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The just think of it as food will fill up her 3-4oz pouch and take a couple hours to vacate whereas liquid will go through so much faster. That's why you are able/expected to take in so much fluid. You also shouldn't drink with your meal post-op. A couple suggestions for getting more protein: * Egg whites morning noon and night. * Cut the too sweet protein powders with the unflavored or by blending it with peanut butter powder (which is also high protein). You can also squeese out more protein by using fortified milk (Skim-Plus or Fairlife Fat Free).

My concern is still that 32oz of any food during the day is going to be waaayyy to much at this point. Straight liquid passes through your stomach which is why we are encouraged to drink 64oz at this stage (which honestly it sounds like your wife is getting). I understand that you are using the cream of rice as a delivery mechanism for the protein, but at this stage she shouldn't be having more than 12-16oz of any solid or semisolid food (a day), even if it is watered down. I'm not a fan of unflavored protein, but if this is the avenue she wants to take then it needs to be more of it in a much smaller volume of delivery medium (baby food, creamed rice, etc).

You’re nurse sounds off base, especially if this has allowed you to manage your diabetes.

I'm pretty sure gr8ful1 was making a joke.

I got it in the lead up to the my surgery during the 6 months of classes I was morbidly obese, but I didn't have any obvious health impairments (much of this class had canes, walkers, rascals). I was told multiple times by folks in the class some variation on "you don't belong here" or "you don't need this." At the end of the day haters gonna hate and you have to let this stuff roll off and do or don't do the surgery because its the best thing for your health.

Finally after two weeks of abstaining from any heavy cardio workout after surgery I got back to the gym today. Much to my surprise I was able to push just as hard on the treadmill and elliptical as I did before. Now I just have to manage to wait another couple of weeks before I'm allowed to do strength training.

Egg Whites or Egg Beaters are a good source in general when you are at the puree stage for something not sweet. You should also look into Bone Broth.

You should definitely consult your doctor, but I believe the general expectation is never.

I don't have quite the same issue, but I definitely have the same fear.

Thanks honestly I was a little worried that while I felt normal that the gym would illustrate that I really was short of energy because of the lack calories I'm currently taking in.

Was it your doctor specifically who directed you to these people (as opposed to someone in the office)? You should probably mention something to them because that's sounds nuts. To the point where my first thought was that its some sort of "unnatural attachment." I think the only thing that is off is that at least for a bit you want to have a pretty high dose of Iron. I use the "Ferrex 150 Polysaccharide Iron Complex Capsules" from amazon that are expensive (as in $15 for 100 capsules). You also will probably want to get the chewable calcium for after surgery (the non chewable look like horse pills... huge).

You should basically be taking a generic multi-vitamin (I use the trader joe's chewable), plus perhaps a calcium citrate and iron supplement. Those costs sound crazy, as does their story about it being insurance and that being your co-pay.

Their, there, they're, it will all be ok.

I don't know of any restrictions other than your capacity to swallow them. I'm two weeks out and taking an Iron pill fit for a horse before bed. I would think the only consideration would be the space that they take up in your pouch when they need to be taken with a meal, but even then it would have to be a pretty big pill.

Congrats that's awesome!!!

Congrats, its feels amazing to when you finally get this whole process started. I'm not familiar with this program, but if the initial appointment is 5 hours my guess is they are doing to do a physical evaluation (documenting weight and co-morbities), have some sort of nutrition class, give you the basics on the process, and maybe if you're lucky have some specialists on site to help you check of some things like the psych eval.

Yeah, I know how hard it is to keep motivated. I think it's Blink Fitness that I probably owe money to. I had my surgery at my wife's hospital in the city (because it didn't cost a dime). That bumpy drive home from the hospital was one of the longest drives of my life.

I wouldn't worry too much about it. Mention it to your doctor if you really feel sick, but if you are feeling ok then you should be fine in 4 days. On a completely separate note I'm not sure if you are in/near Huntington as well, but if you are a gym guy (or want want to be one you've healed) I could use a lifting buddy when I'm healed (I'm two weeks out from having the Sleeve). I usually workout at the Retro Fitness on 25 in Dix Hills/Greenlawn before work.

The first day home was pretty bad for me, but it usually gets better (rather quickly) from there you just have to keep taking the codine and tough it out for a little bit longer (unless of course you think the pain is abnormal). If its really unbearable you could consider asking your doctor about using some sort of topical numbing agent (lidocane, peppermint oil, etc).

I can't argue the simplicity of the diet. The goal preop is generally do get you into ketosis which helps the liver shed the fat, most surgeons do this with a high protein low carb diet. The approach here seems to just keep your calories so low you reach ketosis the old fashioned way. That said if you have difficulty with this, but still want to comply, it may be easier to tolerate if you go with a fortified skim milk that are higher in protein and lower in lactose (sugar) like Skim-Plus or Fairlife fat free.

I swear when they start practicing each surgeon picks their "pre-op" diet by throwing darts at a board. This diet makes absolutely no sense. It's not particularly high protein. As far as I know you can't pre-load your body with calcium. Just hilarious in general. Just curious are you in the UK? I ask because that's where most of the references to the "milk diet" seem to come from.

There's a lot in here, so if I can break it down. The above posters covered a bunch, but this is what jumps out at me. * 20-32 oz of cream of rice? Is that a typo? If not that's way too much of anything (though to be honest I'm not sure what cream of rice is). * 16-20 oz of chicken broth - This counts as liquid. * 5-10 1oz no sugar popsicle's - This also counts as fluid, though 10 of anything is probably not ideal. If on top of this your wife is also drinking water then I wouldn't worry to much about her fluids, that said she may want to revisit her meal plans with her nutritionist, because she seems to be eating a volume of food that may be more than her pouch can handle at this point (which I think on average is about 4oz per meal, but everyone is different).

After about 48 hours my energy was pretty much back to normal. Went back to the gym to do cardio today (2 weeks out) and was able to push just about as hard as I did the day before surgery. That said everyone is different and if you've had pain that's one he'll of an energy killer. Sent from my VS987 using BariatricPal mobile app

Congrats and good luck.

I think most folks hit a stall at the transition to real food. Not to worry from what I've been told it's more of function of the fact that it takes food 3.5 days to work its way through the our systems. At any given time we normally have like 4lbs in the digestive process, when we go on the liquid diet we lose it (which is why we can drop weight so quickly the first week). Just think of this as refilling those digestive reserves after a few days (up to a week) you should see the weight on the scale start dropping again. If you are staying steady (or just slightly up) weight wise during this period then you are actually losing weight.