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So I had the sleeve three years ago and gained my weight back. I am pending revision and the dr did an endoscopy and found a hiatal hernia and some gerd. He then ordered a UGI and a gastric emptying study to get some more information to decide which surgery is most appropriate. I just finished the gastric emptying study and after only two hours the food was completely out of my stomach which may explain why I always feel hungry a couple hours after I eat. I am hoping maybe there is a treatment to slow down my stomach emptying and I won’t even need surgery or if I do it will be more successful this time. I see the dr in a week and I’m sure he will have an answer but I’m just curious if this is truly faster than normal and if anyone else has had this issue.

Yeah, agree with @ms.sss -- everyone seems to get a slightly modified version from their care team, and it's best to just follow what directions they might give you. Part of this is also because different care teams also encourage different types and dosages of supplements, but also because everyone's medical history and starting point on their WL journey can have different requirements that need to be met. (Some of us have various co-morbidities like Heart issues, blood pressure, cholesterol, diabetes, etc...) For example, my schedule was: Day 1-2: clear liquids Week 1 & 2: Liquids & Protein Shakes Week 3 & 4: Purees Weeks 5-9: Soft Foods Week 10+: introducing more variety of healthy foods

I have trouble getting in enough veg or fruits right now. I was trying to force myself to get some lettuce (romaine or iceberg) and use them as lettuce wraps once or twice a week, but I don't eat enough of the head to make it worth it before it goes bad. My nutritionist has been telling me that 'fresh is best' -- but also that the best veg to eat is whatever veg you do eat. (in other words -- it doesn't matter how good something might be for you if you don't end up eating it, lol). I have a small can of low sodium V8 twice a week, and try to throw some frozen veg in with my protein -- spinach, broccoli florets, green beans. Bell peppers. I used to heavily dislike bell peppers, but after my surgery I love them -- steamed or on the barbecue.

Try not to be too discouraged at your "stalled weight loss." Your body has undergone a lot of change and just needs time to catch up and adjust. If you're following the recommendations, I'm guessing the stall will only be for a week or so. That was my experience. I am 7 weeks out from my RNY, and I had a "stall" as well, which lasted about 5 days. Since that point, I have had a pattern of staying the same weight or even increasing a pound or two for 3-4 days of the week, and then having a 2-3 pound per day drop for the other days in the week. As long as I am trending down, I don't care how I get there. Also, I'm curious about your not tolerating foods past soft. I had immediate trouble when I tried to advance to meats, and had testing done which revealed a surgical stricture. My body had reacted to the surgery site by closing down too much. I had an endoscopy with dilation and am doing better. I do still have to really focus when I eat to not eat too fast or too much. When my pouch gets too full, I get chest pain, which is just me feeling that stretch of the pouch. We all will experience differences in our bodies. I think it's really important that we all listen to our bodies and learn our new subtle signals in order to have success.

I workout 4 times a week, due still to still being early out (not 6 months out yet) I try to workout every other day otherwise I get too sore and my muscles don't recover because I don't get in enough protein and calories no matter how hard I try. I don't feel guilt per se but I feel restlessness like I should be working out instead of resting. I also feel sluggish on those days and my mental health gets impacted (I'm addicted to endorphins and dopamine, and to me exercise is therapy). With a history of being athletic my entire adulthood and working out consistently for decades, I don't feel good on the days I don't workout but I also remind myself of how I would feel the next day if I don't sit my behind down and give my muscles time to recover. So long story short you're not alone!

It took about 2 to 4 weeks worth of injections for the true total benefits to settle in and when it did, it was so FREEING. I still absolutely am delighted I had gastric bypass. I also could not afford to pay $1000 a month. I found a local 'wellness' clinic here in Fort Worth where I pay roughly $300 a MONTH for weekly injections. I skipped their package of B12 and Semiglutide as I'm already on an inhalable B-12 supplement. Definitely shop around. I do worry about it causing long term complications (unsure what those are at this point outside of blurbs I've read) but I'm also not wanting this to be something I end up needing to do every week past this 6 to 9 month window. They have other clients that after they got where they wanted, they tapered off completely or come in for monthly or bi monthly injections only. I'd like to taper completely. I have gone a month with no injections after i started and while I had a slight hunger increase, the food chatter was so dang muted. I actually ended up reducing my dosage as I got to a point where I was not eating enough which is ALSO NOT my goal. My protein intake plummeted simply because I was not taking in enough calories. Luckily the place I work with is conservative with dosing and they have multiple patients that had bariatric surgery years ago and they are always ready to discuss 'what is the least amount of semiglutide that you need to be sudcessful'.

