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Not enough weight for surgery



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Yes, those of us with lower BMI's are very likely to go from XL or plus size to normal sizes very fast. I initially only bought workout clothes while I was on FMLA. When I knew I had to go back to work, I ordered size large Tunics and stretchy work appropriate pants. I figured the tunics would cover the tighter then looser pants. And they did. But... about a month later they were way too big still. I am 5 months out. I wear a size 8 pants with medium tops most of the time, but am also wearing some size 6 and smalls.
Okay. Currently I'm a size 16/18 and am hoping to end at a 7/8. A 5/6 would be amazing though I'm not sure that's in the cards for me.

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Yes, I am scheduled for RNY on March 11, and have struggled both with my feelings and with others’ perceptions that since I “only” have 100 lbs to lose that this step is too extreme. I’m a 40 BMI. But the two things that I keep telling myself are 1) I gained the most recent 30 lbs bc of some meds I am on, and immediately obesity-related health problems came up. So this is no only about me wanting to wear a single digit dress size. This is about my actual long-term health and being healthy and alive for my family. And 2) I have TRIED all the “traditional” strategies, and no matter how hard I try, I just never really lose. I just keep gaining. So, why wait until I’m 200 lbs overweight instead of 100?

So, I’m still working through this myself, and I’m happy to share thoughts with other lower BMI patients as we go through this. I do believe though in my heart that I’m doing the right thing.

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1 hour ago, Slimmy-mommeee said:

Okay. Currently I'm a size 16/18 and am hoping to end at a 7/8. A 5/6 would be amazing though I'm not sure that's in the cards for me.

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It is definitely a possibility! I was a 16 for the most part but some were too small. Getting down to a 5/6 depends on bone structure too... but my friend is definitely a 6 now, I am getting there. There are a few who get to smaller sizes I have seen on this board!

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Yes, I am scheduled for RNY on March 11, and have struggled both with my feelings and with others’ perceptions that since I “only” have 100 lbs to lose that this step is too extreme. I’m a 40 BMI. But the two things that I keep telling myself are 1) I gained the most recent 30 lbs bc of some meds I am on, and immediately obesity-related health problems came up. So this is no only about me wanting to wear a single digit dress size. This is about my actual long-term health and being healthy and alive for my family. And 2) I have TRIED all the “traditional” strategies, and no matter how hard I try, I just never really lose. I just keep gaining. So, why wait until I’m 200 lbs overweight instead of 100?

So, I’m still working through this myself, and I’m happy to share thoughts with other lower BMI patients as we go through this. I do believe though in my heart that I’m doing the right thing.
I've tried multiple weightloss strategies also. Even went to the weightloss management clinic at the hospital I'm have surgery at. My primary doctor is with Jefferson Hospital and my surgery is through that same hospitals bariatric center. I've done phentermine, topiramate, saxenda... thru it all I would lose maybe 20lbs and gain it + more back. This battle has been going on for years and it's time for this portion to end. The next stage is battle food addiction and get back to the active me.

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Hi. My BMI was 35.8. And my weight at the start of pre op was 222. Day of surgery on 10/15/19 was 207. I am now 162ish with a BMI of 26.

I’m thrilled with my progress so far. I’m getting so close to a normal BMI I can taste it! Lol

I had several co morbidities (except diabetes). I’m much healthier already after only 4 months!

I don’t know your age but I can tell you that unless you get your weight by some means, it will only get worse.

Best wishes!!

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My starting BMI was 43.7 and I had one surgeons office lady tell me I needed to be 50 BMI for bypass & they tried pushing the sleeve.

so I politely hung up the phone and went elsewhere lol found out later that surgeon wasn't very experienced!

Finally got my RNY and I'm now 24.7 BMI :)

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On 2/13/2020 at 3:04 AM, Slimmy-mommeee said:

So I have a 38.8 bmi, fatty liver disease, type 2 diabetes (barely and the number has gone down) and my insurance approved me for surgery on 3/2/20. I'm really excited but I keep feeling like like I'm not heavy enough for surgery. Does anyone else with a bmi under 40 feel that way? The crazy thing is I'm in constant pain from my joints neck and back so I'm not sure why these doubt keep coming.

my bmi was 36 no comorbidities. So you will be fine.

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I have a BMI if 36 with no comorbidities at all but I’d lost 100lbs+ in my own. I’m having surgery because it’s impossible for me to continue losing more weight. I’ve been less but I was always starving. I feel like this tool will help me finally lose the weight and my goals will stick. My sleeve surgery is 2/25/2020. The only thing was I was too healthy for my insurance to cover it but I didn’t want to sit around and wait to develop health issues or gain more weight.

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I have a BMI if 36 with no comorbidities at all but I’d lost 100lbs+ in my own. I’m having surgery because it’s impossible for me to continue losing more weight. I’ve been less but I was always starving. I feel like this tool will help me finally lose the weight and my goals will stick. My sleeve surgery is 2/25/2020. The only thing was I was too healthy for my insurance to cover it but I didn’t want to sit around and wait to develop health issues or gain more weight.
How are things going? Your surgery date is right around the corner!

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Honestly I am very happy that my BMI is 35 and not 40, it’s less distance that I need to go. If it weren’t legit, insurance wouldn’t approve it so maybe that is one way to look at it!

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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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