Gastric Sleeve FAQs

In most places, eligibility is based on BMI and health problems – for example a high BMI (often 35–40+) and at least one weight-related condition like sleep apnoea, liver disease, diabetes or joint problems. In our case, both of us had a BMI over 45 and serious obesity-related health issues, so surgery was recommended. Your GP or bariatric surgeon is the only one who can confirm if you meet the criteria.

For us, it became “right” when dieting had failed for years, our health was getting worse (including liver failure) and our weight was stopping us living a normal life. A good sign you’re ready is when you’re willing to change how you eat, drink and live long-term, not just chase a quick fix. The final decision should always be made with your GP and a bariatric team, not just the internet.

For us, it became “right” when dieting had failed for years, our health was getting worse (including liver failure) and our weight was stopping us living a normal life. A good sign you’re ready is when you’re willing to change how you eat, drink and live long-term, not just chase a quick fix. The final decision should always be made with your GP and a bariatric team, not just the internet.

No – once the sleeve is done, that part of your stomach is physically removed. That’s why it’s classed as a permanent procedure, not something you can “try” and undo later. However, if it doesn’t work or you develop certain problems, it can sometimes be converted to another operation (usually gastric bypass), which is different from reversing it.

Yes. Around 75–85% of the stomach is removed and doesn’t grow back. What can change is how you use the tool – your habits, portion sizes and lifestyle over time will decide how well it works long-term.

It’s a major surgery, so there are real risks, but in experienced hands it’s generally considered a safe, routine bariatric procedure. For us, Kirsten had a smooth surgery and recovery; James had a rare complication (internal bleeding after a fall) and needed a second operation, but still says he’d choose the sleeve again. The key is having it done in a reputable hospital by a high-volume bariatric surgeon and understanding both the risks and the benefits.

Short-term risks include bleeding, leaks from the staple line, infection, blood clots and reactions to anaesthesia. Longer-term issues can include acid reflux, nutrient deficiencies, gallstones, weight regain and (for some people) problems with alcohol or mental health. We’ve personally dealt with gallstones, nutrient deficiencies, constipation, dumping, hair loss and mood swings – all manageable, but very real. Always ask your team to explain the risk profile for you, given your age, weight and health.

The surgery itself usually “works” – your stomach is smaller – but weight loss can stall or reverse if old habits creep back in. We’ve seen people from our surgery month lose 100+ lbs and others lose only 20–30 lbs in 18 months because they couldn’t change how they ate. The operation is a powerful tool, not a guarantee.

Regain usually creeps in when slider foods, snacking, liquid calories and emotional eating slowly replace the original structure and habits. The sleeve doesn’t remove cravings, stress or boredom – it just makes it harder to eat large amounts at once. Long-term tracking, honest self-reflection and regular check-ups make a big difference.

With a sleeve, most of the stomach is removed but the intestines stay in the same place – so restriction is the main effect. With a bypass, a small stomach pouch is created and attached further down the intestine – so you get restriction and malabsorption. Our surgeon recommended the sleeve because we had no reflux; if we’d had bad GERD, they would have pushed us toward bypass instead.

A gastric balloon is temporary – a balloon is placed in your stomach for a few months and then removed. A sleeve is permanent surgery that removes most of the stomach. We ruled out the balloon because it felt too short-term and we needed something that would keep working years down the line.

A revision is any follow-up surgery to change or “fix” your original sleeve – for example, converting it to a gastric bypass, tightening or re-doing the sleeve in rare cases, or repairing issues like severe reflux or strictures. It’s not routine, but it is an option in some situations if things really aren’t working.

Common reasons include: severe reflux that doesn’t respond to medication, serious complications (like strictures or leaks), or significant weight regain despite genuinely following medical advice. It’s not something most people will need, but we find it reassuring to know bypass is an option if our sleeve ever stopped working well.

A re-sleeve is basically tightening or re-doing the sleeve to make it smaller again. A bypass conversion changes the whole anatomy – creating a pouch and rerouting the intestines. Which (if any) is appropriate is a big surgical decision and should only be made with a specialist bariatric surgeon.

In the UK, some people do qualify for NHS bariatric surgery, but the criteria are strict and waiting lists can be long. We originally looked at UK private surgery (around £12,000–£18,000 at the time) but couldn’t afford it for both of us, so we went abroad to Riga and paid privately there. If you want the NHS route, your first stop is always your GP.

Prices change over time and by provider, but when we researched it, we were consistently seeing £12,000–£18,000 for a sleeve in the UK. Going abroad to Latvia with WeightLoss Riga cost us just over £5,400 each, including surgery, tests, flights and insurance. Always get up-to-date quotes and check what is and isn’t included.

Some private insurance policies do cover bariatric surgery, but many don’t, or they have very strict conditions. We paid for everything out of pocket, so we can’t speak from personal experience here. The only safe answer is: check your policy small print and speak directly to your insurer.

We looked at:
– Number of sleeves the surgeon performs each year
– Complication rates and revision rates
– Independent reviews, not just testimonials on clinic sites
– How transparent they were about risks, aftercare and costs

Because we went abroad, we also asked James’ company’s Riga office to research our surgeon in local-language forums and news – they came back saying he was one of the top bariatric surgeons in Europe with a strong local reputation. Wherever you go, you want someone high-volume, honest and specialised in bariatric, not a general surgeon who “also does sleeves”.

Some useful questions we wish we’d asked earlier:
– How many sleeves do you perform a year?
– What’s your leak rate and re-operation rate?
– How do you decide between sleeve and bypass?
– What happens if I get complications after I go home?
– How often will you check my bloods in the first 2 years?
– Who do I contact if I’m worried at 2am?
Take notes, and don’t leave until you feel you understand both the risks and the lifestyle changes.

Yes. Saying yes at referral or approval does not mean you’re locked in. This is a huge decision, and it’s absolutely okay to pause, delay or decide against surgery if it doesn’t feel right – even if you’re already booked. The right team will respect that and talk it through with you rather than pressure you.

Gastric sleeve surgery, or sleeve gastrectomy, removes around 75–85% of the stomach, leaving a narrow “sleeve” roughly the size of a banana. This limits how much you can eat and reduces hunger by removing the part of the stomach that produces the hunger hormone ghrelin. It’s a permanent procedure and one of the most common types of bariatric surgery today.

The pre-op, or liver-reduction diet, is followed for one to two weeks before surgery. It’s designed to shrink your liver and make the procedure safer. It’s usually very low-calorie, focusing on shakes, soups, yoghurts, lean proteins, and minimal carbs or fats. Your exact plan will depend on your surgeon’s guidance.

It’s tough at first. You’ll likely feel hungry, tired, and moody for the first few days, but it does get easier. We had three protein shakes a day, some low-fat yoghurt, and clear soups in the evening. By day four, the hunger eased, and by the end, it became routine. It’s a short but crucial step — following it properly helps your surgeon operate safely.

Preparation isn’t just physical; it’s mental. We used the pre-op weeks to practise smaller meals, slower eating, no fizzy drinks, and to sort out time off work and travel plans. Emotionally, we read blogs, joined support groups, and talked openly about fears. The more prepared you are, the smoother the recovery feels.

