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I use my starting weight from before the pre-op diet. I was my highest when I started that, and my diet was only for 10 days, so I figured that was my beginning weight. I think my dietician uses that one, too. That puts me at 41 pounds lost as of today, and I'm thrilled. I'm with you on not having a particular weight I must reach. I don't even have a number in my head. (I did put a weight on my ticker here, but that was just for progress purposes) I think my goal is to see how much comes off and how I feel at that point. At my age, I'm looking to feel healthy, and that's my goal. I won't be a supermodel or wear a bikini! Lol. I think we are all doing wonderful, and I'm excited for each and every one of us!! ♥

I am 2.4 months post op and have lost only 39 lbs. I was wondering if this was normal amount of weight to lose at this point or if it should be more. I have been stuck between 198 and 200 for over 3 weeks now. I would like to know others experience on this topic.

@BlueParis I don't blame you for wanting some sun! We've finally had some nice weather here and it makes such a difference. We're in that little sliver of time where it's nice and not too hot. I know that in another few weeks I'm likely to be desperate for air-conditioning, but today I have the windows open and a light blanket on my lap and it's perfect. I hope you get better weather soon. I had a great opportunity on Wednesday night to join in on a Q&A session with Dr. Matthew Weiner. It was a small group, like four of us, and we just got to ask questions. I filled him in on my weight loss so far, including highest weight, how much I lost with diet changes, how much with the pre-op diet, and then the much slower weight loss since surgery. He told me that even though it seems slower, he thought I was pretty much on track. Apparently when you're calculating weight loss expectations for surgery, it's better to use your highest weight (especially if it's relatively recent, I think) because it's more realistic. So, for example, if I use 251lbs as my start, it suggests a final weight of 166. If I use 238 lbs (the weight I was on day one of the pre-op diet), it suggests 157 lbs, and if I use 223 (the day before surgery weight), it suggests 147 lbs. Dr. Weiner said 147 lbs is most likely not a realistic goal because I wasn't really, metabolically, a 223 lb person when I had surgery. I was a 251 lb person who had lost 28 lbs, and that distinction is important. Honestly, seeing this range of outcomes makes me feel better about where I'm at. I don't have a particular weight I "must" hit as a goal. I'm happy losing weight in a sustainable way and being healthier, whatever that ends up being. I just wanted to have a goal in my mind, and I was starting to worry I was not going to succeed because it's been so slow. But, even though I've barely lost anything since mid-April, I've still lost 50 lbs since last summer, and that should be something to celebrate!

I live in Arizona where we have two seasons: Christmas day and summer. My motivations had nothing to do with weather so my motivation to lose/maintain weight loss is unaffected by weather. After all these years I still recall vividly my life pre-op which is all the motivation I need. Good luck, Tek

You’ll get a range of answers about this simply because our needs are so different. Have a chat with your dietician & /or team to see what they recommend is best for you at your current stage, current weight, activity levels, height, age, etc. As a start see what a BMR (basal metabolic rate) calculator suggests you should be eating to maintain your current weight & activity & aim for fewer calories. Try this one https://www.thecalculatorsite.com/health/bmr-calculator.php Or this one https://www.bmi-calculator.net/bmr-calculator/ They’re not 100% accurate of course (it’s just statistical data) & you’ll notice differences in what they recommend based on what formula they use but it is an idea of what you may need.

I am pending revision to my sleeve and my dr said he does not do resleeves because of the high risk and occurrence of leaks and low weight loss. I am pending testing to see if I will be getting bypass or SADI. Not sure if that helps or if your doctor feels the same way but it may be a good thing to ask about.

