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I was sleeved 01-09-13. I lost 20 lbs in two weeks then one lb yesterday. How many calories are you all eating?

My Dr gives them to people who need the shots due to other health problems. I know someone who died of a blood clot so do what the DR tells you to do. I had to have extra because I have Sjogrens so I have two clotting factors in my blood other people don't. Be safe!

You cannot judge yourself by others weight loss because we don't have the same metabolism and our weight differs greatly as does our genetics. Look at it this way one lb a day is 52 pounds a year. Fast or slow we will get it off and it is better than our prospects before. Turn your thinking around and do what I do I picture a five pound tube of hamburger meat at the grocery store. I think how much fat that is! then when you think of fat loss think I have lost almost three of those!! Go to the grocery store and hold three in your arms...now you can see how well your doing. I lost 20 lbs in two weeks but one the next week. It doesn't matter who lost what when what matters is we are all going to be proud of what WE have done. I think everyone of us are winners. We took a huge risk to save our lives. We are heroes.

My Dr says Gas X is for stomach gas very different from the gas they blow you up with. It works great for stomach gas but does nothing for trapped air. All you can do for trapped air is walk it off because that movement allows the gas to break down and be absorbed. I know because I had a liver biopsy same time as my sleeve and they used extra gas and moved a lot of parts around so I had horrible pain in my left shoulder and below that for two weeks!! The Dr said some people take longer to get that type of gas out but when he said I should be walking two city blocks a day minimum I realized I had not been walking enough. I hope this helps.

That is from the tube in your throat it goes away just drink a lot of water and use the spirometer ( is that what it is called? To improve lung function?) It helped me get that junk out of my lungs and walk a lot' date=' my Dr said about two city blocks a day from the beginning. I wasn't walking that much and when I did it greatly helped especially the pain in my left shoulder. I am three weeks out now and feel great. No problems other than learning to slow down my eating and not eat much. I've lost 22 lbs in three weeks and 20 prior to surgery so I am 42 lbs down. I feel so much better. My CPAP has been turned down twice I don't think I will need it much longer. My blood pressure is normal, my foot and hips don't hurt anymore and I haven't had GERD since the surgery!! I think this sleeve is a blessing for me. To all the recovering slivers hang in there. Everyday gets better!!

Also I do get in all my Protein. Mostly Greek yogurt, cottage cheese, super milk ( that's what I call skim milk with dry milk in it!!), and lean hamburger and quality protein. I eat about 1000 calories a day. I have lost 22 lbs in three weeks and I'm healthy. In the long run a 1000 calories a day is a fraction of what we used to eat. I figure the more fuel for my body the better it can work to burn the fuel ( fat). Don't stress about this all that will make your body only hold on to fat. Relax go with the process dont stress. If you can only do twenty minutes then do it and eat more and work up to it. We worked SOOOO hard to get here so enjoy it. Enjoy the sensations and feelings of a changing new you. And I always take my Vitamins because if we don't eventually we will get very I'll . I've seen it before in friends. Just follow your DRs directions and feel your way through. You will be great!!

I'm three weeks out and I walk a mile a day on the treadmill at 3 MPH. At first I was light headed but it went away. I do two half mile walks if I'm not up to a whole mile at once. Even three ten minute walks is better than nothing. Start walking more and I think you'll see it gets better.

I'm 3weeks out and ate too much Protein at one sitting of eggs and chicken ( 1 oz chicken and two eggs) I had chest pain and had to throw up . It was soft and pureed but too much. I think it is the eggs in my case and eating too fast. We have a whole new stomach just be patient and well get through it. How much have you lost so far? I have lost 21 lbs in first two weeks and nothing since!

I am three weeks out and need advise how often do you have a bowel movement? How do you know if your constipated and how can I prevent it??

I just called yesterday and they said when your close to goal but I'm only three weeks out and 20 lbs down and my machine was blowing air in my stomach and making me burp over and over! They said to turn it down from 12 to 10 so I did and it is much better.

I was sleeved Jan 9th and I had all of what you describe but t improved everyday by the second week it is sooo much better and by the third it is gone. I had to sleep on my back and my left side hurt really bad. I had gas in my left shoulder/back for almost two weeks and it as painful. I took Meds for that, dilauted, and Tylenol. it does get better. Hang in there!!

