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I second the protein coffee. I had sleeve three years ago and heard all about it but never tried. Now I’m pending revision and decided to give it a try and I love it. To the point I have to be sure I don’t get too much protein because it’s so good. I got out of the swing of taking my vitamins as well and I’m working on a routine now. I take my multivitamin right after my morning coffee (just be sure it’s a whole protein shake or it may not be enough in your stomach to keep the vitamin down). I keep my multivitamin in the kitchen cabinet with the cups I use for coffee now to remind me to grab them. I sit them right next to my iced “proffee” as I’m drinking it so I don’t forget (I’m pretty bad so yes it does take that many reminders). Then I return the empty cup and the vitamins to the kitchen. As far as the calcium I haven’t gotten back into the swing of that yet but I intend to take it with lunch and dinner to make things easy. I think maybe alarms on my phone may be necessary untill I get back into a routine.

Now day 6 post op! I can hardly believe it except i would love something solid to eat. Today my husband took me to lowes to walk around the plants and break up the monotony. I found that juice causes me to race to the bathroom. We picked up cream of chicken soup and its pretty tasty. My incisions don’t hurt but i feel tender inside. A little more every day. Inching back to the new normal! Since week 2 is pureed foods what are you all doing with the tuna??

@BlueParis I think you should try rocking the Queen Elizabeth look! I'm glad you've gotten to the bottom of the anemia and blood pressure concerns, and hopefully addressing that will help with your temperature regulation. I'm still losing so slowly, which is frustrating. But at least it's going the right direction again. I weighed in at 201 lbs this morning, which I also had hit a week ago but then bounced up for several days. I think the scale is just teasing me because I'm so close to being under 200. I'm trying not to let it bother me but it's hard. I'm only down 4 lbs in the past month, and only 22 since surgery, despite hitting protein, water, and exercise goals daily. I look forward to talking to my surgeon's office about it next week.

I'm almost 5 months post op RNY Gastric Bypass 1/3/24. 52 F 5'9.5 HW 272 SW 255 Surgery date 219, CW 174 1. I had surgery for a variety of reasons, severe GERD, hiatal hernia, gastroparesis, obesity, chronic pain and disability. The best part is not feeling either nauseous, in pain, or hungry 24/7. I feel hungry, I eat, and I feel good. Don't get me wrong, I still have some nausea or pain if I eat too much or too fast, or just knowing something isn't likely going to agree with me, but I've been pretty good at avoiding those things. The chronic pain is lessened, I'm more mobile, and feel more energetic throughout the day, instead of just in the morning. 2. I've had some hard days with emotions, not being able to eat mindlessly anymore, regardless of the food. It's been an adjustment, but honestly, no one needs to eat mindlessly, it just isn't good for anyone. 3. I had a sketchy bladder issue, it didn't wake up for a few days after surgery. I had a sketchy bladder already (Previous Cauda Equina Syndrome), so it wasn't completely out of nowhere that it didn't cooperate. 4. It's been really good for the most part, there have been moments that felt hard like traveling with family and not planning well enough, had a hunger meltdown, and struggled getting what I needed in a hotel room with a barbie fridge. Though recently traveled again, same scenario, but better prepared, no melt downs, no strife. 5. I was started on purees in the hospital and it was a slow progression to regular food and I felt okay through every stage though I would say that I started feeling "normal" when eating after about 3 months? 6. I don't eat bread, pasta, rice, fried foods anymore. My ultra favorite was fish fry, now I have baked cod and still eat it with tartar sauce, so I don't feel deprived. Most foods that I crave I've been able to find a satisfying alternative for that works for me. . 7. I have not vomited once since the surgery, I've wished I could at least twice, but it was a matter of having eaten too much and needing to wait to let it settle. That is a good reminder for me to go slow and take breaks. I've not had any dumping, though I avoid all sugar anyways, and did prior to surgery. 8. It's different for everyone, I think I felt most like myself again at about 8 weeks. Though that doesn't mean that I felt bad before that, I just felt less energetic, a bit more emotional, etc. 9. Yes, very much so. I don't have that afternoon slump anymore, I feel clearer and just happier. I feel like I am now what I was supposed to be all this time. If that makes sense? 10. It affected my mental health in the expected way, I was weepy, sad, afraid, etc. I was thoroughly prepared for it by reading on this site and American Bariatrics site. I knew what to expect and it didn't shock me or frighten me when it happened. Thanks to all of you who so generously shared about those experiences. I'm definitely happier now, I feel more comfortable in my own body now than I have in a very long time. 11. I don't regret a moment of it, would definitely recommend it to anyone who is eligible and interested in having surgery. For me, the biggest piece of it is that feeling of eating, then feeling satisfied. When I go out with friends or family, even though there is so much food still on the table, or on my plate, it doesn't keep me preoccupied. I'm able to just sit and enjoy the time with friends and family without spending the entire time talking to myself about one more bite, one more piece, no, no, maybe...................This piece right here is invaluable, and when combined with the fact that I don't feel sick all the time anymore, it's definitely been worth it many times over for me.

