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Tonight I went to the required education session that my NHS Trust has as a non-negotiable requirement of being accepted for surgery. I will be honest and say I was left feeling completely underwhelmed with it. There was about 16 of us, all pre-op but at different stages of the required tests etc plus some family members (hubby went with me) There was also a Bariatric nurse, a dietitian and a former patient who had had the bypass in 2022. She explained her journey but it seemed very…I don’t know, sterile? Wrong word I know but I don’t know how else to explain her approach. She’s obviously happy with how it all turned out for her but it all seemed very whitewashed, which I found odd. She only mentioned one case of dumping syndrome but everything else was a walk in the park, which had me internally questioning things. She said she was currently in a months long stall but again, everything was hunky-dory. Someone asked about a typical days eating and it seemed really carb-heavy - toast for breakfast, sandwich for lunch, cheese and crackers for a snack, sausage and chips or mash for dinner etc etc. I asked about what additional protein she had - didn’t/couldn’t answer, asked about exercise - some walking and that’s about it. She mentioned hair loss being an issue but that it all grew back and was great. I know I’m being picky but I honestly wanted a more rounded discussion about of lots of different challenges that we could face with WLS and living the life post-op. I’d say out of the group that was there, maybe 5 had done any wider reading or research. I did find out that the hospitals approach to caffeine post-op is you can have a couple of cups of tea/coffee a day but they would rather patients filled up on foods/drinks that added protein, especially at the beginning. I also found out about the vitamins they give you and that they put the timings on the boxes to aid patients with timings etc, which was useful. Something that was bothering me was if my BMI dipped below 40, would I still be considered for surgery as I don’t have any co-morbidities like diabetes, heart issues etc. I need to get it below 40 before I will be considered for knee surgery, and I’m hoping that will happen end of Oct/beginning of Nov all being well. I was reassured about that, saying that they go off the booking weight reported by the GP when referred initially 🙂 I will be completely honest and say that, apart from some very specific questions I had of my hospital, I actually find this forum of much more use and beneficial to me personally. I have found out so much information from people who are further along in their own WLS journey, plus I know I’ve felt really supported by lots of very lovely and helpful users. There is such a wealth of experience on here that I know that if I have a question, someone will be along to answer it! Roll on the dietitian appointment next week 🤞

For those recommending medication over surgery: I am having the SADI surgery on July 25th. I considered medications initially, however, most of them aren't covered by insurance; and if they are, the insurance approval process usually requires a diabetes diagnosis. While I have a BMI in the 50s, my A1C is extremely health, which means I would pay out-of-pocket. The medications are intended as life-long commitments. Stopping them can have serious impacts including weight regain. Out-of-pocket for the cheapest meds I encountered was $900 a month. Out-of-pocket for my procedure is one-time $19,000 (unfortunately, not covered by insurance) If we look at the impact in 5 years of both... Meds = $54,000 Procedure + Vitamins = $19,000 + $3,800 = $22,800 How about 10 years? Meds = $108,000 Procedure = $19,000 + $7,600 = $26,600 The financial impact was a huge consideration for me. Please understand that the decision to move to surgery is not quick or easy. The financial impacts and health impacts are serious and really should be discussed with a trained medical provider. The purpose of this forum is to help guide others. We should be focused on the questions they're asking instead of offering an off-topic alternative. The OP made it clear in her posts that conversations with a trained medical professional led to the decision for another surgery. Shaking her confidence in medical guidance from her surgeon is not our place. We should accept that surgery is her path and give our own anecdotal experiences as references to help her understand what she might experience.

