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Went to the clinic today n I'm back on the bill but like 3 times a week. Sigh .. maybe it was too soon going off it

I have an appointment with my seurgeon in about 3 days time so will talk to him about it and see if this is something he has seen before.

@Lily2024 Good luck on surgery!! I was not able to work out for 7 weeks it was so tough, but getting back into the swing of things!

I am on day two, and I was so hungry last night i ended up having 2 extra string cheese before bed, I feel bad because I did so good on day 1, but before bed i was starving. Today I am making use of my "free foods" and am going to try adding some broth, and sugar free jello as well as some extra free veggies. I had a headache yesterday but today none, I also did a modified diet for one week before my pre op started, 3 shakes during the day and then a regular meal for dinner.- my surgeon didn't mention not having the surgery if the liver was still too big but I definitely don't want to take the chance.

I agree with you, I definitely feel so much better and in less pain! I just can’t believe for 4 months I’ve been in this stall when it seems that the first year is major weight loss for most people 🥺 I do have regular check ins with my dietician and have been following the advice they give and they also suggested adding some calories but it’s hard to fit in my stomach. But no excuses I gotta do it. Just frustrating and no one on my care team seems to be alarmed or offer any medications even though it’s been 4 months of this. lol

6 week update: Down to 252. So officially 10 pounds down. I feel good. Clothing is fitting better. Snacking habit broken. More energy from eating better foods.

I had my surgery on 11/13/24 I am 5’1 my Sw:211 pre op: 196 Current:171 Goal: 140 I’ve been having a few issues eating most days, I am at a stall right now from not eating or drinking much for like 2 weeks. Im back on track and I get full full for the day after one meal so been doing more drinks. I wasn’t using straws until a few days ago, only way I can get enough daily fluids in me. I am a Cali girl, I do use THC to help me eat these days, otherwise I’m not hungry. I’m trying to force myself to do more weight lifts for my muscles which I’m loosing fast, but I do walk 1-2 hours a day. I also don't like the calcium chews, gonna see about switching to pills on my next visit. Anyone in SW Houston that work out or belong to a gym?

Hello Kirsten. My husband is a diabetic and is on Mounjaro. He has lost 3 stone with a little will power and is happy with his progress. You are doing great. You must be thrilled

Does your insurance have specific guidelines for qualifying? For example, mine required a BMI over 40 or over 35 plus a certain number of comorbidities from a specific list that they provided ( I can't remember the specifics now, but I do know they were spelled out clearly in writing). They required 6 months of regular appointments, including weigh-ins, with the team of dietician/surgeon/behavioral health specialists. They required a panel of blood tests, as well as a letter from the primary care physician in support of the surgery. Once those requirements were fulfilled, approval was a formality. We knew before the request was submitted that it would be approved. The actual approval took maybe 2 weeks to process and I was able to find the information by logging into my insurance portal and looking under the section for authorizations. Your surgeon's office should have someone on staff who is an expert at dealing with insurance who can tell you exactly how the process is expected to go. My office submitted my paperwork a standard number of weeks before the surgery, something like 3 or 4 weeks, I think.

I have a tentative surgery date of June 17th so I'll be starting my 2 week liver shrink / pre-op diet the first week of June. My nutritionist said I will have to drink meal replacement shakes for breakfast, lunch, & supper. I have Premier Protein powder at home, but he said that is not a meal REPLACEMENT, it's just a high protein shake. What meal replacement shakes do you recommend? Which ones tastes the best? I don't think I can drink the ones that have a heavy vitamin taste.

So I'm finding doing this EXTREMELY difficult. I don't think I will EVER be able to take small enough bites and will EVER be able to make my meals small enough so i have decided against the surgery and have decided to try losing weight on my own. I have lost almost 20 pounds so far in the 3 months since I've started so I think I can lose the 150 pounds I want to lose eventually I've been losing about 1/4 pound every 3 weeks about lately but hey any weight loss is weight loss and I technically have all the time in the world the lose the 150 pounds I want to lose.