I use NetDiary (track every day!) and I love it! I wear my apple watch everyday and I stay in competition with myself to see if how many times a week I close all 3 rings on the fitness. At work I walk every single work day for 30ish min on my lunch break. I do go to the gym as well to weight lift and a little more cardio. Not every day but about 3-4times a week. Take pictures! That is what encourages me, I have been documenting my journey and its amazing to look back at and see how far I have come. I weigh myself at least once a week, I am trying to stay away from the scale because I tend to beat myself up if I am up a lb in a day (WHICH CAN BE ANYTHING! late dinner, salt and not enough water) but I get flustered so I can't do that. Most importantly, What is your "why?" Why did you choose WLS? What or who is/are motivation?

It's not just you! I have had a similar experience... I've never been a big drinker, and even when I was 300+ pounds, I had a pretty low alcohol tolerance. I typically only drink a few times per year, usually a glass or two of wine on a holiday (I don't normally keep alcohol in my home). After surgery, I went a long time, I think 2+ years, without drinking at all because I've been told that gastric bypass makes alcohol have a stronger effect. Then I had house guests and bought a bottle of red and a bottle of white for two different meals. Tried a small glass and was ok. Then I had leftovers after the guests left and drank the rest over the course of the next week or so. And like you, I noticed that it felt nice going down -- which really concerned me because I didn't want to develop a drinking habit. So I enjoyed finishing off those two bottles, but once they were empty, I did not buy any more. Since then, I've continued to have only a few drinks per year (wine on special occasions) and I've noticed that I have a VERY low tolerance. A single glass of wine leaves me barely able to stand up. I'm not even sure what point I'm making here, but I guess I'm just saying that I don't think it's your imagination that wine can be soothing to the pouch, but the negative effects outweigh the benefits, at least for me. And of course you want to be careful of developing a transfer addiction.

I've had this happen! My body seems to have some set points it is familiar with and I have noticed myself stalling at them or at least holding there for a week or two. My first stall post-op lasted 6 weeks and was at around the same weight I got to when I took Saxenda. I hope your stall is gone and over WAY before then!! It is interesting that your body picked that spot to stall at. I really wonder if the body has a variety of set points within it as opposed to just one. The way I understand it is that stalls mean our body has reached the point that we've lost enough it needs to reassure itself we aren't starving to death. So it stops weight loss, recalibrates, and assesses things before moving forward. It makes sense to me that for some of us this may happen at previous points of stalling or previous weights we stayed at for a while...

I had surgery 4/9/24. Been sick ever since the second week, I can barely keep water down. Everyone keeps saying it’ll get better but this is by far my biggest regret!! I feel like I’m dying!! Anyone else experience this? I don’t know if I’m losing too fast or what but I can’t live like this!

Hello Everyone! Hope those who have had surgery are doing well and those with pending surgery are hanging in there. I was doing well at my 1 week mark until yesterday when I had a near fainting episode. I went to see my PCP and he found that my potassium was low and I was just a little dehydrated, despite drinking constantly! It is probably due to the problem I am having with diarrhea. I started potassium pills and working on hydration, hope I will start feeling less weak. Be aware this can happen, even when on a liquid diet.

