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I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

This July it will be 5 yrs out since my gastric bypass. Originally I wanted to put goal weight at 150 but even when I was 16 and on the swim team and burning calories like crazy, the lightest I ever was, was roughly 145. As a teen I even did VERY UNHEALTHY things to try and get down to what at the time, according to the notorious insurance standards, was a medical goal weight of 114 -135 lbs for my height at the time. I never managed to get down to 114 despite going on under 600 calories a day (again, with no medical guidance..I was a teen and listened to peer pressure and society tell me what was 'ideal'). So to think that in my 50's that I need to even try for that kind of weight, I figured I'd just disappoint myself plus I'm older and my body has changed. I finally set my goal at 170. Fast forward to THIS year (year 5) - I had consistently been tracking between 169-175 (and been THRILLED) and for some reason I hit a rough patch about 7 mos ago where I was hungry all the time, scary hungry considering I had been more at ease with my life and not feeling like I had to monitor anything. Things felt like there was a natural rhythm to hunger and how I addressed it. I didn't feel desire to overeat and my family said I still 'ate like a bird, but I realized I had let bad habits creep back in and it was more a boredom thing and honestly, extreme stress. What I was doing that let calories creep in was I was eating more frequently. You can overcome any 'restriction' at some point by eating frequently. I gave myself 'guard rail'/target weight zone instead at the end of my first year post surgery. If I'm in my 'zone', then I'm not actively trying to gain or lose, I'm content. If I get up towards the high end of my zone, I re-evaluate what I'm doing. I ended up in 1 month blowing past the high end of my zone to a weight spike that I had not had for 3 solid years. I had been consistent AND happy with where I was at. Thankfully I've course corrected and with some help I'm at my lowest weight ever since I was...er...18? I'm 165 right now and as I am also considering plastics, I'm going to re-review the valuable info on the plastics forum/threads as I know I want weight 'stability' for sure. I knew when I did the surgery that I personally wanted to wait until a few years out because honestly, I was afraid I'd find some way to tank the surgery even though I waited 5 yrs before having the surgery to work on myself mentally/emotionally. I also knew I'd have to pay for it out of pocket so I would need YEARS to save so I figured I could lose the weight and tone what I could so the plastic surgeon, if I was fortunate enough to find one I could trust, would know what they had to work with. I'll let them tell me if they also feel I'm ready. I have SO much loose skin that I honestly don't know with it removed if I'd weigh 5 lbs less than what the scale says. I also learned my watching my 1000 lb life that loose skin doesn't weigh as much as I THINK it should..LOL. That is why I'm only attributing 5 lbs to my loose skin I think you are doing AWESOME! I'm glad you are keeping your goal where it is. Just settle into your 'new fantastic self' which is just another facet of the already awesome person you were! We can both spend time researching the plastics info while you are in this new chapter of your life and I'm hanging out at 5 years hoping I win the lottery or at least a big payoff scratch off so I can put some money 'down' with a plastic surgeon..LOL!

I am 4months post off and I am going through the same. I work out hard, My weight is melting off, My hair is falling out which is devastating right now and I do get the occasional dizzy spells but other than that I feel really good! I am about 15lbs from my goal weight and I struggle to eat more than 1100 calories which I know I need to because I burn anywhere from 650 cal to 1000 calories a day (depending on the workouts) . I started much heavier than you but I am worried it wont stop and I will be a walking skeleton. I am meeting with my dietician and surgeon on the 13th and need to do bloodwork as well. 1. Basics: GENDER, AGE, HEIGHT F, 35, 5'9, SW 297 2. Total Weight lost in the 6 months BEFORE surgery (if any) 31lbs 3. Weight on DAY OF SURGERY. 266lbs 4. Weight at 1 MONTH POST surgery 236.6 5. Weight at 3 MONTHs POST surgery 205.2 I am at 4 months post op 185.8lbs 8. Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve

I am still basically stalled too. I fluctuate up and down the same pound over and over again but everyone keeps saying “you’ve lost more weight, haven’t you?” Ummm, no. It must just be shifting around. I know how discouraging it can be for the scale to not move especially after the quick initial weight loss right after surgery. I try to tell myself it’s a good thing because my skin seems to be bouncing right back and if I was losing too quickly it wouldn’t and then I would have the added problem of loose skin everywhere. I have about 25lbs left to lose so if we have a year to lose our weight I have 9 months to lose that weight. If you look at it that way it’s more bearable. Hang in there

