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My program said that eating low carb is what shrinks the liver, since glycogen is stored there, so from that perspective it looks fine outside of the pasta. My plan did still involve two protein shakes a day along with one small meal, which they said they wanted to make sure my protein intake was adequate prior to surgery while being inside the calorie limit they set. It is very frustrating that there is no standardization or regulation in terms of nutrition guidance both before and after surgery, and I feel like it is a huge disservice to patients who are trying to compare their experiences only to find themselves with apples and oranges. My vitamin recommendations are so different from others that I'm having the same doubts, so you're not alone here Ultimately, you can ask them to clarify the reasons for their specific diet, and if you don't trust their answers, it may not be the right doctor/office for you. Better you learn that before surgery than after! You can also ask about their post op plans to see if it's closer to your expectations.

Thank you so much. You should actually plan on writing a guide or blog. Your attention to detail and clear advice is a blessing to us. God bless you

You will begin to feel it as you move to more solid foods. For now, don't go over the amounts your program recommends.

I know some people say they are afraid to have plastic surgery because of the scars they will have afterwards. Well, I know everyone doesn't scar the same way but I think mine are pretty typical. I would rather have this scar all the way around my body than the rolls of loose skin I had before it was removed. I took these this morning when I realized yesterday was my one yr plastic surgery anniversary for my lower body lift and brachioplasty. These pictures are my hips and the scars are easily covered by underwear or bathing suit.

I Had gastric bypass Oct 2017. I was 274 at my highest. Now I am 150lbs and I couldn't feel better then I do now. The amount of confidence that comes with weightloss is remarkable. [emoji3059][emoji3059][emoji3059] Sent from my SM-G975U1 using BariatricPal mobile app

From what I've read, each surgeon/program has their own preferences for pre-op diets and the results vary pretty widely. The primary goals are 1) to prove ability to adhere to a diet (this is mostly an insurance thing, I think) and 2) to shrink the liver, but even if the liver remains relatively fatty, the surgery can still be conducted. It generally requires an additional incision to allow for direct liver retraction and can make the surgery time longer, but its not impossible. That being said, I would say if you have researched your surgeon and are confident in their skills/success rate, then you have no reason to doubt their pre-op diet recommendations. Its very likely that they are moving you towards a low carb, reduced calorie diet, even with the inclusion of some fatty/carby foods. And as you progress closer to surgery, the diet may become more restrictive/specific. If your trust your surgeon, trust their process!

If your wanting to track your moods and things along with your calories and intake you could just use the notepad app in your phone. I use it to track my weight. I record it daily but on surgery date each month I delete all but that day so I can see the downward trend month to month.

Unfortunately the glorious & heady weight loss of the pre & immediately post surgery days doesn’t last. Think of this time as the kickstart. Around month 3+/- when your weight loss starts to slow is when reality begins to set in again. You’re eating solid foods, there are more foods you can eat, your portions are getting larger & you’re consuming more calories. Just stay your course. It’s not a race. You’ll reach your goal in your time which is the right time for you. You can’t control factors like gender, age, metabolic rate, weight loss history, etc. which influence how much & the rate at which you’ll lose. Remember the axioms: the more you have to lose the faster you’ll lose to begin & the closer to your goal the more slowly you’ll lose.

Great answer. We shouldn't even be looking for the restriction. If we are following the protocol, we won't get to that point.

I’ve lost almost 160, I’m coming up on my 10 months soon. Starting weight 339, current weight 180. I’m a 5’10 woman, 40 years old.