summerset

I'm cooking some kind of vegetable chili right now. 😄

So your AL and BPL are switched around as well?

Of course. Your current team is obviously not very helpful.

Fiber and drinking more doesn't work then? Bummer.

I'd say be careful with anything laxative. One gets used to this stuff pretty quick. Wean yourself off as soon as possible. Eat enough fiber, move enough and drink enough - but please don't get dependent on laxatives. 😕

I used lactulose. Worked quite fine.

I absolutely understand the disappointment und frustration all of you must feel. I also think it's important to talk about this and no, maybe coming across "a bit selfish" doesn't matter. Come across as "selfish" as you like. Whenever the disappointment and frustration hits and you're all like "F*ck this damn virus!!", maybe you could remember some things: - your surgery is postponed, not cancelled. - you wouldn't want to be in a hospital now or in a few weeks down the road if you can help it. - ICU capacity is limited and every surgery has the potential to bring on the need for being on the ICU. You don't want to need a bed on the ICU during the next weeks because there might be none available the moment you need it. - you don't want to be in immediate recovery from abdominal surgery as long as COVID-19 runs rampant. My revision is 4 weeks ago now, the fixing of a hernia only a week and I'm asking myself if my immune system is already as competent as it usually is - not a fun thing to ask yourself these days. When feeling all of this completely understandable frustration and disappointment maybe try to remember that WLS is always abdominal surgery including general anesthesia with lots of complications being possible and not a quick and unproblematic surgery so many patient's recovery is really easy from. I'm absolutely sure that all people on this thread are completely aware of the things I wrote above. However, it can be hard to remember when disappointment and frustration hits. Hang in there! Your surgery is postponed, not cancelled.

Hmmmmmmmmm, IMO I think this is a tough question to answer because one has to take several things into consideration, "desired weight" (can you hear this little voice of vanity in the head?) is unfortunately just one. When I look at BMI 30 my gut reaction is: "You're not done and there is wiggle room!" - but this is just gut reaction and looking at the weight/BMI only. IMO one should keep several things in mind, e. g.: - how do you feel physically at this weight? - how healthy are you now? - do you like yourself when looking into the mirror? (loose skin being out of the equation) - does the possibility of having to exercise more sound appalling or appealing? - do you want to restrict your diet even more? - you you think you could be happy at the weight you're now? An interesting concept is that of "best weight". https://obesitycanada.ca/wp-content/uploads/2018/07/Best-Weight-Book.pdf I think the whole PDF is worth a read but the concept of best weight is explained on page 12 and I think it can be applied to WLS patients as well:

Is there the possibility to get a second opinion and advise from another dietician?

No suggestion how to maybe fix it?

They're performed but by far not always insurance covered. Did you visit your dietician already?

Often revisions are covered when they're because of complications. With the sleeve, quite a few patients develop severe GERD.

I had a change of taste preference for a while as well. I couldn't tolerate even the thought about eating something like tofu, so yoghurt or soy milk after MGB. After about 10 months out though this changed back to how it was before surgery.

Thumbs up for your nut!

Be especially careful when combining with alcohol.

This. Weighing is much better. With cups & spoons it's way easier to accidentally underestimate. For calorie tracking food scales are best.

Oh my, yes of course. Hang in there. Count the days. You'll soon be done with the immediate post-op diet.

I can't help myself, I find this statement more and more irritating the longer I'm out of WLS, especially that one about "the window of weight loss closing". It puts patients into an unnecessary state of anxiety and builds up equally unnecessary pressure. I wonder if surgeons and dietitians sometimes are being misinterpreted here or - if they're interpreted correctly - if they're aware of the consequences they provoke. My first surgery was 2001. The MGB was almost 4 years ago. After my latest revision 4 weeks ago my weight went down again during the liquid phase (i. e. eating less calories than my body is used to) and I'm in the middle of a normal BMI range. My findings are: if I'm in a calorie deficit (screw the macros) I'm losing weight. I doubt I'm the big exception. However, creating this calorie deficit is definitely harder for some people! (Think age, height, gender etc.).

... I'm going to get my revision. I scheduled everything today. Hiatoplastic, gastropexia and a change to RNY anastomosis. Dammit... I don't really want to do it...

Raw vegetables are still sliders as it seems. 😁

Still having some mild pain at the fresher wound. Nothing serious, but a little bit annoying nevertheless. Still some swelling there.

Eating is ok. I still have cravings that most people would label as weird I guess. I still want these roasted red beets I fantasied about (but couldn't get my hands on the raw ones, they're kind of hard to get, only the cooked ones). Tonight I will try raw vegetables with a self-made dip for the first time. Everything else I tried (with the exception of smoked tofu) was ok so far.

Surgeons are not your best bet when it comes to nutrition. If one wants nutritional counseling - go to a dietician who's familiar with WLS patients.

1/4 of a slice... dear mother of God. 😦

I think there is a certain kind of logic behind it because people are hoarding the stuff with long shelf lives that you simply can throw into your pantry or basement. No freezer needed as long as you don't open the package. I like having Pumpernickel or Knäckebrot at home (don't know if these breads are even a thing in the US, in Germany they're quite popular). I usually buy when the stuff is on some special offer. No weird ingredients and with a rather long shelf life at room temperature as long as you don't open the package. Honestly, I expected to be all canned goods being sold out. But Germans only seem to hoard toilet paper, soap, kitchen towels, flour and pasta. The other shelves in the grocery stores look like usual.