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I did it! I had my surgery
SleeveToBypass2023 replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
Congrats!!! The first 2-3 weeks seriously suck. After that, it gets easier and you really start to learn your new body. Just prioritize walking, getting in your fluids, and getting in your protein. Don't rush things, stick to your meal plan, and trust the process. Weight loss stalls are NORMAL and to be expected. Watch for NSVs (Non Scale Victories) when the scale isn't moving. You got this!! -
May 2024 Surgery Buddies 😁
stephiemarie3291 replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
I am scheduled for an RNY Wednesday May 22! I met with the surgeon last week and when his RN came in afterwards, she goes, "we can get you on the schedule on the 22nd first thing in the morning." Thinking she meant June 22, I told her that would be perfect because it would give me just over a month to get things in order at work and get the house post-op friendly. She just looked at me and said, "No... May 22nd... like two weeks from now." 😅 1) I think the thing I'm most nervous about is the questions and opinions from others. I've lost almost 100 already and get comments congratulating me for "not taking the easy way out with surgery." Now that I've announced that I'll be out of work for a few weeks for a surgery, I keep getting asked about what kind. I've defaulted to saying a hiatal hernia repair. I've only told the five people in my support team the truth. 2) I'm planning on bringing my own pillow and blanket, some comfy clothes and non-slip slippers, iPad, Kindle and a couple books (I'm a mood reader so I never know what I'm going to want to read!), toiletries and bathroom items, lip balm, and a hair tie or claw clip. 3) I'm excited to just finally have it done! I'm tired of battling diets and hormones/genetics to only be able to lose 15 pounds then hitting the plateau that eventually leaves me feeling defeated, so I give up and gain the 15 pounds plus a few more back. -
So I finally had my hysterectomy, and it went about as well as any of my surgeries go....
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
I had a total abdominal hysterectomy on May 7th. I was in the hospital for 3 days and 2 nights. The initial surgery took 3 hours because not only did they remove my uterus, cervix, fallopian tubes, and ovaries, but they also had to call in general surgery to detach my intestines from my uterus (was attached with lesions in 3 places). My heart actually did really well and there were no complications.....with that. But it wouldn't be me if there wasn't something wrong somewhere. Ok, so I get back to recovery and seem to be doing well. Blood pressure is a little low, but all in all, not too bad. About an hour into my recovery, the nurse notices a lot of blood. She checks me and apparently I was hemorrhaging blood and clots. I went through 3 big pads in 25 minutes. Just as I came to, I was told I would have to go back into surgery on an emergency basis. My surgeon was with me and actually held my hand the whole way back to the OR and while I was being prepped. The 2nd surgery took almost 2 hours but they got the 2 places that popped internal stitches on the vaginal cuff re-stitched. I was in recovery again for another 2 hours and then was FINALLY allowed to go to my room. My husband was extremely panicked and white as a ghost. He made all the necessary calls and told me he was scared. I felt awful for him. I had to get 2 units of blood because I lost so much. I'm normally on the low side of normal because I'm chronically anemic. My blood pressure was also extremely low for over a day. They gave me a 1/2 liter saline bolus while I was getting the blood transfusion because my blood pressure was staying around 82/39 and thereabouts. It was around 4pm on day 3 that my blood pressure stabilized enough to go home (it stayed around about 93/55 for 4-5 hours). Since I've been home, I sleep a lot, I walk 3-5 times per day, I just finally got off my pain meds and can get by with tylenol. I'm not cleared to drive or exercise, but I walk the apartment complex a couple times a day and that seems to do well. Still have some pain at the incision (it's about 6-7 inches long at the bikini line) and the muscles and nerves under the incision ache sometimes. I can only sit at the computer for about 15 minutes at a time, so this is the first chance I've had to type this out. I had to go to my doctor yesterday because 2 stitches on the right side of my incision popped and I had to be re-stitched. That really sucked, but it is what it is. I'm on leave from work for 6 weeks (well, 5 now). I normally heal well, but this one is really slow going. I'm already on estrogen patches (Climera) but I was told it takes anywhere from a couple of weeks to 2 months for the estrogen to fully kick in and get my hormones regulated. Lemme tell ya, I've been riding the crazy train, complete with night sweats, hot flashes and flushes, and insane mood swings. Can't wait to feel normal. Initially, I gained 13 pounds of water weight in the hospital, but it's slowly working it's way off. Once all the water is gone, I can't wait to see how much weight has actually dropped since my lady parts were removed (everything together, including the huge fibroids, weighed 3 pounds) so I'll start weighing myself again in about a week. That's about it!! So glad to finally be done with everything. Once I'm fully healed and on the other side of this, WATCH OUT!!! lol -
