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Are you working with a dietitian? When you're actually underweight and struggling to gain weight, all the things you learned about losing weight go out the window. For example, if you're avoiding carbs, you need to stop. If you're watching your fat intake, that too needs to stop. As @ShoppGirl said, this does not mean you should eat junk, there are plenty of healthy carbs and fats you can add to your diet. Do a google search for things like "healthy calorie dense foods". You'll see nut butters and avocados, but also dried and fresh fruits, whole grain breads, potatoes (sweet and white), oatmeal, full fat dairy, pasta, etc...

Just a quick update, my endoscopy showed that I had a significant amount of bile reflux. I haven’t had my follow up appointment with him yet to talk more about it, but it sounds like bile reflux can happen when you have bypass and also when you have your gallbladder removed, so that might be what’s going on. I also have a hernia that needs to be repaired. I’ll post an update once I gave my follow-up with the doctor in early November.

Mine does it all the time. It’s doing it now. LOL! It’s like my own personal poltergeist rattling the chains. I spoke to my surgeon’s associate & she says it was just my digestive system doing what it’s supposed to do: digest food. It can rumble & squelch for a time after we eat because food digests at different rates. How noisy our system is now is probably just one of those idiosyncrasies that’s personal to us & that some experience & others don’t. Oh, and a rumbling, grumbling tummy in most cases is not a sign of you being hungry as we were always told.

I'm a bit confused. Did you have revision, sleeve to bypass? You're showing marked as a sleeve patient and I recall you saying in another post a few days ago that you don't take vitamins, you just rely on a healthy diet to get your vitamins, which isn't recommended for bypassers. So the two posts are sort of contradictory, junk food vs healthy diet for vitamins. And also sleeve on your profile and now you're saying you got bypass two years ago. Can you clarify the details for us please? Thanks!

In all seriousness, I think @kaylee50 has given you some great advice. Foremost, talk to your team. You may not "really" be hungry (It may be what we call "head hunger"), though it's possible. Either way, they should be able to help.

Yeah. I got my revision to bypass last week. So far, this has been easier than the sleeve, and I’m just exhausted, but nothing hurts. I had horrible GERD, so they corrected a large hernia and cut my prior sleeve even more, to make it look good (it was enlarged). After all, the surgeon said everything looked great, and I felt ok. I’m hungry, but I think this is more mental than anything. I need to lose around 50 pounds to meet my goal. I was around 20 pounds short with the sleeve, but I could not do it.

the pre-op diet was the worst part of the whole thing for me. i was actually relieved the morning they rolled me into the OR for surgery! You just have to white knuckle it - it'll be worth it in the end. It's been a few years for me, but the first few days were the worst - it did get better after awhile...

I agree about adding some milk to thin out the shakes. I do that. I also add a pinch of salt sometimes. I can do about 4 oz of protein drink at a time. I also have a good broth that I generally have for "lunch" and "dinner" and I put a non-flavored protein in the dinner one, so that helps me a lot. I'm just dipping my toes in puree, so I'm not really eating enough of that where it is worth putting protein in it - there's just not enough food. So, for now, I'm stuck with the shakes, clear protein, and broth. There are a ton of unflavored proteins out there, though, that maybe you could put in a warm drink? I am supposed to do 2 multis a day and I do 1 chewable and 1 capsule. I tried taking apart the capsule and it was worse than the chewable!

First, congratulations on your surgery. Secondly, it’s okay not to be ticking all the boxes in the first couple of weeks. As long as you are making an effort & you are getting closer it’s okay. You’ll find some days are easy & otherwise more of a struggle. Your shakes, broths etc. all count towards your fluid intake and I used to dilute my shakes (doubled the water) to dilute the flavour & to up my fluid intake. Used to sip on them for a couple of hours or until finished. Also added a little more water to the soups & broths too. If you’re worried about your protein intake you can also add some additional protein powder to your shake & swapping in protein water for drinking water will help too. I embraced my dislike for sweet & used it to withdraw myself from sweet tasting foods & drinks. Once onto purees & more solid foods, you’ll likely find other foods, even old favourites, smell or taste bad too for a while. It passes. Vitamins can be a challenge. The taste, difficulty swallowing them, nausea, etc. I took capsules which were easier to swallow (once my swelling reduced around day 4). Some surgeons are strict on when you can begin swallowing meds & recommend chews or patches. So it can be a bit of trial & error to find the right ones for you. Expensive too.

I had VSG revision to bypass due to gerd over a year ago, but my experience with the VSG and restriction for 6 to 7 years was the following: I didn't have alot of restriction either but had enough to be successful. With meat, about 3 ounces. Everything else about 1 cup. The great thing is... Even years out, I was never able to truly "pig out" again. If and when I ate too much, my heart would pound like crazy. I did have to work to stay away from slider foods since the end result of that is very little restriction. As long as you don't get gerd, and you eat protein first, it is a wonderful tool for weightloss and lifetime restriction but it takes work and commitment.