Hello 👋 it’s good to hear everyone’s progress. Things have been mixed for me as my husband died suddenly 65 days ago. Shocking to say the least. So I’m not quite sure how I’m doing really. however, my surgery has been life changing, physically I’ve never been so fit. I’m down 30kg and only 3kg from goal but have been in a plateau for around 5wks. Despite the emotional turmoil I have pretty much managed to stick to the programme, only wavering twice when I simply did not care enough to stop myself eating too much rubbish. The reassuring thing was I stopped and got myself back together. I want to be healthy, so am putting the work in. Walking and exercise, (strength, cardio, yoga - on Apple fitness) have given me a focus. When I feel lost and overwhelmed by grief I go walking. Rather that than gorge myself silly then feel even worse, as I would have done prior to surgery. There’s never a good time for a spouse to die but I’m glad I was well on in this weight loss journey as I’d be in an even worse position had I not been. My husband would be proud and happy. ❤️

I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community.

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway.

The scales have bounced around all over the place this week 😬 These things happen so I won’t stress out about it… I’ve been trying to sort out what clothes I’m taking on our 3 day trip to London. It’s a 5* hotel with restaurants to match, plus we’re going to the Royal Opera House too so want to look as though we’ve made an effort. I don’t actually have any ‘nice’ clothes. I seem to have a wardrobe of ‘it fits, it will do’ plus a load of holiday/summer clothes that are too small at present. I bitched at hubby (not his fault, he was just there in the firing line) and then freaked out. Hubby wanted me to have a look for some new clothes. I’m totally no good at spending money on clothing for myself, I just don’t see the point. I won’t try anything on in a store, so that was out. So, it’s online shopping. I found a couple of sites but I was getting myself in a state and I just balked at the whole thing. I was snapping at hubby and, to be fair, he took it quite calmly. Anyway, I finally got myself calmed down. I found something I liked, he found something he liked, both were in the sale at Phase Eight so I’ve ordered and they are due to be delivered this afternoon. Hubby knows not to be around me when I’m trying something on. Hopefully things will fit (gone up a size from what I think I am, just in case) but if they’re too big, they will go back and if they’re too small hubby wants me to keep them to wear when I do lose some more weight. I’ve also ordered a nice combo from good old M&S too, ready to pick up tomorrow. Clothing really does stress me out. Being fat is one thing but I don’t want to look like a clown as well. I feel shamed and embarrassed when clothes that should fit no longer do. It’s just that, for whatever reason, the shame and embarrassment doesn’t transfer into positive action in reducing my weight. Ridiculous I know. I’m a grown woman who can tell you all the ins and outs of a low carb/high protein diet plus a fair few others so why can I put that knowledge in to long term action?? Why is it taking WLS to motivate myself?? Maybe it’s because I will be answerable to someone else ie the hospital? Something to discuss anyway when I have my dietitian appointment in August. Anyway, Endoscopy tomorrow and knee X-rays on Wednesday. Off to visit the grandchildren on Saturday so that’s definitely something to look forward to 🙂 Hope everyone has a positive start to their week. Onwards and Downwards!