100% with you! I mean technically, there's no "normal" weight loss in the sense that all our bodies are different to begin with, all of us have different health complications or diet restrictions, etc -- but I think you're doing really well if it helps! I'm 2 months post-op myself and have had two 'short' stalls of about a week each time. I think at the time, one of the members in the forums mentioned that the stalls are basically your body doing a bit of a reset/reboot to find a new equilibrium before moving forwards again. Don't get discouraged! Keep at it, or maybe juggle a few of your meals/proteins around to see if a small change can kick you out of the stall. (For example, I was really reliant on greek yogurt and lowfat cottage cheese well past my puree stage. I avoided them for a few days after I noticed a stall, and ate more plant based protein and fish in the meantime -- and I honestly feel like my body responded like "oh, some new puzzle to figure out!" and shocked me out of my stall. I'm not saying change everything up but if there's a meal or a protein that you're really leaning on right now, maybe switch it up a bit and see what happens.)
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Post-Op hormones / Menstruation issues
JennyBeez posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi everyone! So I've been scouring the internet (and the forums lol) for information on menstruation complications post WLS. I've seen plenty of 'scientific' and medical journals talk about how menstrual cycles are better regulated after Gastric Bypass & Sleeve surgeries, and even more comments from WLS patients about how their cycles went haywire, flows became excessive, pain levels increased, etc. Myself, (prior to my WLS) I've always had fairly regular cycles, always heavy flow -- other than at certain points of severe weight gain where I would start skipping (once for 6 months!) or just get trickles of a flow. Other than in my early teens, I never experienced spotting -- whether pre-cycle or between cycles. Now, 2 months post-op I've been getting ... spotting. I think. Again, I've barely ever experienced spotting before but for the past 4 days I've had red/brown discharge on liners & when I wipe. Today one of my ovaries feels sore and my lower back is acting up in a suspiciously pre-period way. I sent a message to my care team -- but they never reply on Fridays to begin with and it's a long weekend here so I doubt I'll hear back from them until Tues/Wed. Would love to get more input on people's personal experiences, whether it's recent post-op or years down the line. Commiserate, complain, let me know this is an (unfortunately) normal thing. -
I don't think it sounds abnormal At All. I was recently doing some research into something tangently related (spotting / menstrual issues) and everything I came across has been talking about how much our hormones change -- both from the surgery itself, but also all throughout weight loss, etc. Get yourself some good lube and enjoy. 😉
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Hi ladies! Not sure what is going on but I am dry as a Sahara desert in my lady bits, and its to the point where my S/O doesn't think I am attracted to him. Which is not true at all. I never had this problem, is this just a side effect of losing weight rapidly? or maybe I am getting older (I am 35yrs old). It is getting frustrating.
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Stalls are very normal. I am a week ahead of you surgery-wise and stalled around the same time and around the same weight (bouncing between 201 and 203 for about 3 weeks). My highest weight was also similar to your, although I had lost quite a bit before surgery, so actually my post-op loss has been much smaller. I've read that somewhere in the 3-6 month range it's common to reach a stall. It generally has nothing to do with your eating or your exercise. It's just an internal metabolic thing. Remember, weight loss from surgery is not immediate. After the first several weeks of rapid loss, you will slow to 1-2 lbs per week, and it will take 1-2 years to stabilize. This calculator can help you figure out how many pounds you might lose at each month mark by inputting your starting weight, height, age, and other factors. https://riskcalculator.facs.org/bariatric/ And this one shows you the likely results for years 1-3: https://michiganbsc.org/DecisionTools/
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February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I use my starting weight from before the pre-op diet. I was my highest when I started that, and my diet was only for 10 days, so I figured that was my beginning weight. I think my dietician uses that one, too. That puts me at 41 pounds lost as of today, and I'm thrilled. I'm with you on not having a particular weight I must reach. I don't even have a number in my head. (I did put a weight on my ticker here, but that was just for progress purposes) I think my goal is to see how much comes off and how I feel at that point. At my age, I'm looking to feel healthy, and that's my goal. I won't be a supermodel or wear a bikini! Lol. I think we are all doing wonderful, and I'm excited for each and every one of us!! ♥ -
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.
