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I was at probably 200 calories at the two month mark. I'm not sure how they expect you to be consuming 1000 calories a day! I'm almost 7 months post op and not able to get to even 900 calories a day (mind you I workout hard at least 4 days a week, I lift and do Pilates and run and all sorts of cardio). It's a struggle to eat enough, and what I learnt is that I will not force myself to eat any more than I can, I will get there eventually so what is the point of rushing? I would say eat what you can and don't force it, the whole point of surgery is to eat less 🤣

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

For those recommending medication over surgery: I am having the SADI surgery on July 25th. I considered medications initially, however, most of them aren't covered by insurance; and if they are, the insurance approval process usually requires a diabetes diagnosis. While I have a BMI in the 50s, my A1C is extremely health, which means I would pay out-of-pocket. The medications are intended as life-long commitments. Stopping them can have serious impacts including weight regain. Out-of-pocket for the cheapest meds I encountered was $900 a month. Out-of-pocket for my procedure is one-time $19,000 (unfortunately, not covered by insurance) If we look at the impact in 5 years of both... Meds = $54,000 Procedure + Vitamins = $19,000 + $3,800 = $22,800 How about 10 years? Meds = $108,000 Procedure = $19,000 + $7,600 = $26,600 The financial impact was a huge consideration for me. Please understand that the decision to move to surgery is not quick or easy. The financial impacts and health impacts are serious and really should be discussed with a trained medical provider. The purpose of this forum is to help guide others. We should be focused on the questions they're asking instead of offering an off-topic alternative. The OP made it clear in her posts that conversations with a trained medical professional led to the decision for another surgery. Shaking her confidence in medical guidance from her surgeon is not our place. We should accept that surgery is her path and give our own anecdotal experiences as references to help her understand what she might experience.

Haven't seen one for july. Does anyone else have a July surgery date scheduled?

I'm starting with the SIPS/SADI if my insurance will allow me to do so. I was slated for the Roux-y full Gastric at the beginning of July but after doing a LOT of research I came to the determination suggested above. I spoke with my surgeon, who tried to lightly dissuade me by saying they were both essentially the same results, etc but he was willing to do the SADI, it just pushed things back like I said while they make sure insurance will do their part. I went to my mid-month appointment and all things are moving ahead so far.

Sleevetobypass, thank you! I am relearning what I previously knew about bypass.

I agree with @Arabesque I was on 200 Cals at 2 months, Didn't manage to get to 800 until about 9 months. Nine months later I was on less than 1000 Cals. My team only bothered about protein and liquids. They advised me to try 6 tiny meals a day. Full fat products helped me. As in cheese, nuts, milk and yogurts. I never had protein drinks. My surgeon was against them. I had milk shakes but made my own but M&S do some, a strawberry shake per 250 mls = 180 Cals and 8 grams of protein. Don't stress over this period, just do your best every day. We are not all the same

Looking great, and I hope you enjoyed the beach! Last summer, I took my kids to an indoor water park at just around my highest ever weight. I had to buy a new suit because nothing I had fit anymore, and looking back at the pictures, oh my goodness. I even looked uncomfortable. We went again a few weeks ago, and I was 4 months post-op. Let's just say that thankfully, the suit from last year went straight to the giveaway bag, and I had to order a new one because even my "skinny" suit from a few years before was a bit roomy. I ordered two new ones and ended up with one that is perfect and one that was a bit tight, but I'm hoping it will fit me well in a few more months. Such a great feeling, and going on the water slides was so much more fun this time than 60 lbs ago, for sure.

I don’t think at the two month mark I was Consuming anywhere close to 1000 calories either but 300 may be a bit low. Are you getting all of your protein? That seemed to be all my nutritionist was concerned with at that point. If not, I would definitely be adding in shakes. Otherwise, listen to your team because everyone’s goals are differnt depending on a number of factors. Your goal will most likely not be the same as your friend.

Don't overthink it. We tend to want to over-prepare, pack too much, stock up way too much, read every single thing we see online and then obsess about any negative thing we see. You're ready. You've finished all the hurdles, you've been approved, you have the date. There's not a lot you can do 2 months before your surgery. Maybe start looking at different food tracking apps to see which feels the most user friendly to you. Look through youtube to find some good GENTLE workouts for the first 6 weeks post op and save them to a private playlist for yourself. Make sure you have some loose clothing for after surgery. I bought one of those big, cure jugs that is 64fl oz so it would be easy to measure how much water and fluids I was taking in (admittedly, at first I was barely getting in 3-4oz at a time, but I quickly worked my way up and was glad I had that because it was cute and convenient). Make sure you have plenty of Miralax on hand and possibly, if things are really plugged up, a laxative/stool softener combo. And I made sure when I was drinking broth, it was bone broth because it has more protein. That's really it.