I had someone ask me shortly after Gastric Bypass, why I opted for WLS when GLP 1 drugs are now available. For a couple different reasons. Ongoing expense was one. You have to take it foreverrrrr otherwise you regain all your lost weight back. Plus I didn't want to be one of those persons using it for weight loss when diabetics needed it way more. And some had trouble filling their prescription for months due to shortages. Maybe it is getting cheaper today as they are more available to everyone, not just diabetics. IDK. These new drugs haven't been around for long and research on long term use unknown. Health risks such as stomach paralysis/ blockages etc. seemed way more frightening to me than WLS. And heaven forbid I would have ended up with Ozempic face. 😬

I had gastric sleeve in Mexico in 2008. It was a good experience and I lost over 80 pounds in less than a year and reached my goal weight. My sleeve was wonderful and it was a good decision for me. I kept the weight off with ease until 2014 when I tore my right rotator cuff at work, was put on steroid treatments for almost a year until the insurance would allow surgery. While on steroids and following the first rotator cuff surgery, I tore the left rotator cuff in 2 places ( starting a powerwasher) which required an additional year of steroid treatments and more surgery. In the process or healing the left side, I tore the right rotator cuff again which caused more steroids and physical therapy and another surgery. In physical therapy they caused damage to the nerve in my left elbow which required the nerve in my elbow to be moved into the muscle. This was a very painful surgery and was difficult to overcome, hence more steroids, Gabapentin and pain meds for nerve pain. Needless to say, 2015 thru 2018 was difficult and I began to put on weight ten pounds here and there that I could not take off. No matter what I did, the weight sticks to my mid section and thighs. After trying for several years, I had just given up the battle. I had regained all of my weight by 2020 and am now able to eat just as much as always. I developed a cough in 2012 that my doctors said was asthma. Meds rarely help it. The heavier I get the worse it gets. I am starting to developed sleep apnea and rather than being put on a breathing machine at night, I am determined to get the weight off and then see where I am with sleeping issues. I contacted my doctor in Mexico and requested information on the sleeve revision and they also discussed the Bypass with me. I was accepted to have either one and due to an out of state job I am on at the time, I am tentatively scheduled for revision surgery in mid August. I have until the end of July to pay the difference and elect to have the bypass if that is what I choose to do. I am looking for information on both and looking for surgery buddies that may be having bypass or sleeve revision surgery in August that may want to share information or may have suggestions to help me decide which surgery to elect to have. My surgeon recommended the bypass or the min-bypass as the best option for me at my age and indicated that I would lose more weight with the bypass than the revision. I was recommended to visit this site to see others experiences and suggestions. Anyone out here have any information they want to share?

Liquid clears your stomach pouch in a matter of seconds after gastric bypass. I know this because on the morning after my surgery, I had to do a swallow test and l literally watched on the screen as my new little pouch filled with a swallow of liquid and immediately started dripping it into my small intestine. By the time I took the third swallow, the first one was no longer in my stomach pouch at all and the second one was mostly emptied, too. That's how it is supposed to be. "Stretching out" your stomach is 99% myth for two reasons. First, at the early stage, your stomach is swollen and stiff. You couldn't stretch it out if you tried, let alone with a mere few ounces of liquid. Second, as time goes on, it's supposed to stretch a bit to allow you to eat a healthy quantity of food because you can't live on 400 calories forever. If you stick to your recommended portion sizes, eating schedule, and fill up on healthy foods, it won't be an issue. I highly recommend watching Dr. Pilcher's video about stomach stretching if you're concerned. Bottom line, most people do not actually stretch their stomachs, they learn to eat around the size restriction by grazing all day and eating high calorie junk, and then blame their "stretched" stomach for their bad behavior when they gain back all the weight. At 8 weeks post-op, swelling has decreased and capacity is closer to what it's meant to be. Drinking 12 oz in 35 minutes is totally normal and healthy at this point. It means you are healing. Solid foods take longer to empty, so eating 3-4 oz per meal will feel very different than drinking 12 oz of water. At 3 months post-op, I can drink 32 oz of hot decaf tea in 30 minutes. I can eat 5-6oz yogurt/bean soup or only 2-3 oz of chicken breast in the same amount of time. It's a function of how much your stomach has to do before it can move along. My advice is to follow the instructions you were given with regard to your number of meals per day, quantity of food at each sitting, macros, etc. Stop when you feel fullness cues, but don't eat more just because you don't feel fullness cues, if that makes sense. You will never need more than 4 oz of chicken at a sitting, but you will likely be able to eat more than that in a year or two. Resist the temptation, and add non-starchy veg instead if you feel hungry. Build good habits now that you can stick to forever.

Hi everyone so many people are now taking Ozempic, some do weight loss surgery to lose weight etc. but now it is more common to use Ozempic, how do you guys feel about this issue and curious to hear some of your thoughts or personal opinions on this topic.

