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hi all, I posted this in the pre op forum for June buddies, but thought I'd also post it here in case it helps anyone. Here's my experience so far after getting the Gastric Sleeve procedure on 13th June 2024... Immediately after surgery It was pretty rough for me, I woke up in a lot of pain, so much so that the nurses had to give me 30mg morphine for the pain. I was in a recovery room for the first 24 hours (standard procedure for the private hospital in the UK i went through) After the initial 24hrs I was moved back to my room where I felt a lot better. Even able to eat an ice pop and a small cup of Tomato Soup (sipping of course) and sipping Water every 5-10 mins. Week 1-2 I quickly moved onto the liquids phase, in which I must have taken in around 2-300 cals per day through Protein Shakes and watery Soups. I must admin this phase was the hardest for me, managing the pain meds as well as trying to drink as much liquids as I could in a day. It just so happened there was an international football (soccer) tournament on in Europe in my first 2 weeks' recovery so was engrossed in that! I also started walking 1 mile per day and upping that to almost 2 miles by the end of it. My weight loss was drastic in this phase but my word I was lethargic/got tired v easily and not up for doing much. Week 3-4 Puree stage - finally I felt I was able to get some proper food in me, and a few days after starting this phase, my weight slowed right down - the dreaded (but expected) 3 week plateau kicked in. I went around a week and a bit without any weight loss, despite me sticking to the recommended diet. I am not going to sugar coat this, it was a bit disappointing standing on those scales after a week, but I knew this would happen so meh I guess. Still walking 2 miles per day during this phase and now feeling I have a lot more energy. Week 5-6 Week 5 started with me starting to lose a pound every 2 days or so, so my body seems like it has adjusted to the inro of more foods for the 'soft foods' stage. I also started back at the gym doing some cardio work on top of my walks, and oh boy I have so much more energy for it! I am now around half way through week 6 and had my first appointment with my nutritionist and he is blown away by the progress I have made/am making. He gave me further chewing tips to make sure I am not overeating as I have been sick a couple of times when I've eaten too quickly and not realised I'm full/satisfied. He is now happy for me to start introducing more fibred meats and more complex foods, like a little Pasta and a little bit of rice, to test the waters. Struggles so far: Reminding myself I have a new stomach not eating what family members are eating e.g. Sunday dinner Eating too fast resulting in vomiting Extra attention from people who have noticed a loss in weight (47lbs and counting since pre-op liver diet). Since I've been overweight most of my adult life, I carried a lot of shame internally, so its in my nature not to talk about myself/get photos taken etc Wins so far Losing a lot of weight and all the benefits that go with it. Being more present with my family. Having the energy to do everything they want to do (I have a wife and 2 kids, girl 11, boy 7) Clothes! I have dropped from XXXL to XL already. Which was a surprise when I packed to go to a 5 day getaway with my fam in week 5 Mental health - the mental benefits come as such a relief. I no longer feel down about my weight (although I know I still have a ways to go) Confidence - generally just feel I can be more myself - hopefully some here will resonate with this. Would be great to hear of your experiences so far, especially if you had your procedure in April/May/June/July!

I had no pre-surgery diet plan to to follow but did have to 'check-in' to the hospital the night before so they actually cut off my food at 8pm that night and then I was only allowed water until midnight. They also had me take a small amount of a sugar free isotonic drink at about 6am on the day of my op (8am), don't know why.

Grrrrr!!!! I don't like the people at your doctor's office!!!!! As a medical assistant (and former front desk person) that just grinds my gears!!! But at least you're in now. You can bypass all of them and talk directly to your doctor now. I'm so glad you got your answers and feel better. Are you starting to get excited??? I'm excited for you!!!

I am so excited for you. Let us know how it all goes. I am vicariously packing right along with you.

Thank you both for thinking about me. Yes. I did have appointment and no they did not know how to get me onto the portal 🤣 . They told me to call the help line which I did end up doing and they just sent me the invite and I took it from there. The Dr answered all of my questions. Most of the stuff that I was told by the rest of the staff that I questioned I was right to because they were wrong. I’m not gonna stress over it though. I got all my answers now and feel much better about things. He promised that if I need him post op I will be able to get him and I am supposed to be on the pre op diet starting today which I did just in case so I’m good. It says my surgery is at 7:30 in the patient portal but they haven’t called me yet. I’m wondering if that’s correct or they just put everyone in for 7:30 and work it out the day before.

You’re certainly kicking arse sweetie!

I did 2 things preop that helped immensely: 1) this may sound weird but i guessed i’d be in a little pain from the incisions so a couple of days before going into the clinic i move everything i figured i’d need in the first week post up to middle shelves in my kitchen/fridge : cups, scales, protein shakes and powders etc. And thank god i did because i had abdominal muscle pain (like i’d done 10000 crunches) and was told not to bend down for a while. 2) i wrote out « meal » plans from what my dietician provided in order to clearly see what time of day i’d eat (protein shakes) and drink (water). I’m the kind of person who needs a set plan that’s clear and that i can follow because i was lost the first few days. I wrote out 4 weeks of meal plans and i varied the shakes and purées and soups so i didn’t get sick of one specific one (never ate the same one 2 meals in a row and alternated with the next day). Not sure it actually helped my experience but it did help me see clearly mentally 🤣

I'm so glad this came up. There's one reference to caffeine in my prep book, but the doctor and dietician have said nothing else about it. And I wrote coffee on my diet plans, but nothing about decaf. I'm going to ask them about it, but I'm now realizing that I will have to cut out caffeine. I'll have to start a weaning process. This might be the toughest pre-op process for me.

I supposed the OP has already worked this out since the post was 2015 but I just want to add that the surgeons do then to weight loss drugs as one of the tools in their belts post surgery now. They have quite a few in addition to phentermine nowadays too. For anyone out there experiencing weight gain please touch base with your team. I was unable to take the meds because if interactions with other meds I was on but that was definitely an option that was presented to me early on and for someone with only a fair amount of weight to lose it could help. I have taken phentermine in the past and it did reduce my appetite significantly. My problem is I wake up several times and night and eat too so once the med wore off I was hungry. For those reasons they didn’t work for me but they do work for many people.

It is strange how we feel the need to explain, when really we owe them nothing at all! Thank you for the advice! x