I was sleeved Jan 9th and have lost 20 lbs now.

Let me tell you I don't know about anyone else but everyday I get better and better. I am two weeks out and can drink 6 oz of water in small sips and medium gulps and I can eat a whole Greek yogurt in a half hour and 2-3 oz of meat. I started barely able to get anything down especially water so if it seems awful in the beginning just wait it gets so much better quickly. No worries ! I am sooooooooooo happy I did this.

Sleeved January 9th, two weeks, and I've lost 18 lbs. I eat all 60 grams of Protein and all 64 oz Water. I'm very happy. I walked this week half a mile a day and today I went to a full mile.

Good luck to all of you having surgery this week. I will be thinking of you all.

I was sleeved Jan 9th and I've lost 16 so far. My two week check up is Thursday. I was dreaming of 30 lbs in 30 days but I doubt it. At least I can dream!! I lost 20 pre-op so now I'm down 26 lbs. I always picture five pound tubes of hamburger when I think of fat so I picture 5 tubes and that makes me realize it is a huge amount of fat! My BMI was 49 and now is 43. I'm so happy I had this surgery. I am so much healthier already.

I had to go to Philly and I had Dr Schuricht . I feel great.

I confess that I never thought about it before surgery but I feel kind of guilty I am getting fit and my daughter and son are still struggling daily to loose weight unsuccessfully and it was MY behavior and food addiction and the way I fed them growing up that made them that way ;(

Ask OTR Sleever he seems very knowledgable about Protein powders. I don't really know which ones are best. Can't you talk to the nutritionist at your DRs office?I don't think your hair should not come out in clumps. I'm sorry your going through that.

By the way I have a degree in Biology but I cannot figure out this stupid ticker tape! I did everything the directions told me to but now that I have it as my signature how do I make changes? I would really appreciate some direction.Thank you.

I think we are responsible for eating a certain amount of good Protein daily but it will not hurt to add in other things to give variety. Bariwise hot cocoa for example is made with these ingredients: first Calcium caseinate then hydrolyzed Gelatin etc etc this is what WIKI says about calcium caseinate "Calcium caseinate is a protein produced from casein in skim milk. At neutral or acid pH, casein is relatively insoluble in Water, and is easily separated from other milk Proteins, sugars and minerals. After their removal, the casein is solubilized at a high pH with calcium hydroxide; the solution is then dried (usually spray dried). Calcium caseinate contains about 17% glutamic acid. Its main food uses are for powders requiring rapid dispersion into water, such as coffee creamers & instant cream soups. It is also used as a dietary supplement by bodybuilders and other athletes who ingest it before bed, with Breakfast, or as meal after working out as it breaks down at a slower rate than whey protein, thus supplying the body with a sustained amino acid release.[1] Mead Johnson introduced a product in the early 1920s named Casec to ease gastrointestinal disorders and infant digestive problems that was the cause of death in children.[2] Calcium caseinate is soluble and does not clot in the stomach. It is believed to neutralize capsaicin, the active (hot) ingredient of peppers, jalapeños, habaneros, and other chili peppers." Hydrolyzed gelatin. is made of collagen and not good source of your protein daily but as a second ingredient to a milk product it is not bad for you. I'm using these products in conjunction with whey and better proteins. However gelatin has been proven to strengthen hair, nails and even joints. So just be smart about it's use. Gelatin is made from animals and therefore some people who are vegetarian don't eat it and the WHO and FDA acknowledges that they are not sure if gelatin is a carrier for Bovine Spongiform encephalopathy ( also known as mad cow disease). So far in the USA we appear to not have a problem with BSE but it really is not known. I take the chance because you would have to have the genetic make up and be exposed to catch BSI which in humans is called Creutzfeldt-Jakob disease or CJD. I am very involved with the community of doctors and scientists who are the watch dog in the US for this devasting fatal illness. From diagnosis to death in only 2-4 months with no treatment. You can find out more about this at The CJD Foundation. I lost my brother in law who was 29 years old to this disease but it was a sporadic type that just happens in some people and we don't know why. His was not from animal products. Anyway I use gelatin products and feel safe with it but I know many Doctors and Scientists from abroad that wont eat beef in the USA because of our lenient laws that allow animal products and animals to get past the inspection point. This is probably more than anyone wanted to know but as a lobbyist for better safer food choices in the USA I have a responsibility to educate people and give them something to think about and then they can make their own educated decision. Thanks for putting up with my long explanations!