Hi everyone, do you have any alternatives or recipes that you enjoy, please be easy on me lol, just trying to learn how to cook and prepare things

Does anyone have preferences when it comes to summer or winter?, do you feel less or more motivated in a particular time or type of weather? does it impact aspects of your weight loss journeys??

Being able to sleep is one of the benefits of the surgery I really appreciated. I used to get about 5 hrs & if I got 6 it was a good night. Even had nights when I didn’t sleep at all. Began in my thirties when my job became more stressful & then I think it became a habit (like waking at the same time). I’d be up at 2am working. Was tried all the time. Now I average 8hrs. It’s fabulous. Initially I did sleep longer & yes I put it down to recovery, changes to my body (like the hormonal changes) & the weight loss too. I always think, if your body wants to sleep it must need it.

I had mine removed 2 years & 1 month after my sleeve. Could have been because of the weight loss, menopause, my high bilirubin levels or simply my past eating. Had a stone about 1cm diameter but it certainly made itself known. That pain is the worst! Never changed what I was eating after surgery. Was eating the same the day after it was removed. Some people struggle with fatty foods in the long term after (my aunt describes it as feeling liverish 🤷🏻‍♀️.) but of course I don’t eat a lot of fat so wouldn’t know if it sets it off. My sister-in-law doesn’t have any difficulties with foods post her gall removal. Probably a case of just how your body reacts. Only thing to watch for the first month or so (again depends upon you) is you may have more stomach acid & have issues with that. Your gall regulated the acid entering your tummy & without it you may have a more constant stream until things settle again. Eat small meals more regularly & try a PPI for a little while to reduce the acid. The excess acid can cause diarrhoea & some discomfort in an empty tummy. I had regular bouts of diarrhoea & I remember my surgeon saying to comeback if it persisted for more than a month. It didn’t but every few weeks I’ll get bout of it. Don’t really get cramps or any of the other usual diarrhoea warning signals just a bit of a grumbling & need to go.My sister-in-law is the same.

Stumbled on an Australian bariatric surgeon who recommended multiplying your starting weight by 0.7 to find the weight you may end up at. Again based on averages & they said their patients’ stats & not depended upon your surgery. Easy way to check versus searching for the online calculators if you’re interested.

Has anyone had their gallbladder removed after losing weight quickly? I just had mine removed after dealing with constant pain and gallstones. Any tips on what to eat? I had my gallbladder removed on Monday.

Thought I'd update this post because I just had the chance to attend a live Q&A session with Dr. Matthew Weiner. I talked to him about my weight loss so far and concerns about how slow my progress has felt post-op. He asked me about pre-op weight loss and what my highest weight had been, and explained that even though I was 223 going into surgery, I had started at 251 and lost 12 lbs from nutrition changes over 6 months, plus 16 lbs from the pre-op diet, so that all factors into the final weight loss expectations. He suggested in terms of what my final weight loss from the surgery might be that using the 251 starting weight could be more accurate, and that the pre-op diet weight loss would definitely help explain the slower weight loss post-op. Bottom line, I feel so much relief hearing this explanation from him and really appreciated him taking the time to ask so many questions to get to the answer! My surgeon really hasn't given me an estimate of what I should expect to lose, although I plan to ask at my 3-month appointment next week so I can compare.