Hi all, I’m looking to see if anybody has any personal experience of taking recreational drugs after gastric sleeve surgery. I am going to Amsterdam 5 weeks after my surgery and I will most definitely want to smoke a joint and have a glass of wine. I’m also going to cream fields festival at the end of August. I will most definitely take drugs like cocaine and MDMA at this festival. Can anyone please share some personal experiences with me? Also I’m not looking for a lecture on the health implications I know the risk just looking for people’s experiences.

I took Latuda for bipolar when I had my sleeve three years ago and my prescribing doctor was concerned about me not getting enough calories in the beginning for it to absorb properly as well. (For those who don’t know about this particular medication it’s not about it not absorbing due to the surgery itself like many controlled release meds. This med needs the 350 calories in order to absorb fully for anyone, not just people who had surgery). Anyways, My doctor switched me to vraylar for a couple of months prior to surgery just to make sure I was stable on it and then a short time after until I was back to being able to consume 350 calories at one time. The vraylar is quite expensive but luckily they were able to get enough samples for me. The plan was to switch me back once I was eating enough. What was weird and unexpected was post surgery when he tried to switch me back to the Latuda all of a sudden it caused me a great deal of anxiety and I couldn’t tolerate it anymore (even though I was on it for three years before surgery) so he kept me on the vraylar a little longer until things got back more normal for me and then made another change. I am now on a completely different medication. Neither the surgeon or prescribing dr could explain that anxiety except that when you alter the anatomy things just happen sometimes but I just worked with my prescribing dr and he sorted it out. The most important thing is that your prescribing dr and your loved ones are very aware that you may encounter some issues and that everyone is on top of it. If you feel the slightest bit off, you may need to be the one to contact your Dr. You mentioned “the switch” as an option. Not sure if you are speaking if the SADI switch or the Duodenal switch but both of those are restrictive and malabsorbing surgeries. The reason they suggested the sleeve for me was because they were concerned about my other meds not absorbing fully just because of the malabsorbing component of the other surgery. Fast forward three years and I gained my weight back and we are now considering conversion to the SADI or bypass because I gained my weight back. I gained it back because I ate the wrong things though so don’t let that scare you. I only mention it because I’m guessing you can see my current weight and may wonder why I didn’t lose. I did lose quite a bit and maintained it for a while but I was discouraged I didn’t lose it all and I let that get to me. Which is something you should be aware of, you may not lose as much as someone who is not on all these meds. Just don’t get too caught up in comparing your journey to others. I am 5’8” and I got down to 168. I would be so much happier and healthy now if I had just accepted that win instead of getting it in my head that I failed by not making it to where others did.

Hummm. I was thinking that maybe if they do change it then it would be smaller for me because I swear my sleeve was left too big from day one. The surgeon thinks I just have fast gastric emptying and that’s why I feel like I can eat more but I hope we will know for sure when he does the scope in a couple of weeks. It will be nice if I do finally get an answer as to why I was always able to eat more than everyone else. I was just thinking that even though statistics say I will lose more with SADI revision that I may be differnt if one involves changing the stomach and the other does not.

I had surgery May 1st, 2024, I lost 14 lbs the first week, but as soon as I started drinking and eating protein, I’ve stopped losing weight. I’m assuming it’s because I’m assuming it’s the protein intake, and not being able to eat veggies. 🤷🏻‍♀️ Anyone experience this?

Thought I'd update this post because I just had the chance to attend a live Q&A session with Dr. Matthew Weiner. I talked to him about my weight loss so far and concerns about how slow my progress has felt post-op. He asked me about pre-op weight loss and what my highest weight had been, and explained that even though I was 223 going into surgery, I had started at 251 and lost 12 lbs from nutrition changes over 6 months, plus 16 lbs from the pre-op diet, so that all factors into the final weight loss expectations. He suggested in terms of what my final weight loss from the surgery might be that using the 251 starting weight could be more accurate, and that the pre-op diet weight loss would definitely help explain the slower weight loss post-op. Bottom line, I feel so much relief hearing this explanation from him and really appreciated him taking the time to ask so many questions to get to the answer! My surgeon really hasn't given me an estimate of what I should expect to lose, although I plan to ask at my 3-month appointment next week so I can compare.