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@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! -
You’ll get a range of answers about this simply because our needs are so different. Have a chat with your dietician & /or team to see what they recommend is best for you at your current stage, current weight, activity levels, height, age, etc. As a start see what a BMR (basal metabolic rate) calculator suggests you should be eating to maintain your current weight & activity & aim for fewer calories. Try this one https://www.thecalculatorsite.com/health/bmr-calculator.php Or this one https://www.bmi-calculator.net/bmr-calculator/ They’re not 100% accurate of course (it’s just statistical data) & you’ll notice differences in what they recommend based on what formula they use but it is an idea of what you may need.
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Sleeve revision or go ahead with bypass
ShoppGirl replied to kezbeth's topic in Revision Weight Loss Surgery Forums (NEW!)
I am pending revision to my sleeve and my dr said he does not do resleeves because of the high risk and occurrence of leaks and low weight loss. I am pending testing to see if I will be getting bypass or SADI. Not sure if that helps or if your doctor feels the same way but it may be a good thing to ask about. -
Sleeve revision or go ahead with bypass
kezbeth posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had gastric sleeve in Mexico in 2008. It was a good experience and I lost over 80 pounds in less than a year and reached my goal weight. My sleeve was wonderful and it was a good decision for me. I kept the weight off with ease until 2014 when I tore my right rotator cuff at work, was put on steroid treatments for almost a year until the insurance would allow surgery. While on steroids and following the first rotator cuff surgery, I tore the left rotator cuff in 2 places ( starting a powerwasher) which required an additional year of steroid treatments and more surgery. In the process or healing the left side, I tore the right rotator cuff again which caused more steroids and physical therapy and another surgery. In physical therapy they caused damage to the nerve in my left elbow which required the nerve in my elbow to be moved into the muscle. This was a very painful surgery and was difficult to overcome, hence more steroids, Gabapentin and pain meds for nerve pain. Needless to say, 2015 thru 2018 was difficult and I began to put on weight ten pounds here and there that I could not take off. No matter what I did, the weight sticks to my mid section and thighs. After trying for several years, I had just given up the battle. I had regained all of my weight by 2020 and am now able to eat just as much as always. I developed a cough in 2012 that my doctors said was asthma. Meds rarely help it. The heavier I get the worse it gets. I am starting to developed sleep apnea and rather than being put on a breathing machine at night, I am determined to get the weight off and then see where I am with sleeping issues. I contacted my doctor in Mexico and requested information on the sleeve revision and they also discussed the Bypass with me. I was accepted to have either one and due to an out of state job I am on at the time, I am tentatively scheduled for revision surgery in mid August. I have until the end of July to pay the difference and elect to have the bypass if that is what I choose to do. I am looking for information on both and looking for surgery buddies that may be having bypass or sleeve revision surgery in August that may want to share information or may have suggestions to help me decide which surgery to elect to have. My surgeon recommended the bypass or the min-bypass as the best option for me at my age and indicated that I would lose more weight with the bypass than the revision. I was recommended to visit this site to see others experiences and suggestions. Anyone out here have any information they want to share? -
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.
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Being able to sleep is one of the benefits of the surgery I really appreciated. I used to get about 5 hrs & if I got 6 it was a good night. Even had nights when I didn’t sleep at all. Began in my thirties when my job became more stressful & then I think it became a habit (like waking at the same time). I’d be up at 2am working. Was tried all the time. Now I average 8hrs. It’s fabulous. Initially I did sleep longer & yes I put it down to recovery, changes to my body (like the hormonal changes) & the weight loss too. I always think, if your body wants to sleep it must need it.