Yes, ideally. The first few days are when you’ll feel tired and may need help moving, showering, or getting around. We stayed together in a private hospital room, which helped a lot. Once home, it’s useful to have someone nearby for at least a few days to lift, drive, or just keep an eye on you.

It’s performed under general anaesthetic, so you’ll be fully asleep. Most people wake up groggy but pain-free. James had an adverse reaction during recovery (covered in his surgery account), but it was rare. Your anaesthetist will discuss risks, allergies, and previous reactions before the operation.

The operation usually lasts around 45–90 minutes, depending on the surgeon and your medical history. You’ll then spend an hour or two in recovery before returning to your room. Most people stay in hospital for one to three nights.

After surgery, your new stomach holds about 150–200ml — roughly the size of a banana or a small coffee cup. Before surgery, a normal stomach can stretch to hold up to 4 litres, so the difference is huge. You’ll feel full very quickly, even with small amounts of food.

Not exactly. The surgeon uses a standard sizing tool called a bougie to guide the cut and stapling. The exact size depends on your anatomy and the surgeon’s technique, not personal preference. You can, however, discuss your goals and expectations at the consultation so they tailor their approach accordingly.

Minor complications include nausea, constipation, mild infection, or acid reflux — things that can be treated easily. Major complications are rarer and can include internal bleeding, leaks, or blood clots. Both require medical attention, but major ones usually need hospital treatment or further surgery.

Serious complications are rare — generally less than 2% in experienced hands. The most common issues are nausea, dehydration, and temporary reflux. Our advice: choose a high-volume bariatric surgeon and follow aftercare closely; both drastically lower your risk.

Most hospitals perform a leak test before you even wake up — they inject a coloured or contrast fluid into your new stomach and check for any escape. Some also do a swallow test with dye the next day. This ensures your staple line is sealed before you start liquids.

While rare, symptoms can include severe abdominal pain, rapid heart rate, fever, dizziness, or shortness of breath. It usually happens within the first few days after surgery. If you ever suspect something’s wrong, go to A&E or contact your surgeon immediately — leaks are an emergency.

It depends on where you have it done. In the UK privately, it can be 2–8 weeks depending on the clinic. Abroad, we booked our surgery in Riga roughly three weeks after consultation once all medical checks were approved. NHS waiting times can be much longer.

Keep it simple — you won’t need much. We took:
– The clothes we wore in
– Two sets of pyjamas
– Compression socks for the flight home
– Toothbrush, charger, iPad, and travel adapter
– Documents and test results
We didn’t need slippers or snacks — you’ll mostly be in a gown and sipping fluids. Pack light; comfort is key.

Most people stay in hospital for one to three nights. This allows the team to monitor you for nausea, leaks, and hydration while you start sipping fluids. We stayed two nights before flying home. If you have other conditions or a slow recovery, your stay may be slightly longer.

Yes. Gastric sleeve surgery isn’t a same-day procedure. Even if everything goes smoothly, you’ll need at least one night under observation to ensure you’re recovering safely, tolerating fluids, and managing any pain before discharge.

Usually after 24–48 hours, once your dressings are secure and your surgeon gives the go-ahead. We showered gently the second day using mild soap and patting dry. Avoid soaking the wounds or taking baths until your incisions are fully healed.

You can normally sleep on your side after about two to three weeks, depending on comfort and incision healing. In the first week, sleeping slightly propped up helps reduce pressure on your abdomen and improves breathing. Listen to your body — comfort comes gradually.

It depends on your job. For desk work, most people return after two to three weeks. For more physical jobs, allow four to six weeks. We both worked remotely, which helped ease back in gradually. Always wait until you’re comfortable moving around and your energy has returned.

Once you feel ready — usually after two to three weeks, provided your incisions have healed and you’re pain-free. It’s best to avoid positions that strain your abdomen early on. Take it slow and follow your body’s lead.

You can usually drive again after one to two weeks, as long as you’re off pain medication and can move comfortably without hesitation. Always check your surgeon’s advice and your insurance policy before getting behind the wheel.

Follow-ups track your healing, weight loss, and nutrition. You’ll usually have check-ins at 1 week, 1 month, 3 months, 6 months, and 12 months, then yearly. Your surgeon may request blood tests to monitor vitamin and mineral levels, and adjust supplements if needed.

Monitoring focuses on blood work, nutritional status, and overall well-being. You’ll have regular checks for iron, B12, vitamin D, calcium, and liver function. Many clinics also offer dietitian support and mental health follow-ups to help you stay on track long-term.

Short flights are generally fine after 10–14 days, once your surgeon clears you. We flew home from Riga after two days, but we wore compression socks and moved around during the flight. For longer trips, it’s best to wait at least three to four weeks.

No — airport scanners and cabin pressure won’t affect your sleeve or staples. The only real concern is swelling or dehydration during long flights, so keep hydrated, walk regularly, and wear compression socks. Your new stomach won’t set off metal detectors!

Most people recover enough to return to light activities within 2–3 weeks, though full internal healing takes about 6–8 weeks. You’ll start on liquids, then purées, then soft foods before reintroducing solids. Energy levels can fluctuate, so rest and hydration are key.

Most complications, if they happen, occur within the first few days to weeks after surgery. However, some issues like reflux, strictures, or nutrient deficiencies can appear months or even years later. Regular follow-ups and blood tests help catch these early.

A leak means fluid escapes from the stapled area of your new stomach. Symptoms include severe abdominal pain, fever, rapid heartbeat, and dizziness. It’s a medical emergency that needs hospital treatment — usually antibiotics, drainage, or in rare cases, surgery. Leaks are uncommon (less than 1–2% of cases).

Yes, ulcers can develop along the staple line or from acid irritation, especially if you smoke, take NSAIDs like ibuprofen, or drink alcohol regularly. They’re treated with acid-reducing medication and by avoiding irritants. If you ever feel burning or sharp stomach pain, contact your doctor.

Scar tissue, or adhesions, can form as part of normal healing. Most cause no problems at all. In rare cases, they can create blockages or discomfort. Gentle movement, hydration, and avoiding unnecessary abdominal surgeries can help reduce risk.

If scar tissue leads to pain or obstruction, your surgeon may suggest a minimally invasive procedure to release it. Physical therapy or stretching can sometimes help with mild tightness, but only surgery can remove problematic adhesions completely.

A stricture is a narrowing of the sleeve that makes it hard for food or liquid to pass. You might feel nausea, vomiting, or pain after eating. Treatment usually involves a simple endoscopic procedure where a small balloon is used to gently widen the narrowed area — quick and very effective.

A hiatal hernia happens when part of the stomach pushes up into the chest through the diaphragm. It can cause reflux, heartburn, or chest discomfort. Many surgeons check for and repair it during sleeve surgery. If it appears later, medication or minor surgery may be needed.

Mild reflux can often be managed with antacids or proton pump inhibitors (PPIs), smaller meals, and avoiding trigger foods. In rare cases of severe or persistent reflux, a revision to gastric bypass may be considered, as bypass surgery naturally reduces acid exposure.

It’s extremely rare, but the sleeve can kink or twist if scar tissue forms unevenly or the stomach heals in a tight curve. Symptoms include nausea, vomiting, or pain after eating. If this happens, imaging and sometimes a corrective surgery are needed — though it’s very uncommon.