Yes I’ve spoken with them. Was in the hospital for two weeks getting fluids. All the scans came back normal. They said pancreatitis now gastritis I just feel like they’re missing something. Idk I’m tired

Hey Warren, I'm presuming because they would only look at fixing the opening if they did feel it was contributing to the pain and other issues I'm having 'downstream'. This would not be a true revision in the sense of reducing the size of the pouch. My insurance company also only pays for 1 bariatric surgery in your 'lifetime'. They would only pass for the revision of opening if it were medically necessitated, and they would not consider 'failure to lose weight' or a 'weight regain' as medically necessary. My GI wanted me to talk to the bariatric surgeon who specializes in revisions. The surgeon does not think what is happening to me is 'dumping due to widened opening'. He said it doesn't sound like dumping to him and if that happened to everyone whose opening widened, everyone would be having "dumping" issues after a couple of years. He did point out that both the upper and lower GI I had done do not look at the inside of the pouch so if there is a hernia that is causing the on again/off again pain and on rare occasions bleeding (looks like coffee grounds), then the GI doctor would not know as they never 'scope' the pouch for a routine upper/lower GI. He also indicated that depending on the scope size a GI doctor uses, it doesn't go through every single space that we have (due to us having been um "modified"?) so it would take a doctor who uses an extra long scope. That last part I must confess I do not understand at all. He does have me scheduled right now for a laparoscopic investigatory procedure to take a look inside my pouch and see if there is scar tissue or a hernia that needs to be addressed. He also gave me prescription acid reflux meds and said if i got better after 'taking' them, I could cancel the procedure in 2 weeks. What he fails to understand and I've tried telling his office, I can go a month with no pain. Then I go back to back days in extreme pain. Have not been able to tie it to specific food, time of day I'm eating, etc. My right side starts with a stabby/cramping pain (closest I can compare if it feels like the pain I used to get when I ovulated or that 'stitch in your side' type feeling. It often goes downhill from there. I have tried to get it figured out now for 2 years but taking ANY medicine and 'not having an episode in the next 2 weeks' does NOT give me a definitive answer as I do not have this pain all the time, it is just enough to be frustrating and has lasted LONG enough to be concerning. The 'coffee ground' type bleeding that I have observed is one and off for the past 3 months (maybe it started a while ago but now I know what to 'look for'. I don't like going under anesthesia but I'm probably going to keep that procedure scheduled as I have no guarantee that ANY medicine given for the next 2 weeks has 'fixed' any issue. I wonder if anyone else has ever had their opening revised but not their pouch out of curiosity.

@BlueParis I don't blame you for wanting some sun! We've finally had some nice weather here and it makes such a difference. We're in that little sliver of time where it's nice and not too hot. I know that in another few weeks I'm likely to be desperate for air-conditioning, but today I have the windows open and a light blanket on my lap and it's perfect. I hope you get better weather soon. I had a great opportunity on Wednesday night to join in on a Q&A session with Dr. Matthew Weiner. It was a small group, like four of us, and we just got to ask questions. I filled him in on my weight loss so far, including highest weight, how much I lost with diet changes, how much with the pre-op diet, and then the much slower weight loss since surgery. He told me that even though it seems slower, he thought I was pretty much on track. Apparently when you're calculating weight loss expectations for surgery, it's better to use your highest weight (especially if it's relatively recent, I think) because it's more realistic. So, for example, if I use 251lbs as my start, it suggests a final weight of 166. If I use 238 lbs (the weight I was on day one of the pre-op diet), it suggests 157 lbs, and if I use 223 (the day before surgery weight), it suggests 147 lbs. Dr. Weiner said 147 lbs is most likely not a realistic goal because I wasn't really, metabolically, a 223 lb person when I had surgery. I was a 251 lb person who had lost 28 lbs, and that distinction is important. Honestly, seeing this range of outcomes makes me feel better about where I'm at. I don't have a particular weight I "must" hit as a goal. I'm happy losing weight in a sustainable way and being healthier, whatever that ends up being. I just wanted to have a goal in my mind, and I was starting to worry I was not going to succeed because it's been so slow. But, even though I've barely lost anything since mid-April, I've still lost 50 lbs since last summer, and that should be something to celebrate!

