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Low BMI and Gastric Sleeve



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I am getting sleeved at noon today (I hope, came down with head cold) My BMI was 35.5 at initial consult. I have hypertension, labelled diabetic, sleep apnea and high cholesterol. I am pretty nervous about my decision but feel that it's in my health's best interest to do this surgery. Lost 6 pounds on the 3 day pre op. I could have lived with my weight but not the diseases.

Excellent choice for you to have the surgury, I was identical to you, post op 4 months now, best decision I ever made!

Keep us posted!

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Good luck today with your sleeve! I'm waiting today or tomorrow for the call to schedule my surgery date!!!

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I was sleeved a little over 11 months ago at around 36 BMI. I told close family and a few friends who all knew of my lifelong struggle and were all very supportive. My mother, I think, was the most concerned because it's an elective surgery compared to my previous ACL reconstruction surgeries, which were necessary operations.

The first week is the worst and the next four are tough, but not insurmountable. Being that I was young (24) and on the smaller end of the spectrum heading in, I only needed to stay on my pain meds for a week and after 10 days, I was back to sleeping in my bed again. (I'd been sleeping on the couch downstairs, after discovering it was the most comfortable.)

I hit my goal weight yesterday and can honestly say that my lifestyle has not changed in terms of where I can eat and whether the smaller portions are really noticeable. Everyone not in the know generally chalks up my mostly-empty plate to Portion Control and it being the reason I've lost weight. My social life is better and I'm healthier.

My doc said to me long ago that he wishes people came to him at my age and size before everything spiraled and while they had the chance to get decades of enjoyment out of it. Best of luck to you all!

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My doc said to me long ago that he wishes people came to him at my age and size before everything spiraled and while they had the chance to get decades of enjoyment out of it. Best of luck to you all!

This is my answer when asked why did you get surgery you are not that fat. I used a tool to help me loose the weight that I need to before I get any co morbidities or get fat enough for everyone to perceive the need. This was my choice for my body.

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I am starting at BMI of 36. I am scheduled for surgery next week. I haven't told many people because I get the " you aren't fat enough for surgery". So I am not telling many more people. They don't know my struggles, about the $5000 a year cost in medications that are for weight related issues. I am so happy to find other low BMIers on here and see similar problems! I can't wait to post before and after pictures!

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Yes, I have had many people say "why are you having WLS you are not that big ",too. Could not have waited until I was "that big" because if I had I would have been dead!I have prediabetes, sleep apnea, joint pain, high cholestoral, borderline high blood pressure, etc. this is not vanity it is insurance that I will be alive to see my kids graduate from college and see my grandchildren. Many in my family were not so lucky. That said,some will never understand so I would think before telling people who don't really need to know.

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I was a 36.6 at initial consult - but after a few lbs of weight lost (on Protein shakes 2x a day and trying to follow the bariatric plate - getting used to eating that way now) I am down to 35.7. I will be sleeved on 3/7 and am hoping to be under 35 BMI by then. I am tired of the roller coaster, tired of the weight, tired of the being tired, my cholesterol is crazy - I am a Type 1 diabetic taking too much insulin. Losing weight for me is a torturous, slow process that I give up on...

I also feel this is the right decision for me...

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Mine was low too, I self paid because my insurance won't cover it. I even had one of the doctors at Kaiser who did WLS actually criticize me for doing it and told me I'd regret it. Five and a half years later I am still waiting on the regret.

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My BMI day of surgery was 35. I've chosen not to tell a lot of people about it, because I hate the reaction I've had when I mentioned thinking about surgery in the past. People think it's taking the lazy way out, or being vain, etc. The reality is that I have tried everything else to lose weight to no avail. I am scared about my physical health and the impact on my self-esteem. When people comment on my weight loss my response will be that I lost weight by eating a lot less. That's not a lie, so I feel good about it.

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My BMI was 30 and I had it done. I needed it and I will never regret it.

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My BMI is 36, I am 36 years old, and I am scheduled for surgery March 24th. I cannot wait! I am not telling anyone other than my fiancée, at least not until after surgery. I fear people at work will notice the quick weight loss, and depending on what foods I'm on when I return to work... Since I plan on only taking 2 weeks off. I'm a RN and work 13hour night shifts, so we eat when we can at the nurses station (shhh don't tell The joint commission!)... I am hoping not to have too much loose skin afterwards, but honestly I'd trade this chub for loose skin any day!

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I had a BMI of 29 when I had the sleeve, I am 6 weeks out and less than 10 pounds to goal...

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@@Commander, my BMI was also approximately 36 on my surgery day and I am a nurse. Of course everyone has noticed the rapid weight loss but I have been an open book about it. I would just tell people it's all about portion control...it's not a lie, you just don't have to add that you had surgery to help control the portions. Good luck to you. I am 10 weeks postop and I love my sleeve!

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I am a 28 year old female with pcos. During the last three to four years, I became insulin resistant, pre diabetic and am now having periodontal issues. I am 5'2 and 175 lbs. I think that puts me to 31 or 32 on the BMI chart. I am working on having my surgery sometime in the next 3 months but I am also not getting any support from friends or family members. My sister is the only person supporting me. I wish people knew that just because one is not 300 pounds, it does not mean they don't have health issues that needs to be addressed.

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Hi everyone,

I'm finally back for an update! I had been in the typical stall for quite some time, so was hesitant to post too much and come across pessimistic.

Here's a recap. Had my surgery January 9th in Mexico. BMI was 29, weighed in at 153.4 (only 5'1) on January 1st when I started my pre-op. I had an easy pre-op, basically just did Protein shakes for Breakfast and lunch and then veggies and chicken for dinner. Three days before surgery was yogurt only diet, but I did add a Protein shake once a day just to keep my Protein up and my carbs down. Day of surgery I weighed 148.4 lbs, which put my BMI at 28.

I went down to Mexico on the day of surgery and spent a few days in San Diego afterwards. First time I weighed myself on my home scale I was 139.2 and that was on January 17th.

Jan 18 - 137.2

Jan 19 - 137.0

Then my weight started to bounce around and stall out so I stopped weighing daily.

Feb 1 - 137.6.

I started working out Feb 1, scale was still moving super slow, so again just weighed every once in a while

Feb 5 - 136.0

Feb 23 - 135.2

Then I went on vacation to California. Just got back last night and I weighed in this morning at .... 129.0!!!!!! That puts me at a BMI of 24.4, the high end of NORMAL WEIGHT.

Why did I finally drop? I don't exactly know, but here's two things that probably helped.

1. I ate out a lot, and although I didn't eat lots at a time, my calories were definitely higher, so I think that actually helped boost my metabolism.

2. I got super sick the second last night, stuck in the bathroom (sorry if this is TMI - but basically all night pooping and puking --- although it was mostly dry heaving since there was no food in me). So I probably am down quite a bit of Water weight, and fully expect I may gain a couple pounds once I get hydrated again and eating somewhat normal.

Anyways, I just wanted to post an update since it's been a while, and I feel like I may have finally broken this stall. I am less than 6 lbs above my lowest weight as an adult. Still 14 lbs above my goal weight, but that being said, I am looking forward to increasing my exercise and putting on muscle, so realize it may be difficult for the scale to drop steadily if I'm toning up.

Hope everyone else is doing well!

--I am going to copy and paste this post to a few of the other "low BMI" threads, so sorry for the repeat to those of you that follow those threads as well--

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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