For my one month update I wanted to share from my overall experiences both good and bad. Lets start with the good: Surgery was on 4/28 and today is 5/28 and I have lost 30.4 pounds. 30 pounds in a month is awesome and I am so thrilled I made this decision. I do feel my restriction and get full very quickly. 4-6 ounces is about my capacity depending on the type of food. Slider foods like Greek yogurt I could eat more of but I just eat a 6 oz container and stop there. So far I have been lucky to not have hunger *knock on wood*. I have felt thirsty though--but this could be psychological because I used to always have a diet coke nearby to drink from--now its water or crystal light but I still have the need to have liquid around allot. Needless to say, I always get my fluids in and usually more. This may be TMI but my urine is usually clear (which is supposedly a good thing) Now lets talk about my diet. Some people say this is not a diet and not to treat it that way- but technically your diet is what you eat so everyone is on a "diet" all the time (neener neener, HA!). I stick to the general doctors orders here for the most part on most days. I count protein, but I have not really bothered with calories that much. I get very full on protein so I try to have some type of fruit or veggie when I can fit in an ounce or more. I think I could still add some more here but I will explain why later. 3 out of every 4 days I am pretty much by the book vsg diet low carb, high protein (70-80). Where I have drastically differed is on my 4th day. I up my calories and do count calories on this 4th day because I want to try and hit from 1800 calories or more. This would not really be possible for me to do without pure junk food IF I tried doing this with just food just based on how often and how much I can eat. So I supplement with a "weight gain" drink called Suplimed. It was developed as a well balanced formula to help those who have lost weight through illness to regain weight. One 8 oz shake in water is 500+ calories and more if its in milk.(sometimes I do half at a time) So I typically do 2 whole shakes plus food to get me to the 1800+ on my forth day. As I can eat more real food in time I will lower the shakes or half them. Why? because I am trying to avoid any weight loss stalls and not allow my system to adjust to low calorie metabolism--and I use the shakes because I don't want to use junk food to up calories. I am not recommending this to anyone, because that would differ from what your doctor would have you do--I am happily the human guinea pig for this and I just want to see how this works for me over the next couple of months. So far no stalls *knock on wood*. This zig-zag calorie method has been in the body-building world a long time--so I did not think it up on my own. I just could never do it pre-op with all my hunger. I started my first high calorie day on my second day of full liquids and have stuck to the 3 regular days 1 high cal day since then. Honestly, I don't look forward to the high calorie days because it is a chore to get the shakes and food in when you have no hunger--but I stick with them like a prescription medication for now--if they stop being effective over time I will drop them.

Supplements I take: BA multi vitamin. The orange was nasty but I can tolerate the berry flavor. Twin labs sublingual B12, Vitamin D weekly 50,000IU (set by doc based on pre-op low levels), prescription to prevent gal stones(help me keep the gal bladder), and I take a tablespoon of Barleans Omega Swirl to get necessary fats in. Protein supplements as needed too.

Ok the Bad: It has not all been roses--or maybe it has been roses, but there are a few thorns . Let me preface this by saying I am very happy with the sleeve and would not trade it. Post op--I had a wonderful experience until about one week out where it felt like I pulled something on my large incision. It was painful and I had to rest it a couple of days--luckily I did not tear it or have a hernia (internals protrude through incision) but it was a wake up call to me. I should admit this now I guess-- I hit the Stairmaster Stepmill (real stairs that rotate) the day before this happened --STUPID ME! I just felt so darn good and the stairmaster has been my punisher of choice for years--nothing happened that day but the next day simply bending over without bending my knees and popping back up quickly caused the oh crap moment. I talked about the bending over part before, but I had to come clean on the Stairmaster part so someone might learn from my idiocy. This from a guy who skied 1.5 days with a broken collar bone back at age 18--I did not know it was broken but my pain tolerance is a little off and dammit I had paid for those lift tickets! Anyway, I thought I would be super sleever at one week out. That stairmaster is going to get its ass kicked at 6 weeks out I will tell you though! With a couple of rest days I luckily had not messed anything up--whew what a wake up call.

The next item I have had to learn after moving into regular food is to slow down. Its easy to remember this with dense heavy foods, but for foods like scrambled eggs--I used to inhale those. Bad habits of not chewing foods like this have led to me throwing up--I would stew for like half and hour trying to walk it off until finally my stomach says "nope!" and up it came. So yes you have to chew even the smaller soft foods. Last but not least I have dealt with some constipation. This is why I think that I need more fruit or fiber in my diet. I have used Miralax (or the Walgreen's equivalent) to clear this issue up some, but I want to get the food right so I don't have to.

So there you have it the good and the bad so far at one month out. I am loving my sleeve and the results have been awesome. Feel free to post any questions if you are pre-op or new to this. Thanks!