I am the same. I did count a few times a week during weight loss phase, and for a whole month when I stabilized at 9.5 months out but then I ditched it. I know roughly how much I eat, and I do random checks too. When I was at my fittest I never tracked calories and that worked for me through adulthood and motherhood. I do however, weigh myself at least a couple of times a week, something I never did even while being in shape. What gets measures gets managed. Not gonna lie, the first few months are a mental challenge, while I rapidly lost weight, I was always anxious that I would stall/stop losing/gain weight. I was always worried and on edge. I know it's easier said than done, but your body will do its thing, stick to your plan and try to trust the process. I would also say that it will not always be like that. After I stabilized, I tested my body, I ate more/ate things I didn't for a while and saw if that changed anything. With time and through trial, I am much more relaxed now and my mind is at ease. That is not to say that I let go, not at all. I eat well, I workout daily but I am much more relaxed when it comes to the flexibility I allow myself. I understand my body much better and I trust myself to make the right choices with what I'm given. Another advise is, try to stick to your plan as much as possible until you've stabilized, maximize on the honeymoon phase where pounds melt off and it's easy. There will always be time to have a little bit of the things you can't now. If you haven't yet, try to find an activity you enjoy, walking, jogging, pilates, yoga, swimming, cycling ...etc. whatever it is that you can and enjoy doing, it makes all the difference. Also, freeing your mind of anxiety is the biggest gift you can give yourself. Good luck 💓

Has anyone experienced weight gain three weeks post op? To preface, I do have hypothyroidism and PCOS. I was down to 227 and I’ve been 230 for a week now. And the scale has not budged 😅 even after introducing more movement this week. I’m hitting all my protein and liquid goals as well. I’m intaking about 600-1000 calories a day. Has anyone else experienced this and does it get better?

Thanks a million. I think I get a two week sick cert and was then going to do two weeks homeworking and possibly add in some annual leave (seeing as the surgery is instead of a vacation) to not put too much pressure on myself or risk doing too much too soon. I also think I will hire a nurse/aid for an hour or so each day for the first few days, figure it might help ease my family concerns.

Checking back in as I am nearly at my new goal weight now. My husband and I joined a gym in November when the weather turned too cold for us to walk/hike outside. We have stuck to going nearly every day except when we are on vacation/traveling/sick. I was on a cruise 1/23-2/3 and I even went to the gym five times onboard! Unfortunately, I got pretty sick as soon as I got home and didn't make it to the gym that first full week back. All that said and done, between the cruise and being sick, I did gain one pound, but I am back on track now and will be going to the gym for the third day in a row this evening. I am back to just "overweight" instead of obese and nearly back to the weight I was when I met my husband 8 years ago.

I needed to hear this today! I'm losing around 3 lbs a week since sleeve was done Dec. 2. But went out of town to see my mom and sibs and drank her sweet tea and ate nibbles of things I normally don't now and I'm up in weight. Was 204.2 and now I'm 206.2. (On my phone right now but will change my ticker soon! 206 is better than 215! Lol!) Frustrating! I didn't eat much as I still feel extremely restricted but I think the sugar must cause inflammation and salt always makes me hold water weight. So I'm happy to be back home and working a lot and eating my grapefruit, cucumbers and protein shake, etc. daily. Hopefully I can begin going back down this week. So close to Onederland! Thanks for sharing this. Goes to show just how fast it CAN come back on us. I've lost and gained lots over the years. Hoping this surgery was the tool I needed to help me get my weight down and keep it there. At this point I'd be thrilled just to get to and stay at 199 forever. LOL! But my goal is much lower. But once I get into the 100s I know I always FEEL better. So I'm looking forward to that milestone!

Hi everyone! I have my surgery date scheduled for the 16th of March 2024. Due to a high BMI of 61 I have to do 4 weeks of the liver shrinkage diet. I started on Friday the 16th and I'm really struggling. I'm on total meal replacement shakes x 3 daily with just sugar free squash and water to drink alongside these. My total intake per day is 800 calories or less. How did you guys do it? I know I HAVE to do it, but it's so hard. I cry daily because I'm hungry and I want food. My stomach constantly growls, my stomach hurts and the shakes never feel like they satisfy any of that hunger. My partner is so supportive, he eats away from me and hides food so I don't feel any further distress and jealousy. I know why I'm doing this but I don't know how I'm expected to do this for a whole 4 weeks. Any advice or support is welcome. If anyone is doing the same atm for their March surgery please let me know, maybe we can buddy up! Thank you all ❤️ xKirstenx

I am 12 weeks/3 months out. It wasn't my best weekend as far as carbs, but I also don't think it was terrible; it was my highest calorie count since surgery at 1500. The next day, I just tired to really focus on protein and low carbs. I did go walk today and got in a little over 2 miles so that feels good to be more active again.

