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I had my surgery (bypass) back in 2019, I got down to 175 stone. I started sertraline 7 months ago now, and have gained nearly 20 lbs. Albeit my diet hasn't been the greatest, but I feel horrific and starting to hate the way my body looks again. Any tips for getting back on track? I snack/graze too much but don't feel strong enough to go back to old/good habits!! Any tips for diets to try/how to lose weight again

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Can you explain what you mean when you say you don't feel strong enough to go back to good habits? It sounds like you already know what you need to do, but are struggling to do those things for some reason?

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Start by making small changes. Drop one or two of those Snacks. Swap out a poor cooking style to a healthier method. Swap out a less nutritious food for a more nutritious one. Check your Protein intake & if it’s low, add more protein to your diet. Same with Water. Check your portion sizes too. And so on until you are back to eating much like you were when you were close to or at your goal weight. You don’t have to make all the changes at once. Make one change & then in two or so weeks, make another change. Small changes are much easier to cope with & manage.

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Just be slightly more strict with yourself and wean yourself off a bit on the snack foods. Like yourself, I had some gain back due to a med that I needed for a TN flare (gabapentin) and got all the way up to 197 pounds. I've since weaned myself off the med after being put on something different that doesn't cause weight gain and I've dropped 10 of the pounds I gained as I'm 187 today, but I don't know if it's even possible to lose the 5-10 more pounds I want as I've been struggling to lose any more despite adjusting and fixing my eating habits. My doctor told me today to not stress about it because some of it may be due to my MCAS and some of the issues it's been causing lately. So maybe a part a part of the weight gain you're experiencing is diet, some from the med, and the other part possibly stress? (stress can cause weight gain as well) If you're struggling with getting your diet back on track just slowly adjust it. Don't stress yourself out even more by denying yourself everything just cut it back slowly bit by bit and eventually you'll be eating better and hopefully the weight will come back off.

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I've started therapy to try to get a handle on some of my issues, before I have surgery. Perhaps counseling would help you, too?

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I think therapy and accountability is good for us all. I had surgery Dec of 2018 and dropped 139lbs. Covid did a number on both my eating and exersizing habits. I gained 30lbs in the past two years. No suprize on how it happened, lack of routine, sitting at home, watching to much Youtube, not exercising and too much snacking. But i know there are deeper issues at play here that were present when i was 272lbs, that didnt go away simply because i lost weight. I think some form of therapy would benefit me as well.

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8 minutes ago, CherylBE said:

I think therapy and accountability is good for us all. I had surgery Dec of 2018 and dropped 139lbs. Covid did a number on both my eating and exersizing habits. I gained 30lbs in the past two years. No suprize on how it happened, lack of routine, sitting at home, watching to much Youtube, not exercising and too much snacking. But i know there are deeper issues at play here that were present when i was 272lbs, that didnt go away simply because i lost weight. I think some form of therapy would benefit me as well.

Congratulations on your amazing weight loss!

Substance abuse (no matter the substance, alcohol, drugs, food, sex, whatever) is just a symptom of an inner problem. Our problem isn't food, it's our minds.

My therapist knows that we're working together because I have food issues. But, we have hardly talked about my eating, at all. We've talked about all the other garbage that needs to be worked on, in order to be able to change my relationship with my drug of choice - food.

It has been a very interesting experience, working with a therapist. And I know that the hardest work we will do, is yet to come. I started talking to him before my surgery, because I knew that I was really going to need his help after surgery. After my surgical sites heal, the real work will begin.

It's a grand adventure!

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I have added taco and Italian ground turkey, turkey bacon and patties with 93% ground beef. Chickpea noodles. So making smart food choices back into my diet. I'm post op 7 weeks and have lost 40#. In a stall now but plan on more exercise in January.

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On 10/5/2022 at 2:32 PM, chloee.e said:

I had my surgery (bypass) back in 2019, I got down to 175 stone. I started sertraline 7 months ago now, and have gained nearly 20 lbs. Albeit my diet hasn't been the greatest, but I feel horrific and starting to hate the way my body looks again. Any tips for getting back on track? I snack/graze too much but don't feel strong enough to go back to old/good habits!! Any tips for diets to try/how to lose weight again

I am 20 years out and have experience just about everything that comes with having weight loss surgery. I am also a pharmacist and have been like a community resource for the docs in my circle. It was a struggle to keep the weight off and to get back on track after regain. sw 296 lw: 126 regain weight 177 cw 145-150. But it is possible. I’ve put together a few lectures from time to time for some of health events.

Recently, I've received some messages with questions similar to yours…asking how I got rid of the unwanted weight I gained after surgery. Ive given lectures on this and I also talked about my struggles with how I wanted to have a fuller life without a negative body image. I’m finding many of us struggle with this after WLS.

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Considering making a video about all I know about WLS ,getting rid of unwanted weight; free to the community. I want to present irrelevant information; something people would want to hear. Would anybody be interested in this?

Answer "YES" if I should make the video

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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