You can usually start eating solid foods around six weeks post-op, but “normal” will look different. Meals are much smaller now — your new normal might be half a sandwich or a few bites of chicken and veg, not a full plate.

Yes — but “normal” changes. Before surgery, a takeaway might have been a pizza and chips; now, it’s a few slices. You’ll enjoy all the same foods again, just in smaller, more mindful portions.

Most people move to solid foods about six to eight weeks after surgery, once their stomach has healed. Always follow your dietitian’s guidance to avoid irritation or discomfort.

Usually at three to four weeks post-op, once you can tolerate puréed textures without nausea or pain. Start with soft foods like mashed potatoes, flaky fish, or scrambled eggs.

Add one new food at a time and chew thoroughly. Stop eating if you feel pressure, nausea, or pain — these are signs you’ve had enough or your stomach isn’t ready for that texture yet.

Liquids (Weeks 1–2): clear fluids and protein shakes.
Purées (Weeks 3–4): smooth soups and blended foods.
Soft Foods (Weeks 5–6): mashed or fork-tender meals.
Solid Foods (Week 7+): gradual reintroduction of normal textures in small portions.

Focus on lean proteins, soft vegetables, and nutrient-rich foods. Good examples include chicken, fish, eggs, yoghurt, and beans — these keep you full and support healing and muscle maintenance.

Avoid high-sugar, high-fat, or tough-to-digest foods such as fizzy drinks, fried foods, white bread, and fibrous meats. These can cause discomfort or slow your progress.

Red meat, rice, bread, and fibrous vegetables like celery can be difficult early on. Reintroduce them slowly once your stomach can handle denser foods comfortably.

Start with 2–4 tablespoons per meal during the soft phase and build up to ½–1 cup as your stomach heals. You’ll quickly learn your new limits — stop eating at the first sign of fullness.

Warning signs include hiccups, burping, tightness in your chest, or nausea. These are your body’s cues that it’s time to stop — even one bite too many can be uncomfortable.

Stop eating immediately, stay upright, and sip warm water slowly once the discomfort eases. If it keeps happening, contact your bariatric team for assessment.

Your stomach is now about the size of a banana, so it fills quickly. That early feeling of fullness is your new signal to stop — it’s a sign the sleeve is doing its job properly.

Overeating can cause pain, pressure, nausea, or vomiting. Your sleeve can’t stretch to fit extra food, so it’s important to stop at the first sign of fullness — even if there’s food left on the plate.

High-sugar foods can cause nausea, dizziness, or diarrhoea in some people. Even if you don’t experience dumping syndrome, sugar can slow weight loss and trigger cravings, so moderation is key.

Your new stomach is more sensitive. Foods high in fat, sugar, or fibre, or those eaten too quickly, can upset digestion. Reintroduce tricky foods slowly and note which ones don’t sit well.

Look out for bloating, nausea, burping, or stomach tightness after eating. These usually mean your sleeve isn’t ready for that food yet or it was eaten too quickly.

Some foods, especially those high in fat, sugar, or lactose, can move too quickly through your digestive system. Keep a food diary to identify triggers and adjust your diet accordingly.

Bloating often comes from eating too fast, swallowing air, or having fizzy or high-fibre foods. Eat slowly, chew well, and avoid carbonated drinks to reduce discomfort.

That tight, gurgling feeling is your smaller stomach working harder to digest food. It’s normal early on, but if it’s painful or happens often, mention it to your bariatric team.

Yes — but in moderation. Soft, white bread and pasta can expand in your stomach and cause discomfort. Try wholegrain or protein-enriched versions and eat slowly to see what you tolerate.

You can, but choose wisely. A “normal” takeaway before might’ve been a pizza and chips; now, it’s a few slices or just the protein portion. Focus on balance and portion control rather than restriction.

Absolutely. Order smaller portions or share meals, focus on protein, and avoid fried or heavy dishes. Most restaurants are accommodating if you ask for smaller servings or skip sides.

Eat slowly, take small bites, and stop when you feel satisfied. Skip starters and desserts, and avoid drinking during your meal to prevent discomfort or overeating.

Use smaller plates when possible or ask for a takeaway box at the start to portion half away. Focus on protein first, eat mindfully, and remember — it’s fine to leave food behind.

Go for grilled, baked, or steamed options and choose meals focused on lean protein and vegetables. Avoid heavy sauces or fried foods, and don’t hesitate to ask for smaller portions or side plates.

Yes, but take a small plate and focus on protein first. Eat slowly, skip seconds, and stop when you feel satisfied. It’s easy to overeat at buffets, so plan your plate before you start eating.

Absolutely. You can still take part in every celebration — just have smaller portions and savour each bite. The focus shifts from quantity to quality and connection, not restriction.

Yes. Many sleeve patients find joy in cooking healthier versions of their old favourites or baking for others. Your relationship with food changes, but the enjoyment doesn’t have to disappear.

Over time, yes — once you’ve learned what your body needs. Early on, tracking helps you hit your protein, fluid, and calorie goals consistently, but it becomes intuitive as habits form.

Prioritise protein first (60–80g per day), then add small portions of complex carbs and healthy fats. A good balance might look like 60% protein, 25% carbs, and 15% fats, depending on your activity level.

Calorie needs vary by stage. Most people start at 600–800 calories a day, increasing gradually to 1,000–1,200 once fully healed. Focus on nutrition quality rather than calorie quantity.

Aim for three small meals and two snacks per day. This keeps your energy steady and helps prevent overeating or grazing. Structure and routine are key to long-term success.

Every 3–4 hours is ideal. Waiting too long can lead to hunger and poor food choices, while eating too often can slow progress. Consistency helps your body adjust to its new rhythm.

Thirst can feel similar to mild hunger. If you’re unsure, drink water and wait 10 minutes — if the feeling fades, it was thirst. Staying hydrated helps you read your true hunger cues more accurately.

Aim for around 1.5–2 litres (6–8 cups) of fluids per day. Sip slowly throughout the day rather than drinking large amounts at once to avoid discomfort or nausea.

Your smaller stomach can’t hold as much fluid, so dehydration can happen quickly. Staying hydrated supports digestion, healing, energy levels, and nutrient absorption — all vital for recovery.

Common signs include dark urine, dizziness, dry mouth, fatigue, or headaches. If these symptoms appear, increase your fluid intake and seek medical advice if they persist.

Yes. Severe dehydration can lead to hospitalisation for IV fluids. If you can’t keep fluids down for more than a day, contact your bariatric team or GP immediately.

It can. When your body is dehydrated, your stomach may feel tight or crampy, and digestion slows down. Regular small sips of water or sugar-free electrolyte drinks can ease this.

Yes, but wait until around 4–6 weeks post-op. Start with weak, milky coffee and avoid drinking it on an empty stomach. Too much caffeine early on can irritate your stomach or cause dehydration.

In large amounts, yes. Caffeine can slightly reduce iron and calcium absorption, so it’s best to enjoy coffee in moderation and not around supplement times.

Yes — especially in the early months. The bubbles can cause bloating, discomfort, and excess gas, and may encourage overeating by stretching your stomach slightly over time.

Occasional carbonation won’t stretch your sleeve permanently, but frequent fizzy drinks can cause pressure and bloating. Most bariatric teams recommend avoiding them altogether to protect long-term results.