Life has been nuts the past couple months but I do periodically stalk the pages to get ideas. This was last night’s dinner- espresso bbq roasted chicken thighs, coleslaw, broccoli watermelon, and loaded mashed potatoes. (Chicken thighs marinated in buttermilk, KC bbq rub and espresso rub then topped with more of each and baked at 450F for 35ish minutes)- I’m not currently counting calories as I’m doing cardiac rehab 3 days a week and have lost 25lbs since I’ve had heart surgery that I had gained beforehand (stupid fatigue). Also, went to the museum with my youngest on a field trip today and we grabbed ice cream to share. This is the after from both of us eating it.

I feel like most of us have mental health issues prior to WLS -- related to the weight gain in the first place, and the body dysmorphia that so easily comes along with life as a 'non-standard' size. I'm not surprised at all that many of us continue to struggle with both things during/after weight loss. People that haven't had a similar life might struggle to understand. Anyone who tells someone to "just get over it" or "just get passed it" in regards to any mental health issue is flat out not helping -- whether that's because they can't empathize with the struggle directly, or something else. I've been doing a lot of personal work on 'boundaries' lately. Just want to remind everyone that it's okay to remind someone that what they're saying is not very compassionate. It doesn't have to be a fight or an attack against them, even a simple "Yeah, that's really not a helpful thing to say but thanks for the effort, I guess?" might have them re-think their own words. They don't owe us support -- nobody owes anybody, really -- but we're all humans and deserve basic compassion rather than dismissal.

I'm scheduled for a gastric sleeve on June 10th and so happy to be apart of this group. I'm so nervous and my addict brain is a such a piece of ****, trying to convince me I don't need the surgery, I will lose the weight, the whole nine. This **** is so real.

I thought I'll put my progress for more context: 1. Basics: GENDER, AGE, HEIGHT F, 33, 168 CM 5'5/5'6? 2. Total Weight lost in the 6 months BEFORE surgery (if any) 0 3. Weight on DAY OF SURGERY. 198/90 KG 4. Weight at 1 MONTH POST surgery 172/78.2 KG 5. Weight at 3 MONTHs POST surgery 148/67.4 KG I am at 5 months post op 131.78/59.9 KG 8. Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve

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!

So relieved to report I finally dropped to a new "lowest weight" after my 2-week stall. Weighed in at 198.6 this morning, a drop of 0.6 since yesterday. I really hope that might continue a few days at least before I hit the next rough patch. The cravings for sweets and carbs are real! I'm fortunate that I do feel a lot of restriction, or at least I do if I am eating the right kinds of foods. I can only manage about 2-3 oz (60-85g) of heavier proteins, which include salmon, poultry, beef, and pork. I also get full at around 4 oz (100g) veggies. Sadly, if I do eat bread or crackers, they seem to go down easy. Same with ice cream or candy. I had really hoped that wouldn't be the case. It makes it that much more important for me not to keep those types of things in the house. I'm struggling with what to eat, especially for breakfast. Nothing sounds good. I'm tired of plain yogurt and cottage cheese. I'm tired of protein shakes and smoothies. I was enjoying smoked salmon with cucumbers on rye crisp bread until last week when it made me violently ill. I've become repulsed by eggs. Plus, I don't usually get hungry until later in the morning. Today, I decided to wait, and I finally started to feel some real hunger at 10:00am. So, I'm having a leftover big Italian meatball from dinner a few nights ago. Lunch and dinner options aren't much easier. Cooking is a hassle when you can eat so little, and my kids don't like the kinds of things I can eat. But I worry it sets me up for grazing when I don't have a plan. I'd really like to do some meal prep and have a list of maybe 10 go-to meals that are bariatric approved and easy to make any time of day. I'd like to spend a few hours roasting a sheet pan of veggies and cooking some chicken to store in the fridge for the week and incorporate into meals. I need to clean out the fridge and pantry. I just don't seem to have the motivation to do any of it. It's like all my energy has run dry, although my bloodwork came back good so it's not an issue of something being off. Just my attitude, I guess! I'm feeling stressed and a little overwhelmed, and it shows in my environment because my house is getting cluttered and I have a pile of laundry that is quickly going to consume me. What I wouldn't give for a housekeeper to keep the place tidy and my own cook to make healthy meals and deliver them to me at appropriate times during the day.

