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Also, please make your surgeon and RD clarify what they mean by "ounces." This was one of the MOST confusing things to me and it aggravated me no end! I don't honestly even know if THEY understand the confusion they cause! VOLUME is king in our world. Most often, when docs and RDs refer to "ounces" in the very early days post surgery, they are talking BY VOLUME and FLUID measurement. That means roughly we should aim for these volumes. People will swing either 1 step up or down on the time scale for volume. In early days when real estate is totally at a premium, we concentrate and fill that volume with protein first. As we mature, we can handle other things in addition to meeting our protein goals. When dealing with dense, solid PROTEIN in the progressing phases, it's important to go by weight, but it still needs to fit within the VOLUME limit for the meal. And this is where it gets tricky cuz 1oz BY VOLUME does NOT equal 1 oz by weight. That's why I still weigh my protein into a measuring cup first so that I know I get my protein needs met and don't exceed my 1 cup per meal volume prescription for my forever diet: BY VOLUME: 1-2 weeks post op: 1 oz by volume = 2 tbsp of food = 1/8 cup by volume = 1 medicine cup of volume 2 oz by volume = 4 tbsp of food = 1/4 cup by volume 3-4 weeks post op: 3 oz by volume = 6 tbsp of food = approx 1/3 cup by volume 4 oz by volume = 8 tbsp of food = 1/2 cup by volume 5-8 weeks post op: 5 oz by volume = 10 tbsp of food = approx 2/3 cup by volume 9-12 weeks post op: 6 oz by volume = 12 tbsp of food = 3/4 cup by volume 13 weeks to forever post op: 7 oz by volume = 14 tbsp of food = approx 7/8 cup by volume 8 oz by volume = 16 tbsp of food = 1 cup by volume BY WEIGHT: 1 oz by WEIGHT = 28.35g by WEIGHT METRIC = 1/4 cup by volume (approx) = approx 7g of protein by macro/cooked 2 oz by WEIGHT = 57g by WEIGHT METRIC = 1/2 cup by volume (approx) = approx 14g of protein by macro/cooked 3 oz by WEIGHT = 85g by WEIGHT METRIC = 3/4 cup by volume (approx) = approx 21g of protein by macro/cooked 4 oz by WEIGHT = 113g by WEIGHT METRIC = 1 cup by volume (approx) = approx 28g of protein by macro/cooked 1 oz by WEIGHT = 28.35g by WEIGHT METRIC = 1/8 cup by volume (approx) for veggies cooked al dente 2 oz by WEIGHT = 57g by WEIGHT METRIC = 1/4 cup by volume (approx) for veggies cooked al dente

There is transient depression as we heal. For no reason, you might wake up depressed, or have it descend upon you. It's important to know it's temporary and has a physical derivation caused by fluctuating hormones released from your fat as you lose weight, or as a result of anesthesia and having someone inside you messing with your guts. (Your guts produce neurohormones that regulate mood.) Hang in there. Deep breathe, drink LOTS of water, do comedy therapy on Netflix, walk a LOT, get outside into sunshine and nature, hug someone hard for a long time! Smile to your reflection in the mirror, get enough sleep, eat your protein and veg and all will be well in your world soon.

Foods like yogurt are pretty slippery and soft, so you usually don't feel the restriction or satiety with them that you do with something more solid like meat or cheese, so it is quite normal that you can eat more yogurt than the nominal 2-3 ounces that is often stated. I could likewise go through a normal 5-6 oz yogurt serving at that time, though I usually just kept it to 4 oz as that was adequately satisfying for me, and provided enough protein for that particular meal/snack (though by that time I was also throwing in a few berries for added nutrition and variety.)

Wow, I just got manslained. *laughing* First time I’ve worn one of my half marathon shirts to the gym. (race to robbie creek elevation half marathon) I’m feeling like a bad ass and thought no one could kill my vibe today. A racquetball player in his late 50’s and a substantial beer belly. walked up to me in the weight room. He had no idea that i was obese five years ago. He said, I can help you lose your mid-section” He tapped my midsection with his hand. I backed up, “oh hell no!” you didn’t just touch me. I told him “I’m working with patty” (she’s a trainer) He gave me a back handed compliment “you are all muscle and making the guys look bad.” What a dumb ass, some people give me motivation to work hard at the gym.

