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Some nights I definitely struggle. I have been pretty low on energy; I'm usually getting my protein and am taking all of my vitamins. I know that my goal of 64 oz a day of fluids has been flagging, though, honestly. I'm drinking a lot of Gatorade zero but plain water has not been tasting good, even filtered, unless it is REALLY cold. I mean, from a bottle in the fridge then poured over ice. I feel like it got harder as I moved into phase 3 of trying to eat more real food as opposed to drinking most of my meals. I do know that I was told to expect different back pain as I lost weight, and I feel like maybe the magnesium has activated my digestion so much that it sometimes keeps me awake? It isn't really pain, but more like gas pressure. Not sure if that part is SADI exclusive. Sorry I've been so silent lately, I have been skimming and still hope to respond to a few more posts.

It sounds like you've been on quite the journey, and your persistence through that plateau really paid off. It’s so inspiring to see how listening to your body and making those small adjustments with your diet made such a difference. It takes a lot of trust in the process and faith in yourself to try eating more when every instinct says otherwise, but it clearly worked out well for you! It's amazing to hear how your body is responding with more energy and the positive changes you’re seeing in your clothes and measurements. I’ve been going through a bit of a journey myself, having hit some frustrating moments and uncertainties with shifting to new foods post-surgery. Just like you, I’m learning to listen to my body and trust that it’ll tell me what it needs. I’m also focusing more on not letting anxiety get the best of me and staying patient with the process. Getting your steps in, adding weights, and having clear personal goals is such a strong way to take control of your health! I recently got a fitness watch, and I’m slowly working up to more focused routines too. It’s so satisfying seeing the numbers tick up and knowing you’re getting stronger day by day. I just switched to a split workout routine because I realized it fits better with what my body needs right now. The key seems to be finding what works for you, just like you've been doing. Also, it must feel fantastic to be buying clothes two sizes down! I'm excited for you—I remember not too long ago feeling that looseness in my own clothes and needing to size down. Those milestones are proof of all the hard work you’re putting in, even if the scale doesn’t always cooperate right away. It’s motivating to hear about your experience, and it’s a reminder that we’re not alone in this. Keep going, be gentle with yourself, and continue doing what feels right for you!

ok, so i did quick math on your macros and u are currently consuming less than 900 cals a day (i used the mid point of all your reported ranges). this calorie level (which doesn't take into account exercise) is weight loss level calories, unless you are like 4'10" tall. so its no wonder you are still losing weight. if you double your fats, you could reach up to 1300 a day, which is closer to maintenance level for some, but i suspect you'll need more based on your height and activity level. aside: i am a shrinking 5'2", and have been maintaining a range of 115-120 lbs for over 5 years at a calorie range of 1800-2300+ a day (it all depends on my activity level). currently, im on a (so far) 10-mnth long, high volume exercise kick so i average about 2100 these days. i weighed 116 this morning. further, as is my m.o., i dont eat alot of volume at once, but i eat often (i.e., im a card-carrying grazer lol)...otherwise i would not be able to reach my maintenance calorie level.

I remember gaining a pound or two and always just figured it was the time of day or whatever. You know one salty meal or a full bowel can make a two or three pound difference. To this day k weigh two or three pounds more in the afternoon than morning time. Your loss will not be a straight line downwards, but it will trend down. Everyone says it and I know firsthand how hard it is to listen because I didn’t but try to stay off the scale for a while in between because then you will see the real losses. After my sleeve surgery I would weight myself daily but i only recorded it one day of the week so I could better see the number decreasing. Even still it didn’t always go down so honestly if you’re self disciplined enough, weighing like once a month would probably save a ton of mental anguish.

YESSSSSSSSSSSSSSSSSSSSSSSSSS!!! I just snapped at my husband for asking what I wanted him to cook for dinner! How awful, especially since he picked up the LSD groceries I ordered yesterday. Thanks for the question, ShoppGirl, I wondered if it was because of the diet. I'm scared of what I'll be like when I start to lose weight and all that fat-stored estrogen starts being released into my system. Release the Kraken!!!

Sooo I am over 8.5 months post-op, and want to ask the veterans what their thoughts are on carbonation? I was a big diet soda and coffee drinker pre WLS and I knew I would never cut coffee out and I've had it since the second week post WLS with no issues, but carbonated drinks is a different story. My surgeon has encouraged me to eat anything and everything except for diet soda. He has been adamant that I don' take it up again. Another friend who's had WLS and has lost and maintained her weight loss and eats everything has told me that she occasionally drinks diet soda but only started having it 2 years post op and advised against it at this point for me. My brother who's been sleeved for almost 4 years drinks it and is the definition of slim. I really really like diet soda, and I only want to have a small glass once a weekish, is that so bad? My restriction is fierce so a little loosening up doesn't bother me much. What are your thoughts?