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.

So at this point, I am confused to say the least. Started the bariatric Program: 336lbs Day of surgery: 326 CW:279 2 weeks shy of 5 months post Vsg GW 220-230 In the morning I can not eat food without first, drinking, something hot it’s the only time I really feel restricted. I am two weeks away from being five months out. Noticed I’m will only lose about 1-2 pounds a week but I fluctuate the same 1-2 pounds. I can’t get my protein from real food after eating 3oz of chicken at noon. I can’t eat real food for the rest of the day. Water intake is not a problem. But I have been at a stall for a month!! dietitian does not want me to rely on protein shakes, but that’s the only way to meet my protein goal. Any advice???

my inside exercise is pilates, hot yoga, lane swimming, rock-climbing, and in-front-of-tv-weight-training (i also do a a rotating schedule of different dance classes). my outside exercise is running. i also do alot of other "outdoor activities" but i don't consider them dedicated exercise, its just stuff i do: walking, hiking, biking, softball, beach volleyball. i'm in toronto, Canada, so my outdoor activities are concentrated in the warmer months. in the winter i may go hiking or skiing, but not very often (and i don't run in the winter either). exercise is exercise no matter where you do it....but if you do alot outdoors, don't forget the sunscreen and hats!!

Totally agree. Nothing to be gained from beating yourself up. Life is hard enough. You did super well for a long time after your original procedure. MUCH better than most. If you can identify key points when your control lapsed then take them forward into your revision and embrace it? Even if you can't then do your best. That's all any of us can do. We're human, we live in an obesogenic world. We're trying. Every flipping day. Not to be obese. Please can you keep us updated? I'd love to hear your story moving forward.

I don't post too much on here anymore because I'm 2 years and 3 months post of from bypass. Life has pretty much normalized and I've reached my goal weight. I would like to get down to maybe 195 lbs but I'm not sweating it too much because I feel the best I've ever been since starting this whole process. I am six feet tall and sit around 198/199 at the moment. I started this journey at around 340 lbs. I lost 30 lbs before my surgery. I have lots of loose skin on my belly, my thighs, and my arms. Unfortunately, I can't afford skin removal but I'm saving to do my arms next summer. After a while, sometimes you have days where you no longer connect to your old obese self. I have days where I feel huge and ugly still. It's easy to forget where you came from or how far you've come. What helps me is now and then I check my old photos and make comparisons so I can see my progress. The body dysmorphia is so real and something I know most of you if not all can and will relate to. Losing the weight did not fix my body image but it's different for everyone. Some things IT DID improve however: -Improve my joint health (daily knee pain gone). -Took up running. Avid runner now. Have done races and run regularly outside. -Lowered my blood pressure. -Lowered my heart rate. -No longer profusely sweat or turn red from basic activities. -No longer use alcohol and food to cope with anxiety. -So much energy to move and do chores/tasks. -Healed my obsession with food. I love seeing everyone's progress and reading your stories. Getting the surgery is not a fix-all. We have to do the work to eat the right foods in the right portions and get exercise regularly. It's easier the first year but I can tell you it gets harder and harder. Every day is a battle when you're trying to escape obesity. That's not a bad thing. It's rewarding and you learn so much and become a more resilient and deep person. So keep remembering why you did this, where you came from, and how much better life is getting for you!

If you have access to a pool and don't mind being seen in a swimming costume aqua aerobics is nice and easy to get the body moving and help joints. If you have a yard/garden even just walking around it would be good to help get you moving, or stairs if you are in an apartment complex. I am not the best when it comes to exercise but I can certainly feel an improvement in my interest and energy levels as the weight comes off. I start each day with good intentions but often procrastinate or find something else to do but I do go to aqua aerobics once a week since February and since last month I am doing pilates once a week. I believe in turning up if I have paid so signed up for a year of the aqua aerobics and doing the pilates in 10 block sessions. At home I do the One and Done program, seven minutes every two days or three days depending on how I am feeling. Again as I paid for it, think $30, I use it and I can feel the difference. I also have an stationary bike that I use once a week or so if I haven't done any other exercises. I just do about 5km at a time as I find it boring but I am sure any little helps. My main problem area is my legs (ankles to thighs) as I have bad lipedema and while they have gone down in size since my sleeve surgery they still do me no favours in the appearance department so I am just trying to target them as much as possible.

