summerset

Water retention and the body not being a machine. (and I always wonder how people manage to exercise while eating 600 kcal a day)

Hmmmmmmmm, what is my diet? I guess it is not particularly healthy. I eat too much sugar, consume too much vegan convenience patties, drink too much coffee and have erratic eating patterns in general. I also forget to drink enough water when the days get rough. I don't eat meat or dairy, animal protein rarely (the occasional tuna, salmon or egg). Lots of fruit, legumes and vegetables. Bread, rice, pasta is something I might consume comparatively a lot one week and almost none the other week, same with nuts and/or nut butters or protein bars. I do IF usually 14-16 h a day. I usually don't eat anything before noon. However, that is not 100% consistent because of several 24 h shifts a months.

Maybe you need a longer mushy phase. It doesn't seem to be that uncommon. I can remember that there was being talked about this and the dietitians simply said that you should introduce the solids slower. What doesn't work today might be working three days later. If you continue to have problems you should see your treatment team though.

This sex life thing didn't happen to me as well, lol.

This dieting burnout - one can see it quite often in the WLS community. Don't believe it? People on here usually refer to it as "having fallen off the wagon". Will there be WLS patients who'll do good on these kinds of diets in the long run? Yes, of course - if 95% of diets fail, 5% are successful after all. The thing with restrictive diets is ("diet" in the sense of the food we're eating every day) that they all too often cut out or restrict either macronutrients like fat and/or carbohydrates and/or everyday foods that we like to eat, that you're confronted with everywhere and that are considered pretty "normal" and not particularly "unhealthy" by the people in your environment. Most people will fall prey to these everyday and everywhere foods in the end. I don't know if I can bring my point across. I struggle with the words right now. Maybe it's also a thing that many Germans seem to have a different approach to eating and nutrition than many US-Americans? Though many US-American eating trends make it overseas in the end a few years later. Most Germans however don't seem to e. g. consider bread an unhealthy food in general. Many might consider "white bread" as unhealthy but not bread in general. French fries might be considered unhealthy but not potatoes in general. Sugar laden dairy = unhealthy but not dairy in general. With meat being the exception I'm not going to restrict my diet more than it has to be necessary.

I think this looks like some sort of... cake? ROFL.

I actually thought "How can she even stomach this while being on a high dose of PPI and having no acid down there?!" Oh well, I guess my stomach is just a Primadonna. 😖

lol --- Sigh, I'm making fun of this right now myself but it's actually not really funny. I managed to trigger gastritis once with a tuna steak almost-mono-meal and once with seitan medallions, both prepared in the pan with coconut oil, so when looking at the some of the before/after pictures in this thread I'm all too often like 😳.

I'd say WLS itself is enough for the time being, especially during the first months. Why are people looking for the dieting overkill?

More like: eat foods that have the potential to trigger gastritis. Makes you eat less food for days in a row.

Would be a good way to limit food in general for me. 🤣

Frustr8 and Orchids&Dragons: seriously, this would give me a stomach ache. Protein/Fat stuff only is nothing my stomach is able to tolerate in meal size.

I get a stomach ache just looking at this. 😂

Depends. I was told that there would be an 80% chance that I wouldn't need reflux meds anymore. I wasn't one of the 80%. Only recently though when I quit all dairy I was able to wean myself off the PPI. I'm without them since a few days and I hope that the last remaining symptoms I sometimes have at night will either go away completely (the proton pumps need some adjustment time after all) or that at least I won't have esophagitis in the next EGD. Regarding the MGB vs. RNY - usually an RNY is the surgery to go for. However, I was revised into an MGB Dr. Rutledge performs with the option to revise to RNY later if necessary (there was a specific reason for this decision so no discussions on how much sense that might make or not). I also had a hernia that was closed. Rutledge has some information regarding MGB and reflux on youtube if you're interested. In sum the surgery is no guarantee that you can stop taking reflux medication. There might also be a hernia and some food sensitivities contributing to the reflux problem.

Side rant: What's really triggering the big b***h in me is how desirable weight loss is in our society, even if you're already at a normal weight. I recently had some flashbacks to the time of "the big weight loss" (thankfully nobody at my new work place knew me then so they assume I always looked like I look now) when I lost some weight because I felt really crappy for some time. People a bit more closer to me (e. g. co-workers in the department) knew about the situation, so when they commented at all they always said something like: "You've lost weight, you really do feel awful, don't you?" I had no problems dealing with this, however, when it came across as a compliment I always had that itch to hurl a "I feel like crap and you're complimenting me on my weight loss?! STFU, you 🤬🤬🤬!!" at them. So I guess my beef tofu here is that people never seem to even think about that someone might be losing weight because of feeling bad or being sick and that a compliment is so damn royally out of place... Oh, and I leant that "you look pale" seems to be just another way of saying "you've lost weight". Weirdest thing.

People have memory better than an elephant's one when it comes to how heavy you were before, ROTFL.

I might add that these are only my impressions of course. I can't look into other people's heads of course. Maybe some of my colleagues actually have these thoughts that their fat fellows are somehow "lesser". Or maybe patients feel like the fat nurses/doctors are not as competent? On the other hand I sometimes have the impression that patients are feeling a bit less uncomfortable when the assistant and/or doctor is a bit overweight him-/herself, especially when the patient is being half-nekkid .

Nah, you're not. Me neither. I always hated it.

The risk regarding the above mentioned issues seems to be higher dependent on how often you have to take the PPI, e. g. taking two pills a day seems to be associated with higher risk. Take care!

Another article but they're still citing the same study. No idea how flawed or not flawed that study is though. Yes, of course. I wonder how long it takes to get back to some baseline risk level.

The information on PPI doesn't seem to be really clear at the moment. There seems to be evidence that the longterm use of PPI is problematic when it comes to renal failure and to osteoporosis as well. The recommendations are starting to go against the long term use of PPI and back to H2-blockers. I personally am glad that I seem to be finally able to not needing them. Haven't taken them since a few days and it feels ok so far. However, it took a long weaning period and I'm still not convinced that I won't be needing them in the future. Gotta wait for the next EGD in autumn to know for sure I guess. Talk to your surgeon and/or PCP if they see a way to wean the PPI. How much are you taking of them right now?

What I could feel after surgery for a little while was that the food was sitting in a really small, very specific part directly under the xiphoid process. After a few weeks this feeling returned to the feeling of the food being distributed in the upper part of the abdomen so the feeling of "full" changed back to where it was sitting before. That was a very interesting experience and one of the few things I can still remember about how it felt to be "post-MGB" early out.

Haven't had a problem with this as well that early out, but I'm an MGB, so...

I don't know if protein shakes are generally discouraged in the long run by dietitians dealing with bariatric patients. I guess that's a matter of philosophy as much as a matter of the experiences they have made.

Because "liquid calories".