I'm 10 months post op and have been in a stall for months and I've been contemplating starting a semiglutide. I've never not been hungry, nor have I been able to stop the constant food drum beat in my head even a few weeks post surgery so I fully understand the "white knuckling" it part. I've spoken to my surgeons office dietician and the psychologist at the clinic who actually was the one who suggested it after I told her the "food chatter" is so bad that its become my walking cadence "I am still hungry" over and over. I spoke with the psychologist because I wanted help with my anger, anger over the fact I went through all this to get healthy, stop the constantly thinking of food ...I've done and have been doing my part: I'm still "hungry" and no matter how much protein (80 grams) I eat, sticking to my 800 calories, drinking my water....my brain says eat. I'm tired of the constant battle. I'm angry because I'm doing everything I'm supposed to do...and yet I'm right back to the diet mind games I have to do ...work out instead of eating, clean the house..hoping the chatter will be blocked off or side tracked....etc.. I'm tired of this battle..I don't mind IF the weight is coming off, its a battle with results but it hasn't been for two plus months now the same two pounds over and over. So I understand what you're saying wanting it to help..and why you tried it! I'm glad to hear its worked for you! I have an appointment with my GP in 2 weeks to request the prescription as recommended by the psychologist and dietician. We shall see because there is NO way I can afford to pay $1000 A month. How long before did it shut off the brain chatter? At this point if it can stop that I can quit being angry...and continue to do the right things ..healthy things without the wondering why and if its worth it!

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.

Hey everyone, just wondering how it's going. I'm 6 weeks since surgery and my weight has stalled. I'm down a total of 34 lbs, but almost 1/2 of that was pre-surgery. I was losing quite nicely for the first 5 weeks, but this week is just staying steady and even going up a bit 😥. Is this normal? This week is back to "regular foods" although I'm mostly still on soft foods because I'm not tolerating any thing else yet.

I would assume that your medical team will provide you with the stages they would like you to go through. everyone one here were given widely differing sets of instructions post op, so it may get a little confusing with all the differing accounts. best to pick one program (easiest one would be the one provided by your team) and follow that. remember they are guidelines, so if you are unable to do a stage or meet a goal or have issues, do something else. don't force it. and get in touch with your team with that said, here was mine (almost 5 years ago): week 1: clear liquids week 2-3: full liquids week 4: purees (i skipped this one, i just did full liquids for another week because purees were YUCK! lol week 5-6: minced ...after that i was cleared for everything/anything (just reminded to chew alot).

Aww-gee-thanks! I just took what my surgeon said would make me successful, made myself a plan, and did it! For anyone who has a brain that works like mine (MORE details, please!!!), this makes life easy, post-op! At my 1-week appointment, everyone was telling me I didn’t look or move like I had just had major surgery, my color was great, I looked so energized and happy - and I did! I felt so great, and this was even BEFORE I started my multi. He told me “exceeding expectations” at every follow-up appointment I’ve had, to date. All I did was what my surgeon said was the formula for success. FLUIDS, PROTEIN, MOVEMENT. It’s that easy! AND, I have lost HALF of my extra weight, as of yesterday! I’m so happy! And I haven’t done anything besides what my surgeon said would make me successful. I had lost 19 pounds on my own, before my first surgeon visit. I lost 16 lbs from my consultation to surgery date. The rest of my losses have been post-op, which has been 38 lbs, as of yesterday. Yesterday, I started Week Ten Post-Op (my surgery was April 2nd). The full long term list is: Water, Protein, Movement, Supplements, Whole Foods, Go To All Your Appointments & Participate In Any Extras Your Surgeon Offers (My surgeon does monthly group webinars with post-op patients! It’s so great!) Also, I hope nobody takes this as bragging. I just want to show if you do what they ask of you, there’s no other option besides being a success! You can’t lose! Keep it simple by remembering your basic job right now: Fluids, Protein, Movement. You CAN and WILL do it! There’s no way to fail, this time! Even if “movement” for you means walking a circle around your couch and then sitting down, that’s a start! Just move your body, drink water, get protein.

(Oh, here’s Week Two’s Spreadsheet. I didn’t attach it.) Week Two, you’ll still be focusing on the THREE things: Water, Protein, and Movement. This week, don’t focus on using the soups and yogurts and such to get all your food. Think of the food items as practice for your stomach, not so much as getting ALL your nutritional needs. It won’t happen, you can’t meet your needs with soup, yogurt, and pudding! Haha! You’ll be relying heavily on your protein shakes here, still. Your surgeon will probably give you the green light for your multivitamin and calcium supplementation. One note, every new food I tried, I was a little scared, just because I didn’t know how my body would react and I didn’t want to hurt myself. As it turned out, everything I’ve tried has been perfectly fine and I haven’t had a single issue. Try new things ONE at a time and take it easy. Eat slowly. Put your food/spoon DOWN between bites. Buy some baby spoons (they have stainless steel ones on Amazon!). Only stick to the diet your surgeon gives you - NO DIVERTING! You’ll only shortchange yourself, whether anybody finds out, or not. And worse case scenario, something happens to you because of diverting.