Drinking while eating can flush food through your stomach too quickly, leaving less time for digestion and causing discomfort or overeating later. It’s best to stop drinking 15–30 minutes before meals and wait 30 minutes after.

The 30/30 rule means no drinking 30 minutes before or after eating. It helps your smaller stomach digest food properly, prevents nausea, and ensures you stay fuller for longer.

Using straws can introduce extra air into your stomach, causing bloating, gas, and discomfort. Sipping slowly from a cup or bottle helps protect your sleeve and reduce pressure.

Yes — as long as they’re low-sugar and caffeine-free. Drinks like sugar-free Lucozade Sport, Powerade Zero, or electrolyte tablets in water can help maintain hydration, especially in hot weather or after exercise.

Choose sugar-free mixers like diet lemonade, soda water with lime, or sugar-free tonic. Mocktails made with fruit-infused water or low-calorie syrups are great alcohol-free choices that won’t upset your stomach.

Most surgeons recommend waiting at least six months before drinking alcohol. Your tolerance will be much lower, and alcohol is absorbed faster, so even small amounts can make you feel intoxicated quickly.

Your smaller stomach means alcohol enters your bloodstream faster, causing stronger and quicker effects. It can also irritate your stomach lining and slow weight loss progress due to empty calories.

Yes. Alcohol can irritate the healing stomach, trigger acid reflux or nausea, and cause dehydration. Always drink slowly, with food if possible, and stop if you feel uncomfortable.

After surgery, your smaller stomach absorbs fewer nutrients from food. Vitamins and minerals fill those gaps, preventing fatigue, hair loss, anaemia, and other common deficiencies that can appear months later.

Yes. Lifelong supplementation is essential. Your reduced stomach capacity and altered digestion mean food alone won’t provide enough nutrients to stay healthy long-term.

You’ll typically need a complete bariatric multivitamin, plus calcium with vitamin D, iron, and vitamin B12. Your dietitian or surgeon will tailor this to your individual needs based on blood results.

The key ones are B12, iron, calcium, vitamin D, folate, and zinc. These support your energy, bone health, and immune function — all commonly affected by reduced food intake and absorption.

Bariatric multivitamins are formulated with higher doses and better absorption of key nutrients your body struggles to process after surgery. Standard multivitamins don’t meet these needs and can still leave you deficient.

Annual bloodwork should include vitamin B12, iron, folate, calcium, vitamin D, zinc, and liver and kidney function tests. These help spot deficiencies before they cause symptoms.

Most patients have blood tests at 3, 6, and 12 months post-op, then annually thereafter. Your GP or bariatric team may test more often if you have symptoms or a history of deficiencies.

Common signs include fatigue, hair thinning, brittle nails, pale skin, dizziness, or brain fog. If you notice these, book a blood test — deficiencies can sneak up even when you’re taking supplements.

Iron supports healthy blood cells and energy levels. After surgery, you may absorb less iron from food, increasing your risk of anaemia, especially for menstruating women.

Eat iron-rich foods like red meat, chicken, beans, and lentils. Pair them with vitamin C-rich foods (like peppers or oranges) to boost absorption. Avoid tea or coffee with meals, as they block iron uptake.

Tiredness, weakness, pale skin, tingling in the hands or feet, or difficulty concentrating can all point to a B12 deficiency. Left untreated, it can lead to nerve problems, so regular monitoring is key.

Absolutely. Low levels of iron, B12, or vitamin D are the most common causes of post-surgery fatigue. A quick blood test and proper supplementation usually help restore your energy.

Too much of certain vitamins — especially A, D, E, K, and iron — can cause nausea, headaches, or fatigue. Stick to the doses recommended by your bariatric team and avoid doubling up on multivitamins or extra tablets unless advised.

Yes, some can. Herbal products like green tea extract, ginseng, and St John’s wort may interfere with medication, affect liver function, or irritate your stomach. Always check with your GP before using them after surgery.

No — standard multivitamins don’t contain enough of what your body now needs. You should take a bariatric-specific multivitamin formulated for better absorption and higher doses of key nutrients.

Chewable or liquid vitamins are fine early on, as they’re gentler on your stomach. Gummy vitamins, however, often lack iron and other key nutrients — so always check they meet bariatric standards.

Calcium citrate is recommended, as it’s easier for your body to absorb without needing as much stomach acid. Avoid calcium carbonate, which can be harder to digest after surgery.

No. Calcium blocks iron absorption. Take them at least two hours apart for maximum benefit and to avoid nutrient interference.

You shouldn’t. Separate them — for example, take calcium with breakfast and iron later in the day. Your dietitian can help you plan a supplement schedule that avoids overlap.

Sometimes, yes — especially if your bloodwork shows low B12, folate, or B6. While bariatric multivitamins cover most needs, a B-complex can offer extra support for energy and nerve health if recommended by your care team.

Yes, collagen supplements are safe and may support skin elasticity and joint health, though they’re not a substitute for protein or vitamins. Choose sugar-free powders and combine them with a high-protein diet for best results.

Collagen, vitamin C, zinc, and biotin all support healthy skin repair. Staying hydrated and maintaining a balanced diet rich in protein will further improve elasticity over time.

Yes. Probiotics can help restore gut balance, reduce bloating, and improve digestion, especially after antibiotics or dietary changes. Choose a trusted, low-sugar brand and check with your GP if you have ongoing stomach issues.

Most people lose 60–70% of their excess body weight within 12–18 months. The exact amount depends on your starting weight, lifestyle, and commitment to diet, exercise, and follow-up care.

You can expect to lose around 2–4 lbs per week during the first few months. This slows down naturally over time as your body adjusts and approaches a stable, healthy weight.

Typically, patients lose 10–20 lbs (4–9 kg) in the first month. The rapid loss comes from your reduced calorie intake and post-surgery diet phase, but it will gradually slow down after the first 6–8 weeks.

Most people notice visible changes within the first 4–6 weeks. Clothes fit differently, movement becomes easier, and energy levels start improving even before hitting major milestones.

You’ll usually reach your lowest weight 12–18 months post-op, though results vary. After that, your body stabilises, and the focus shifts from losing weight to maintaining it.

Stalls are completely normal — your body is adjusting to rapid changes. Water retention, hormone shifts, or eating too few calories can all cause it. Stay consistent, track your protein and fluids, and the scale will move again.

Focus on non-scale victories — better sleep, smaller clothes, improved fitness, or confidence boosts. Remember, stalls are temporary, and your effort still counts even when the scale pauses.

Yes. As you build muscle, the scale may slow or even stall, but your body composition is improving. Measure progress through photos, how clothes fit, and strength gains, not just weight.

It may mean your calorie intake has crept up, you’re not hitting your protein goals, or your activity has dropped. Revisit your food tracking, portion sizes, and hydration. If you’re unsure, your dietitian can help fine-tune things.

Small regains are common. Review your eating habits, reduce liquid calories, and get back to structured meals. If regain is significant, your care team can assess whether medical or surgical support is needed.

Stick to your core habits: protein first, portion control, daily movement, and regular vitamins. Ongoing accountability — through your clinic, community, or food logging — helps maintain structure and consistency.

Go back to basics: track meals, increase protein, remove slider foods, and drink more water. Restarting a structured routine can quickly get you back on track and break unhelpful cycles.

