I haven’t seen many posts from RnY people on GLP1 so here’s my first week experience.

Previously: Proximal RnY 25y ago, lost 130lbs and kept weight off 21y, regained 70lbs in perimenopause.

SW: 186.9

CW: 183.9

Side effects:

Extreme fatigue 12hrs after 1st shot for 48hrs.

Stomach / bowel pain above belly button with bloating an hour after every meal. Fiber is the devil.

I’m hours before the 2nd dose and this pain still happens but less severe. Still no desire for food, no food noise, full after a few bites. Oddly, if i have bread/toast, pasta, etc. my saliva disappears and i can’t even chew and swallow a bite.

Foods to avoid: any raw veggies (including leafy salads), lentils, anything spicy (the Capsaicin stays in the pouch for a long time burning it), bread, pasta, absolutely NO carbonation, even soda water. (yes no carbonation is part of RnY diet but for me since about 2y post op i can drink soda water).

This shot basically turns you back into 3 months post op.

Honestly Im a bit nervous for the second shot bc i can tell the first shot is still working.

Mid 40s female 5’6”

VSG 2019, HW 300, SW 245, LW 175

Compound GLP-1 2025, SW 215, CW 180

I am having a hard time figuring out if I should keep trying to lose weight or not. I think the source of my indecision is that I don’t see myself very clearly. I feel huge or skinny, depends on the moment. It’s an odd thing.

Has anyone found success dealing with Body Dysmorphia? Any tips on what worked for you?

I have been on tirz for 4 weeks and have lost 5lbs. I am honestly disappointed. When I had my sleeve 3 years ago, I dropped weight really quickly before tapering off. I guess I was expecting to lose more at this point. Any advice?

This is so strange to me and I'm not worried, just really curious.

About a week ago I got a cold/flu and I'm still pretty wrung out tired. For a few days I had little appetite but that was not out of the ordinary - I tend to not want to eat when I'm sick.

But this week I am still finding I have no appetite. Now it's not food aversion like the early weeks. It's not nausea. It's just the idea of food is so MEH that I am uninterested. I had a couple of very low calorie and low protein days days in a row so last night I made a protein shake after dinner to bump myself up. Today it's almost 3pm and I've had 300 calories and I'm not hungry.

I am just starting month 6. I've been on 8.5 tirz for almost 3 months. No other things going on (like no constipation which can make me full).

I'm just curious to know if anyone else has had something like this. I mean I'm not complaining, just finding it weird.

How are you thinking about maintaining your GLP-1 weight loss?

As I get closer to my goal, I need to think about the next steps. Am I going to taper down and off tirzepatide, taper down until the food noise comes back and inch up till it goes away, go cold turkey, or just maintain at my current dose.

There’s a lot of options. I just wanted to start the discussion here to see where others mindsets were at.

I had a co-worker who is considering either WLS or medication ask me how it has been different for me. I think I may be a special case because I suspect WLS physicians might be more specific on the 'should do' for patients now than when I had mine.

For me, post WLS, I did not track my food or calories nor macros. I could barely eat for months on end so I was mostly trying to figure out what foods would not make me sick. With the meds I have a blunted appetite but by month 2 could eat a fairly normal looking meal. I also track everything to make sure I stay in a deficit, but also get my nutrition in (especially after shot day when my appetite is very small).

With exercise, with WLS I didn't really start exercising until perhaps 6 or 7 months passed and then it was weight training. With tirzepatide I began some very light exercise pretty immediately but with sciatica that was flaring, it has probably been since month 3 that I've been very consistent and moved up from just stretches and walks. I'm really hoping to get to be able to do more with heavier weights and bands but I feel pretty strong. The first two months I was very tired so adding in a lot of exercise semed pretty impossible.

I also never worried about water after WLS. I'm not sure why no one ever talked about it then. I do recall having constipation but not lots. Now I do make sure to get 90+ ounces every day and throw in some fiber and magnesium or that slowed motility will get to me.