Thanks all for your support, it's seems silly to write to you all as relative strangers, but apart from my partner I haven't disclosed my surgery to anyone so you folks are "my people" right now!. I'm slightly less cold this evening and had a blood test at lunch time ... (I'm not a doctor but I do work in the healthcare field and I'm actually at an EU medical conference here so got a collègue to write me a script for one). the results are through and, I am as I thought very anemic, so much so that I have an iron infusion booked for tomorrow ( Amen to the pan european health insurance system!!) . And @LisaCaryl you also hit the spot - I have low blood pressure too - but thats not that unusual for me - doctor I spoke to said I should try and rest up a bit and take things easy. (Sort of made me laugh because after full days of conf here I have zooms late evening with my US teams because of the time difference and also found out yesterday that I get back to Paris and then after one night have to go straight to the UK for a week for more meetings ... in my 3 months (90 days) since surgery I've had a total of 23 nights at home .... C'est la vie ) I have tomorrow and Friday to get through and then my partner is flying out for the weekend and we'll go to the islands where I hope I'll have more sun! I'll layer up the best I can and will deffo see if when I'm in the US I can get some more thermal wear just in case I'm still feeling chilly , @RonHall908 @Noelle74 I'm sure I'll find a Parisian way to rock a hunting style! Or I could just go for a classic Elisabeth II look The issue I have at the moment is work attire - I have to sort of dress "smart" and because I've lost weight so quickly in the last three months ( My three month "surgerversary" is tomorrow) I've gone from a european size 44 (US size 14 / UK 16 / Aus 18) to a european size 38 ( US size 8/UK 10/ Aus 12) I'm relying on wrap dresses and cardigans with tights that just aren't cutting it warmth wize. I have to upgrade my sheer tights to woollen ones and get some thermal t-shirts to wear under my dresses as per @Briss72 suggestion ( congrats at getting under 100kg @Briss72 and I'll for sure stock up on some handwarmers for my pockets). I have a free morning tomorrow after my infusion and will see what I can buy without spending too much money as I'm still loosing weight pretty in a pretty linear way and hope it will continue for another few months so don't want to spend much on temporary clothes! Here is my weight chart (in Kg) since surgery which I'm very happy with so far... and even with all the being cold and a bit miserable, I know this was the best choice for me and I'd do it all again in a heartbeat and regret not booking surgery earlier! The first drop from 95-91 was my presurgery diet and just after surgery my weight went up ... but it's being going down steady since - I'm just on the brink of having a normal BMI - green zone! Now that was a very long post! Once again, thanks for everyones support, and sorry for being a bit of a negative nancy from time to time!

Hey Warren, I'm presuming because they would only look at fixing the opening if they did feel it was contributing to the pain and other issues I'm having 'downstream'. This would not be a true revision in the sense of reducing the size of the pouch. My insurance company also only pays for 1 bariatric surgery in your 'lifetime'. They would only pass for the revision of opening if it were medically necessitated, and they would not consider 'failure to lose weight' or a 'weight regain' as medically necessary. My GI wanted me to talk to the bariatric surgeon who specializes in revisions. The surgeon does not think what is happening to me is 'dumping due to widened opening'. He said it doesn't sound like dumping to him and if that happened to everyone whose opening widened, everyone would be having "dumping" issues after a couple of years. He did point out that both the upper and lower GI I had done do not look at the inside of the pouch so if there is a hernia that is causing the on again/off again pain and on rare occasions bleeding (looks like coffee grounds), then the GI doctor would not know as they never 'scope' the pouch for a routine upper/lower GI. He also indicated that depending on the scope size a GI doctor uses, it doesn't go through every single space that we have (due to us having been um "modified"?) so it would take a doctor who uses an extra long scope. That last part I must confess I do not understand at all. He does have me scheduled right now for a laparoscopic investigatory procedure to take a look inside my pouch and see if there is scar tissue or a hernia that needs to be addressed. He also gave me prescription acid reflux meds and said if i got better after 'taking' them, I could cancel the procedure in 2 weeks. What he fails to understand and I've tried telling his office, I can go a month with no pain. Then I go back to back days in extreme pain. Have not been able to tie it to specific food, time of day I'm eating, etc. My right side starts with a stabby/cramping pain (closest I can compare if it feels like the pain I used to get when I ovulated or that 'stitch in your side' type feeling. It often goes downhill from there. I have tried to get it figured out now for 2 years but taking ANY medicine and 'not having an episode in the next 2 weeks' does NOT give me a definitive answer as I do not have this pain all the time, it is just enough to be frustrating and has lasted LONG enough to be concerning. The 'coffee ground' type bleeding that I have observed is one and off for the past 3 months (maybe it started a while ago but now I know what to 'look for'. I don't like going under anesthesia but I'm probably going to keep that procedure scheduled as I have no guarantee that ANY medicine given for the next 2 weeks has 'fixed' any issue. I wonder if anyone else has ever had their opening revised but not their pouch out of curiosity.