My surgery was January 9th and I hope we all can keep in touch under Jan 2013 title It is helpful and inspirational to here how you all are doing.

OTR Sleever your 100% right about the types of Protein, I'm sure you already knew that, and I found an article that really explains it in detail. I thought I would share it with everyone. Thanks for setting me straight and helping me get started on the right foot. Protein supplements & Weight-loss Surgery by Kimberly Mahoney, MS, RD, LDN To view a PDF version of this article, click here. When you step into a health food store or a Vitamin shop, there is often an abundance of protein supplements to choose from and sales people claiming they are “nutritionists” trying to sell you the best liquid or powder protein products on the market. There is a large assortment of protein supplementation available to consumers; however, it is essential to recognize that some supplements are of higher quality than others. For weight-loss surgery (WLS) patients, it can be very confusing if you are not aware of what to look for when it comes to protein supplementation. Why is protein important? Proteins are a part of every cell, tissue and organ in our bodies. These body proteins are constantly being broken down and replaced. The body does not store protein for later use, therefore consuming adequate high quality protein is necessary, otherwise the body will inevitably suffer. When protein intake is not adequate, the body will break down lean body mass to compensate for poor oral intake. Loss of lean body mass is inevitable for WLS patients or individuals following a very low calorie diet. To minimize that loss, sufficient high-quality protein must be consumed. When should liquid or powder protein supplements be used? Most WLS patients rely strictly on liquids during the early post-operative phase, and the majority of their calories consumed during that time are often from protein supplements. Liquid or powder protein supplements may also be used post-operatively when patients are unable to consume adequate protein from food alone. This may be due to volume restrictions or food intolerances to protein rich foods. Is there a risk of developing protein deficiency? WLS patients, who have undergone the BPD/DS, are often at a higher risk of developing protein malnutrition. However, all WLS patients, despite the procedure, who do not comply with the recommended dietary guidelines are at risk. What is the best quality liquid or powder protein supplement? Commercial protein supplements are available in many flavors, textures, tastes, mix-ability and price; however, the product’s amino acid composition is of the most importance when choosing protein supplements. Amino acids are the building blocks of protein. There are nine indispensable (essential) amino acids (IAA) and 11 dispensable (nonessential) amino acids (DAA). The IAA must come from dietary intake because the body is incapable of producing these compounds. During rapid weight-loss, when protein supplements are the main source of dietary protein intake, it is essential to choose products that contain all of the IAA. Also, it is important when choosing protein supplements that they have a score of 100 on the protein digestibility corrected amino acid score (PDCAAS). This is a system that was developed as a method to evaluate protein quality. PDCAAS scores of as close to 100 as possible are desired to indicate that it contains the appropriate amount of IAA that the body needs. Protein supplements that are made from whey, casein, soy and egg whites have a PDCAA score of 100. It is important to recognize that many of these protein sources are sold as either concentrates or isolates. Isolates In general, isolates tend to have a higher concentration of protein than concentrate forms. For whey protein isolates, the filtration process removes a lot of the lactose, minerals and fat in the product; therefore, these products have very little or no lactose and often provide more protein in smaller volumes. These products may