"So this is the first day of a 12 week liquid diet to lose 10% of my body weight before the surgery." Wow, 12 weeks is a long time on the liquid diet portion of the prep surgery step! Im glad mine was only a week or two. Sorry for your losses, I'm sure its very difficult. Good luck and congrats on getting your date moved up!

I am a baby in my journey 10months today actually, but I reached my goal weight at 6months and I creeped down a touch more for about another month. I have maintained +/- 3lbs for the past 3ish months. I track every single day (eating 1700-2000cal a day), I prioritize protein (hit 150-200g a day) although lately its more like 225g of protein and that is WAY too much my stomach hurts lol so I am adjusting, keeping fat low (under 90) keeping carbs under 200g. I lift heavy (3 days lower and 2 days) along with cardio (running, incline walks, stair master), then 1 day where I do 40min HIIT work out then 30min of cardio. I have 1 rest day. I meal prep every week so all my meals M-F from pre-workout snack down to my last snack before dinner is prepped and tracked. I know what's for dinner every day as I make sure to plan for those. All the food I make is now lower in fat, higher in protein and the family doesn't even notice! Weekends I "indulge" I still track but notice I do not eat as much those days. I eat protein ice cream using my Ninja Creami or sneak in a few bites of my hubby's Ben and Jerrys. I do eat chips, fries, lettuce wrapped burgers, fried chicken **gasp!!** very small amounts but I do not deprive myself. This is a LIFESTYLE change not a diet. So I wanna go buck wild and get back to where I was but I also don't want to be a bird and never enjoy all the yummy treats. MODERATION IS KEY!! Eat healthy 85-90% and stay active, you won't have any issues!

1. Female, 49, 163cm / 5ft 3in 2. None, put on about 5kg / 11lb 3. 120.20kg / 265lb 4 & 5. Don't recall as was in hospital still at that point but not much as they were pumping me full of nutrients 6. 92kg / 202lb 7. 72kg / 158lb Now one year and three weeks I am at 68.6kg / 151lb and just a few pounds away from my goal weight.

I think that it is hard not to measure ourselves against other people - but our bodies will ultimately decide the rate in which we lose weight. You have had an amazing loss so far, try to celebrate that and remember you are on the right track x

I am an overthinker too, so I totally get what you're saying and feeling. A few thing I've learned in this very short journey: 1. Your body will tell you when its done losing weight, don't fight it and don't work extra hard to lose either, follow your plan and whatever weight you lose you lose. If you work extra hard to shed pounds then it's not a sustainable plan for you and you will have to work extremely hard to maintain that loss, you want your lifestyle to be sustainable for you, some people understand that they can't cut out carbs and fat completely and they know the trade off would be a slightly higher stabilized weight and they are comfortable with that. Evaluate your priorities and lifestyle and what you can comfortably maintain. Also, if your body is not done losing weight, don't fight it, it's trying to reach its new set point. 2. If you're seriously working out, try to maintain a 250-300 calorie deficit only, this way your metabolism doesn't get affected by a whole lot and it allows you to lose fat but also perform in your workouts. 3. Balance and Moderation. I know this has been said to death but moderation is truly key. If you strongly feel like eating something, eat it in a portion that allows you to enjoy but stay on track. 100 calories from ice cream or from chicken breast are the same 100 calories, yes chicken will keep you fuller but ice cream is good for the soul lol! If you have a couple of hundred calories to spare, have something you enjoy AS LONG AS THAT'S NOT A SLIPPERY SLOPE. This is something I struggled with when I was overweight (the all or nothing mindset) but I am relearning how to eat and enjoy in smaller quantities and not eating for the sake of eating. 4. Having good habits will make up for slip ups. That means tracking, working out, being active, being mindful of portions and listening to your body (including adequate rest and sleep). If you do all that and end up eating a little more here and there, having a few bites of dessert/things that are not so good, it will absolutely not hinder your results. It is a mindset adjustment as much as it's a physical adjustment, if you have a strong mind, your body will follow suit. Cut the guilt, comparison to others and the overthinking. You absolutely got this!

That’s five pounds a week. That seems great to me!! Just stick to your plan and remember that you didn’t gain it overnight so it won’t come off that way either.