I had mine removed 2 years & 1 month after my sleeve. Could have been because of the weight loss, menopause, my high bilirubin levels or simply my past eating. Had a stone about 1cm diameter but it certainly made itself known. That pain is the worst! Never changed what I was eating after surgery. Was eating the same the day after it was removed. Some people struggle with fatty foods in the long term after (my aunt describes it as feeling liverish 🤷🏻‍♀️.) but of course I don’t eat a lot of fat so wouldn’t know if it sets it off. My sister-in-law doesn’t have any difficulties with foods post her gall removal. Probably a case of just how your body reacts. Only thing to watch for the first month or so (again depends upon you) is you may have more stomach acid & have issues with that. Your gall regulated the acid entering your tummy & without it you may have a more constant stream until things settle again. Eat small meals more regularly & try a PPI for a little while to reduce the acid. The excess acid can cause diarrhoea & some discomfort in an empty tummy. I had regular bouts of diarrhoea & I remember my surgeon saying to comeback if it persisted for more than a month. It didn’t but every few weeks I’ll get bout of it. Don’t really get cramps or any of the other usual diarrhoea warning signals just a bit of a grumbling & need to go.My sister-in-law is the same.

Ok I need everyone’s coping strategies for dealing with being so cold the whole time. It’s 16 C ( 60 F) this morning in athens. I’ve « burnt » through all the warm clothes I bought with me so will have to drop laundry to be done today. Because I have a whole week left here. Yesterday a collègue touched my hand as I was passing him some papers and audibly gasped at how cold I was and asked if I was okay and then gave me his jacket to put over my knees during the meeting so I know it’s not all in my head. I have the heating on and a hot water bottle for night but I just can’t warm up. Im pretty sure I must be very anemic right now and will check that with blood tests when I get back home. I know I sound like a broken record but I’m just really really struggling with being so freezing the whole time. It’s miserable. My hands are so cold I’m having issues typing for work …

You're probably right about the need to search for patterns when there aren't any! The only scientific explanation I can think of is the amount I've lost this time, and the amount I lost 7 years ago to get to this same weight, is basically the same, and about 20% of my total body weight. I know I've read that 20% tends to be where the body starts really fighting weight loss, and even if the surgery makes it possible to overcome those mechanisms and lose more, it may be that the short term effect is a brief stall while it all gets sorted out internally. So it's probably just coincidence, maybe based on having lost about the same number of pounds as last time.

I haven't ever noticed this and I can't think of a scientific reason for it! What I will say is as humans we are hard-wired to look for patterns and then read into those something significant. I suspect you've just hit a stall. We all do, many times, on our weight loss journeys. If you can just relax into it and wait for it to break and then resume losing I think you'll be good. My experience with WLS is that my body chose a new set weight and I just got there with a bit of effort and sticking to the rules. Totally agree that with previous diets my set weight might have been very different but those haven't intruded *at all* into my life post sleeve.

@ChunkCatDANG GIRL! You look great! I'm so sorry you're struggling with POTS. That stinks, but it sounds like you've got a plan in place to help you manage until - 2025 (so ridiculous). I can't believe it's been almost 6 months already! I sometimes forget that I had it done (until I try to eat fast - LOL!). I'm down 77 pounds since my highest - 69 since the surgery. I still struggle with not being able to see the change (because I see my self every day), but occasionally I'll see a picture of me or see a reflection at a certain angle that makes me go... wait... a... minute! :) I'm down 2 jeans sizes (probably actually down 3 sizes because let's be honest, those 24s were STRETCHED to capacity! LOL!). I could get my 20s on a few weeks ago but I couldn't breathe, so there's that. I did go on a cruise week before last. That was interesting. I gave myself permission to eat whatever I wanted and I found that I'm now starting to naturally lean toward healthier/smarter choices. I only gained 2.2 pounds that week and it came off very quickly. The big news is that I've scheduled my knee surgeries!!! Getting one done in June, the other in October! I'm nervous because of the unknowns (pain after the surgery, rehab, not being able to drive, etc), but I'm more excited because I'm ready to have my life back! New body, new knees... I'm going to be unstoppable! Can't wait to hear how everyone else is doing!