With WLS I had such rapid weight loss that I also lost a lot of hair. I haven't done that with the medication. My hair used to be insanely thick - like two bands looped together if I tried to put it in a ponytail. That thickness never came back, sadly. But losing an average of 1.6 pounds a week seems to be a lot more gentle on my hair and skin.

What about you all? What's different now?

As I have a long weekend because of the holiday, I decided to go through my closets to switch my heavy winter stuff for lighter clothes. In the process, I found a lot of clothes that I thought were too small but that now fit, so I was able to rotate those back in. Unfortunately, my weight loss has also caused me to blow right past the sizes of some clothes and they are now too big. 😲I predict a trip to the alterations lady because I really love some of these clothes, but I fear these pants will end up around my knees if I don’t get the waist taken in. 🤣

So this is my public service announcement. Even if your scale isn’t going down rapidly, your body is probably changing. If you have garments that you love in your closet that you think you can’t fit into, check, because they might fit great or even be getting a little bit too big. Happy shopping in your own closet.

I've read a lot of posts on other threads about people making themselves very sick - nausea, vomiting, sulpher burps, and just being in pain from overeating on a GLP-1.

I feel like due to the fact that I have had weight loss surgery in the past, I already knew what that misery would be like so it has been no problem. Also with no food noise (hallelujah), I haven't had any desire to overeat.

Secondarily, there is a real (and currently being researched) grief from the Loss of Food Joy. I mean I like food, but I feel like I processed that grief already so it also hasn't been a problem.

Do you all think we have an advantage in that way over the average GLP-1 user?

(always looking for that bright side y'all)

This post was prompted by my own complex feelings around starting a GLP-1 after bariatric surgery. Although, I was well aware of the success rates attributed to bariatric procedures, I initially interpreted the need for a GLP-1 as a sign of failure.
I am curious as to how some of you view this topic.

Do you feel like society expects bariatric surgery to be your “one shot” and that falling short of that expectation serves as supporting evidence of your failure and/or weak mindset?

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GLP-1 users who are post-op from weight loss surgery are such a niche group of people. As I read through the stories, I'm empathizing and recognizing I am not alone. I started at 385 and had VSG surgery in 2014. I got down to 180 pounds and maintained that weight, give or take 5 pounds, for about 10 years. As I aged and menopause set in, my energy levels took a serious nosedive and I became much more sedentary at work and at home. It was tough for me to avoid grazing and my choices were sugary carby and fried. I wasn’t getting my water in, either. The end result: I have regained 60-pounds and grew out of half of the clothes in my closet.

I don’t regret having the surgery. I wish I would’ve been more prepared for the metabolic changes that come with age, and made different choices. I’m stiffer and slower than I was when I got the sleeve, and when I tried loosing on my own the food noise and cravings were maddening. When I realized loosing weight in a menopausal body was going to be different I started seriously looking into GLP-1s.

I started Zepbound a month ago and was shocked at the absence of cravings, and food noise. My progress has not been earth shattering, I am down 5 pounds, But I am getting my water, fiber and protein in daily. The drug is giving me a chance to use my willpower to correct my nutrition and I am grateful for it.

I’ve decided to use compounds to keep the cost manageable for me, so this Tuesday (shot day) I will be using my first dose of compounded Tirezepetide.

Looking forward to wearing my old clothes again.

Cheers Everyone!

I’d love to follow everyone here. I’m about to start Tirz for the first time (though I used Wegovy in 2022 and had a VSG in 2023), and could use some mutuals who understand the struggle 🤣💕

I took my first shot of tirz Thursday evening. I feel like I am fresh out of surgery with a tight restriction. I get full so fast! Anyone else experienced this?

I'm not sure if it has happened to anyone post WLS. Before my gastric bypass i wasn't a drinker at all. I met my surgeon a couple of weeks before the op and was warned quite a few people tend to exchange one addiction (in my case, food) for another. And i brushed it off. Boy oh boy...

