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There are two phases to weight loss surgery. These are the Weight Loss phase and the Maintenance phase. The goals and strategy for these two phases are different. This is my impression of the Maintenance phase. http://www.breadandbutterscience.com/Surgery2.pdf

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yes, I have days when I feel I could eat everything in sight. I just have to fight it - and I'll tell you, some days it can be a huge challenge. But we'll probably have to deal with this the rest of our lives, unfortunately. I have thin (as in never been obese) friends who say they fight it all the time, too. :-(

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I am almost 5 months out and I think because of a revision, I have no real volume limit either, if I allow it.

BUT, I know we can never allow it and so we have to closely watch what and qty we eat, to meet our requirements.

The good thing is I do feel satisfied at smaller qty, so eating slow, and stopping, I really have no hunger to shovel in more.

Our lot is to be more self managed, and less depending on the pouch to control us.

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You're doing awesome! Just understand that it's normal as things heal up and our stomachs or pouches (if you're bypass) relax a bit and continue to do so years out. So as you see, we can't always count on restriction alone to help us lose and then maintain the weight. We still have to make good choices and use Portion Control. Weigh and measure so you're not in danger of overeating and sabotaging your weight loss.

Remember, just because you CAN, doesn't mean you SHOULD.

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Thts hard to remember I wish I had A support group near me

If you're near any hospitals that do bariatric surgery, call and ask about support group schedules. It's unlikely that you'll be barred for having had surgery elsewhere if that's the case.

If you really mean that you worry about everything, not only things related to surgery and losing weight, there's - ahem - help for that, too.

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@@James Marusek excellent paper James. I've had a adjustable gastric lapband for eight years I went from 305 to 172. I learned it cold. Fill it a half cc and lose a few pounds. Take out a few and gain a few pounds. I never realized that due to complications the party would end

I just revised to RNY last month. although I was use to working with restriction there were major differences. Your post and paper helped in the transition Thanks again.

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@@Steven1954 Since you are only one month post-op, you might be interested in the following paper which discusses my experience in the "Weight Loss" phase. http://www.breadandbutterscience.com/Surgery.pdf

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Yes....I do know exactly what you are talking about. Including the complete fear of weight gain. There are days where I am hungry all day long and other days where I can barely eat anything.

As i hit the 2 year post op mark, it has become even more difficult. I just have to be aware and stay on top of it.

I knew that when i hit goal, I could not stop watching what I eat. If I did, i would be in trouble. I have lost and gained the same 5 lbs 2 or 3 times now since March. I hate to tell you but I think we are forever going to be focused on our food plans if we want to stay smaller.

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Yes....I do know exactly what you are talking about. Including the complete fear of weight gain. There are days where I am hungry all day long and other days where I can barely eat anything.

As i hit the 2 year post op mark, it has become even more difficult. I just have to be aware and stay on top of it.

I knew that when i hit goal, I could not stop watching what I eat. If I did, i would be in trouble. I have lost and gained the same 5 lbs 2 or 3 times now since March. I hate to tell you but I think we are forever going to be focused on our food plans if we want to stay smaller.

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • 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!

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