Congratulations on your loss and thank you for sharing your story thus far. I was 258 at my dr when I started my LSD 12 days ago and I was 244 on my home scale this morning with 4 days to go till surgery day although I think my scale is a few pounds below the dr so probably 11 pounds lost. Losing 30 pounds in 7 weeks post surgery is absolutely amazing!! I am so happy for you. I am a revision so I probably won’t be losing anywhere near that quickly after my revision but that’s okay. I didn’t gain it overnight either. As long as it does eventually comes off.. I will be thrilled. Okay, probably impatient at first, but eventually thrilled. I almost forgot about cold food. I am 3.5 years post sleeve so I am able to eat at a fairly normal speed again and I absolutely hated that too. Whenever I was home I would microwave it over and over and over…. And one of my biggest fears are the bathroom ones. My surgeon’s NP says that so far diarrhea bas been the biggest complaint with his SADI patients with one having it so bad that it interferes with work. For all of them they say it resolved at about three months. I am usually near a bathroom and can make sure of it for 3 months but I am really concerned about the smell. I already bought poo pouri 🤣 Getting past just using a public restroom to go number two is going to be a challenge for me. I can count the number of times I have had to do that on one hand I think. Having it be noisy and smelly is going to make it even more mortifying. Hopefully it will be a small price to pay, though. 🤞 I literally just got up and put my measuring tape in the pile I have started for the hospital so I will remember to take measurements the night before surgery. I seen it posted so many times before and never did it. Always wished I had remembered that and to do photos more often. Just like now I’m wishing I had started before the LSD. Thanks for the reminder. There is so much to remember with all of this. Even the second time around it’s an adjustment if you are like me and let old habits slip back. (Please don’t be like me, anyone, so you don’t gain it back) My sleeve portion is already done so they are not doing anything to my stomach. I can already eat a fairly normal sized portion so my issue shouldn’t be with getting food or liquids in a tiny pouch like most of you. It will more likely be that I will want more than my healing anastomosis will be able to handle so I will have to be very disciplined and eat the portions my dr sets for me. I am just hoping that I have some changes in my appetite still because this is gonna be like a really long pre op liquid diet for me that continues on throughout the purée and soft food stages if not. Aka not fun. You are so smart to only weigh once a week. I wasn’t that self disciplined to put the scale away. I did only record it once a week with my sleeve though so I could see the downward trend more easily and looking at that helped quite a bit when I felt like that scale wasn’t budging. Which reminds me I need to start logging my weight again. And such a good reminder not to compare myself to others. That is going to be especially hard as a revision. He did say it should be faster than a bypass revision though. So maybe on a tad slower than the rest of you here. I hope. Thank you again for sharing your experience. I hope to see updates of your continued progress and that the rest of us have as good of a handle on all of this as you seem to at 7 weeks post. Sounds like you are rocking this. Keep it up.

Aw, thanks for your comments @SleeveToBypass2023 😊 Isnt it odd how you see yourself in the mirror everyday, you buy clothes in (much) smaller sizes, you’re able to do things that you struggled with previously because of excess weight etc but it’s a simple comment that really hits you and makes you just stop? I wonder how long it takes for someone to just think of themselves as a thin person? I remember when I had lost weight previously, I saw a slim pair of legs reflected in a coffee shop window and thought to myself ‘ooh, I wish my legs were as slim as that’….it took a while for the penny to drop that actually they WERE my legs! I think it can take quite some time for our physical selves and mental selves to marry up 🤔

100% with you on fashion! And I don't know about in the UK, but in the US, so many of our department stores hide the women's plus section on the top floor, behind the children's department, next to the toilets. It's always the part of the store with not enough heat or A/C and clothing strewn everywhere because the workers never get back to that area to clean it up. Although, I'll caution you now that whatever size you happen to be in when you go shopping as you lose weight, that will be the size they are out of. I used to struggle to find a 2X in things and could only find XL. Now I'm looking for XL and there are only 2X. Like, where were all you 2Xs a year ago?

Congrats on passing your test My boobs look smaller (😭) but whilst I have gone down a couple of band sizes the cup size is still the same DD just doesn't look it, I think I am closer to a D but it depends on the bra. My bum is also smaller/flatter which isn't so bad. Today I was on a day off work so I went to the shops and got myself a couple of padded bras, never had to do that before but already they make me feel better. I know feel like my boobs are a bit of false advertising, like something out of a JP Gaultier advert. 😀 I have travel for work and vacations next month so trying to build up my wardrobe bit by bit. I put 1kg on during the week, no idea how but as I am still under the surgeons target weight I am not letting it bother me too much. The health system here covers some plastics post weight loss surgery and I hadn't thought it would be something I would be interested in but I think I will enquire about when I have my next surgeon appointment in January to see what areas they do the plastics on and what the requirements are.

My PCP has me recorded at 320 pounds 2 yrs ago at my highest weight ever. I saw her yesterday and she smiled and said well hello there tiny person. I laughed and said well I did lose half of me. She said you look like a small child. I wasn't sure if that was good or bad but I'll take it. LOL 🤔 Same here. I really like it. I hope you kept the pink hair.