Hi there folks. I was sleeved back in September of 2023, so it's been 8 months. In 3 months, I have lost 3 pounds. This has had me in tears. I haven't been absolutely perfect, but I'm exercising 5 times a week and maintaining a significant calorie deficit (average 1400 cal at 330 pounds). For the last 6 weeks, my hands and feet have started getting cold, and I have been sweating excessively. I went to see my GP and we considered thyroid, which was a relief as it might explain the stalls AND the circulation. BUT the TSH test just came back within normal range. She's stressing that extreme weight loss can cause you to feel cold more often due to the loss of insulation, but my hands and feet are objectively cold (other people can feel it) so it doesn't seem this simple. Any ideas? If I'm back to steering my own healthcare on this, it is not a new thing for me, I'm just not sure where to start.

I think you hit a big nail on the head-- going back to first principles- the why? is not just a reminder of what brings you into this process, but a good question we should all ask ourselves periodically. I'm no expert on weight loss, but have a fair amount of experience with various "rehab" and group support programs--as time goes on (I'm only 11 months out from my surgery), my experience has been that you change (emotionally) and your perspective changes. It's been a constant for me to periodically reevaluate my commitment to all sorts of things and ask the very questions you posed. Healthy thinking!

I use NetDiary (track every day!) and I love it! I wear my apple watch everyday and I stay in competition with myself to see if how many times a week I close all 3 rings on the fitness. At work I walk every single work day for 30ish min on my lunch break. I do go to the gym as well to weight lift and a little more cardio. Not every day but about 3-4times a week. Take pictures! That is what encourages me, I have been documenting my journey and its amazing to look back at and see how far I have come. I weigh myself at least once a week, I am trying to stay away from the scale because I tend to beat myself up if I am up a lb in a day (WHICH CAN BE ANYTHING! late dinner, salt and not enough water) but I get flustered so I can't do that. Most importantly, What is your "why?" Why did you choose WLS? What or who is/are motivation?

If that medication is the one I am thinking of that includes Wellbutrin and one other drug it may be your culprit. I don’t have experience with the weight loss drug but I do know Wellbutrin by itself can be a very bad one to go off of too fast. I realize you weren’t prescribed it for depression but you say you have always been depressed so if it was actually treating your depression and your no longer taking it or your body is not absorbing it now it’s possible that your depression has worsened due to the dose of an antidepressant decreasing too quickly. I am not a doctor and not certain that’s how it works with the other drug involved but i do know I have been cautioned about needing to wean off of Wellbutrin slowly and not to ever stop it cold Turkey. Like others have mentioned it could also be post surgery blues plus you are going through a lot of changes between having to cope with things without food and the situations you are dealing with in life but if you don’t feel better I would reach out to the doctor who prescribed you the weight loss drug and/or your surgeon and see if that makes sense to them. Keep posting here and try journaling to get your feelings out. Perhaps consider talking to a therapist as well if you continue to feel this way. They will instantly expand your support network and they can help you work on some new coping strategies that don’t involve food.

Yes, and it was pancreatitis, diagnosed the day after the op (as it was due to surgical error I believe) before I even knew there was a problem. I had to stay in hospital after my op and ended up having to get my nutrients via IV (and then eventually a feeding tube but that was for a different reason). I also know of someone else who suffered pancreatitis following surgery recently, medical team are blaming her prior use of weight loss injection in the run up to the surgery but who knows! If your symptoms continue would you consider going to the ER to get readmitted and ask for tests again like contrast (liquid) CT to check for leak etc.?

I dont know what it is exactly. I work a lot and I study. I’m a nurse. I got into a fight with my mom and the guy I like isn’t interested in getting into a serious relationship. It’s a lot to deal with. I feel just lonely because I go through all of these new moments by myself, no one truly understands what this surgery has changed in my life. My body and the relationship I have with food is constantly transforming with time. I was using a weight loss drug that included an antidepressant, so I think it could be related. But I’ve always been depressed in my life, it’s just that I feel lonely going through all of these new changes. Losing weight isn’t easy, but people never really understand how much effort you have to put in, even if you have a tool like the surgery. I try to follow my diet as much as I can, but sometime let myself have some meals/snacks that I like. I’m stressed because I don’t know if I’m eating too much. My mind never shuts up, and it’s so exhausting. im just writing my thoughts, thank you for you answer