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

both. when my hair was long when it first started coming out, the weight of the hair still on my head pulled it down and actually made the whiteness of my scalp more prominent...make me look more bald! the pixie cut made it easier to fluff up the roots to camouflage my scalp a little more, looking less bald lol. and yeah, the shorter cut meant less shedded hair to clean up around the house which is always a good thing. p.s. you may be surprised oh how well you could rock a shorter cut with your slimmer face though....but i get it, there can be some low key trauma to see all that hair on the cutting room floor. but i've had a pixie 2 other times in my life so i had pre-trauma to get over it lol.

I had a total abdominal hysterectomy and am now on HRT (literally the first time since I was 15 that I've had my hormones regulated at all). My uterus, 3 huge uterine fibroids, both ovaries, both fallopian tubes, and cervix combines weighed 4 pounds when they were removed. I weighed 212 on surgery day on May 7th. After I lost the water weight from 3 days of IVs, I was 208, which I expected. I was started on estrogen in the hospital. So here I am, 18 days post op, and I have lost 13 pounds. I walk 3-4 times every day, I eat normally, I rest a lot. I take my normal MS and Lupus meds and my normal supplements. The only difference is I had the hysterectomy and I'm on HRT. I'm noticing that I seem to be having a much easier time losing weight. It's almost like it was when I first had my bariatric surgery. I haven't lost weight like this in over a year. So here's what I'm wondering.... since pcos is known for causing weight gain and not allowing weight loss, and since my hormones are finally regulating with the HRT, and since I no longer have any issues with fibroids, cysts, horrible periods, etc... could the hysterectomy have maybe corrected a lot of the pcos issues and now the stuff slowing and stopping my weight loss is gone and I'm back to losing again? Did having the hysterectomy actually help with weight loss? I know a hysterectomy isn't a cure for pcos, but I'm really wondering if the combination of the HRT and hysterectomy are working together with my WLS to actually give me normal, proper results? Has anyone else experienced this, or know someone who has?

oh my gosh...I was on the edge of my sofa reading your story! Your reply as to whether it was the plane trip or your surgeon just cracked me up! I had to quote it! One thing I wasn't clear on and this is where I'm also afraid of getting surgery done 'out of the US/out of country) is if there is some sort of issue/medical emergency like you had, will my insurance refuse for me to be treated so I will be forced to make an unplanned trip out of the country to figure things out? Or did your insurance pay for your wound care/full extraction? Did you have to pay to get the 're-implant'/'new implant' done here in the U.S.? I'm still marveling at what an incredible job you did losing weight and what a tough cookie you are! You look tiny but FIERCE! Amazing!!!

Thanks for checking on me!! About the same in terms of weight, unfortunately 😩, although I'm bouncing around the high 240s instead of the low 250s now, so there's been a slight change. I'm going to reach out to my team soon if things don't get moving again.