4 weeks in going to update the stats: SW: 262 CW: 254 GW: 200 Down 8 pounds in a month which I’m happy with. Hoping for similar results for the next month!

I am 2.4 months post op and have lost only 39 lbs. I was wondering if this was normal amount of weight to lose at this point or if it should be more. I have been stuck between 198 and 200 for over 3 weeks now. I would like to know others experience on this topic.

Twelve days to go for me now... How are you all doing with your diets? I had to do mine for four weeks total.

Well done! It's really good to take measurements. It helps with the stalls!

So glad to hear you are doing well. Yea when the cravings come back it sucks. I have been doing okay. Tomorrow is my last day of the infused chemo. Surgery on 3 weeks then radiation in five. I will be on the immunotherapy another year and maybe oral chemo depending on the pathology from surgery. 🤞 I don’t need the chemo because that may mean I’m immunocompromised still and I’m so sick of the isolation of trying not to get sick and miss treatment. I got a tiny little cold that made me septic and spent 10 days in hospital which made me miss two weeks of chemo so I’ve had to be super careful to not get sick again and all along they have told me once I get to radiation I won’t have to be so careful. I mean sick would mean I would miss treatment but only for a day or two while I had a fever or felt really crummy and it wouldn’t be life or death. Anyways, I only read about the oral chemo on the patient portal tonight so I will ask Dr more about it this Friday when we chat. Maybe it’s not a big deal. I have pretty much maintained my weight till recently. I’ve gained a few pounds. I’m still on the heavy steroids and the immunotherapy caused thyrotoxicosis I think it’s called. I was hyper thyroid to start but then like 3 weeks later it went back to normal and then to hypo thyroid and apparently it usually stays that way. I reached out to my bariatric team and asked him if I could start on with Govee to help get me off of some of these processed carbs and he acted like I was being crazy to be worried about my weight at a time like this. I said I’m not trying to lose weight. I know I’m not supposed to and I haven’t Since December when I started the Chemo, but I don’t think that if you’re so concerned about me, maintaining my weight to fuel my body and help myself recover that the foods I’m eating in order to sustain an overweight body weight are really helping me recover from anything. I said all I want to do is be able to stop eating the garbage and start eating healthy nutrition again and I would be willing to log all my food again and check in with you to make sure I’m not losing too fast or anything, but he says no way not until I get the all clear cancer free from my oncologist. But I’m helping my oncologist can reach out to him and tell him that I’m not gonna get that for another year and if I wait that long, I’ll probably be as big as a house again without any help. Or I may just have to go through an endocrinologist or my family doctor or something. Anyway, anyways, trying to not worry about it too much but I didn’t appreciate that. He acted like I have some kind of eating disorder or something and I have like a death wish. I mean, I wasn’t saying that I wanna take something that’s gonna make me starve myself to death. I was just saying that I want to change what I’m eating and eat healthy obviously if the medicine made it where I couldn’t eat anything. I would stop taking it. I’m not insane. 🤣 but it is very discouraging to see the numbers on the scale go up even if it’s only 5 pounds.

Hi there folks. I was sleeved back in September of 2023, so it's been 8 months. In 3 months, I have lost 3 pounds. This has had me in tears. I haven't been absolutely perfect, but I'm exercising 5 times a week and maintaining a significant calorie deficit (average 1400 cal at 330 pounds). For the last 6 weeks, my hands and feet have started getting cold, and I have been sweating excessively. I went to see my GP and we considered thyroid, which was a relief as it might explain the stalls AND the circulation. BUT the TSH test just came back within normal range. She's stressing that extreme weight loss can cause you to feel cold more often due to the loss of insulation, but my hands and feet are objectively cold (other people can feel it) so it doesn't seem this simple. Any ideas? If I'm back to steering my own healthcare on this, it is not a new thing for me, I'm just not sure where to start.

Dropping into ketogenesis you will go through a “keto flu” which is different for everyone, but sweats, nausea, body aches/muscle aches, fatigue and headache are common for those. It often hits between day 3-7, but everyone is different. Salt here helps. Dig out your electrolyte drinks, your salty broth, etc. with the coffee drinking you’re just adding insult to injury, losing a lot of water that way. Though withdrawal is a jerk.