I never did do a 5-yr anniversary post (which was like 3 months ago, oopsies). Here is a reply I made to someone's thread about being newly sleeved. I had alot of fun composing it - despite it going off an a total tangent - and thought it had a five-year-sleeve-anniversary type of feel to it so I'm putting it here! Am also adding my requisite swim suit shot, but this one is from vacay last month, and its NOT a full body shot, AND I'm half in the water, lol. Its too cold around here for me to change into one now and take a pic. Plus I'm lazy. So i give you: "5+ YEARS IN 1000 WORDS OR LESS": #### Begin #### Day 0: YES!! I'm alive! Weeks 1-2: Ouch, this kinda hurts. I detest all food and water! I'm sooo effing tired, im just gonna lay down here and be found in 3 weeks, half-eaten by wild dogs. Weeks 3-4: Oh wow, I LOVE water! Eating is such a chore. I don't want to do it. I lost HOW MUCH weight?? Whoa, this thing is gonna actually work! LET'S DO THIS! Those dogs will be very disappointed in eating me. Months 2-4: Am I ever going to eat like a normal person?? It taking me for-EVAH to eat my tiny cup of food. I am sick of people commenting on how I eat. Exercise is so much funner/easier when I'm not so big! Let me sign up for EVERYTHING! I LOVE new clothes! I am losing my hair! Who knew salad is my favourite thing on earth? Months 5-7: If one more person tells me to stop losing weight or asks if i have a disease I'm going to sic my wild dogs on them. I guess this is life now: eating tiny bits of food all day long...I guess I can do that, small price to pay for looking HAWT and feeling A-MAY-ZING. I wonder if anyone knows how full of myself I really am.... Months 8-10: OMG.I CAN'T POSSIBLY UP MY CALORIES TO MAINTENANCE LEVEL! HOW AM I GOING TO STOP LOSING WEIGHT! I AM GOING TO WITHER AWAY AND DIE! Month 11: Oh. So THAT's my maintenance calorie level. That's not so hard. I'm not going to die after all. Ok, Ok, I'll just take this ONE cigarette from you, handsome Italian guy in Italy...even though I quit cold turkey 10 years ago...it can't hurt, right? Month 14: Plastic. Surgery. Month 15: *cries* Month 16: Whoa, I'm looking even HAWT-er than before. How is this even possible? I wonder if anyone has ever exploded from being so full of themselves.... Month 17: Why hello carbs, I've missed you. bread, Pasta, Rice, we shall never be parted again! Oh, nice to meet you for the first time COVID! How long are you staying? Month 18-21: All skinny and plastic-ed up and no where to go. Eff you COVID. I guess I'll just do a little online shopping for stuff to wear when I am finally allowed out of the house. Sure, I'll have that martini for Breakfast. Hey, my hair is back to normal...and its even nicer than before. Go figure. Years 3-5: Huh. I stayed below goal weight this entire time and I am the picture of satisfactory health...does that make me awesome? I dunno...my closet is bursting with clothes...most of which I've worn maybe once or not at all. How am I still smoking??? It was only supposed to be one cigarette!!! I think I may have developed high-functioning alcoholism? Food intolerances? Who me? Nah, I can eat anything and everything, EXCEPT large amounts of sugar at one time cuz, you know, I may pass out on the couch. I may not eat as much as everyone around me, but I don't want to anyway, so there! But let me cook for you, bake for you, make copious amounts of food for you! And no, i AM NOT finished reading this menu in it's entirety...I'm about to order enough food for 5 people...you better be hungry! Today I take no medications other than for my acid reflux (which unfortunately came on due to my sleeve surgery). I eat carbs and (small amounts) of Desserts, I drink alcohol. My last physical/labs 6 months ago produced no concerns - other than an abnormal thickening of my uterine lining, but that has since resolved. I have ridiculous amounts of energy, I rarely fight with my husband, I handle stress and annoyance like a grown up. I'm digging life. Oh, and I still look HAWT. *mic drop* P.S. i also finally quit smoking 5 months and 14 days ago. yay me! hopefully I don't meet another handsome Italian with an extra cigarette in the future. Edited to add: P.P.S. sorry..i meant to just reply about the first few weeks after my sleeve surgery and food progression, but my fingers got a life of their own as I typed out my reply. plus it was kinda fun writing this. I may cut and paste this into a more appropriate thread if I find one Good Luck! ❤️ #### END ####

I wish I ate more of the things I loved pre-op LOL!!! Nah jokes aside, WLS is a tool that we utilize towards - hopefully - permanent life changes, if you see it as a means that'll all it'll ever be, if you see it as an effective tool, it will get you where you want to be. I would say, clean up your act, get moving, change your daily habits and get into the fat loss mindset. This doesn't mean going completely cold turkey on everything, but whatever bad habits that led you to needing the surgery in the first place need to be thought of and turned around. I didn't need a liquid diet, my BMI was on the lower side and I worked out consistently my entire life so I didn't much change anything and boy I wished I changed some things because dealing with the discomfort of the surgery, the huge changes in your diet and all the restrictions afterwards is no fun all together. I wish I cut back on caffeine (I had caffeine a week post surgery because I had terrible headaches), I wish I cut out diet soda prior to WLS because I love diet soda so very much and it was tough to think that I can never have this without any mental preparation beforehand. I wouldn't change much else because fortunately for me, I had a good experience post op, the weight dropped off very quick, I never threw up or had severe food aversions and have very effective restriction. But I also had a very balanced diet and workout regimen before WLS and that helped me tremendously and I know that might not be the case for everyone. Also, prepare yourself for a new life and new you, it's cliché but it's very true.