By one year, most people have lost 60–70% of excess weight and stabilised into a sustainable lifestyle. You’ll eat more normally, feel physically stronger, and focus more on maintenance than loss.

Weight loss surgery teaches discipline, self-awareness, and patience. Long-term success comes from consistency, structure, and accepting that progress looks different at every stage.

Treat your sleeve as a tool, not a cure. Long-term success comes from daily habits — eating mindfully, staying active, and prioritising protein, hydration, and self-care. Consistency beats perfection every time.

Yes, and it’s highly recommended. Exercise helps preserve muscle, boost metabolism, and support long-term weight maintenance. You’ll start gently, building intensity over time as your body heals and your strength returns.

Most people can begin walking within 24–48 hours of surgery. Short, gentle walks around your hospital room or home help improve circulation, prevent blood clots, and ease recovery.

Aim for 5–10 minutes, several times a day. Gradually increase as you feel stronger — the goal is steady, light movement rather than long distances early on. Listen to your body and don’t push through discomfort.

Typically after 6–8 weeks, once your surgeon confirms your incisions are fully healed. Start with light resistance or bodyweight exercises, and focus on proper form to avoid strain.

Most people return between 6–10 weeks post-op, depending on recovery speed and energy levels. Start slowly — low weights, light cardio — and build up over time as your stamina improves.

Around two months is standard, but it varies. Always check with your surgeon before resuming resistance training to avoid internal strain or hernia risk.

Avoid anything that strains your core or incision sites, such as crunches, heavy lifting, or high-impact movements. Focus instead on gentle cardio, stretching, and light resistance bands until cleared for more.

A balanced mix of cardio and strength training works best. Cardio helps with fat loss and stamina, while strength training builds muscle, supports your metabolism, and helps reduce loose skin appearance.

Great starter options include walking, swimming, cycling, resistance bands, and light dumbbell work. These help build fitness safely while being gentle on joints and incisions.

Aim for 3–4 days of cardio and 2–3 days of strength work per week. As your fitness improves, adjust the balance based on your goals — whether that’s endurance, toning, or muscle gain.

Yes, but wait until your surgeon clears you — usually around 8–10 weeks post-op. Both are excellent for flexibility, core strength, and mindfulness, but ease in gently and avoid deep twists early on.

Yes, but not straight away. Wait until you’re at least 3–6 months post-op and fully healed. Start gradually and build your endurance first. Always listen to your body — if you feel dizzy, faint, or overly fatigued, ease back and recover.

You can, once cleared by your surgeon — usually after 3–4 months. Begin with light resistance to rebuild strength and protect your incisions, then progress carefully to heavier lifting as your core stability improves.

It’s extremely unlikely. Once healed, your sleeve is strong and well-protected by muscle and tissue. The only risk comes from lifting too heavy, too soon after surgery — which is why following recovery guidelines is crucial.

Focus on what movement makes you feel good, not just how it makes you look. Celebrate small wins — walking further, lifting heavier, or just showing up. Choose activities you enjoy so exercise becomes a lifestyle, not a punishment.

Prioritise strength training, hit your daily protein target (60–80g minimum), and stay consistent. Progressive overload — slowly increasing weight or resistance — helps stimulate muscle growth while maintaining your calorie goals.

Yes, but you’ll need to eat protein-dense meals more frequently. Use shakes or supplements to hit your targets if you can’t manage large portions. Consistent strength training and proper nutrition make muscle gain absolutely achievable.

Stay hydrated, eat a protein-rich snack or shake beforehand, and avoid working out on an empty stomach. Ensure you’re getting enough calories and vitamins daily — fatigue can often signal a nutrient deficiency.

Plan workouts like appointments — short sessions are better than none. Even 15–20 minutes of movement helps maintain progress. Remember, consistency beats intensity every time when it comes to long-term success.

Exercise boosts your metabolism, maintains lean muscle, and helps regulate appetite and mood. It also builds structure and accountability, making it easier to stick to healthy habits that keep weight off long-term.

The best time is when you’re most likely to stick with it. Many find morning workouts boost energy and motivation for the day, while others prefer evenings to unwind. Consistency matters more than the clock.

Protein is essential for healing, maintaining muscle mass, and supporting hair and skin health. Without enough, you may feel tired, lose muscle, experience slower recovery, or even notice hair thinning. Aim for 60–80g of protein per day through food and supplements as advised by your dietitian.

Skipping supplements can lead to serious nutrient deficiencies, including anaemia, fatigue, brittle nails, and hair loss. Because your stomach absorbs less after surgery, daily vitamins and minerals are non-negotiable for long-term health. Treat them as part of your new routine, not an option.

Yes, constipation is common — usually due to reduced food volume, dehydration, and lower fibre intake. It’s often temporary but uncomfortable. Staying hydrated and keeping your fibre and protein balanced helps prevent it.

Drink plenty of water (1.5–2 litres daily), stay active, and include soft fibre sources like pureed fruit, oats, or chia seeds as you progress through each diet stage. If needed, speak to your doctor about gentle laxatives or stool softeners suitable for bariatric patients.

Yes, it can — especially if you skip meals, eat too many simple carbs, or consume sugary foods on an empty stomach. Symptoms include dizziness, shaking, or sweating. Eat small, balanced meals regularly with protein and complex carbs to keep your blood sugar stable.

This is often reactive hypoglycaemia, a sudden drop in blood sugar that happens when sugary foods cause your insulin levels to spike and crash. It’s best to avoid high-sugar foods and instead choose snacks with protein or fibre to balance blood sugar levels.

Yes, some patients experience acid reflux or heartburn, especially in the first few months after surgery. This happens when stomach acid moves up the smaller, tighter sleeve. It usually improves as swelling settles, but persistent symptoms should be discussed with your surgeon.

Yes — even if you didn’t have it before. Changes to the shape and pressure of your stomach can make acid reflux more likely. Your doctor may prescribe proton pump inhibitors (PPIs) or antacids to help manage symptoms.

Eat small meals, avoid lying down straight after eating, and cut back on spicy, fatty, or acidic foods. Sleeping slightly elevated can also help. If reflux persists despite medication, your surgeon may check for issues such as a hiatal hernia.

Nausea can occur if you eat too quickly, take large bites, or combine fluids with meals. Slow down, follow the 20:20:20:20 rule, and stop as soon as you feel full. Persistent nausea may indicate a food intolerance or ulcer, so consult your doctor if it continues.

This is a red flag for dehydration or potential complications such as narrowing (stricture) or infection. Try small sips every few minutes, avoid cold or carbonated drinks, and contact your surgical team immediately if it continues for more than 24 hours.

Frequent vomiting isn’t normal and should be checked by your surgical team. It can happen if you eat too quickly, take large bites, or overfill your sleeve, but persistent vomiting may point to a stricture, ulcer, or intolerance. Stay hydrated and contact your clinic or GP if it continues for more than 24 hours.

Tiredness is common in the early months due to low calorie intake, hormonal changes, and your body healing. It often improves as you move through diet stages and increase your protein and nutrient intake. If fatigue persists, it could signal a vitamin or iron deficiency, so ask for a blood test.