it's really, really rare to have a stricture that late - they almost always appear - if they're going to appear - within the first three months after surgery. I had two - at four weeks out and again at eight weeks out. The first time I knew something was wrong and I called my clinic. They suspected it was a stricture and sent me over to the hospital for an upper endoscopy to confirm (and "fix") it. The second time I knew exactly what it was since I'd seen this movie before and I went right in to have it stretched. So no, I never got to the point you were at. For those newbies who are reading this, strictures only happen to about 5% of bypass patients (they can happen to sleeve patients as well, but they're very rare with sleeve), and they almost always happen within the first three months after surgery. Just be aware of the symptoms she listed and contact your clinic if you first start noticing stuff like this. They're not going to heal on their own, and they're an easy fix. Just make sure to let your clinic know if you start having these kinds of symptoms (can't keep anything down, nausea all the time) since these are not normal and are usually indicative of a stricture.

Hi! I had bypass surgery on 5/1. So almost two weeks out. 1. I was nervous about the recovery after. I have three big dogs that love to be all up in my business. A pillow to block my abdomen was my best friend. 2. I overpacked for the hospital. My surgeon only required an overnight stay. But I brought some skincare and a book and a game to play with my husband. Didn’t use any of it lol. Except some lip balm. My lips were crazy dry after the surgery. I brought a heating pad with me. I used it for the gas pain because that stuff travels! It migrated to my shoulders at one point. So painful. Getting up and walking around helped so much. You’re going to be so exhausted after surgery, you’re not going to want to do much but sleep. 3. I’m excited about actually being healthy for the first time in my life. Looking forward to doing things with my family and friends that I previously would have said no to.

Liquid clears your stomach pouch in a matter of seconds after gastric bypass. I know this because on the morning after my surgery, I had to do a swallow test and l literally watched on the screen as my new little pouch filled with a swallow of liquid and immediately started dripping it into my small intestine. By the time I took the third swallow, the first one was no longer in my stomach pouch at all and the second one was mostly emptied, too. That's how it is supposed to be. "Stretching out" your stomach is 99% myth for two reasons. First, at the early stage, your stomach is swollen and stiff. You couldn't stretch it out if you tried, let alone with a mere few ounces of liquid. Second, as time goes on, it's supposed to stretch a bit to allow you to eat a healthy quantity of food because you can't live on 400 calories forever. If you stick to your recommended portion sizes, eating schedule, and fill up on healthy foods, it won't be an issue. I highly recommend watching Dr. Pilcher's video about stomach stretching if you're concerned. Bottom line, most people do not actually stretch their stomachs, they learn to eat around the size restriction by grazing all day and eating high calorie junk, and then blame their "stretched" stomach for their bad behavior when they gain back all the weight. At 8 weeks post-op, swelling has decreased and capacity is closer to what it's meant to be. Drinking 12 oz in 35 minutes is totally normal and healthy at this point. It means you are healing. Solid foods take longer to empty, so eating 3-4 oz per meal will feel very different than drinking 12 oz of water. At 3 months post-op, I can drink 32 oz of hot decaf tea in 30 minutes. I can eat 5-6oz yogurt/bean soup or only 2-3 oz of chicken breast in the same amount of time. It's a function of how much your stomach has to do before it can move along. My advice is to follow the instructions you were given with regard to your number of meals per day, quantity of food at each sitting, macros, etc. Stop when you feel fullness cues, but don't eat more just because you don't feel fullness cues, if that makes sense. You will never need more than 4 oz of chicken at a sitting, but you will likely be able to eat more than that in a year or two. Resist the temptation, and add non-starchy veg instead if you feel hungry. Build good habits now that you can stick to forever.