i don't know what my numbers were, but at my 1 week post op appt my doc had me take b12 out of my vitamin regimen. and he would often comment on my higher levels at most of. my followups (but i never thought to ask what he considered "higher" levels). full disclosure: i stopped taking all my vitamins around 1.5 years post op (by choice, not direction) and all my labs since then have come back with zero issues. i had my 50-year-old-woman full range of tests and checks and screenings a couple years ago and i am the picture of pure health (my words, not theirs, lol) congrats of feeling great, and with the labs to support it! YAY!

I noticed a few weeks post op. Eye Dr said it was likely due to vitamin deficiency..most people reported there vision got Better.. mine definitely changed but I was over due for eye check up

I'm actually amazed. Lost 90 lbs, down to fighting weight based on weigh-in at gym using one of those machines that measures body fat + weigh- in at doctor's with clothes on a day later. Went from 40 waist to 33 (American size), can now fit into clothes I could not wear for quite a while, work out 4 times a week at a serious gym, most sessions with a highly experienced trainer. I haven't done one sit up yet- it's about balance, step up, step down, with kettle bell, 12 reps, 5 sets, squats with a dumbbell, 12 reps, 5 sets, then next exercise, etc. I do my warm up 1/2 hour in advance of the trainer session so I don't waste time--it's all exercise when I work with the trainer. I drink a 30 gram protein drink before and another after, so I'm finally building some muscle on what is now a diminutive appearing frame. I can't quite press my body weight yet, but I will. I have long hair for a guy, and yeah, it was coming out when washing it (not every day, more like every 4 days unless I get sweaty) but that seems to have finally stopped. I have no cravings for foods that I cannot have because I get sick if I eat a slice of pizza with toppings or eat more indigestible foods. So I just stay away from them. I have developed a fondness for medium rare lamb chops and roasted potatoes with rosemary salt. My wife is a good cook but we still eat at restaurants and I'm careful. I found out that alcohol just doesn't work- a beer is too filling and carbonated, for some reason wine doesn't taste good; I'm a high proof whiskey man and it doesn't metabolize. I'm on my ass with far less than what I could normally consume, so I just stopped altogether. (Good because I have Barrett's and alcohol is inflammatory). Punchline- this surgery really turned me around. Trade-offs to be sure, but I feel so much better and look far younger. I can walk fast and not get winded as easily. I'm in my 70th year and don't look like a geezer-- more like a ruffian in rude health. I had targeted 185 as a goal weight and reached that but I still have a small roll of fat around my middle. I figure that I can continue to lose a little more given the surgery stats, and tighten up my core as my work-out regime continues. I'm gonna start swimming this summer-- where I am in Texas it is 3 months of summer and 9 months of hell. Hell is just starting here. The really hardcore stuff is pilates. I used to do that with a women's class and they kicked my butt. I'm planning to advance to that as well. I think the "whole picture" outlook is optimal for me- I don't check the scale at home, I do my thing and get routine blood work done. Though I have a few health issues which come with age, I'm in pretty decent shape now, physically and mentally. Thanks to all you kind folks for your advice and support.

Dang it! Back up to 200 today. I could see the digital scale contemplating telling me 199.8, but it decided nope. I've had days with tons of exercise. Days with no exercise. Days with over 1000 calories. Days with barely 500 calories because what I ate made me sick. None of it does anything to move the weight. I get on the scale daily because I like to see the graph as a visual. But I'd like it better if the number went down. On the bright side, my blood work all looks pretty good. A bit low in Vitamin A, zinc, and prealbumin, but so far no one has said I should change anything. @LisaCaryl I love the NSV with the jeans! What a nice surprise, even if you did get stuck wearing them to your group. I have one more week of school runs and after school activities before my kids are out for the summer. At that point, I am going to make a weekly meal plan and try out some new recipes from the bariatric cookbooks that are gathering dust because I've been too busy. I've also found a workout video to try with my pilates bar resistance band set, so that's going to happen this week, at least once.