Hi everyone, Its early in the morning on Thanksgiving, four days before surgery and I wanted to check in because I owe it to myself to be honest about how I am feeling. I am struggling, not with the decision I made to have surgery, but the truth about the challenges I am facing moving forward. I started to ask if anyone had challenges with their pre-op diet, but I know the answer to that question does not matter because I am. I feel a little silenced or maybe ashamed because if I admit to my family I am scared and self-sabotaging then I will be forced to ask myself if I am doing the right thing. I was doing well with the pre-op diet until two days ago...Tuesday. I have a form of anemia that makes it difficult for me to absorb iron through food. I noticed I have increasingly more tired and I found out Saturday my iron levels are low again, 6 months after my last iron infusion, and a part of me feared that I would need to post-pone surgery for another round or go in early for blood transfusions. In meeting with me hematologist late Tuesday afternoon, he told me I did not have to do either and since they draw blood every day in the hospital, they could do a blood transfusion there if necessary. I have been through a lot healthwise, many surgeries (8), including a gastric sleeve six years ago. The irony is I stepped on the scale and I was the exact weight I was, 368 lbs before surgery in 2013 and although I had a great deal of success the first time, but then as I said in my story life happened. Even though the weight itself was shocking because I felt like I failed in only losing 4 pounds during the first week of my pre-op diet, I don't think panic really set in until I met with the check out receptionist. We were talking and laughing about my relief of not needing to delay my surgery....then without knowing it, she dropped a bomb on me that I did not really recognize how much it affected me until this morning. When I said I was having a second sleeve, which I had gotten over the embarrassment of admitting, she told me that she had a friend who had her third sleeve some time ago, and she had not seen or heard from her since. My gut reaction was - hell no, no way I am doing this a third time, but in the back of my mind, I began to wonder. Am I ready...will I be successful...is this worth it to go back a third time....then finally, maybe her friend died after her last surgery. The reality is the cavalier way Miss 'size 10' talked about her struggles in what she described as ballooning due to a medication, my guess is that her friend decided she was not the right person to share her struggles with. I cannot even remember he name but I already regret sharing mine. I am aware of how desperately I battled depression, how I came back from the brink after two suicide attempts after surviving a horrifying violet attack, and I was grateful to be at the point ready to have surgery. Then I came home and started self-sabotaging. I am not sure it was intentional, but I was extremely exhausted and had two doctors appointments that day and had missed two of my shakes. I had larger meal, not like before, but enough to make me horribly sick. I had not eaten any basic carbs in more than a week. Yesterday I was so fatigued, had burning pain in my knee from an old injury, but since it is too late to take NSAIDS, I used flexeril, which made me feel even more out of it. Yesterday, I still felt out of control and had half of hoagie, which then made me feel worse about myself. My normal unconscious reaction was to head for my go-to foods, SUGAR, thankfully not an ounce of it existed in the house, except for fruit. I took two (non-benzo) anxiety pills and took a nap. I reached out to my surgeon and asked if I now had to change my surgery schedule. He calmly told me no and to just use the pre-op diet to get back on track. This morning (well technically middle of the night) I woke up and realized all week I have been looking for signs I was making the wrong decision. My nutritionist had given me this negative self-talk wheel that I really forgot about even though it is stuck to my bulletin. When I looked at it, my behavior patterns started to make sense. The truth is I am scared, and I need to give myself permission to feel that and grieve. Its Thanksgiving and fortunately, I am not cooking and will not be around a lot of food. For the past few years, I have been a part of big Thanksgiving celebrations, due to emotional struggles, but my adult daughter usually brings me something from her dad and his family celebrations. This morning I woke up and realized how much of my life I have missed out on living in a prison that I not only created, but am the warden who locked away the key to release myself. I want to start living again and not just existing. I know what to expect and that having the surgery will not take away my problems. It is just one tool in my journey to health and better living. Today, I am thankful for the opportunity to begin losing the pounds of pain I have carried for far too long. I needed the last two days to remind that this journey is not going to be easy, but it will take a conscious effort every day to choose to strive for a healthier life for me. Hopefully, this time next year I can look back on how I feel today and we thankful I made it to the other side. Thank you for sharing this journey with me, Mya

i cant speak for anyone else yes depression is a big part of why i was obese and tried to hide behind it for 40 some years anyone who knew me would say i was very comfortable in my own skin as an obese man and very confident almost cocky it has taken so much head work and redirection of emotion to keep this going with out falling into old habits and going backwards ps i was never really comfortable in my own skin still working on that daily

You look great! Ignore the haters

Ok Fluffy has to have these posts in a a data base, No way she is just typing them. As for above post - Eat a good healthy diet and as small calories as you can. Really early to be weighing out every little piece of food

Got my haircut today and its always amazing how much better i feel afterwards. i have always considered it an odd thing that i enjoy a haircut so much. The smell of the barbershop (no salons allowed) and the whole scissors and clippers feel and sound is so relaxing. I have had the same barber since 1987 and i am not sure how i will handle it if that guy ever dares to die on me. I am pretty sure that the magazines on the bottom of the stack are the same ones from my first visit. just started Ron Powers -Mark Twain Biography- enjoying it

Thank you for sharing this. I have chronic neck/back pain and I am hoping that the weight loss will reduce or eliminate the pain. I am now even more hopefully because you shared your experience.