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The three most important elements after RNY gastric bypass surgery are to meet your daily protein, fluid and vitamin requirements. Food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as protein shakes. After gastric bypass surgery, the weight loss phase is fairly short. I entered the maintenance phase after around 7 months. So it is very important to follow the program guidelines during this phase in order to maximize your weight loss.

Weight has been far more accurate than volume for me. I use a scale for everything and I weigh everything in grams/ML because that is more accurate and makes more sense Once you are allowed solids, it is unlikely you can eat 4 ounces of it at once. It took me months to work up to it. The exception was soft baked fish, but that is really a soft food, not a solid. Even at 2 years, 4 ounces of solid food will still vary for me based on moisture content and the mood of my sleeve that day. You don't have a book that tells you what you should be eating? I was allowed 2 ounces at first and even that was a stretch. Also, this really isn't a question you should have to ask online or be confused about. You paid a team of people for this surgery, they should be telling you explicitly what you should and should not be doing. Make them. Weighing your food long term is going to save you a lot of calories over measuring. In the beginning a WLS patient that is healing can't eat much, so it doesn't seem like this matters much. Long term, when you are stalled or can't seem to lose and you think your calories X they might be Y. These small calorie differene over the course of a day, week, month and year add up. Better to create strong good habits in the beginning and carry them on long term.

Just remember it will be worth it. I'm on day 4 now of liquids and since I haven't cheated, I can tell you it is true the hunger pains do go away. Your head occasionally wants food but my tummy is fine and I don't want for anything. I can tell already I've lost weight. Just get that protein/ fluids in and you will be good!

I'm in the Boynton Beach area and just had my surgery on Monday.

I'm the same way. I can barely eat 3oz of anything dense. I feel stuffed, yet satisfied. I don't mind it because I enjoy the food just as much as before. The most I've eaten of anything is 5.3oz of yogurt. Sent from my XT1254 using BariatricPal mobile app

Yeah, I was in complete shock. He replaced my old doctor who left. I was going to give Him a chance. Lol. Thank you

I’m so sorry that you are dealing with this. How stressful. [emoji25]. Have you thought about changing pcps (again) I don’t what kind of doctor says I’m going to ruin your day, drop a bomb on you and then leave you hanging. It’s your right to get a second opinion. I hope everything turns out ok 🤞🏼🤞🏼🤞🏼

This may not qualify as natural, but buy a bunch of rubbing alcohol pads and sniff them when you feel nauseous. I was severely nauseous after surgery and those puppies helped. It doesn't last long, but it helps.

Hang in there and gradually change your bad habits. Example: I no longer eat while watching tv anymore. I notice that I over eat when I do that. Also, I've been working on chewing my food thoroughly before swallowing it. I hope that helps.

I'm two weeks post op and have realized when I over eat or eat too fast I will burp. This is a warning sign to slow down or stop eating.