After surgery, your new stomach is sensitive, and cold fluids can cause spasms or discomfort. Try sipping room-temperature or warm liquids instead. Most people find this sensitivity fades within the first few months.

Yes, temporarily. As you lose weight quickly, your metabolic rate naturally slows, but regular exercise and eating enough protein help maintain muscle and keep your metabolism healthy. Over time, your body adjusts to its new baseline and stabilises.

Usually around 6–9 months, though everyone’s different. Early on, your digestive system is adapting to smaller meals and slower emptying. As swelling reduces and your body adjusts, digestion becomes smoother and more predictable.

Dizziness is often caused by low blood pressure, dehydration, or low blood sugar. Make sure you’re sipping fluids regularly and eating small, balanced meals. If it happens frequently or you faint, contact your healthcare provider for assessment.

These are often signs you’re eating too fast, swallowing air, or taking large bites. They can also be your body’s way of signalling fullness. Slowing down, chewing thoroughly, and following the 20:20:20:20 rule usually helps reduce this.

Feeling sick can happen if you eat too quickly, mix fluids and food, or choose something your stomach can’t yet tolerate. Pause, rest, and sip water slowly once the nausea eases. If it keeps happening, note what foods trigger it and speak to your dietitian or nurse.

Generally, no. NSAIDs (like ibuprofen or naproxen) can irritate your new stomach lining and increase the risk of ulcers or bleeding. Always ask your surgeon or GP for safer alternatives such as paracetamol-based pain relief.

Yes — some medications can be too harsh or poorly absorbed after surgery. Large tablets, NSAIDs, or extended-release drugs may need to be swapped for liquid, chewable, or dissolvable forms. Always check with your GP or pharmacist before taking new medication.

Most people experience some loose skin after significant weight loss. The amount depends on how much weight you lose, how quickly, and your skin’s natural elasticity. It’s a normal part of the process and simply shows how far you’ve come.

Not everyone, but most people do to some extent. Factors like genetics, age, and how long you were overweight play a big role. Some people only notice mild skin laxity, while others have larger folds that may require skin removal surgery to address.

You’ll typically notice loose skin from around 6–9 months post-op, when rapid weight loss starts to slow. It often becomes more visible around the 12–18 month mark as your body settles into its new shape.

You can’t completely prevent it, but you can help reduce it. Staying hydrated, eating plenty of protein, strength training regularly, and maintaining a steady rate of weight loss all give your skin the best chance to adjust.

Yes — adding muscle helps fill out areas where fat once was, improving the overall look and firmness of your body. Strength training 3–4 times per week can make a noticeable difference, especially in the arms, legs, and core.

A gradual, steady loss does give your skin more time to adapt, but the difference is often small. What matters most is long-term consistency — focusing on nutrition, hydration, and muscle growth will benefit your skin far more than deliberately slowing progress.

Yes, excess skin can sometimes cause irritation, rubbing, or rashes — especially around the stomach, thighs, or underarms. Keeping these areas clean and dry helps, and your GP can prescribe creams or refer you for skin removal if it becomes severe.

Stay hydrated, eat foods rich in vitamins A, C, and E, and apply moisturiser daily to help maintain elasticity. Gentle exfoliation can also boost circulation and skin renewal. Think of it as part of your self-care routine, not vanity.

Keep it simple but consistent. Use a hydrating cleanser, a good moisturiser, and a vitamin-rich body lotion or oil. Products with collagen, hyaluronic acid, or shea butter can help your skin stay supple as it adjusts to your new size.

Absolutely. Genetics determine how much collagen and elastin your skin naturally has. Some people’s skin bounces back more easily, while others notice more sagging — it’s largely out of your control, so try not to compare your journey to anyone else’s.

Yes — younger skin tends to recover faster due to higher collagen levels. That said, older patients can still achieve great results with good nutrition, hydration, and regular exercise to support skin health.

Definitely. Eat plenty of protein, vitamin C, zinc, and healthy fats — these all support collagen production and repair. Hydration is just as important; aim for at least 1.5–2 litres of water a day to keep your skin strong and elastic.

Yes — hydration plays a big role in your skin’s elasticity and overall appearance. When you’re properly hydrated, your skin looks firmer, smoother, and more resilient. Aim for at least 1.5–2 litres of water daily, and remember hydration supports far more than just your skin — it aids recovery, digestion, and energy too.

Creams can’t tighten loose skin dramatically, but they can improve texture and comfort. Regular use of moisturisers rich in collagen, vitamin E, or shea butter helps the skin stay soft, reduces dryness, and may slightly improve elasticity. Think of it as caring for your skin, not curing it.

Gentle massage can boost circulation and lymphatic drainage, helping your skin’s tone and overall appearance. Radiofrequency skin tightening can also help mildly sagging skin by stimulating collagen production. It won’t remove large folds, but it can provide subtle improvements when used consistently.

It’s a non-surgical treatment that uses heat to encourage collagen and elastin production beneath the skin. It can firm and tighten mildly loose skin on the stomach, arms, or face. Results vary — it’s best for those with moderate skin laxity rather than severe excess skin after massive weight loss.

Yes — especially after surgery or major weight loss. Compression garments support your skin, reduce swelling, and improve comfort during activity. They won’t stop loose skin from forming, but they can help it settle more smoothly as your body adjusts.

Yes, there will always be scars — but surgeons usually place them in areas that can be hidden under clothing. Over time, scars typically fade and flatten. Following post-surgery care instructions and using silicone gels or scar creams can help improve healing.

As with any major surgery, risks include infection, delayed healing, fluid build-up (seroma), and scarring. Choosing an experienced plastic surgeon who specialises in post-weight-loss procedures greatly reduces these risks and ensures safer results.

It can be — but only in specific circumstances. The NHS usually funds skin removal surgery for medical reasons, such as chronic rashes or infections caused by excess skin. Cosmetic reasons alone typically don’t qualify, so most people opt for private treatment.

Costs vary by procedure and clinic, but on average:
– Tummy tuck (abdominoplasty): £5,000–£8,000
– Full body lift: £12,000–£20,000
– Arm or thigh lift: £4,000–£6,000
Private consultations usually give a clearer quote based on your specific needs.

It’s best to wait until your weight has been stable for at least 12–18 months after gastric sleeve surgery. This ensures your body has fully adjusted and you’re near your long-term goal weight, which helps the results last.

Focus on maintaining stable weight, eating protein-rich foods, taking all your vitamins, and staying hydrated. Build strength before surgery to support recovery. Mentally, prepare for downtime and scarring — it’s a big step, but one that can complete your transformation when timed right.

The surgery can bring huge emotional changes. Many people feel happier and more confident, but it’s also common to experience mood swings as your hormones and habits adjust. Emotional ups and downs are normal in the first year.

Yes — it’s completely normal. Hormonal shifts, rapid weight loss, and changing routines can heighten emotions. You may cry more easily or feel overwhelmed, but this usually settles as your body adapts.

Many people experience a cycle of excitement, frustration, grief, and acceptance. The early months are an adjustment period — both physically and mentally — before confidence and balance return.

Weight loss doesn’t instantly fix emotional struggles. Sometimes, food once acted as comfort, and losing that coping mechanism can bring sadness. Talking about these feelings can really help.

Your social circle and habits may shift. Some people struggle to relate to old routines centred on food or find friends react differently to their transformation. Seeking new, supportive connections helps.