be beneficial to those patients who have lactose intolerance. Also, isolates tend to have a better mix ability and cleaner taste, therefore compliance is often better with these products. Concentrates Whey protein concentrates have a lower concentration of protein and higher concentration of lactose. Although the protein is of good quality, the percentage of protein will vary. Consumers can always view the nutrition label as well for accurate quantities of protein. How much protein does the WLS patient need? Many surgical weight-loss programs recommend between 60-80 grams of protein per day for the adjustable gastric band (AGB), vertical sleeve gastrectomy (VSG) and the Roux-en-Y gastric bypass (RYGB). The biliopancreatic diversion with duodenal switch (BPD/DS) requires approximately 90 grams of protein per-day to accommodate for the malabsorption associated with this procedure. These recommendations are for individuals without complications (malabsorptive procedures alter digestion, thus causing the food to be poorly digested and incompletely absorbed). Those with complications will have different protein needs. The exact requirements for postoperative WLS patients with complications are not defined. It is recommended to follow-up with your surgeon and dietitian to assess protein requirements and adequate protein intake. Protein supplements and Meal Replacement shakes – they are different It is important to also recognize that there is a difference between protein supplements and meal replacement shakes (i.e. Unjury® vs. SlimFast®). Many meal replacement supplements often have a blend of soy, casein or whey protein to enhance the texture or taste of the product. Meal replacement shakes also have higher amounts of vitamin and minerals and varying amounts of carbohydrates and Fiber. One thing to consider is that meal replacement shakes are often designed to supplement a diet that includes animal and plant sources of protein. These should not be used as the sole source of protein or calories in the diet for an extended period of time. What protein supplements should be avoided? Collagen-based protein supplements are not a good source of high-quality protein and should not be used as the sole source of protein intake in WLS patients. Collagen-based protein supplements do not contain all of the indispensable amino acids that the body needs. When consuming collagen-based products as your sole source of protein, the loss of lean body mass can occur despite meeting your daily protein goals. Do WLS patients need liquid or powder protein supplements for life? As you begin to consume more food after surgery, the need for protein supplementation often declines or ceases. Relying solely on protein supplements to meet your protein needs is not recommended after the early post-operative liquid stage. Foods of high biological value are encouraged (meat, poultry, fish, eggs, milk, etc.). WLS patients who cannot meet their protein needs from food alone may benefit from supplementation of high quality protein. What are the dangers of excessive protein intake? If you are not well hydrated, excessive protein intake may contribute to dehydration. It is also important to remember that additional protein intake, above the recommended amount, may inhibit the consumption of other important nutrients. Conclusion WLS patients are going to get the best bang for their buck when they choose supplements made from whey or soy isolate and avoid whey concentrate and collagen-based products. It is also important to remember that the use of protein supplements are typically decreased or cease throughout time as the WLS patient is able to meet daily protein goals from food of high biological value. About the Author: Kimberly Mahoney, MS, RD, LDN, is a bariatric dietitian at St. Joseph Hospital in Chicago and has been working with weight-loss surgery patients for the past five years. She is currently the chair of the Bariatric Subunit of the Weight Management Dietetic Practice Group through the American Dietetic Association.

