Gotta say no way to this narrative. Presenting a story like that in just 6 weeks isn't realistic and sets false expectations. Starting photo at 227 checks out fine. But claiming 202 with that waistline? The math breaks. At 5'5" and 202, you'd still be classified as obese category 1, almost...
Gastric slow-down means pooping slows down. Take stool softener and relax. Side effect. Ruined drinking for me. Single glass wine maybe okay. Beer's carbonated so it sucks too. Bariatric folks often give up fizzy drinks the same way.
Docusate works well when you need relief from constipation. I'd recommend waiting it out a few weeks before making changes though. My nausea was mainly from eating too much in those early days.