Basics: GENDER, AGE, HEIGHT F, 45, 5'5" Total Weight lost in the 6 months BEFORE surgery (if any) 33 pounds Weight on DAY OF SURGERY. 388 pounds (day of sleeve surgery) **13 months later** 275 pounds (day of revision surgery) I am 2 years post op from sleeve and 1 year post of from revision to bypass Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve and gastric bypass

Agreed catwoman7 - that was my BIGGEST concern. I was trying to remember how high into the 180's I hit and I found my paperwork. I had gone up to 187 (17 lbs over my weight I had been holding stable on and mentally remembering the 'brief period' at 167, I felt I had gained 20 lbs but it was really more like 17 from my 'stable weight). Prior gains I had ALWAYS kept within a manageable 5 to 10 lb window. We have an adult daughter with multiple mental health issues that moved back in with us over a year ago and the combined stress between her needs and my job was seriously impacting every aspect of my life. I'm also seeking a new therapist that also specializes in clients who are considering or have had bariatric surgery who can help me with multiple issues as I never want to return to food again as a 'medication' for stress and heartache.

I thought about that. I just worry I'll start looking too skinny an sickly. That happens if my weight goes too low. Maybe I'll go 2 weeks and then weigh and see what it looks like.

☝️i'm one of these. with a dash of some major changes...specifically my regular exercise regime. though i have to say that what i was doing when the first year or so of maintenance is very different from what i am doing now. i was still pretty strict about carbs and desserts and drinking calories that first year and a bit after reaching goal. as the years went on, i became less strict about WHAT i was eating, but still continued to keep an eye and stick to the TOTAL NUMBER OF CALORIES i needed to maintain...this amount changed up and down depending on my activity level, and i made sure to make changes as needed. i love going out and socializing and eating and drinking, and i've discovered that i can do all that and still maintain my current weight. i love to try new restaurants and tick off all the michelin star venues i could possibly go to before i die. and i am forever grateful for my wls and its restriction that has conditioned me to not overindulge...just have a taste to try and i am satisfied. (i am also forever greatful for whatever powers that be that have me loving exercise lol) with that said, let me attempt to provide my answers to your questions. NOTE: starting weight 235 lbs, 5'2" female, 46 yrs old at surgery. i lost 108 lbs in 7 months (plus my 2 wk pre-op diet) to reach goal. i am now 5 years, 8 months post op, and weighed 118.2 lbs this morning. 1. What are your golden rules to successful maintenance? - be flexible, be willing and able to change and make adjustments. weigh daily, always be aware of your calorie intake (i.e., track). EXERCISE: it makes you look and feel good. don't give into the angst...nobody is perfect...including YOU. i realize this is not for everyone, it takes a certain type of personality to be ok with this...i just happen to be one of them. 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? - TIME. as time goes by you will gain experience and knowledge and hopefully learn to trust yourself. 3. How much indulgence do you actually allow yourself? - any time i want. hard to put a number or amount on this because it varies day by day, week by week. but i probably eat SOMETHING or other that most "dedicated" wls-ers would consider "bad" every day. (ASIDE: i personally don't think anything is "bad" just stuff higher in calories than others, with varying macro-makeups.

