly getting your iron levels and any other deficiencies sorted is important. It may help as the deficiencies might be adding to the stress your body is under. All the best.

My surgery is April 8 as well. One more week.

Hi, my operation is on the 25th may, I started the liver reduction diet today and dreading it. My local NHS hospital has given me a very small list of food to have for 3 weeks and not a lot of information. I finished a weight loss injection last week because it wasn't agreeing with me so my appetite is coming back too 🤣 such bad timing haha. How did people's surgeries go recently?

I took 3 weeks off work after my arm lift/mommy makeover surgery. I felt like I would have good to go back after 2. Barring any complications, you should be totally fine at 8 weeks. Your scars will still be prominent, but easily covered by clothes.

So my update..... On Friday afternoon I sent my CT scan imaging and report from the week before to the professor who is giving me my second opinion on whether I needed further surgery. Within two hours he rang me to say that it is not a case that the clip should come out because it could impact my quality of life or a reaction but that it MUST come out asap as the area around it is infected and I have what is called a superinfection. It appears that one of the leaks from two years ago has not healed, it was just being held together by the clip and if the clip is removed the leak is there!! He wants to remove the clip and then put in a pigtail (coil tube thingy) into the hole so the stomach will heal around it and then the pigtail will either pass through in a few months or can be removed easily at a later date - this is what he did before to stop the other leak and it worked successfully. And just for clarification, his hospital are not the ones who fitted the clip, that was done by my original local hospital who did the sleeve surgery. Anyway it is a special machine that has to be brought on site to do the procedure so I will travel there (Belgium) at the weekend and have the procedure this day next week. I still don't feel great but the antibiotics are helping though I am struggling to eat (no interest) so have lost almost 3kg in the last two weeks.

How long was your stall. Sorry I know this post is old. But I’m in that slump now. Eating 1000-1200 calories. Drinking enough water. And getting my protein. Exercising. Still stay the same right now. Almost for 2 weeks now.

It's really hard to properly design a workout program remotely since a lot of the things I would normally recommend would require some instruction. I also have no idea what sort of equipment you have available. That said, I'll try my best. Workout Splits: You really need to hit all the major muscle groups at least twice a week and preferably three times. Currently you're not doing this since you're doing an upper/lower split and training twice a week. That means most of your muscles are only getting hit once a week which is not sufficient for growth. If you can only lift twice a week, each of those days needs to be a full body routine. If you want to continue doing upper/lower splits, you'd need to lift 4 days a week (2 upper & 2 lower). There are other ways to break up workouts such as a Full/Upper/Lower, but those are really considered to be more advanced techniques so not really needed at this point. Out of all the possible options, I'd probably suggest Full Body on Mon/Wed/Fri as the most sensible. You'll get the best hypertrophy from that as a newer lifter. Exercise Selection & Programming: I'm going to base my suggestions off the premise that you'll be doing a full body workout as suggested. I also mostly picked from the exercises you were already doing because there's nothing wrong with those exercises and I assume you already know how to do them. Day 1: Lat Pulldown -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Leg Press -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Chest Press -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Hip Thrust -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Bicep Curls -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Calf Raises -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Tricep Pulldowns -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Day 2: Upright Row (Cable or machine) -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Hack Squat (or Leg Press if not available) - 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Incline Chest Press (flat is also fine if this is not an option. I mostly picked this because it will hit the upper pecs a bit more, as well as pull in the shoulders) -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Smith Machine Elevated Reverse Lunge (if needed, Hip Thrusts will be fine as well but single leg work is great for a lot of reasons) -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Machine or Cable Fly -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Pallof Press (Cable or Bands) -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Kickbacks (Machine or Cable) -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Notes: Make sure you introduce this workout plan SLOWLY. For the first two weeks, only do exercises 1-4 on each day. It's also fine to do a bit lighter weight than what I listed for those first 2 weeks. Make sure you're warming up properly. One of the biggest mistakes newer lifters make is not understanding how to warm up for lifting. Do some light cardio for 5-10 minutes, then do some dynamic stretching. Also, before starting your work sets, do one set at ~20% of 1RM, one set at about 40%-50%, and then maybe another at about 55-60%. This means you'll end up doing five to six sets total for each exercise. I'd probably suggest 20-40-60% for the first 4 exercise, and 20-50% for the last 3 exercises. The numbers like 75% of 1RM mean to do the exercise at that percentage of your 1 rep maximum. In other words, you need to determine what the maximum amount you can lift is and then do the math to determine how much weight you should be lifting for that exercise. RIR means Reps In Reserve. If it says 1-2 RIR, the idea is you need to be going until you think you can only do 1 or 2 more without failing. This is important because we don't want to go all the way to failure most of the time. Doing so creates a lot of load on our central nervous system and makes recovery more challenging. You'll notice that I changed the # of reps, % of 1RM and RIR for the last few exercises. This is because these are what we call "accessory exercises" and are somewhat less important. I want you to focus on the first 4 exercises the most. I didn't prescribe rest intervals on purpose. Between sets, just take a few minutes to let your body recover. If you find you can't get through the next set, try resting longer next time. Because there are day 1 and day 2 exercises, but 3 days a week you'll be lifting, you need to simply alternate. This means week 1, you'd do Day 1 on Monday, Day 2 on Wednesday and Day 1 again on Friday. The next week, you'd do Day 2 on Monday & Friday and Day 1 on Wednesday. it's important that you continue to push yourself in terms of the weight you are doing. We call this progressive overload. If the exercises start to feel easier, you need to increase the weight. If you don't, you'll stop growing. Rest is CRITICAL, so I'd suggest skipping the Les Mills classes. I just don't think you can properly do the above exercises at the weight you should be doing them at, and then turn around and participate in a class like that. I'd expect you to be worn out after the above sessions, and if you're not, then you're not lifting heavy enough. Don't do this for more than ~3 months. At that point, you need to change things up again. No lifting program is perfect and all of them will have some areas that could be done better. Further, some people respond better to certain exercises and not others. This is why having a trainer is honestly the best way since they can judge how well you are responding to certain things . We change things every now and again to even out imbalances, as well as make sure you are not stagnating. If you just don't like any of the exercise selections, there are always alternatives because regardless of what social media may have led you to believe, there's no such thing as "the best" exercise for any specific body part. This means if you find that one of these just isn't working, or you just can't stand doing it, we can change it. If you do stop the Les Mills classes, you may need to up the cardio work. I'd ideally like to see a minimum of 3 hours a week (3 one hour sessions), though don't try to jump to that amount right away. It would also be good to mix up the type of cardio you're doing, While uphill walking on a treadmill is good for you, it's pretty one dimensional. I'm obviously a big fan of running, but if that's not something you want to do, maybe biking or the elliptical would be good choices? Rucking would also be something for you to look into as there are lots of benefits to getting outside the gym for at least some of your exercise hours. As you can see, I could probably go on for a lot longer here, but this is enough for now. Best of luck and let me know if you have questions.