After visible success, people often feel they must “keep it up.” Remember — progress isn’t perfection. Setbacks are normal, and self-compassion is far more valuable than constant self-criticism.

Focus on routine, journaling, and mindfulness. Talk openly with loved ones or a therapist, and don’t isolate yourself. Your mind needs care and structure just as much as your body does.

Your mindset determines how you eat, move, and think about progress. Addressing emotional health helps prevent old habits like stress eating and keeps your motivation strong long after the “honeymoon” phase.

It can, especially if you relied on food for comfort before. Hormonal changes can also affect mood. Support from your healthcare team or a therapist can make a major difference.

Look out for persistent sadness, anxiety, regret, or loss of motivation. If you’re struggling to adjust or your emotions feel out of control, professional counselling can help you regain balance.

Absolutely. Therapy helps you process emotional changes, manage food relationships, and strengthen self-image. It’s a powerful tool for long-term mental and emotional health.

Be honest about how food once played a role in your emotions — comfort, reward, or distraction. Therapists can help you find new coping strategies that don’t rely on food.

Journaling helps you track mood, habits, and triggers. It can also highlight your progress on tough days and help you recognise emotional patterns before they lead to setbacks.

Write freely about what you feel without judging it. List three positive things each day, or note what triggered strong emotions. Over time, it helps turn overwhelm into self-awareness.

Treat this as a lifelong journey, not a diet. Stay curious, flexible, and forgiving. Focus on progress over perfection, and remind yourself often why you chose this path.

Focus on awareness, not avoidance. Recognise what triggers your emotions and pause before eating — ask if you’re truly hungry or just seeking comfort. Replace food with positive coping strategies like walking, journaling, or mindfulness.

Acknowledge your feelings rather than fighting them. Emotional highs and lows are normal as you adjust. Talk about how you feel, stay connected to your support network, and give yourself time to adapt.

Build a stress toolbox — things like deep breathing, short walks, calming music, or stretching. The goal isn’t to remove stress entirely, but to find new ways to release it that don’t involve eating.

Plan ahead. Have healthy, portioned meals ready and identify your danger times — often evenings. If you crave comfort food, try journaling or phoning a friend first. Distraction and awareness work better than willpower alone.

Rapid hormonal changes and the loss of food as an emotional outlet can make feelings more intense. You’re also more aware of your emotions now that food isn’t numbing them — which, over time, helps build real emotional resilience.

It’s normal to question your decision at first. Reflect on why you chose the surgery and the progress you’ve made. Talk openly with your surgeon or therapist if guilt lingers — you made this choice to improve your life.

Pause, breathe, and ground yourself. Write down what’s overwhelming you, and speak to your healthcare team or counsellor if it feels like too much. Overwhelm is a sign to slow down, not to give up.

Regret can surface early when recovery feels hard. Remember that the adjustment phase is temporary. Most people later describe it as one of the best decisions of their lives once stability returns.

Accept that “normal” has changed — and that’s okay. Focus on what your new normal allows you to do: move easier, feel healthier, and live more freely. Growth often feels uncomfortable before it feels right.

Start by exploring who you are beyond weight and food. Reconnect with hobbies, values, and relationships that reflect who you want to be now. Identity isn’t lost — it’s being rewritten with purpose.

Shift focus from outcomes to experiences. Track wins like confidence, energy, and freedom rather than weight alone. True happiness comes from how you live day to day, not the number on the scale.

Yes — dramatically. As the weight comes off, your body changes faster than your mind can process. You may feel proud one moment and disconnected the next. This adjustment period is completely normal and often takes time to emotionally catch up with your physical transformation.

Focus on what your body can do, not just how it looks. Track strength, energy, and mobility — these remind you how far you’ve come. Wearing clothes that fit your new shape, practising self-care, and taking photos along the way can also help you see progress more clearly.

Start by accepting it before loving it. Celebrate small wins like improved fitness or confidence in public spaces. Avoid constant comparison — your journey is unique. Over time, as your mind and body realign, that acceptance naturally grows into genuine self-appreciation.

This is known as body dysmorphia or “phantom fat” — when your brain still pictures your old body despite the physical change. It’s common after major weight loss. Comparing progress photos and wearing old clothes can help your mind see what the mirror sometimes can’t.

Weight loss doesn’t automatically fix self-esteem. Many of the same emotional habits — shame, insecurity, or negative self-talk — can remain. Therapy, journalling, or support groups can help rebuild confidence and align how you feel with how you look.

That sense of unfamiliarity is normal. You’ve not just changed physically — your identity, routines, and confidence are evolving too. Give yourself time to adjust and reconnect with who you are now. You’re still you — just a healthier, more capable version.

Confidence grows through proof, not perfection. Each goal you reach — walking further, lifting more, or simply saying “no” to old habits — reinforces that you’re capable of change. Surround yourself with positive influences and take pride in every small victory.

Ease back in slowly. Choose environments where you feel safe and supported. Compliments or attention can feel overwhelming at first, but remind yourself that you’ve earned them. Confidence comes from consistency — the more you show up, the more natural it feels.

Gratitude goes a long way. A simple “Thank you, it’s been a big journey” keeps it sincere without deflecting or downplaying your hard work. Remember — humility isn’t pretending it wasn’t difficult; it’s acknowledging your progress with grace.

Keep a visual reminder — progress photos, old clothes, or notes from your first months. Looking back on your early struggles can reignite pride and perspective. You’ll see that even on tough days, you’re miles ahead of where you started.

Try starting your day with small truths that reinforce progress, such as:
“I’m proud of the person I’m becoming.”
“I control my choices, not my cravings.”
“Progress, not perfection.”
“I deserve the health I’ve worked for.”
These simple reminders help maintain focus and gratitude, especially during slower progress phases.

Weight loss surgery can shift relationship dynamics — both romantic and social. You may feel more confident and independent, while others might take time to adjust to the new you. Open communication helps keep relationships strong as you change both physically and emotionally.

Yes, it can — sometimes positively, sometimes with challenges. Improved health and confidence can strengthen your bond, but it can also bring insecurity or jealousy if one partner changes faster than the other. Regular check-ins and honesty are key to staying connected through the adjustment period.

It often does. Some friends are incredibly supportive, while others may struggle as your priorities or lifestyle shift. You may grow apart from people who revolve around food or habits that no longer fit your life. That’s normal — your circle often evolves with your goals.

Because your habits, routines, and mindset all change. People who once related to you through shared eating or lifestyle patterns might feel uncomfortable or left out. It’s rarely personal — it’s simply adjustment. Focus on those who respect your journey and bring positive energy.

It’s common for people to project their own insecurities when they see your transformation. The best approach is empathy, not defensiveness. Share how hard you’ve worked, and if the negativity continues, create distance — protecting your peace is part of your progress.

Decide ahead of time how much you want to share. A simple “Thanks, I’m feeling much healthier” can end most conversations politely. You don’t owe anyone your full story, and it’s okay to keep details private if the questions feel invasive.

Keep it simple: “I just get full quicker these days” or “I’m focusing on smaller, more frequent meals.” Most people move on quickly once they realise it’s not open for discussion. You never have to justify your food choices.

