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I got pregnant with pcos, but that was way WAY before I ever thought about weight loss surgery, so I can't help you with any of your questions, really. I had so many losses that I had to do treatments to get pregnant with my daughter (got pregnant with my son naturally). Never was able to get pregnant again after my daughter, and I just recently had a total hysterectomy (including ovaries) now that I've lost all the weight I want to lose after my surgery, so I won't be having more babies. I second what @ShoppGirl said...posting on 1 or 2 existing pregnancy and pcos threads is definitely the way to go to hopefully get some answers.

BMI isn't always the best way to judge for people who've lost massive amounts of weight because even though we've lost muscle and bone mass in addition to fat, we still have more muscle and bone than "normies" who weigh about the same but were never obese. (we needed a lot of infrastructure to hold up all that weight!). The PA at my bariatric clinic said we often look 10+ lbs lighter than the scale would suggest, because of that extra muscle & bone (well, there's the extra skin, too - but skin doesn't weigh very much. I think I "lost" about 4 lbs after my skin surgery - but there's that, too, if you haven't had it removed). Your PCP evidently hasn't worked with a lot of massive weight loss patients....

I am here to add my vote for meal planning. I also have ADHD tendencies and I LOATHE food tracking. In the early days after surgery when I absolutely had to make sure I got in my protein and water, I managed to track by keeping a physical tracking notebook next to me at all times. I had to see the book to remember to do it. I stopped tracking around 5 months when I was consistently hitting my goals. Now that I am almost a year out, my weight loss has slowed (as expected) and I am finding it too easy to make poor choices if I don't plan ahead. I forced myself to actually track for a couple days and was shocked by how many calories I could eat and what I was choosing even when I "thought" I had been pretty reasonable. So, instead of tracking, which I am still terrible at, I've started meal planning and prepping ahead. For breakfast and lunch, I came up with a selection of maybe three or four choices I liked that have around 20g protein and entered them into my meal tracking app. For example, a spinach frittata for breakfast that I can slice into several servings, fruit cups that I make ahead for the week, single-serve packets of protein oatmeal or a protein bar for those days when I have to grab and go. For lunch, I make homemade chicken veg soup and also salad jars. I also like to make a batch of turkey chili to have on hand, which I store in single-serve containers. I also came up with a few snacks I like such as Greek yogurt with blueberries, or an apple with cheese. I also entered in my typical favorite 6 or 7 homemade dinners as recipes or meals in the app so I could easily add them to my day with one click. Before my shopping day, I try to plan my meals for the coming week. If I see my calories going too high or my protein not being enough, or whatever, on any given day, I can adjust accordingly. On a day that I eat oatmeal, I make sure my other choices are less carb heavy. If I have eggs for breakfast, I might plan to have a carb at dinner. I have the tab easy to get to on my computer, but printing it out each day would also work, as would entering each meal as a reminder in your phone's task list or calendar app. It is so much easier for me to look at my menu and follow it than it is for me to decide what to eat every day in the moment. It also means that if I can eat what I plan most of the time, I can have a restaurant meal or a dessert a few times a month without worrying about it or trying to track it. And since I tend to package up most of my make-ahead meals in single-serve containers, it's pretty easy to grab something to take along if I'm going to be out and don't want to have to hunt for food on the go and risk being off plan. The worst days for me are when everything in the house is an ingredient instead of a meal. That's exhausting and inevitably leads to snacking or poor choices. I find I need to set a regular day of the week for shopping when I can also have time to prep some items right away, before the food even goes in the fridge. I have the most success for the week when all my produce enters the fridge already washed, sliced, and portioned into fruit cups and salad jars, and when I can kick off a batch of chili in the slow cooker, a frittata in the oven, and a batch of taco meat to store for later in the week all at once. Freezing complete single-serve meals is another great strategy for those busy days when you might otherwise get off track. Like any habit, it takes a while to establish and may not be 100% perfect all the time, but I definitely find this helping me.

I can answer a couple of your questions. Yes, you will likely need to get your dentures re-fitted. I’m a nurse and have patients who have had large weight losses and they have needed to have this done. Protein shakes will depend highly on your taste. What tastes good to you now may change post op. I wouldn’t buy a large quantity of anything, Rather, just a single serving to try out post op. I personally really like the premier and fair life protein shakes, but others hate them. I took three weeks off work, but could have gone back after two. I really only needed someone there with me for the first couple days then would have been fine on my own. The sooner you get back to gentle activity, even just day to day care of yourself, the quicker you’ll recover.

Today is my 1 year anniversary since surgery! It has been a wild ride! I am so glad I decided to get the surgery done. I used to get winded just walking up the stairs from my basement. Now I walk between 2-3 miles per night. Next on the agenda, possible skin removal next year and both knee replacements (holding out as long as I can). I have had continuous weight loss, however, I have stalled somewhat but still had small losses during those stalls. Keep on track and use this tool to its full advantages! I have been of Blood Pressure meds since surgery. I may not need my cpap any longer, but I haven't done another sleep study. STATS: I have lost a total of 227.2 pounds: 17.25 inches around my chest 32.5 inches around my belly button 27.25 inches around my waist 6.25 inches around my neck 4.5 inches on bicep 10 inches around my upper thigh 4.25 inches on my calf HW: 469.8 PreOp: 450.6 (19.2 pounds lost) SW: 430.8 (39 pounds lost) CW: 242.6 (227.2 pounds lost)

"can already eat more than most people with a sleeve". Just because you can, doesn't mean you should. I'm never full on the quantity recommended by my bariatric clinics size/portion guidelines, but I still serve exactly what's on the plan. Could I technically eat more? Yes, but I need/want to lose the weight. There is nothing stating in science research people should eat until full. I prepare and eat 3/4 cup and walk away from eating more. Is part of your clinics program talking with dieticians and a psychologist to help with full vs. actual body nutritional need etc? Your impending sleeve will be the same. You can push the limits and be right back where you are. Start working now on sticking to measured/weighed portion control or you might find yourself right back at eating more than you should. Bariatric portion control is not a suggestion, but a requirement. If you want to become healthy and at your goal weight while maintaining it, its a lifetime of measuring what you eat and pushing away from the table - not eating until full. You will always have the ability to push the boundaries - take control of it now! 😁 Its a tough call and its great seeing you doing your due diligence researching and asking questions. Good luck on either your revision or your bypass! I'm sure you'll make the right decision for yourself.

Meowdy, friends! 😸 I had VSG on 11/22/23 (the day before Thanksgiving here in the USA 😂, almost 5 months ago), and I have not been a very fast loser. While some people may have dropped 20 lbs in each of the first two months post-op, I'm just at almost 40 lbs down since surgery. My Physician's Assistant (we don't meet with the surgeon at all post-op in our program) said I'm definitely a "slow loser" and am about 12 lbs higher than they'd expect me to be right now. Anyone else out there only losing about 1-2 lbs per week? Anyone who was in this situation and managed to kick things up a notch? And also, anyone who was a slow loser who eventually met their weight loss goal? I've always been awesome at getting in my water, protein, and vitamins each day. My program pretty much refuses to give us macro goals other than protein, but I know I'm generally under 100g of carbs daily (sometimes much less). Protein, I'm usually at 80g+. Calories, I float around 1000 per day. Water, I get a MINIMUM of 64oz. I took a week off of exercising (elliptical and weights) when I was sick with a cold, and I actually lost the most in that week, so I laid off the exercise for a bit, worried it was slowing me down. I'm going to start back up on it, just because it's a good habit to get back into. When I do the elliptical, it's usually pretty vigorous for 30 minutes, sweating profusely and burning ~400-500 calories. I put on some very loud heavy metal and take out all my frustrations on the machine 😅 I'm worried I'm going to be stuck at this weight and that I'm "wasting" this tool and opportunity, or that maybe I chose the wrong surgery. Granted, my current weight is way better than where I was before starting the pre-op diet, and my mobility and endurance are IMMENSELY better, and my IBS-D has basically disappeared (THANK THE LORDT), but it's still not where I'd like to end up. The PA told me that sleeve patients can lose for at least 18 months post-op, so hopefully it's just a slow-but-steady race for me. I guess I could just use some encouragement or advice or anecdotes from others who were slow but successful, or if someone sees something glaringly "wrong" with what I'm doing.

I will be honest. This is not making me feel okay, I have only been on this journey 6months and I didn't think this would happen this soon, I am weight lifting and my body composition is more muscular. I just am not ready to go up.

I was sleeved in 2017. Highest weight was 275. Lowest was 159. My 'settled' weight was around 165 and it was perfect. I gained weight after menopause and couldn't move it with resets or diets. I just had GSRe or Overstitch a few days ago, which is a noninvasive revision that allows you to keep your sleeve--- it's just tightened up again. The size of mine had expanded quite a bit. The restriction I have now mimics what I had immediately after my original wls. This might be an option for you too if you're not wanting to revise to bypass.

Ps. Ignore my ticket for now. I need to drag out passwords and all that to use my computer to update all that. The weight is correct but obviously I am preop and my goal weight that by Dr had for me before and now is 150’ I just put 180’ at my therapists suggestion because it was a more achievable goal I thought I could reach more easily and still be happy. Turns out I wasn’t happy enough but a story for another time.

Thank you everyone!! I am going to wait until next week because I will be 8 weeks out. NP says I’m good to do anything but weights now but I just feel like it may be more strenuous for me than she thinks. Maybe not but at least I will feel safer then so I can focus on the poses instead of whether I am hurting myself. I actually may even pull up some stuff on you tube or whatever and just watch now so maybe some of it will at least be a little familiar. I did order some cheap leggings on Amazon that had three In a pack for $29 and they were garbage. The material was not nice at all. I am sending them back. I will get one pair of nicer ones because I will need them to walk outside soon anyways. I figure I can get Navy and wear them with different tops. Right now I am nursing THREE blisters anyways. I had the one on the side of my foot for like 5 days now. Started small but I put a blister cushion on it and tried to keep doing my 5-7 miles for two more days and it just got bigger and bigger. Now it’s huge. Then I had the brilliant idea that I could just wear my slides and walk inside but apparently those squish my toes too close together because the second day of that I got little blisters on the inside of my pinky toes. My feet are probably like we had a lot of years of a really cushy job, what in the heck are you doing to us. It will be good to have something else to do to give my poor feet a break on between.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

When I was trying to slow my weight loss I was snacking 5 x a day. I felt like I was eating all day long. In time my meal sizes got a little larger though I still snack 3-4 x a day to get the calories in. Peanut paste, nuts, protein bar, string cheese, yoghurt. baked fava beans or chick peas, half an apple, small bunch of grapes, & my left over rolled oats, yoghurt & dried cranberry breakfast are all snack options. I’m a full fat milk & full fat salad dressing girl too. No low fat foods in my kitchen (in many cases it’s high sugar &/or high salt to compensate for the low fat). I wouldn’t get worried yet. Yes there is the bounce back many experience to keep in mind. Your remaining fat will resettle and changes your body shape & you’ll look less gaunt especially in the face. Much like we tell people while they’re losing not to worry about the number on the scales too much, the same is true now while things are stabilising. Though you say you look bony & too skinny how much of this is body dysmorphia & you’re not really seeing yourself? Are you too skinny or is it too skinny in comparison to how big you were before? Are you really seeing bones sticking out or just seeing some shadowing of bones or feeling bones which you’ve never seen or felt before or have forgotten? It takes time to really see yourself after weight loss. Our brains can really twist our thinking.

I too think that this will be a really good thing for you. In my program, their clinic's data shows that a sizeable portion of their sleeve patients needed revision after a few years. You're not alone -- the sleeve just isn't optimal for everyone. It's not a personal failure. Try your best to get that out of your head -- I know it's hard, I'm sure most of us here have a lifetime of blaming ourselves for our weight gain, 'failure' at prior weight loss attempts/diets, etc. For me, the side-effects of my RNY are part of what keeps me mentally on the right track. Part of my brain just reminds me "You didn't go through ______ to eff it up now for the few minutes you'll enjoy having downed an entire bag of chips. find a better way to get out of your funk." It sounds like you've done plenty of research these past months. Only you can decide if it's right for you -- which is an intimidating prospect for sure -- but your surgeon wouldn't be supporting you / suggesting it for you if he didn't think you'd do well with it. They're invested in your success, at the very least because it gives them better success rates to encourage future patients.

If it was the “easy way out” then people like me wouldn’t need revision surgeries. It’s just a tool and if you don’t do your part it doesn’t work so it’s certainly no magic wand. Don’t wait until your body is in worse shape. Your still young and with a little help you can change you life significantly. Aside from the fact that they are wrong scientifically and statistically, so what if it was the “easy way out.” Do these people bear their clothes against rocks or use brooms instead of vacuum cleaners? Do they believe that power tools are the easy way out and refuse to use them? The fact is housework still sucks and carpentry is hard regardless of whether you have the best tools or not. if you think of weight loss As a task like laundry, surgery would be the washing machine. If you only had one or two loads to do you could probably get it done by beating it on rocks and avoid the need for a special machine but when you are obese and have a lot more loads to do you need a washing machine to make it possible to get it all done. The surgery is just a tool. Just as you don’t wake up from surgery never having to do laundry again, you won’t be able to lye around and eat bon bons and just lose weight. If you don’t do your part for laundry your washing machine will just be a dusty machine in the corner and your laundry will pile up. And like me if you don't do your part with the surgery, you won’t lose what you should and the pounds will start to pack back on. Be kind to yourself. You have a very complex disease that requires medical intervention. An intervention that you deserve just as much as someone with heart disease needs medication or surgery. Don’t let the ignorance of others stop you from doing what is right for yourself and your life. You deserve all the help you can get to accomplish whatever goal you set out to do and anyone that says that they wouldn’t do the same thing is not really putting themselves in your shoes.

Like @GreenTealael, I agree finding a way of eating that is sustainable is key. If you choose to follow an eating style that is too restrictive or makes you feel like you’re missing out or can’t participate, it is destined to fail like any diet we tried to follow in the past. And same with whatever exercise you choose to incorporate. If you don ‘t enjoy the exercise, find it restricts or limits your lifestyle, you aren’t’ going to continue with it. Of course, over time you will find you make adjustments or swap out certain foods or activities as your way of eating or exercise routines evolve. You may explore other options, discover you can have a little of this or that occasionally, try a different activity, or you have lifestyle changes. Do I eat exactly like I did when I first stabilised? No. I can actually eat more but the modifications I’ve made are pretty close to how it was and it still works for me & allows me to maintain at the same weight. You have to be vigilant and keep working at it though. Complacency is a slippery slope. Don’t be afraid to seek support & help with therapy if you find yourself sliding back to habits and behaviours. We can’t always do all of this on our own. All the best.

Being that you're a night shift nurse, you're already burning a ton of calories. You should probably cut your workouts way back. If you want to still work out frequently, maybe try for 45 minutes 3 days per week. Definitely increase your fluids. Get plenty of sleep. Increase your calories to AT LEAST 1000 per day, because with what you're burning between work and working out, your body likely thinks it's in starvation mode and it's hanging on to everything it can. If you decrease the workouts a bit and increase the calories a bit and increase your sleep and fluids, you should be able to wake your body back up and start losing again. Also, what are your stats? What surgery did you have, what was your starting weight and bmi and what is it now? You lose more and faster when you're heavier. As you get closer to a healthier and "normal" weight and bmi, the weight comes off slower.

So today during a work meeting, one of my colleagues who I have known for many years turned and said to me, "you are annoyingly beautiful". I was genuinely taken aback by this, and just laughed and jokingly told her to shut up 😂 but I wanted to just think about why this shocked me so much. I always thought compliments like that were reserved for those people who were confident and effortlessly beautiful. I really am not used to receiving compliments, or really even being perceived, and I think this is something that a lot of people who struggle with their weight feel at some point. 280lbs me just wanted to be small and unseen, and not looked at for the wrong reason (very superficial, I know). And now I am being seen, I think, in a different light. It does feel weird. In most ways, it is really nice getting compliments like that, I feel really happy and it was genuinely sweet of her. In other ways, I feel a little bit of grief for the girl who I was a few short months ago, and how she didn't get told things like that. Either way, I do feel really happy about being told that, and weirdly a little tearful if I am honest! Anyway...happy Monday all! 😂

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

@AndreaJD your advice about the weight loss discussion with others is great! I’m definitely using that one and thank you!! Good luck on your surgery tomorrow, like you said, eyes on the prize! @Justarwaxx mine is on the 14th too!! Are you doing the Gastric Bypass as well? I’ve been told I’ll only be in the hospital 1 night… we shall see. Omg, my husband ate pizza for dinner… he was at least nice enough to eat it in another room, but still… i could almost kill for a piece. But again, eyes on the prize. I keep having to remind myself. 2 more days of this and then my life is changing. All our lives are changing for the better, which makes it worth it. You guys stay strong and good luck this week, I know a lot of us are on the roster this week. Be strong and positive vibes everyone!! I look forward to hearing from everyone after their surgery, keep us updated!!

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

My main concern is, with you being active and on liquids only for 3 months, at some point your body may think it's starving and hold on to everything. If you're active, you actually need more calories to lose weight. Make sure you're having things like protein shakes, bone broth, etc so at least your body is getting some of what it needs. Protein is REALLY important, so prioritize that. I absolutely wish you well!!

according to this internet calculator: https://www.calculator.net/bmr-calculator.html ** at your current height and weight, if you did nothing but stand still and breathe, you would burn 1,478 calories a day (i assumed you are are a 30 yr old female to fill in the blanks). so THEORTICALLY if all you did was merely EXIST, and you ate less than 1,478 calories a day you would be in a deficit and lose weight (how much weight exactly would depend on your activity level, your genetics, your health and metabolism speed). with that said, i'm with @catwoman7 in that i agree that 2100 cal a day for someone with your current weight and height may be more than maintenance level cals (i.e, you will GAIN weight), unless you are exercising at least 4-5 times a week. see screenshot from the above calculator's results below. ** p.s. as always, pls don't think that this calculator is the be all end all of truth, its just a guide based on AVERAGES. roughly 99% of people with your similar height and weight will fall above or below this number produced by this calculator.

my weight dropped down since. i guess this was just another slump

Hi everyone, how are y'all getting with your post op diets, exercise and wellbeing? Here's my experience so far after getting the Gastric Sleeve procedure on 13th June 2024... Immediately after surgery It was pretty rough for me, I woke up in a lot of pain, so much so that the nurses had to give me 30mg morphine for the pain. I was in a recovery room for the first 24 hours (standard procedure for the private hospital in the UK i went through) After the initial 24hrs I was moved back to my room where I felt a lot better. Even able to eat an ice pop and a small cup of tomato soup (sipping of course) and sipping water every 5-10 mins. Week 1-2 I quickly moved onto the liquids phase, in which I must have taken in around 2-300 cals per day through protein shakes and watery soups. I must admin this phase was the hardest for me, managing the pain meds as well as trying to drink as much liquids as I could in a day. It just so happened there was an international football (soccer) tournament on in Europe in my first 2 weeks' recovery so was engrossed in that! I also started walking 1 mile per day and upping that to almost 2 miles by the end of it. My weight loss was drastic in this phase but my word I was lethargic/got tired v easily and not up for doing much. Week 3-4 Puree stage - finally I felt I was able to get some proper food in me, and a few days after starting this phase, my weight slowed right down - the dreaded (but expected) 3 week plateau kicked in. I went around a week and a bit without any weight loss, despite me sticking to the recommended diet. I am not going to sugar coat this, it was a bit disappointing standing on those scales after a week, but I knew this would happen so meh I guess. Still walking 2 miles per day during this phase and now feeling I have a lot more energy. Week 5-6 Week 5 started with me starting to lose a pound every 2 days or so, so my body seems like it has adjusted to the inro of more foods for the 'soft foods' stage. I also started back at the gym doing some cardio work on top of my walks, and oh boy I have so much more energy for it! I am now around half way through week 6 and had my first appointment with my nutritionist and he is blown away by the progress I have made/am making. He gave me further chewing tips to make sure I am not overeating as I have been sick a couple of times when I've eaten too quickly and not realised I'm full/satisfied. He is now happy for me to start introducing more fibred meats and more complex foods, like a little pasta and a little bit of rice, to test the waters. Struggles so far: Reminding myself I have a new stomach not eating what family members are eating e.g. Sunday Dinner Eating too fast resulting in vomiting Extra attention from people who have noticed a loss in weight (47lbs and counting since pre-op liver diet). Since I've been overweight most of my adult life, I carried a lot of shame internally, so its in my nature not to talk about myself/get photos taken etc Wins so far Losing a lot of weight and all the benefits that go with it. Being more present with my family. Having the energy to do everything they want to do (I have a wife and 2 kids, girl 11, boy 7) Clothes! I have dropped from XXXL to XL already. Which was a surprise when I packed to go to a 5 day getaway with my fam in week 5 Mental health - the mental benefits come as such a relief. I no longer feel down about my weight (although I know I still have a ways to go) Confidence - generally just feel I can be more myself - hopefully some here will resonate with this. be great to hear of your journey so far, so let's have it folks, we're all in this together