I only got to about 600 calories at 6 months. Took me another year to get to 1300. Yes some programs, encourage people to consume around 1000 calories at about the 3 month mark. But you can only eat what you can physically eat. I even had that conversation with my surgeon at the 8 month mark when I had pushed up to about 900. He understood my position and was happy I was working at increasing my calories even though it was a slow process. I eat about 1500 calories now which according to those BMR calculators is about what I would need to consume for my age, height, activity level & to maintain my weight. It’s plenty of food. I don’t feel hungry. Some will say you need to get your calories up or your body will go into starvation mode & you’ll stop losing. Didn’t affect me like that. Didn’t slow my losing more than what is expected to happen. Didn’t stop me reaching my goal or exceeding it. But we are all different so your experience and needs may be totally different. If they do say increase your calories, don’t tie yourself up in knots about it. Just slowly increase your intake as you’re able. It naturally increases as you progress anyway. Those recommendations are based on averages too. Remember the recommended calorie intake for a woman is 2000 calories. I’d be as large as I was if I ate that much. lol!

That's so smart - I have been trying to get my house in order this week, too - this sounds like great motivation to me because I TOTALLY would be doing the same thing; you're right - going crazy about everything I see that needs done at the worst possible time to deal with it! I hope your EKG is good as well! I'm sure it will be *crosses fingers* I go in on Monday for my Pre-Admission Testing; I'm not sure if they'll do an EKG or not but I'm glad you mentioned it! I was just reviewing my paperwork and it says that "You will have non-fasting labs drawn at this appt. and may have other testing done." so I guess it's possible; I hadn't even thought of it. I'm sure they mentioned it and I lost it in the overwhelming amount of information I've been trying to process. It really is a LOT to keep track of. I lucked into hearing about that app I mentioned, Finch, from another friend who also had WLS. (Weight Loss Surgery - it took me an embarrassing amount of time to figure out that abbreviation! ) She had the sleeve, and another friend of mine had the Roux-y about a year and a half ago done by the same surgeon I'm using. I've watched her recovery, and it's been rocky. I think doing a 'virgin SADI' as you called it will be way better for me. She's already got an ulcer due to continuing to use NSAIDs and drinking way too much coffee. She also went back to smoking cigarettes. It's been quite the motivator to do this right, I'll say that much! I start Colace and the Liquid Diet on 7/29, so we'll be on about the same track! I've got the one week pre-op diet, and then surgery on Aug. 5th as long as I get the insurance and other clearance! Best of luck!

Great idea! Pre-op weight/BMI: 286lbs 49.1 BMI Surgery: VSG 08/2019 Lowest weight/BMI 142lbs 24.4 BMI Feb 2020 Maintenance weight/BMI: 150lbs 25.7 BMI I bounce from 145-150. I’m happy and healthy here, although at 150 a smidge over “normal” BMI. My doc is happy too. I maintain by continuing to use My Fitness Pal daily to track intake, exercise and weight. I exercise regularly, mostly walking and biking. Life is so much better in so many ways. No worries about a seat extended on planes or intruding on my neighbor’s seat. Buying whatever clothes I want in the regular section. No more aching knees, ankles and back. I was one of the statistical many whose relationship was negatively affected by my surgery. I went through a divorce about a year and a half post op. However, I’m now in a relationship that is happy and healthy with a wonderful guy who supports me in every way.

Hi all, I was on the forums last year for the gastric sleeve in Turkey but decided to wait a year & see if I could lose the weight naturally. Safe to write that I lost nothing & gained a lot more! I am having my gastric sleeve surgery with APERA (went to them for a rhinoplasty last year & they were excellent) so I’m not nervous about the operation.. more the discomfort of the gas & pain afterwards. Could someone please let me know the stages you go through with food consistencies, please?

