catwoman7

these are the guidelines of the American Society for Metabolic and Bariatric Surgery. They give the requirements for all the common surgeries (including RNY and VSG) - might have to scroll down a ways to see it. As long as your vitamins "fit" these requirements, you should be fine ASMBS-Nutritional-Guidelines-2016-Update.pdf

actually, I've only seen very few programs that allow gummies. Most say no...

soft chews would be fine. We were just told no gummies.

Mine completely went away the first three years after surgery. I have reflux issues occasionally again now, but they're mild - nothing some Tums or Rolaids won't knock out. gastric bypass IS known to improve if not outright cure GERD for most people (not all - but most people)

yes - that's the usual recommendation for patients with GERD. Sleeve can make that worse (it doesn't in everyone, but it does in some). Bypass usually improves if not outright cures it. I had bypass for the same reason.

yes - there are a lot of hormonal things that go on the first few weeks after surgery. A lot of women complain about screwed up menstrual cycles as well as moodiness. It has to do with estrogen being stored in fat cells - it's released during rapid weight loss. It'll all level out eventually and things will go back to normal. Just hang in there...

seven years out. I lost 235 lbs and put about 20 lbs back on during year 3 (which is pretty common - most of us experience a 10-20 lb rebound after hitting our lowest weight). there are no food restrictions once you get a few months out. Some people can't tolerate certain foods (I can't handle really fat-laden meals, for example), but nothing is off the table once you're out a ways. I can eat pork and other red meat with no problem. Edited to add that I almost never went off plan until I was a year out. I'm not really on any plan anymore other than I still eat the minimum grams of protein that I'm required to eat. I'm also cognizant of my calorie intake, but I'm not longer obsessive about it. If I eat too much one day, I just cut back a bit the next day. As long as it all evens out in the end and my weight is pretty stable, I don't worry about it.

like Arabesque said, food plans vary - your clinic should give you a plan to follow.

I wasn't allowed to eat fruit that had skins or seeds for the first few weeks (strawberries definitely have seeds) - but like others have said, check with your plan. Plans can vary...

^^^ agree with everything she said.

could be the gum - either air or the artificial sweetener they use. otherwise, some people develop intolerance to certain foods after surgery. Some become lactose intolerant - and some can't handle some of the artificial sweeteners (esp sugar alcohols - the ones whose names end in -itol. Like xylitol or maltitol or sorbitol. Those can cause G/I distress in some people.

a couple of things going on here - 1) purees go through you pretty quickly. You'll start feeling restriction when you move to solid food. 2) as others have said, you've had nerves cut, and it takes awhile for them to regenerate. So right now, your stomach isn't really talking to your brain. Just measure out what you're supposed to eat and eat that, rather than going by your former full signals. and speaking of which, full signals are often different after surgery. I rarely feel "full" in the way I did before surgery. Now, I start feeling a discomfort in my chest - sort of like a pressure. I know once I start feeling that, I need to quit eating or I'm going to be sorry. Others have even weirder "full" signals - like a runny nose or sneezing! So it may take awhile to figure out your new "full" cues, too. But this'll all come with time..

it took awhile before I needed smaller sizes - but then, a lot of my clothes weren't exactly "form fitting", since I wanted to hide my fat! But I can say that 10 lbs can mean a different size when you're at or close to a normal BMI. It's quite a bit more than that the further above normal BMI you get. I think I wore the same clothes for a good 30 or so lbs -- maybe more - at least at the beginning.

I haven't been to a Smoothie King since I had surgery because I assume their smoothies are loaded with calories - but then I've never actually checked. But I would definitely check that before going, if I were you. I make my own smoothies at home - then I can control the sugar and calories. I just googled their nutrition page. Even at almost seven years out, most of these are too high in calories for me (a meal for me is 300-500 calories - a snack more like 100-200). A handful of these would work for me calorie-wise at this juncture - but probably not when I was early out. Plus the carbs are very high, if you're on a low-carb plan https://www.smoothieking.com/menu/smoothies/nutrition/fitness-blends

he's just joking around

docusate should be fine. It'll come - eventually! Probably soon if it's been a week already...

I like them, too - I think we're among the few! I still drink one almost every day at nearly seven years out!

it took me a week. That seems to be pretty normal. There's not much in there - plus it takes a few days for your intestines to fully "wake up" from the anesthesia. Be aware that that first BMI can be a doozy. Some people start taking stool softeners or Miralax a few days before to make it easier to pass. May not be a bad idea...

from what I've read, about 30% of sleevers have or develop reflux, but it usually can be managed medically (e.g., with PPI's such as omeprazole). There are some who have it so severely that they end up revising to bypass - I don't know the percentage, but I don't think it's huge. It may appear that there are more people who revise than actually do, because people post about it. Those who don't have issues aren't as likely to post about it. Your surgeon may know the stats, though...

that's part of the reason it takes so long to have a BM after surgery, but still, that first one is often awful. Like passing a bowling ball. Stool softeners (or Miralax) make it a bit easier...

I'd mention it - if you're not on some kind of PPI, they may put you on one. A lot of surgeons automatically put all of their WLS patients on one for the first 3-6 months after surgery. also, not everyone is ready to move on to the next step. If your stomach is complaining, it's fine to keep at the previous step (in your case, purees) for another week or so before trying again.

at three weeks out you should be following your plan to a "T". You are still healing. You could really muck things up. It's pretty common to have no energy at this point - you just had major surgery, and it takes time to heal. Also, does your plan allow meat at this point? I know plans differ, but I'm pretty sure I was still eating purees at three weeks out.

P.S. I highly doubt it's a leak. They usually discover those before you even leave the hospital. Again, the constipation is normal - and I suspect the nausea is from that. And the red stool is likely from the surgery. So this all could be normal - but again, if you're worried, then I'd agree with the above person and go to the ER. Plus I suppose there's always a chance that something else is going on.

constipation is super common right after WLS. It often takes a week - or even a couple days longer - for that first BM. you might want to start taking Miralax or stool softeners, because the first BM is usually a doozy you're probably nauseated because of the constipation. That's very common when you're really backed up. and the red stool - yep - you had surgery on your stomach and intestines, so it's likely from that. Although if you're worried, yes - go to the ER - if nothing else, for peace of mind.

if your clinic requires 100% whey protein isolate while you're early out, then Premier isn't that - it's a protein blend. (or at least their ready-to-drink versions are a blend - I don't know about their powders). But not all clinics require 100% whey protein isolate - so if yours doesn't, it should be fine. I know a lot of people on here drink it from the get-go.