MP3D

Seeking advice for those of you who have followed healthy post-op advice. A good friend had the gastric sleeve surgery only 4 months ago. To date, she continues to take in no more than 500 calories per day, and has worked up to exercising for 2 hours or more at least 5 days out of the week (that part of the routine has been for the last 2-1/2 to 3 months). She is still taking Vitamins, but admits that she has a challenge with sufficient Water intake when she gets "too busy". Is this truely a recommended routine for most gastric sleeve patients, or should I be concerned that she is developing an eating disorder? I may have misunderstood, but my thought is that she would have been encouraged by her nutritionist and physician to bump up her calories gradually as she has become strong enough to increase an exercise regimen. I've been trying to express my concern while attempting to avoid seeming unsupportive or critical of her. Thanks in advance for your advice!

Thanks so much, everyone, for your thoughts, knowledge & experiences! I'm so appreciative of your support. Some answers: - Yes, she has lost weight quickly since surgery and it continues, reporting that she has lost almost 70 pounds total. Her surgery was in mid-May. - She admitted to me today that she wants to keep her food intake at 500 calories or below until she gets to a goal weight. - She seemed to respond vaguely to my question regarding if her nutritionist and surgeon think hers is a recommended routine. I stopped there. I can see why so many have perceived lack of support from friends who haven't experienced the surgery. I would hate to be seen as one of those friends too, but am preparing myself for that if my good intentions are not received as such. I sense signs of that already, and it makes me sad, but I want to be an honest and as true a friend as I can about her situation. Whether this is beginner's ambition, common behavior or a potential eating disorder, I'll do my best to show that I have her best interests at heart. I'll gladly take all of your feedback into consideration before talking to her again, and will definitely approach her gently on Water intake to start. I saw the perfect water bottle the other day, and will offer it as a gift. Sharing Protein shots after a workout is a nice, gentle touch too. I'd like to keep this discussion open for follow-up. I'm sure I'll have questions and may seek more support after our first conversations related to this topic. Wishing you all the very best in your personal journeys, and I'll write again very soon.