Happy Monday everyone! I just wanted to start a post to just check-in and see how everyone is doing, regardless of what stage we are at, pre or post surgery I feel that after complaining that I wasn't feeling full, now that I am on proper food, I am feeling it, and boy is it a struggle 😂 On the plus side, I feel a lot better in myself already, and I am going to go back to the gym! Just body weight stuff and light cardio to begin with, and maybe 2-3 times a week. I notice that I am getting dizzy spells lately, probably due to struggling with eating much, so I will be mindful of that! I've had some people comment on my weight loss already - which admittedly was quite nice - they were friends and I don't mind hearing it from them, but they were just proud of me regardless, which made me feel quite good. I hope everyone is doing well ❤️

Yup...gaining water weight every day! Super depressing looking at that stupid scale. I used to have a diuretics everyday...now Dr. says no more diuretics. Don't have a clue what to do next. It is impossible to gain real weight eating between 500 & 600 calories/day.

It's not something that has been easy for the past 15 years. I used to workout several days a week for a long time, but I was just more into weight lifting, not so much cardio or anything like it. Since I've lost a lot of weight, that same drive has kicked started again. Also, I know this is going to need to be a long term thing to ensure I don't go back to what I was doing before. I have knee replacement surgery in October, so I'm trying to keep the knee strong for better recovery.

I have been creeping around here for months and finally decided to create an account and share. First though, I have to give great credit to my wife and family. My wife has been so supportive and flexible through the whole process. She has always been by my side, but during this process she read and learned about the changes, as much or more than I did. She has gone above and beyond with her support and care for me, all while still running a busy household. My kids are a constant reminder of why I did this -- so that I would be around for a long time. I wanted to be able to participate in life with my family. I also have to thank my surgical team and the care they provide. It has been great and truly lifesaving. I weighed 514-lbs on 9/12/22. I was a big boy to say the least. Shockingly, I was not in horrible medical condition. I did not take any medicine. Did not have diabetes or high blood pressure. I did have swelling in my legs, constantly sore/bad knees, and was very quick to be out of breath. I lived a very sedimentary live and limited my physical activity. I wanted to be able to be more active and be around with my family for a long time. I finally got up the nerve to discuss with my wife and she immediately got on board. I went through the program without an issue. Checked all boxes and completed all steps. Surgery was on 2/28/23 and it went well. I was up and moving that night, because that was one of the biggest hurdles to clear in order to leave. I was able to sip and keep liquid down. Discharged after one night! Incisions were sore, as expected. Gas was the worst, and not the good kind of gas that can clear the room when expelled (yeah, I am a guy), but the awful painful surgical gas, which took almost a week to fully go away. I was basically fully cleared by the doctor and back to work (in a nonphysical job) one week after surgery. My process was textbook, none of the complications that many have experienced, and I am lucky for it! This process has not been easy but has not been impossible. I have followed my plan, with the support at home, and it is working. I feel physically so much better. I am so much more mobile and active. I have never been happier. I have made changes to my daily life to support the process. My diet has changed but not radically. I eat a lot less and that is the biggest driver of my weight loss. I walk and am active in live, but I do not have a detailed exercise plan. I am still learning exactly what works for me, but most importantly I want others to know there are many routes to get to the same place. I try to get the big stuff right and not sweat the tiniest of details. My blood work at my six-month checkup was solid. Protein was on the low end in the range, but still acceptable. I was encouraged to keep on keeping on (shout out to Joe Dirt). They were comfortable enough to set my next follow up appointment out to one year. I was scared and nervous. I have had good days and bad days (constipation is AWFUL)! Most importantly, I wanted to share my story and I hope it can help others in some way. I never wanted to be skinny. I could care less what my BMI is. I wanted to feel better. I wanted to be able to participate in life with my family. And I am! I am no expert and I still have a long way to go, but I am happy and glad I had this surgery. As I have seen here, over and over again, we are all different, so what works for me may not for others, but I still wanted to share, and I hope it might be of some benefit to someone else. The non-scale wins are just the best! When I started this process, I was so huge that home scales couldn't hold me, so I would go months without weighing, but I knew good things were happening because of all the non-scale wins. Cherish those! This is a long (probably too long) post, so I will wrap. I recently weighed on my home scale (yeah, that's right, it now holds me) and I was at 288-lbs. If anyone has questions or wants more details about my journey, please let me know. I would be happy to share more.