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Gallbladder Removal after DS
Arabesque replied to Strivingforbetter's topic in Duodenal Switch Surgery Forum
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. -
Does your pre-op diet weight loss "count"?
Arabesque replied to NickelChip's topic in General Weight Loss Surgery Discussions
Stumbled on an Australian bariatric surgeon who recommended multiplying your starting weight by 0.7 to find the weight you may end up at. Again based on averages & they said their patients’ stats & not depended upon your surgery. Easy way to check versus searching for the online calculators if you’re interested. -
Has anyone had their gallbladder removed after losing weight quickly? I just had mine removed after dealing with constant pain and gallstones. Any tips on what to eat? I had my gallbladder removed on Monday.
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Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
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. -
February 2024 Surgery Buddies?
BlueParis replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks all for your support, it's seems silly to write to you all as relative strangers, but apart from my partner I haven't disclosed my surgery to anyone so you folks are "my people" right now!. I'm slightly less cold this evening and had a blood test at lunch time ... (I'm not a doctor but I do work in the healthcare field and I'm actually at an EU medical conference here so got a collègue to write me a script for one). the results are through and, I am as I thought very anemic, so much so that I have an iron infusion booked for tomorrow ( Amen to the pan european health insurance system!!) . And @LisaCaryl you also hit the spot - I have low blood pressure too - but thats not that unusual for me - doctor I spoke to said I should try and rest up a bit and take things easy. (Sort of made me laugh because after full days of conf here I have zooms late evening with my US teams because of the time difference and also found out yesterday that I get back to Paris and then after one night have to go straight to the UK for a week for more meetings ... in my 3 months (90 days) since surgery I've had a total of 23 nights at home .... C'est la vie ) I have tomorrow and Friday to get through and then my partner is flying out for the weekend and we'll go to the islands where I hope I'll have more sun! I'll layer up the best I can and will deffo see if when I'm in the US I can get some more thermal wear just in case I'm still feeling chilly , @RonHall908 @Noelle74 I'm sure I'll find a Parisian way to rock a hunting style! Or I could just go for a classic Elisabeth II look The issue I have at the moment is work attire - I have to sort of dress "smart" and because I've lost weight so quickly in the last three months ( My three month "surgerversary" is tomorrow) I've gone from a european size 44 (US size 14 / UK 16 / Aus 18) to a european size 38 ( US size 8/UK 10/ Aus 12) I'm relying on wrap dresses and cardigans with tights that just aren't cutting it warmth wize. I have to upgrade my sheer tights to woollen ones and get some thermal t-shirts to wear under my dresses as per @Briss72 suggestion ( congrats at getting under 100kg @Briss72 and I'll for sure stock up on some handwarmers for my pockets). I have a free morning tomorrow after my infusion and will see what I can buy without spending too much money as I'm still loosing weight pretty in a pretty linear way and hope it will continue for another few months so don't want to spend much on temporary clothes! Here is my weight chart (in Kg) since surgery which I'm very happy with so far... and even with all the being cold and a bit miserable, I know this was the best choice for me and I'd do it all again in a heartbeat and regret not booking surgery earlier! The first drop from 95-91 was my presurgery diet and just after surgery my weight went up ... but it's being going down steady since - I'm just on the brink of having a normal BMI - green zone! Now that was a very long post! Once again, thanks for everyones support, and sorry for being a bit of a negative nancy from time to time! -
Bypass Revision due to pouch opening being widely dilated?
KarenLR75 replied to KarenLR75's topic in Revision Weight Loss Surgery Forums (NEW!)
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. -
8 months post, 3 months of stall and poor circulation
Anomalia posted a topic in POST-Operation Weight Loss Surgery Q&A
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. -
I think you hit a big nail on the head-- going back to first principles- the why? is not just a reminder of what brings you into this process, but a good question we should all ask ourselves periodically. I'm no expert on weight loss, but have a fair amount of experience with various "rehab" and group support programs--as time goes on (I'm only 11 months out from my surgery), my experience has been that you change (emotionally) and your perspective changes. It's been a constant for me to periodically reevaluate my commitment to all sorts of things and ask the very questions you posed. Healthy thinking!
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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?