Yesterday I bought my first “regular” sized clothes in many, many years! (Maybe since high school which would have been 35+ years ago…) I’ve been wearing smaller plus-sized clothes (yes, a range of sizes) that I’ve had in storage from previous weight loss but they are all beginning to get loose too. I’m hoping to make it through summer in them but it was thrilling to find some well-fitting fall items for work. I was shopping with some plus-sized friends who have been very supportive but I didn’t want to make a big deal of it in front of them. Fun to celebrate it here though!

Thank you! I think it is just something that us bigger boobied ladies are going to have to come to terms with 😢 Though I also haven't worn a padded bra in years and years, so I can imagine how strange that must be for you! Definitely don't let it bother you lovely, weight is always going to fluctuate and you are still clearly doing all the right things Oh wow that is amazing! I hope you get some of the answers you are seeking - I know it is definitely something I will look into a year or 2 post-op!

I didn’t have any issues getting my fluid goals right away and was drinking pretty big sips in the hospital with my sleeve. They said I just didn’t have as much swelling as many people do. They said to me just because you can do it doesn’t mean you should do it. You want to get used to slowing down and taking smaller sips because when it’s more solid food and it’s bites you will feel your restriction and one bite too many will be the difference between full and vomiting. And just so it doesn’t scare you I lost plenty of weight with my sleeve. It worked fine until I let the bad choices slip back in so don’t worry about that.

🤔 Definitely food for thought. You brought up some very good points. I just am leery of adding fruit and or veggies since I am extremely carb sensitive. Perhaps I'll slowly introduce a few more. Its just difficult to add something without removing protein since I'm restricted to 800 calories and fruit adds a lot more calories. Tbh, I don't know why I'm hung up on reaching my goal, perhaps its because I'm very goal-centric, if I don't reach my goal to me I'll feel as if I've failed, even when I haven't. I've always up until the last ten years weighed 105-108, so I felt 120 was reasonable for my small frame and height. Plus, I'm still classified as over weight! I am still heavy for my height. Lastly, I still have quite a bit of fat on my small frame (its not All just skin) so, if I'm being honest I do need to lose the rolls on my stomach and arms. I know the difference between skin excess and skin with fat. Perhaps 140 would be a better goal..I don't know. I do understand I'll never be what I was, but I feel perhaps it was the doctors and dietician's jobs to tell me 120 wouldn't work based on my starting BMI, my age etc, and explain reasonable surgical expectations - they didn't which is why I assumed it was obtainable. Thank you for giving me lots to think about, either way I still have 6 months before I am put on maintenance or my weight loss is set as I was told by the doctor. I appreciate your insights. Oh and no, I've never had a DEXA scan. I've never heard of it. Also, its about time that gymnast got off my back - no more freeloading!

It won't cure the arthritic knees and pain but it will help as you will have much less weight to be walking around with so less pressure on them. I have no cartilage in either knee and have been getting steroid injections and also hyaluronic to cushion the joints and they only last a while. Doctors told me I needed both knees replaced at a later date but I had to loose weight first and my knees need to thin down more (as I have bad lymphedema). I can already feel the difference now with the weight loss, I can walk further and faster without much pain. Whereas before I would not be able to sleep at night due to knee pain. I will get another round of injections in September before my holidays just to be on the safe side and will see what the ortho says about my knees (I don't think they have slimmed down enough yet) and I think my knees have a few more years in them.

Yeah €150 is expensive but I get a small contribution from work towards gym membership so I think I will try it out, plus if it is too cheap I may not turn up! I have a free introductory personal training session at the end of Sept (have to wait until I am back from holidays) and then if I like it I can start membership from Oct. and they include personal training in their price so that should help me. It is a small gym, only 10 people allowed at a time and no-one from my work is a member there which is a bonus as my boss is a member in the cheaper gym near me. I really just need to be shown the correct way to use the weights to try to tone up arms and legs but any tips from you @AmberFL would be great and much appreciated for at home use. I have 3lb and 6.5lb dumbells at home but no idea where I am on fitness scale, I would think medium - I do pilates and aqua aerobics (but not for August as everything in this country closes down for the month!) and walking but nothing high energy.

The distal gastric bypass can indeed lead to more significant weight loss since it bypasses a larger portion of the intestine, but it can also come with an increased risk of nutritional deficiencies and other complications. It's crucial to discuss all potential risks and benefits with your medical team and possibly connect with others who have had the procedure to hear about their experiences. Good luck with your decision, and make sure you get all the information you need to feel confident moving forward!

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all: