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Thank you,i hope your husband is well. I can only imagine that being the caregiver that this hasn’t been easy on your bariatric journey either. Just being post op is pretty time consuming in itself (or at least it has been for me) and any big life curveball you throw in I assume makes for a pretty crazy schedule which make healthy choices that much harder. I know for me that I don’t need much of an excuse to be tempted to eat off plan so having no time to plan ahead makes the little obese voice in my head say it’s not your fault your too busy right now it’s okay to stop and have fast food just this once. But then this once turns out to be more and more often. That’s how I got to be obese was listening to that little voice too often. Luckily I did have a solid three months to get into some pretty good habits and I have really been trying to stick to them the majority of the time. I have a whole bag of healthy protein snacks that I just keep with me all the time in the car (I rotate them out so don’t stay there too long) since you rarely know when you start out what your day will end up bringing with these doctors. Or at least that’s how it has been for me. You start thinking it’s just one appointment at 8:30 am and don’t get home until late at night because you don’t even get seen until 10:30 and then they want two other things which you have to wait around to be squeezed in for those as well. I hate paying For and stoping for water so I bring a cooler with bottled water and protein shakes everyday since my surgery in case I get stuck out and don’t have time to eat on plan but now I also have my big bag of non refrigerated protein snacks with me as well. I can’t say it’s made me be 100% perfect but I’ve done far better than if I had to keep stopping on the road for sure. My favorite on the go snack is chomps pepperoni flavored turkey jerky right now. I do half a stick of that with a mozzarella string cheese or a baby bell light. Just 85 calories for 11 grams of protein and they are actually tasty. Them and the quest protein chips are my favorite go to options. Sometimes that’s lunch and then I end up eating what would’ve been lunch as a snack a few hours after dinner to get all my protein for the day since I need 90g.

No, no difference, however, it is important to remember that everyone loses at their own rate & there is no right or wrong rate. So many get very anxious that they’re not losing enough or fast enough. It’s not a race and every pound is a win. I always say celebrate every pound you lose. You’ll discover there is a lot of variation in the pre surgery diet @RuizAyres but we always say it’s best to follow your plan and not someone else's. I know my surgeon gave different patients different plans based on their health status, current weight, etc. it could be three shakes a day or two shakes & one protein plus vegetables meal a day. It could be no shake but milk like @summerseeker. The 3 or 2 shake plans tend to be the most common. He put me in keto for the two weeks prior. There’ll be slight variations in the post surgical plan too. Also, not sure your age, I was almost 54 when I had my surgery and there are people here who were in their 60s and 70s so you’ll be fine. There was a thread a little while ago called 50 and over I think. You could search for it as you might find it interesting. Found it:

While I absolutely do not agree that it’s likely you will GAiN weight on 800 calories, 800 Calories can be a pretty good amount of food depending on what you eat. for example this is 757 calories and it’s 100 g of protein. breakfast: Caramel “Proffee” made from a premiere protein caramel shake with iced coffee mixed in. (It’s really good and filling with the protein btw). lunch: three eggs omelette with 2% cheese (1 ounce) and tomatoes and onion (1/2 cup). dinner: grilled chicken breast (3 ounce) and zucchini and onion (1/2 cup). snack: oikos triple zero yogurt I use the Baritastic app and I always have the same breakfast but then before I have lunch I plug in my plan and an idea for dinner to make certain it’s okay macro wise. I do pay some attention to calories but protein, added sugars and fat are more important. I also pay attention to my carbs because on some days my exercise is higher and I actually need to increase them a bit. If your dietician is not asking about your activity and your food choices and inky giving you a cookie cutter plan without real guidance I would be asking more questions. These plans need to be tailored to you specifically. if you are having a difficult time finding foods you like that meet the criteria you are definitely not alone. I had to do a ton of research and trial and error with recipes to find a couple weeks worth of meals that I enjoy and I was doing 900ish calories. I scoured the web and found low calorie recipes and also ways to cut calories from things I knew I enjoyed. Basically type “healthy” in front of anything you like and you should find ways to make a more bariatric friendly version. Some days you may need to reduce calories further by having two shakes or egg whites instead to budget for a higher calorie dinner. I don’t love to cook so I make double batches of things and freeze them in individual portions. this has been my lifesaver. For the 800 calories you may have to do a lot of lower calorie lean meat and veggie type dinners unless you cut calories during lunch. For instance instead of 3 eggs you could do five 5 whites and you could even omit the cheese if you need to cut calories further. i would imagine you could still lose on a little higher calorie budget and you have more flexibility in your menu but it may not be as fast as you would like. Either way, check out Baritastic (or another calorie tracking app). It’s very helpful to see exactly what’s in different food and to play around with these meal ideas on an app because you can add and delete and adjust the measurements to figure out how to make things work to fit your plan.

It's been 5 years since my gastric bypass. Have done fairly well in staying in my safe zone. My goal weight was 170 initially although mentally I wanted to put 150. After starting at almost 400 lbs, I wanted to see if I could even hit 170 which I did. For 2 days about 2 years ago I briefly 'dipped' down to 167! LOL. Fast forward to 9 months ago, I hit a rough patch and went up to 180'ish. I knew some folks going to a local place that compounded their own semiglutide if I understood them correctly. After asking repeated questions about whether taking this would disrupt the supply to diabetics who needed the medicine, I decided to try it. I was never one of those fortunate ones who after bariatic surgery lost the desire to eat (grehlin?). Even though I obviously had the 'restriction' kicking in due to the pouch size, I had to white-knuckle SOMETIMES during the first 6 months. Part of me feels like I cheated by introducing semiglutide but there are also people who think that weight loss surgery is the 'easy way out'. I can tell you that none of those people, in my opinion, have ever had the surgery. I actually really like the semiglutide, it removes the..trying to think of it as I saw on someone else's post, it is the first thing that has ever removed the mental 'food chatter' in my head. Sometimes I will skip weeks on the injections and I'm already making plans to taper off now that I'm down to 163. I realize I will need to be able to then try to maintain in my new 'safety zone of watching for a weight gain of more than 5 to 10 lbs over current weight. I like to nip those things in the bud. Just curious if anyone else post weight loss surgery (by years) has brought semiglutide into the picture whether to break up a stall, or to get weight gain that has started to creep up halted.

I never look at the scale at home. The only time I get weighed is at a doctor's and periodically, at my gym, where they use one of those impedance machines that distinguishes fat, muscle and skeletal mass. Instead of worrying, just stick to whatever program you are following---my appetite was severely diminished after surgery, I had one instance of the foamies early on, and I learned pretty quickly that eating the wrong food or too much to fast led to gastro-distress. I don't know how much exercise you are getting. That has been a big factor for me. I work with a trainer, and it isn't just building muscle, but a lot of attention was paid to balance-- Learning how to breathe is something I'm still working on- sounds stupid but makes a huge difference in your stamina. Walk. A lot. I wasn't a food junkie but like to eat. I'm now constrained, but the trade-offs are worth it. Give it time. If you are persistent and consistent, you will be rewarded--- I slug down a 30 G protein drink, work out, hit another 30 G protein drink, a light lunch, a dinner primarily of protein and veggies. There's a certain amount of positive reinforcement that comes from success. But you should not measure your success by the scale or any other external measure. Overall, I feel better, am far more ambulatory and that alone allows me to capitalize on the surgery--and that's where the self-reinforcement comes in. I would have been out of breath after a couple of blocks walk. Now, I can go miles and feel good while doing it.

Gastric Sleeve Surgery is October 28. I've waited over 25 years for this. Finally doing something for myself. Self pay and by myself. (My husband is supportive but is a junk food/fast food junkie and "can't" change that. He's 5'11" 180 lbs. Eats enormous amounts of food daily. It's not always easy to watch. (Like the two huge plates at my son's wedding, two cupcakes, and doughnuts." I'm forced to use a restroom at work that is through the kitchen, constantly heavy ladened with junk food and snacks. Yet here I go. Started the process April 11, 2024 at 314 pounds. HW: 350 SW: 314 CW: 262.8 GW: 120 Surgeon requires a 14 day liquid diet. 4 protein shakes a day. 64 oz of water or other liquid (broth, SF popsicles or jello, etc). Haven't had food since Monday and the days of hunger pains have been the same amount of days. I'm tired. My son's "wife & kids" aren't speaking to me. The wedding was a lot of mutual acquaintances staring and whispering without speaking to me. My husband and I sat alone with everyone else as far away as they could get from us. His one childhood friend got drunk and was belligerent towards me. I felt so alone. Kept it together and got out as soon as I could, without eating. Took today off because I'm just struggling to get through the day until surgery. No one knows it's coming up except work, because they have to know. I feel so alone in this. And just want to be past the hard stuff and eat again.

First, congratulations on your surgery. No, it’s not uncommon to start having doubts, worries, be a bit emotional about things. This is a big thing. Something you have never gone edits so and have absolutely nothing to base these new experiences and emotional reactions you’re having upon. With a sleeve, about 75% of your tummy is removed. This differs person to person & depends upon the size of your tummy. Larger tummy, more is removed. I actually got an internal photo of my tummy being removed (it’s not framed up on my wall 😄). It is impossible for you to regain if you’re following your plan and the volume of food/calories you’re consuming. A very common occurrence, which almost every one experiences, is called the three week stall. Around the three week mark (could be earlier or later than then) your weight loss will stall. It may last from 1-3 weeks. It’s very normal & just your body taking a moment to adjust to the changes and reassess your new needs (metabolic rate, digestive hormones, etc.). You will start losing again. Because there is no hard and fast rule as to your rate of loss, surgeons don’t tend to set weight loss goals - interim or final. There are just lots of averages around how much you may lose and how long it may take. Your surgeon may have spoken to you about how much weight you may lose by a certain time but it’s no guarantee of what will happen but just an idea of what might happen. They may ask how much you’d like to lose and then advise if it is possible or not. Whether it is possible or not is based on stats (averages). Don’t worry about not meeting your fluid or protein goals in the first weeks. It’s not easy in the beginning. As long as you’re making an effort and aren’t too far off. You’ll notice you get closer and closer and some days will be easier & others will be a real struggle. A quarter cup of food seems like nothing to begin but is again not unusual. My advice was 1/4 - 1/3 cup from purée to about a cup at 6 months. If you’re struggling eating soft food you may need to go back a stage for a few days & that ‘s okay. Sometimes we’re ( our tummies) just aren’t ready & healed enough yet to tolerate the more & more dense food as you progress to each new stage. Often weeks 3 & 4 are purées and then soft foods in weeks 5 & 6 but plans do differ. Trust me, it does get better and easier in time.

Try G. Huges...2 or none I can't remember carbs, no added sugars ..5 calories. I use it for marinating.. Or just to add flavor. I haven't had a sauce from this brand I don't like. My favorites are the teriyaki and the chili Thai dipping sauce! You can find them at Walmart...but you have to be quick they sell out fast! I add them to everything for flavor. They make: Teriyaki Bbq sauces Shrimp sauce Ketchup Thai Dipping sauce Yum yum sauce (chick filet sauce) and a lot more!

Thank you Mrs Fitz .Arabesque - mine is vaginal too ! had hysterectomy years ago and started spotting blood just lately .GP looked and doesn't know what it is so being fast tracked for poss vaginal cancer - so like you ! the wait is unbearable isn't it ? x

So prior to surgery I tasked myself with writing a letter to the "future me". I wrote this letter and then sealed it up so that I could open it 6 months post-op and reflect. I thought I'd share it with you all to give some inspo, and just because I value being open about my journey with you all ❤️ I wrote this letter on the 20th December 2023, with my surgery scheduled for the 14th May 2024. Some of this letter may be triggering for others (mentions of sexual assault/abuse), so please don't read on if you aren't able to. I also highly recommend for people to do the same pre-surgery. Reading this letter has been really cathartic for me, especially at a time where my weight loss is slowing down a little. So, here it is, my letter to myself: To me, I hope that you have found your own form of genuine happiness. To try and picture how life is for you now is impossible. I'm currently at work, my back is in pain, I am overly conscious of my body - my stomach and chin in particular. I hope that you aren't worrying about any of those things anymore. Remember feeling so painfully aware of your body, about how nothing quite fits you anymore? I pray life is better for you now. I want you to have a whole new quality of life. No more holding yourself back. Say yes to things that scare you. Go on a paddle boat. Go to go-ape. Do something terrifying. I hope that your mental wounds are beginning to heal. All those times you were cheated on and mentally & physically abused by your ex because of your weight. You didn't deserve that. Not one bit. Your worth is not, and never was, defined by how much you weigh. Please don't get stuck on the numbers. I know this has probably been one of the hardest experiences for you, and I know you have probably had to re-learn everything, but you deserve this. You are so, so deserving. Reflect back on the past: Nan calling you 'podgy' in a top you was excited to wear when you was 13, but you never wore it again after that. Growing fast and being bigger than most people in school. Always yo-yoing from diet to diet. None of it worked. Punishing yourself didn't work. But now look at what you have achieved. YOU did this. No one else. Be proud. I hope, more than anything else, that you have finally found out who you are. That girl inside, behind all the weight, waiting for freedom. I can't wait to meet her x

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

Reporting todays WIN 8/14/24...went to macys and the size 16 jeans are fitting well some are kind of big! It's been a LONG A$$ time since I've seen a size 16 from being in the size 20 somethings lol. I said today I would go to the mall and shop to see my actual size. I still do not want to buy a lot of cloths only month 4 and dropping fast!!

Hello everyone. My name is Tom and I have been a lurker for years. I had my surgery 11-22-22 at 471lbs. I weigh 214, for the moment, as I continue to lose. What a powerful tool this has proven to be! I am so blessed and thankful I couldn't possibly articulate it. With that being said, I feel I could help anyone that needs it just based on my own research for years into nutrition, fasting, and the many diet plans out there. I would be happy to give my own anecdotal experiences as well through losing the 255 lbs so far. But the point of this post is for me to lean on some of the vets of duodenal switch. I am approaching maintenance phase in around 35-40 more lbs. Does anyone do low carb in maintenance? If so what does that look like? Am I right to assume for us keto is out correct? The fat would be an issue or maybe someone has tried it? My concern when asking about low carb, for me specifically, I have protected my pouch size. I can still barely eat a few ounces of meat or whatever. I could, and may consider, actively stretching it a little when I get to maintenance, but as of right now I am not sure I could sustain on just meat once I am down to maintenance. I have Bilateral knee surgeries coming starting in Jan. I have lost all this weight in the recliner due to health issues. I am lifting, once I hit 300lbs weight, hard 4 days a week. But 0 steps for the most part. That's important because my exercise will skyrocket once I am healed from the surgeries and I will need more calories eventually. Carbs and fat are obviously the most calorie dense so.. Any thoughts or advice would be appreciated!

Got my new Walking Shoes today and they are really cute and Super comfy. I’m pretty excited that I did my first big walk tonight. I was a little nervous about how I’m going to look all sweaty and gross walking around the neighborhood but I’ve decided that’s something I’m just going to have to get past somehow and I did it. This is for me not anyone else. I only went 30 minutes and it wasn’t super fast. According to my watch it was 1.26 miles but so far I’m not hurting!! I haven’t walked around the neighborhood in so many years so this is a pretty huge thing for me. When I had my sleeve I did the treadmill and that got boring so it didn’t stick. I’m hoping that this is something that I will keep up and maybe it can lead to biking or something else eventually.

Good morning, good night for me teehee! First off, I totally get how frustrating this can be. It’s tough when you’re doing everything right and the scale isn’t moving as fast as you’d like. But trust me, this is completely normal after surgery. Our bodies go through phases of quick weight loss, then slow down a bit to adjust. You’re putting in so much effort—walking extra hours, doing yoga, eating super clean—and that’s amazing. Even though 1.5 to 2 pounds a week might feel slow right now, it's still progress, and it’s the kind that sticks! Remember, slow and steady weight loss is healthier and more sustainable in the long run. Also, don’t forget that with all the extra exercise, you’re probably building muscle, and that can make the scale misleading. Plus, little things like water retention or digestion can hide the weight loss for a bit, but that doesn’t mean your hard work isn’t paying off. As for carbs, since you’re following what the nurse suggested, I wouldn’t stress too much about changing it just yet. Carbs are important for fueling your body, especially with all the activity you’re doing. But if you're really worried, it never hurts to check in with your provider to make sure you're on the right track. You’ve come so far, and I know it feels like it’s slowing down, but your body is still adjusting, and this is just a phase. You’re doing all the right things, so trust the process and focus on how great you’re feeling. You’ve got this!

Hi everyone! I haven't been on this site in a VERY long time, but I am currently on a new weight loss journey and I thought I would report in with my experience and the hope that some of you newbies can learn from it. I had my VSG surgery on 9/1/2014, so 10 years ago this month. At the time of my surgery, I weighed ~260 pounds and I am 5'6". I have lost and gained weight a million times before that, with my highest weight ever having been 277 pounds. In the first couple of years after my surgery, I was able to get below my goal weight (165) all the way down to 154. During that time I trained for and ran in a half marathon and a full marathon, completing the full marathon in September 2016 (almost exactly two years after my surgery). I separated from my then-husband in May of 2016 and our divorce was final in December 2016. My life took a very different path after that and I did not stick to my healthy diet and exercise. I met my current husband in February of 2017 and while I love him dearly and he is THE BEST, he is a bit of a hedonist and we definitely supported each other in our hedonism. I became a connoisseur of fine craft beers and we have a large friend group who we go out with or have get-togethers with several times a week. I not only stopped running but stopped exercising altogether. Both my current husband and I put on weight in the seven years we have been together, especially during COVID, and I got all the way back up to 234 pounds! Last year, my husband was diagnosed as pre-diabetic, and, in April, we resolved to turn things around together. Since then, I have lost 30 pounds and I am on my way down to my new goal weight of 180. So, here are some things I want to report, trying to lose weight again for the first time since immediately after my surgery: The restriction still works! I cannot eat much more than about 200 grams of food in one sitting. Once I cut out snacking and stopped drinking as many calories (beer), it was easy to rely on my sleeve to restrict my daily caloric intake. My metabolism is still normal. As a 5'6 female weighing 203.2 pounds, I still burn ~2100 calories per day just by living, according to my Garmin watch and it definitely tracks with the calorie differential I am logging and the weight loss I am seeing. I still can't eat and drink at the same time. I usually have to wait about 45 minutes to an hour to drink anything after I eat a full meal. Being overly full is still an unpleasant feeling. Before my surgery, I used to love the sensation of being "stuffed." Since surgery and to this day, it is still uncomfortable for me if I overeat in one sitting. Not a pleasant sensation at all, but not painful like it was in the very beginning. I can still get dumping syndrome if I'm not careful. If eat too much sugar too fast, usually in the form of ice cream or a milkshake, I get dumping syndrome and it is VERY unpleasant, fortunately, it is very rare. Food can still get "stuck." Every once in a while, mostly when I am eating turkey or pork it seems, food can get stuck and it is completely miserable. Be sure to thoroughly chew your food!!! Especially dense meats. My advice to anyone who is post-sleeve and still losing weight or trying to maintain their weight: Snacks are the enemy! It's so easy to get in extra calories by eating smaller amounts between meals. Your sleeve won't help you at all with this. Drinking your calories is easy and dangerous. I haven't given up my precious beer entirely, but I have cut back and I am mindful of the type of beer I am drinking as some types are more caloric than others. You can just as easily drink your calories even if you don't drink alcohol. Be wary of soda, milkshakes, energy drinks, juices, and too much cream/sugar/syrups in your coffee. Keep up with the exercise. It doesn't have to be training for a marathon like I did in the beginning. Currently, my husband and I take a ~mile walk after dinner each night and we try to do one, long, 4-5 mile walk/hike on the weekend. Just that moderate amount of activity can make a big difference. Be mindful of calorically dense foods. Even though I can only eat 200 grams at a time, if it is 200 grams of junk, it can have a LOT of calories! I hope the lesson that all of you take from this post is that the sleeve is a tool and it is all about how you use it. It can work for you, even 10 years out, as long as you use it correctly.

So tonight is night 6’of my nightly walks. Well today I was told to split it into more shorter walks so i did one around the house this morning and a little longer one tonight. It’s going well I’m up to like 8K steps so far today which is probably like 7,500 more than before. 😂 My goal is 10K a day by the end of month three. I wanted it to be month two but the nurse said I need to wait till 6 weeks to walk too fast and to increase slowly after that so it may happen before 3 month but I want to promise long and deliver short. It’s pretty funny watching my trends though on my fitness watch. I pretty much sit still except when I do exercise. I was thinking maybe every three hours when my warm goes off to take my vitamins I may start walking around the house for 5 minutes. Just because that’s better for my heart and it will increase my steps.

Yep, I'm 9 months post-op and may or may not just be coming out of about a 3-week stall. It's very normal and expected to start slowing down, stalling, and having small weight gains at this point. I hit a low of 170.2 toward the end of October, immediately bounced up a pound, and didn't drop below that low point until 3 days ago. Personally, I find that whenever I hit a new low after a little bit of a stall, especially if it involves a large one-day drop (I went from 170.8 to 169.0 in a day), I'll usually bounce around a little before seeing any steady declines. Most people continue losing weight until at least 12 months, and sometimes a little bit more until 18 or 24 months. But with a lot more stalls, especially the closer you get to a "normal" BMI. (I'm about 14 pounds away from not being considered overweight by the medical charts). The important thing is to develop a healthy eating and exercise routine that is sustainable no matter what the scale says. If you're doing what is reasonable and recommended, keep doing it. There's no need to change what isn't broken. On the other hand, if you know you've been straying from your good habits, focus on getting back to where you know you should be. Eating healthy foods in the correct portions on a regular schedule, moving your body throughout the week, getting the right amount of protein, taking vitamins, and drinking water are all things you will be doing for the rest of your life, even though at some point the scale will stop going down. The advice I am giving myself these days is to try to separate those good things I am doing from the number on the scale. Because for me, if I start seeing weight loss as a "reward" for "being good", it makes it harder to continue the good lifelong habits when that "reward" inevitably goes away. It also won't do you any favors in the long run if you try to introduce a bunch of things you know you will never be able to maintain just to get the scale moving faster. I might be able to drop a few pounds really fast if I went back to 500 calories per day or re-did my 2 week liquid diet, but I can't live like that forever, so it's a false victory. I think we all have to find the right balance of habits we can maintain fairly steadily for a lifetime and a healthy weight we can maintain without torturing ourselves. And remember that just because you hit the 12-month mark doesn't mean the game is over. You can always introduce improvements to your nutrition or your exercise that will result in slow and steady changes over time. You don't have to workout 5 days a week for 2 hours a day if that isn't your thing, but if you add some resistance training a few times per week or an extra walk after dinner, you will see those results down the road.

Okay that milk of magnesia works miracles. I thought it was still going to be a strain but it wasn’t bad at all and it worked so fast. Like two hours or three maybe and I started with the lower dose. I am so relieved because my anxiety had me half believing that I had an obstruction. Thank goodness that is over for now. My NP said if I want to cut back from 2 stool Softeners a day I should do 2 then 1 Back and forth for little while before I go to Just one. But she expects based on what I have explained I probably need two until I am able to eat some fiber and more fluids.

Hellooooooo So I'm one week shy of being 7 months post op, and for those 7 months I have avoided sugar like the plague except for some rare occasions where I was traveling and the European country I was in was famous for desserts that I would order and only have a miniscule bite of. On one occasion I got excited and had 3 bites and thought I was fine. 10 minutes later I started feeling extremely nauseous that I was almost dry heaving, I started walking back to the hotel and after 1 kilometer I felt much better so I guessed that was dumping! Not fun Yikes! So fast forward this week, and it is that time of the month and I was craving some chocolate, so I picked a 72% dark chocolate square which I had with a few roasted cashews (to manage the blood sugar spike) and guess what? 10 minutes later I am extremely nauseous and queasy that my skin was crawling. I was at my desk and got up and walked back and forth but to no success. It lasted a good half an hour/40 minutes and it only fully subsided midway through my Pilates class. Does this happen to anyone? The chocolate square barely had any sugar! Will I ever be able to have a little fun? A tiny slice of cake for my birthday? Ice cream? Anything? I don't crave sugar anymore but I like to taste things and take bites here and there especially when I'm travelling/out for a nice meal (which is often).

I haven’t tried this yet but I just got another idea for a gadget that will come in very handy if it works like I think it will. A coffee mug warmer. For the broth and the cream soups for full liquid for sure. And maybe even the purée and soft stage since everything is supposed to be real moist. But At least for this soup stage because it just cools off so fast. The more I think about it this may not be as helpful for everyone with tiny tummies since you can only eat like 3 bites early out anyways. I am a little different since they didn’t operate on my stomach. Supposed to keep my portions small but I physically can eat more.

I am in a similar boat as @ms.sss and @Lilia_90 I still enjoy all the foods, desserts, Mexican food, Chinese, ice cream. Everything in moderation for sure, and I stay very active, I do track all my food and stay within my macros during the week for the most part. But I do eat ice cream every night LOL mostly my protein ice cream made with my ninja creami but sometimes I will eat off my hubbys Ben and Jerry's Ice Cream. My relationship with food has changed and I worked/ am working really hard to not abuse food like I have before. In my mind this is a life long journey and my life long journey does not look like salads and chicken till I die LOL I am in the same bought with how food brought me and hubs together, getting fast food after the kids went to bed and stuffing ourselves while watching a movie, he is slightly jaded by that and make comments "well you cant eat that anyways, or your going to have bite and waste it" But we have our own thing going on since I have lost all this weight. Anywho! yea! it doesn't have to be so strict forever, but slider foods are a thing and making sure to stay active is important I think.

@Lilia_90 Hi! Congrat on reaching your goal so fast! I have very stubborn fat and weight and I come to the realization that I have to accept that is just how my body is going to be. When I first started I did went all out and use the food scale for the first few months. I bought a set of products that could use an app to keep track, scale, food scale and measure tape. After a few months of using it, I kinda picked up on how big of a size I should cut and how much to take with salad etc. from time to time I still use if it comes to something I am not familiar with. I didn’t use the scale yesterday and put down what I ate on the app, it’s about 1000 calories that I ate. Of course it could be more than 1000 calories if I count the Pam spray that I used and a drizzle of salad dressing, but sometimes it’s very tiring to counts everything, and I don’t want to live like that. Mindfulness and healthy living is the habit that I need to do in this journey. That’s why I stop using the scale every single day. After all we can’t bring scale out to measure everything when we are out and about in places. I also had 1 hour work out and burned about 400 calories. oh while typing I realized I had a cup of unsweetened almond milk that should be about 50 calories that I had yesterday, so I have to be careful about these small things I do without remembering. I guess my frustration is that I feel like I am doing not bad, very healthy compared to how I used to be, and working out. I wanted to at least be able to get rid of 100 lbs… but my body is telling me no. I am usually very hard on myself and always aim for higher. So that’s that and I will learn to deal with it. Doesn’t mean I am giving up though. In the past, I had never dream of being able to stick to gym routine, regular gym is so just boring to me and I could never know what to do with all those machines, like I am just wandering inside. This around , I found something that I enjoyed and worked for me. I found that I need to workout in a group class and having everyone working out at the same time doing the same thing , this actually motivate me, so I started Orange Theory Fitness, and my body retain water stubbornly so I found hot yoga and it’s something I enjoy. The last few appointments with the doctors I kept complaining my slow weight loss, they assured me that I was doing great, but I shouldn’t not be looking into plastic surgery so soon and it’s a long time away to when I should have it done. However, the last appointment, the doctor mentioned that if I really want, I can start with a consultation. Then my nutritionist telling me my weight might be stabilizing… I feel like this is a green light. lol Anyway, I took a few screenshots of the app I use, want to share to this for those that want to try something like this. I bought the Renpho Health products and link them in the app, so I can track my weight, what I eat and measure the inches of my body all in 1 app.

Double check with your team before incorporating any weights. My team said no intense exercise till 6 weeks and 8’weeks for any weights. I am a month out and called today and asked if it was okay to go up to an hour walking around the neighborhood (which I actually did last night but then read about waiting until six weeks and got scared). She said one hour collectively is fine but she would rather see me break that into two or three shorter walks so today I did 15 minutes in the morning and planned to do 30 tonight but I judged it wrong and it was 45. It’s a leisurely walk though. Not at all fast so I think it’s fine. in terms of the drinking an eating, some peoples pouches are more inflamed and it takes a little longer for the swelling to go down. You will be able to drink and eat bigger sips and bites eventually. Never the same as before but bigger. It can feel like a bit of a full time job to get In all the vitamins, protein and fluids for a while but it gets easier. As long as you are not drinking or eating past when you feel full, it sounds like you are doing fine!! And tell your husband he is awesome too for walking with you!! Mine encourages me, and like tonight he made my Salmon on the grill while I was gone but he never offered to actually go with me.

Our surgeons did their very best to educate us in a manner that would be easy for a broad population to understand but sadly WLS is not as simple as restriction driving weight loss. Check out these excerpts from a review on the Endocrinology of the Gut and the Regulation of Body Weight and Metabolism and also a study that tried to predict outcomes of various WLS on (hedonic) hunger and weight loss : The mechanisms behind the success of bariatric/metabolic surgeries remain to be fully elucidated but post-surgical changes in gut-derived hormonal peptides, bile acids (BA), gut microbiota, and vagal tone are suggested to be involved (13, 14). Read more here: https://www.ncbi.nlm.nih.gov/books/NBK556470/ Bariatric surgery engenders weight loss through a number of biological changes, which alter eating behavior and thereby result in a reduced energy intake, which is the main driver for sustained weight loss. Gut hormones, metabolically active polypeptides secreted along the GI tract in response to fasting and eating, act upon CNS centers involved in appetite regulation and generate either orexigenic or anorectic responses. Following bariatric surgery, gut hormone secretion profiles change as a result of the anatomical changes from the surgery. Altered gut hormone secretion profiles are thought to be key mediators for weight loss following RYGB and SG. RYGB results in a marked rise in meal-stimulated circulating levels of anorectic hormones peptide YY 36 (PYY) and glucagon-like peptide 1 (GLP-1); these changes are also seen post-SG but to a lesser extent. SG, in contrast, leads to a significant reduction in the orexigenic hormone ghrelin, by means of removing most of the ghrelin-producing cell population from the stomach. Ghrelin and PYY/GLP-1 act on appetite-regulating areas of the CNS in an opposing manner, stimulating orexigenic or anorectic responses, respectively [16]. Read more here: https://link.springer.com/article/10.1007/s11739-022-03063-0#:~:text=A reduced energy intake%2C as,weight loss following bariatric surgery.