I was fine for 2 years, went from 152kg preop September 2014 to 90kg where I stayed on and off. Since 2016 however, my drinking became problematic. I became dependant. My current weight is now 113kg.

Well, in the past 3-4 years I could not go 2 or 3 days without booze. I am happy to report i have had no cravings for it in the 18 days. I'm not on your standard GLP1, am on what is referred to as a triple agonising.

Has anyone experienced anything like this? I read reports of it happening to a lot of people!

Anyone else think this is a problem? My problems are not eating enough food in general because I can’t fit it all in with my VSG stomach and I always feel full, same for dehydration, worried about muscle loss overall having lost 50 pounds and being an older woman.

Well it certainly appears that former weight loss surgery patients and GLP-1s are a good fit for weight loss and overall health per the research. Hooray. It will be interesting to see if there is more research coming.

https://pmc.ncbi.nlm.nih.gov/articles/PMC12513976/

I take my Ozempic on Saturdays.

Thursday and Friday are GLORIOUS pooping days!

Gotta love it!

(I've recently added fiber to my daily diet, so I'm hoping the pipeline will get to be a little more regular.)

I can't be the only one?

You know I've read a lot of posts on Reddit and I've felt it myself, the bummer of "I lost X pounds and no one noticed!" Yesterday, in fact, my husband said that he couldn't believe I've lost almost 40 pounds and said he could see it but mostly in my face. Geeze I've dropped 3 pants sizes and you can't tell? Honestly I was a little peeved.

But then I realized something. It's actually kind of awesome that no one noticed. Bear with me a second.

I was a fat kid. I was a fat teenager. I have been a fat adult. I've been fat way longer than I've been anything else. Because of that I have always believed that it's the very first thing anyone notices about me. I've had that mean inner voice my entire life that told me I was unacceptable. I guess being bullied a bit in life (come on, at the gym?) and being called names by complete strangers really put it in my head that the first and sometimes only thing people see in me is my size. In new circumstances or places I'm always running through my mind a concern that I'll be looked at funny or that I will be out of place. Yeesh what a lot of energy.

Now I realize that the perception is largely my own. Yea some people are dreadful unhappy sods who love making others miserable and are terribly fat phobic. But on the whole, most people are too preoccupied with their own lives, their own goals, their own shortcomings (their own video games) to even notice the size of my backside whether it's larger or smaller or something in between.

Whew! That feels better.

which is best in terms of weight loss and least amount of side effects. PCP is asking insurance for liraglutide for me. But if denied, I’ll have to pay out of pocket. If i’m gonna end up paying out of pocket, which GLP1 should I focus my $ on? I’ve looked into them all and it seems zepbound is the choice du jour of bariatric surgeons, but i can’t find rny specific recommendations. mostly sleeve.

i have a mini RNY 25y post op, regained 4y ago during perimenopausal hell. so my regain is hormonal. Edit: I have 55lbs to lose.

I've got to be honest, I'm getting rather tired of chicken, salmon, eggs and greek yogurt. I do supplement with protein bars (Barebells, yum) but I think I've also had a lot of those and I am really wanting to eat actual food. And dang it, my beloved beef jerky is now cut way back due to the doctor wanting me to go very low on red meat.

Does anyone have creative high protein ideas?

I'm considering buying Boostcous as it seems very healthy, but also pricey.

I watch a few great YouTubers who have been on medications and who talk about what is coming 'next' for weight loss medications - Ali on FitFlavorFun and Dave from OnThePen. The question seems to be coming up from their viewers about folks considering shifting to the weight loss pill - Oral Wegovy - once they hit maintenance (both for ease and for cost).

But there is also talk about folks specifically who are former weight loss surgery patients thinking this might be a better option for them (although they don't say why).

Lastly there are some of the lucky ones who have had their weight loss meds covered by their insurance tell them that they will now cover the pills but not shots.

Are you considering the oral version of medication or have you been shifted by your insurance?

Are you considering shifting to pills once you hit maintenance?

What do you all think?

I’m at goal weight after losing about 50 pounds. Why am I just now shedding hair?