Happy Monday! I'm approaching my 4-month post-op mark at the end of this week and happy to say the long stall I had in month 3 is behind me and I'm back to losing at a good clip. I had been worried that it would be a permanent slow-down, but it wasn't. This morning, I hit 60lbs lost since my highest weight, which was almost exactly a year ago when I went back to my weight management team after a long absence and seriously discussed entering the surgical program. I'm going through a patch right now where food is just not at all appealing. Maybe it's the start of the hot summer weather, or just the fact that cooking and eating such small quantities is tedious. I don't know. But nothing sounds appealing and I get a few bites into a meal and really don't care if I finish eating it or not. No real hunger, and the head hunger from the beginning has quieted down, too. At least hydration is going well. I ordered a swimsuit online for an upcoming trip to the waterpark with my kids and tried it on yesterday, size 16 US. It fit! It even looks reasonably good! I'm finally down to a weight I legitimately haven't seen in half a lifetime, and I can finally see the difference more. In the early days, I think I still had a memory of being the weight I was before, like I never fully recognized getting bigger, so losing that weight was just bringing me in line with what I believed I had looked like all along, if that makes sense. But now, at 15 pounds less than the very lowest I had ever managed to get with nutrition and exercise alone, I find myself surprised to realize my silhouette has changed and that I'm looking smaller, or that I can easily sit in a seat at a theater or a booth at a restaurant. 6 more pounds and I will be "overweight" instead of "obese" for the first time in about 25 years! The big challenge coming up is family vacation. We're doing water parks and amusement parks, and the food choices are sure to be dismal. I have no desire to eat the junk food, so my bigger concern is really that I won't get in enough healthy foods over the week. Especially fruits and veg. It's so hard to get healthy food when you travel, and I still get enough issues with my stomach that I've bought some discreet vomit bags to keep with me in case something doesn't agree with my tummy on the road.

Thank you everyone for your replies, I truly appreciate every single one of you. Another thing I was wondering if you felt your restriction eased/loosened with time? I had friends who have gotten WLS and most tell me they were able to eat far more than I do at each stage (mind you they all lost a ton of weight). I feel that my restriction is fierce and I am only able to eat 3 bites comfortably and the rest becomes a struggle (I stop before feeling to uncomfortably full but sometimes it just hits me suddenly and hard). Does this get better?

I think I’m going to try not having breakfast like @ms.sss and @Spinoza. I didn’t eat breakfast pre surgery but the NP emphasized how important it was to eat earlier in the day and the dietician said that’s why I’m more hungry later on. I always felt like that just made me eat more in a day but I listened to my team. I know that alone isn’t what made me gain all my weight but it is still calories. I just have to get used to taking my multi vitamin with another meal. Someday I will figure out what works for me. 🤞

"- Still have fun but track their calories and weight DAILY." This is me too. 1. What are your golden rules to successful maintenance? I've found that sticking to a monthly calorie average rather than a daily one gives me the flexibility I need. If I go over my limit for a week, I know I have time to balance it out. This approach prevents me from being too harsh on myself for one bad day. For instance, my goal for June is to maintain a daily average of 1550 calories.This method has been crucial for my success. In the past, focusing on daily or weekly limits led to self-criticism and was counterproductive. It took some time, but I’ve learned that this is a life long game. By being kinder to myself. I've made much more progress. Even naturally thin people overeat occasionally; the difference is they don't punish themselves or give up. 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? The shift for me came pretty naturally. I eased into it slow. I remember in the beginning that if I lost a pound or so that month I would adjust my calorie intake, small increments so I wouldn't get used to too high of calories. It's always a slippery slope when you have a history of overeating. I adjusted it month to month, until I got to the point that my weight was stable month to month. 3. How much indulgence do you actually allow yourself? I don't have any absolutes. I do try to eat healthy 80/20. I try to eat 5-8 servings a day of fruits and vegetables.