How I eat 1 month out (and the BEST reason not to cheat!)
The first month diet of soft foods has been smooth. Make sure you're following your doctor's plan, not my doctor's plan, because each plan is unique to our situations, including anything your doctor found or did during or before your surgery. It's also important to note that I am not diabetic and I do not have any signs of insulin resistance, before or after surgery, so my body has a healthy relationship with all of the food groups.
Here's last night's family dinner, all made from scratch with my meal front and center and my wife's delectable tostada on the far right. I eat vicariously through others and cannot wait to be allowed something crunchy again. I miss crunch, but I know I'll be allowed to crunch again soon. Oh, how I pine for a sturdy lettuce leaf!
Homemade refritos, a little bit of spiced ground beef, requeson, crema con sal (a type of sour cream), and two tomato salsas, one very mild and fresh and the other hot and cooked.
SW: 275
CW: 244
So, a month out, I'm on "soft foods" which my doctor defines as foods that are soft BEFORE you put them in your mouth and that anything hard to digest like solid meats and veg needs to be taken down to more of an apple sauce/fine mince consistency. I've been on this regimen since my 10 day follow up and will continue until my 6 week follow up in two weeks. There was no intermittent "mushy" stage for me.
I try to eat before I take my pills with very small sips of water. Pills taken on an empty stomach may come up.
I'm eating 3-4 T at meals that go well for me (that is, no stress, which makes eating any more impossible and leaves me sick for an hour or two). I tend around 30-40g protein a day from a variety of sources: lactaid milk, yogurts, cheeses, finely ground beef, beans, meatballs cooked in soup, soft tofu, and egg. I do not avoid carbohydrates, as I feel better when I eat a balanced diet. I eat 5-6 very small meals a day (some as small as a tablespoon of yogurt or a small skim string cheese). I often add nutritional yeast to savory foods to increase protein and B-12.
My carbohydrate intake tends to be slow-burning low glycemic index (oatmeal, berry, beans combined with high protein rice, fresh apple sauce with no additives, a bit of high protein pancake...) The exception is that I do occasionally eat some white rice, always combined with a protein, and I have had no crash and burn. I have also had ice cream and sorbet in very reasonable amounts that fit within my plan with no ill effects or delay in weight loss.
With the restriction I've felt from my sleeve, I average 350 calories a day with my highest day just under 500 and my lowest day 0. I registered my greatest weight loss after the 500 calorie day and felt my best, so I'm working up to that as a second month goal.
Here's what I won't be eating again for a while due to nausea and/or vomiting: Full fat dairy, lentils, ginger (go figure!), oral B vitamin, whey protein
Here's what I won't be consuming again for a while ever due to migraine strong enough to punch through the botox*: Aspartame, sucralose
Here's what I won't be eating again for a while due to changes in taste: Ginger, cheddar cheese, V8, melon (with the exception of watermelon)
I haven't felt the kind of "hey, I'm kinda hungry" hunger I felt before surgery since then, but If I skip a meal or two, my stomach will gurgle, and if I've missed 3 or more meals, I tend to feel a bit dizzy, headachey, exhausted, and/or fuzzy-headed. Fair enough. If I don't eat a balanced diet (for me: too much protein or fat), I feel generally unwell, but I can power through.
No dumping syndrome or anything related. Just lots and lots of water nausea that leaves me out of action for an hour or two when it hits. I've also had a couple of bouts of stress tummy which results in worse nausea, a fever, and, strangely, intolerance to light, so maybe migraine, too. It lasts about an hour. I've always had a stomach sensitive to stress, but the surgery has made that worse.
Oh, and the best reason not to cheat? That's down to my doctor. who cheerfully told me all about some of his patients who had advanced too soon or cheated (fits through a straw on full liquid does NOT mean fits through a boba straw) and did rupture the staple line. It's fragile while it's healing the first month or so, especially. Will it happen to everyone? No. But it COULD happen to you. And then you spend a miserable (up to a) year in the hospital being operated on, in pain, possibly dying, and guaranteed not eating those tasty things you thought were ok just a little early and felt fine at the time.
Was it tall tale hyperbole to keep me on the straight and narrow. Mmmmmmnnnnnnnpossibly. But I know he wasn't joking, and I'd rather not risk it. Would you?
And last, but not least, here's a random picture of my dog discovering Bones Are A Thing That Exists In The World and elevating, on the spot, to a higher level of doggy existence:
*I have incapacitating migraines that have been unsuccessfully controlled with medications. Botox was the next step, and it's working great as long as I avoid my worst triggers. (Bright sun, aspartame, sucralose, non-natural cleaning products) 10/10 would recommend.
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