1. What was the best part of surgery for you? The best part for me has been being able to do things I enjoy again. There were several things that I either couldn’t do or didn’t want to do because of my weight and now after losing so much weight I have been able to start doing most of those things again. For example, I love going to sporting events, but I had stopped going because I didn’t fit comfortably in many chairs at stadiums. 2. What was the worst part of surgery for you? I was one of the lucky ones that didn’t have any complications with the surgery (I had the bypass). Really my only complaint about the entire process was the gas pain following surgery. I was told by my doctor I may have some pain in my chest after the surgery, but it was way worse than I was expecting. But it only lasted for a few hours and after that everything went smoothly. 3. Did you have any complications (minor or major) after your surgery? Not really. My surgeon did notice an umbilical hernia while doing my surgery but decided it would be better to get that fixed after I lost some weight, so I had another surgery for that 9 months later. 4. How has adjusting to your new life been for you? Easier than I expected actually. I think it helps that I live alone right now so I have quite a bit of control over my environment. Like if I had a roommate who ordered pizza a lot, I think I would have a lot harder time eating healthier, but since I live alone I am able to control what food I am around for the most part. Probably the hardest part for me has been making sure I get enough fluids. I have always drank a lot with my meals and now I can’t do that anymore, so I’ve had to learn to drink throughout the day. I am finally doing better with that but I felt like I was constantly dehydrated for several months after the surgery. 5. How long did it take you to feel comfortable eating food? Not very long. The toughest part was remembering not to eat too fast or take too big of bites. During the first couple of weeks especially it does not take long until you will feel full and even just one too many bites can make you very uncomfortable for a while. 6. Is there anything you can’t eat anymore that you used to enjoy? The short answer is no. I have not found any food that I can’t tolerate, but there are foods I choose not to eat anymore. The only issue I had was with rice, and I think that was just because I ate a little too much. 7. What was your recovery like? Any vomiting or dumping syndrome? My recovery was not bad at all. Like I mentioned earlier, the gas pain was the worst part, but after that really the only pain I had was in my abdomen when I got out of bed or the recliner. I vomited a few times when I was learning to eat again but all of those were from just eating a little too much I think. Recently I’ve discovered I get low blood sugar really easily (and I’m not diabetic). I actually just talked with my nutritionist about this earlier today. I don’t have sugary foods too often, but I’ve found that if I have too much sugar all at once, I will get low blood sugar a few hours later. This never happened to me before my surgery. 8. How long did it take you to feel semi-normal after surgery? Just a few days. My surgery was on a Monday and I remember thinking I probably could have gone back to work that Thursday if I had needed to (my job is not physical at all though- I work at a desk most of the day). The toughest part was energy level. I returned to work one week after surgery but I was only able to work half days for a couple of days. 9. Did you experience higher energy level post surgery? Yes, I have way more energy than I used to. I used to have to force myself to work out a few days a week, now I don’t like going even one day without some form of exercise. 10. Did surgery affect your mental health? Yes, I think it has. It has helped my mental health in some ways, like being able to do more of the things I enjoy has helped with my depression, but I have also found I am struggling with stress and anxiety more than I used to. I think at least part of the reason for that is that I used to cope with stress and anxiety by eating and I can’t do that anymore, at least not the way I used to. Also I should add that there was a part of me that thought that all of my problems (including my mental health issues) would magically go away once I lost weight. My mental health has definitely improved since I lost weight, but it is still something I am struggling with. I started seeing a therapist a few months ago and I believe that is helping me out a lot. 11. Do you regret it? Do you recommend it? I have not regretted it for a second. I was relatively young when I had the surgery (I was 32) and a part of me felt like I didn’t need the surgery, like I thought I was still young enough I could lose weight without surgery, but looking back on it I am glad I didn’t wait. I had a number of minor health problems that were all slowly getting worse, and I realize now that it was good that I didn’t wait for them to get worse. I will add that I feel I am one of the lucky ones that has had basically no complications from the surgery and no food intolerances or dumping. I know not everyone has had as easy of an experience following the surgery as I have.

And it drives me nuts because my mom says things like "You just have to stop. You know you did the work and lost the weight, so just stop." Like...Ok, sure. I'll just quit. No problem. Thanks, mom 🙄

So my bestie who is in the process has medi-cal through partnership and her primary is Kaiser. Kaiser approved her sent all her info in. Their process is a goal weight, psych eval, blood work and meeting with dietician which she is almost done with the process and when its all said done it'll have been 2months ish. IDK if that is anything like medicaid.

Medicaid typically requires 6 months of documented medically supervised weight loss attempts with your doctor, bmi of 40 or 35 with at least 2 comorbidities, pass an ekg, blood work, and pass a psych eval before they will approve the surgery. They may also require a referral to a bariatric surgeon from your primary doc. They will also require a letter from your primary doctor approving you to have the surgery. All of that gets submitted to Medicaid by the bariatric surgeon and then Medicaid decides if they will approve it or not. If they deny it, they'll usually tell you why and you can either do whatever else they need you to do or appeal it if you already have it done. That's all I can think of. I actually originally looked into bariatric surgery way back when I was on Medicaid, but ended up not doing it. Once I started my previous job and got BCBS, I looked into it again and ended up doing it. When I had my revision a year later, I was changing jobs and in between insurance and back on Medicaid (if the revision if for complications and not failed weight loss, they tend to approve the revision really fast - in my case, it was 72 hours, if it's for failed weight loss, you basically have to start everything all over again as if you're doing the surgery from scratch, and all the previous requirements are back in place). Now I'm at my current job (dream job) and have United Health Care. I hope this helps somewhat!