Whelp, now I'm so terrified about the surgery on Monday that I am psyching myself out thinking what if I die during surgery? What about my husband and our three young daughters? I'm thinking this is my addict brain trying any which way to prevent me from having this surgery, but there are risks. My doctor assigned a video for me to watch about gastric sleeve procedures, including benefits, complications, expectations, and 11 instances that the patient is at risk of death. So now I'm scared. I'm gonna talk to my Mom who had gastric bypass decades ago to try to chill me out, but anyone out there can calm my fears a bit. I'm also scared because I had some chicken breast and bunless cheeseburger, I'm putting myself at risk of death. Oh this cycle of nonsensical what-ifs is driving me mental!! Lol 😆 🤣 😂

KEEP THIS STAGE SIMPLE: Get your FLUIDS. Get that PROTEIN. Get MOVING. Three little things! This is the schedule I kept for Weeks 1 & 2 post-op. I bought 1 oz glasses at Walmart in the baking aisle. I bought 12 of them and used 6 per hour. They only cost me 97 cents each. I drank half an ounce every 5 minutes. After every ounce I drank, I got up and walked a lap around my downstairs. IF you start fiber now, take the fiber sparingly! Don’t overdo it, just get some. You can get constipated/gassy if you have too much. If you’re having gastro issues, eliminate the fiber until you get to soft foods, as your new stomach and sensitive track might not be ready right away. Use apple juice only if you need it for low blood sugar, and ONLY drink half-juice-half water dilution. Don’t drink straight juice. I use Hydrolyzed Collagen, by Codeage. I really like it. Also, drink decaf coffee only, of course.

I bought 1 oz glasses at Walmart (they’re the size of a shot glass and are 97 cents in the baking aisle). I bought 12 of them. I used 6/hour. I drank 1/2 ounce every 5 minutes. I got up and walked a lap around my downstairs after every ounce I drank. I rotated between protein shakes, protein water, regular water, fiber water (not too much at first!), popsicles, jello, collagen coffee, and Propel. This allowed me to get all my fluids and protein for the day. My first fluids every morning were 6oz of decaf coffee with collagen mixed in. BIGGEST thing to do after surgery: Get your protein, water, and movement. You do those three things and you’re good! As soon as they have you start your multivitamin and calcium, take them as directed. Take your multi and your calcium at least two hours apart. Your body can only absorb up to 500mg of calcium at a time so take calcium four hours apart. What I do, I take my multi at lunch (12:40) (because I tend to have yogurt or cottage cheese with breakfast: calcium), and I take my calcium during my 1st and 2nd snack (10:40am and 3:00 pm).

Week One: Clear Liquids & Protein Shakes Week Two: Full Liquids Weeks Three & Four: Soft Foods Weeks Five & Six: Modified Regular Diet (soft regular foods & soft carbs, if you choose to eat them) Week Seven: Soft fruits w/o skin, ground meat, and moist chicken/turkey Week Eight: Raw & Crunchy fruits/veggies with skin, nuts, seeds, and dried fruit Week 12: Dense meat (like steak), and caffeine and alcohol (if you choose to partake)

I'm glad weighing once a week is helping. Sometimes it's difficult... I want to get on the scale way more often and sometimes do. All my adult life I have considered a loss of 2 pounds a week to be right on track. The first few weeks of this got me spoiled with bigger losses. At this point I'd be very happy with a consistent 1 - 2 pounds a week. It seems like the slower it comes off, the easier it is for my body to adjust. An NSV, well, not really a victory, but a surprise... I had to go to support group at the hospital last night. I was running late and threw some jeans and a T-shirt on after my shower. I hadn't had those jeans on in a few weeks, and oh my gosh, they were huge! Not just the waist, which is elastic, but the legs were so funny. I didn't have time to change them, and they are my favorite jeans. In fact, I have a pair that is 4 sizes smaller in my closet waiting for me! lol.

I’m only losing a pound or two a week. It’s super slow!!!! I had my post up appt which wasn’t super informative. I’ve lost 40lbs so far. Not all of my bloodwork was in yet so I’m waiting to hear how my vitamin levels are. She said the stuck food lasts til 6 months then comes back at 12 months and 18 months 🤦‍♀️🤦‍♀️ and I’m expected to lose my weight over 18 months. That was about it. Other than the stalls will get longer and longer she said. Ughhhhhhhh. Some days I feel like I’m where I was pre surgery trying to get the scale to move even though I know that’s not the case. I have started only weighing once a week now instead of every day so that’s less frustrating. Knowing we are all stalling definitely helps me to see it is just the way things are and I can’t rush it. Thanks for the continued support ❤️

So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

That's 15 pounds per month, or 3.75 pounds per week. You're more than on track. And I'm glad to hear you're doing well. I know the feeling about being anemic. I've been fighting that since 8th grade. Thanks for updating!!!

I am actually not in a stall anymore but i did find out i a bit anemic so I am need to work on getting more iron and folic acid in me. That would explain why i been feeling so tired and no energy. Thanks for asking. Also yes I have lost 45lb already since my surgery and its been 3 months so i think i am on track.