Be firm but kind. You can say, “I appreciate your concern, but this was a well-informed decision for my health.” If someone keeps pushing, change the topic or excuse yourself — protecting your mental space is part of recovery.

That comment usually comes from misunderstanding. The truth is, gastric sleeve surgery isn’t easy — it’s a complete lifestyle overhaul. You can respond calmly with, “It’s not easy, but it’s been the best decision for my health,” or choose not to engage at all.

You can’t control their opinions, only your response. Stay factual if needed — explain that surgery is a medically recognised treatment for obesity. But often, silence speaks volumes. Let your results and health improvements do the talking.

It can happen — some people act more supportive, while others behave awkwardly or even distant. Remember, their reactions say more about them than you. Stay focused on your growth, and invest your time in relationships that lift you up.

Be patient, encouraging, and understanding. Offer practical help, like meal prep or walking together, and avoid food pressure. Just being there to listen can make all the difference — it’s often an emotional process that feels isolating without support.

Reassure them that you’re still you. Big physical and emotional changes can make loved ones feel uncertain. Keep communication open, include them in your journey, and remind them this is about health, not distance.

It’s completely up to you. Some choose to share openly to educate or inspire, while others prefer privacy. If you do tell someone, keep it brief and confident — it’s just one part of your story, not your whole identity.

Keep it light and positive: “I had surgery to improve my health, so I eat smaller portions now.” Most people respect that and move on. If anyone presses for details, remember — you don’t owe anyone an explanation beyond what you’re comfortable sharing.

You can usually travel within 4–6 weeks, depending on how your recovery is going. Always check with your surgeon first, especially for flights, as you’ll still be healing internally. Make sure you’re comfortable walking, eating, and staying hydrated before you go.

Short car journeys are usually fine within a couple of weeks, but long flights or trips abroad are best avoided for at least 6–8 weeks. Bring your discharge letter, a summary of your surgery, and any medications in your carry-on, just in case you need medical help while away.

Plan breaks every couple of hours to walk and stretch — it helps prevent blood clots and stiffness. Sip water regularly to stay hydrated, pack light snacks, and wear loose, comfortable clothes. On flights, try to move your legs and get up when possible.

Opt for portable, high-protein snacks like Babybel cheese, protein bars, boiled eggs, tuna pouches, or small protein shakes. Avoid crisps, sweets, or anything high in sugar that could cause nausea or dumping symptoms.

Keep your protein-first approach, stay hydrated, and avoid sugary drinks and buffets where portions are hard to control. Bring vitamins, protein powder, and small snack options in your luggage so you’re never stuck without sleeve-friendly choices.

Look for grilled meats, seafood, eggs, soups, and soft vegetables on menus. Don’t be afraid to order children’s portions or share meals. Research local foods ahead of time and pack a few reliable staples — it saves stress when options are limited.

Always carry details of your surgery (procedure type, date, clinic, and contact info). If you feel unwell, seek medical attention right away — especially for dehydration, vomiting, or severe stomach pain. Avoid self-medicating and keep your travel insurance informed.

Plan for flexibility, not perfection. Focus on protein, hydration, and portion control, but allow the occasional treat without guilt. Stay active by walking or swimming, and remember — one meal won’t undo your progress, but consistency matters.

Start with small portions and eat slowly. Choose lean proteins and vegetables first, and skip fizzy or sugary drinks. Avoid grazing throughout the day — just because food is unlimited doesn’t mean you have to keep eating. Your new stomach will tell you when to stop.

Enjoy the social side rather than focusing on food. Choose small amounts of your favourite dishes, chew slowly, and avoid drinking with meals. Bring a sleeve-friendly dish if you’re eating elsewhere — that way, you’ll always have something safe to enjoy.

Focus on the people and the event, not the food. Eat mindfully, take tiny portions, and listen to your body. It’s fine to have a few bites of something you love — just stop when you’re satisfied, not stuffed.

Plan ahead by checking menus or eating a small protein snack beforehand. Remember, you don’t need to explain your choices to anyone. Have a drink of water or a decaf coffee in hand so you still feel part of the moment.

These events are about memories, not meals. Eat a small, balanced portion, avoid grazing, and get back to your routine the next day. Long-term consistency matters more than one celebration — enjoy yourself and move forward guilt-free.

Dumping syndrome happens when food moves too quickly from the stomach into the small intestine, causing dizziness, nausea, sweating, or diarrhoea. It’s more common with gastric bypass but can still occur after a sleeve, especially if you eat high-sugar or high-fat foods too quickly.

Eat slowly, chew thoroughly, and avoid sugary or greasy foods. Stick to balanced meals with protein first, followed by vegetables, and leave carbs for last. Also, avoid drinking with meals — give at least 30 minutes before and after eating to prevent food from moving too fast through your system.

This is usually a blood sugar drop caused by a sudden insulin spike after eating sugary foods. Your smaller stomach empties quickly, flooding your bloodstream with glucose, then crashing shortly after. To prevent this, limit added sugars and pair any carbs with protein or healthy fats to balance your blood sugar.

Nausea can happen if you eat too quickly, take bites that are too big, or eat past fullness. It can also be a sign that your new stomach doesn’t tolerate a particular food yet. Slow down, follow the 20:20:20:20 rule, and reintroduce foods gradually. If it persists, check with your surgeon or dietitian.

After surgery, your stomach and digestive system are more sensitive. Swallowing air, eating too fast, or consuming foods like beans, dairy, or carbonated drinks can cause bloating. Chew slowly, avoid fizzy drinks, and note which foods make you feel uncomfortable — they might just need to be reintroduced later.

Burping is common after surgery because your smaller stomach traps air more easily. It’s often caused by eating too fast, using straws, or drinking carbonated drinks. Try to slow down, take small sips, and avoid fizzy drinks to reduce air intake.

Hiccups and burps are often early signs of fullness — your new stomach is signalling that it’s had enough. If you get them regularly, it usually means you’re eating too quickly or too much. Slow down, take smaller bites, and stop eating as soon as you feel those first warning signs.

Those “gurgling” sounds are completely normal. They happen because your smaller stomach and intestines are now processing food and air differently. It’s just digestion — not hunger or a problem. Over time, the noises tend to lessen as your body adjusts to the new normal.

Yes — in fact, fertility often improves after weight loss surgery. Many women who previously struggled to conceive due to obesity or PCOS find their cycles and hormones become more regular post-surgery. However, it’s important to wait until your body has fully healed and your weight has stabilised before trying.

Most doctors recommend waiting 12 to 18 months before getting pregnant. This allows time for your body to recover, your nutrient levels to stabilise, and your weight to reach a steady point. We made the decision to wait around 18 months ourselves, as your body needs time to adjust to the rapid changes after surgery.

Pregnancy after gastric sleeve surgery is generally safe if properly managed. However, there’s a higher risk of nutrient deficiencies because of the smaller stomach and reduced food intake. You’ll need close monitoring by your GP, midwife, and possibly a bariatric dietitian to ensure you and your baby get enough vitamins, minerals, and calories.

Losing weight can significantly improve hormone balance. It reduces insulin resistance, stabilises oestrogen levels, and boosts ovulation — all of which increase fertility. However, in the first few months post-surgery, hormone changes can be unpredictable, which is why effective contraception is strongly advised until it’s safe to conceive.