OTR Sleever your 100% right about the types of Protein, I'm sure you already knew that, and I found an article that really explains it in detail. I thought I would share it with everyone. Thanks for setting me straight and helping me get started on the right foot. Protein supplements & Weight-loss Surgery by Kimberly Mahoney, MS, RD, LDN To view a PDF version of this article, click here. When you step into a health food store or a Vitamin shop, there is often an abundance of protein supplements to choose from and sales people claiming they are “nutritionists” trying to sell you the best liquid or powder protein products on the market. There is a large assortment of protein supplementation available to consumers; however, it is essential to recognize that some supplements are of higher quality than others. For weight-loss surgery (WLS) patients, it can be very confusing if you are not aware of what to look for when it comes to protein supplementation. Why is protein important? Proteins are a part of every cell, tissue and organ in our bodies. These body proteins are constantly being broken down and replaced. The body does not store protein for later use, therefore consuming adequate high quality protein is necessary, otherwise the body will inevitably suffer. When protein intake is not adequate, the body will break down lean body mass to compensate for poor oral intake. Loss of lean body mass is inevitable for WLS patients or individuals following a very low calorie diet. To minimize that loss, sufficient high-quality protein must be consumed. When should liquid or powder protein supplements be used? Most WLS patients rely strictly on liquids during the early post-operative phase, and the majority of their calories consumed during that time are often from protein supplements. Liquid or powder protein supplements may also be used post-operatively when patients are unable to consume adequate protein from food alone. This may be due to volume restrictions or food intolerances to protein rich foods. Is there a risk of developing protein deficiency? WLS patients, who have undergone the BPD/DS, are often at a higher risk of developing protein malnutrition. However, all WLS patients, despite the procedure, who do not comply with the recommended dietary guidelines are at risk. What is the best quality liquid or powder protein supplement? Commercial protein supplements are available in many flavors, textures, tastes, mix-ability and price; however, the product’s amino acid composition is of the most importance when choosing protein supplements. Amino acids are the building blocks of protein. There are nine indispensable (essential) amino acids (IAA) and 11 dispensable (nonessential) amino acids (DAA). The IAA must come from dietary intake because the body is incapable of producing these compounds. During rapid weight-loss, when protein supplements are the main source of dietary protein intake, it is essential to choose products that contain all of the IAA. Also, it is important when choosing protein supplements that they have a score of 100 on the protein digestibility corrected amino acid score (PDCAAS). This is a system that was developed as a method to evaluate protein quality. PDCAAS scores of as close to 100 as possible are desired to indicate that it contains the appropriate amount of IAA that the body needs. Protein supplements that are made from whey, casein, soy and egg whites have a PDCAA score of 100. It is important to recognize that many of these protein sources are sold as either concentrates or isolates. Isolates In general, isolates tend to have a higher concentration of protein than concentrate forms. For whey protein isolates, the filtration process removes a lot of the lactose, minerals and fat in the product; therefore, these products have very little or no lactose and often provide more protein in smaller volumes. These products may be beneficial to those patients who have lactose intolerance. Also, isolates tend to have a better mix ability and cleaner taste, therefore compliance is often better with these products. Concentrates Whey protein concentrates have a lower concentration of protein and higher concentration of lactose. Although the protein is of good quality, the percentage of protein will vary. Consumers can always view the nutrition label as well for accurate quantities of protein. How much protein does the WLS patient need? Many surgical weight-loss programs recommend between 60-80 grams of protein per day for the adjustable gastric band (AGB), vertical sleeve gastrectomy (VSG) and the Roux-en-Y gastric bypass (RYGB). The biliopancreatic diversion with duodenal switch (BPD/DS) requires approximately 90 grams of protein per-day to accommodate for the malabsorption associated with this procedure. These recommendations are for individuals without complications (malabsorptive procedures alter digestion, thus causing the food to be poorly digested and incompletely absorbed). Those with complications will have different protein needs. The exact requirements for postoperative WLS patients with complications are not defined. It is recommended to follow-up with your surgeon and dietitian to assess protein requirements and adequate protein intake. Protein supplements and Meal Replacement shakes – they are different It is important to also recognize that there is a difference between protein supplements and meal replacement shakes (i.e. Unjury® vs. SlimFast®). Many meal replacement supplements often have a blend of soy, casein or whey protein to enhance the texture or taste of the product. Meal replacement shakes also have higher amounts of vitamin and minerals and varying amounts of carbohydrates and Fiber. One thing to consider is that meal replacement shakes are often designed to supplement a diet that includes animal and plant sources of protein. These should not be used as the sole source of protein or calories in the diet for an extended period of time. What protein supplements should be avoided? Collagen-based protein supplements are not a good source of high-quality protein and should not be used as the sole source of protein intake in WLS patients. Collagen-based protein supplements do not contain all of the indispensable amino acids that the body needs. When consuming collagen-based products as your sole source of protein, the loss of lean body mass can occur despite meeting your daily protein goals. Do WLS patients need liquid or powder protein supplements for life? As you begin to consume more food after surgery, the need for protein supplementation often declines or ceases. Relying solely on protein supplements to meet your protein needs is not recommended after the early post-operative liquid stage. Foods of high biological value are encouraged (meat, poultry, fish, eggs, milk, etc.). WLS patients who cannot meet their protein needs from food alone may benefit from supplementation of high quality protein. What are the dangers of excessive protein intake? If you are not well hydrated, excessive protein intake may contribute to dehydration. It is also important to remember that additional protein intake, above the recommended amount, may inhibit the consumption of other important nutrients. Conclusion WLS patients are going to get the best bang for their buck when they choose supplements made from whey or soy isolate and avoid whey concentrate and collagen-based products. It is also important to remember that the use of protein supplements are typically decreased or cease throughout time as the WLS patient is able to meet daily protein goals from food of high biological value. About the Author: Kimberly Mahoney, MS, RD, LDN, is a bariatric dietitian at St. Joseph Hospital in Chicago and has been working with weight-loss surgery patients for the past five years. She is currently the chair of the Bariatric Subunit of the Weight Management Dietetic Practice Group through the American Dietetic Association.

How are you adjusting to your new life? Do you follow any type of diet? BY the way you look great and healthy and younger!