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I know someone with cushing's (caused by a tumor), but they aren't a WLS candidate. As for the weight loss at the beginning you are likely to go down at first, then plateau (or even go up a couple pounds), then lose again. That said how much you lose may vary and you can certainly do things to ensure that you are less successful, but one way or the other you are going to be trending downward in the post surgery period.

This is correct. Don't judge all foods by your reaction to this one, just try new things and if they give you trouble back off them for now.

I would echo what's been said and add as someone about a week ahead of you on the gastric sleeve food path, that the first couple meals were crazy and that it gets more normalized as you move through the next couple of weeks. You are still measuring your food, but you are less likely to encounter "surprising" limitations as long as you are sticking to the volume recommendations. Also just as a heads up the transition back to real food is also where you are likely to appear to hit a "stall," as you refill the digestive pipeline. Don't get frustrated it happens to pretty much everyone.

It's been a pretty bad cold and flu season and I know a number of folks WLS or not who have been sick multiple times (some that just seem to have been sick for months on end). There is no way of knowing if your WLS has contributed to you colds, but if you are doing everything you should be your immune system shouldn't be compromised to the extent that you are getting sick when you shouldn't (especially 8 months out).

Post surgery you can never go wrong with a protein shake.

It depends on your insurance, but it's going to be a qualified maybe. Depending on type of procedure though the post-op complications are pretty rare (I think <1%) and probably not going to be a major concern. That said to alleviate the risk there are a couple things you can do. * Verify if your insurance will cover you. * Purchase a supplemental Medical Tourism Insurance Policy. * Stay in Mexico for a week so that if you do develop an issue you can be treated by the doctor who performed the surgery.

I got to the point where I just thought of the protein shakes as medicine and forced myself to choke them down. Trust me if you think you hate the shakes now just wait until after surgery. Everyone has their own tricks, but I found that cutting a banana shake with unsweetened peanut powder kept the protein but cut the sweetness.

Everybody's preop diet is different and some are easier than others. It's not exactly clear from your post what your preop diet plan is or for how long you are supposed to be on it. They are tough and to some extent of another I think everyone cheats a little bit, but the point of the preop diet is to get yourself into ketosis so that your liver shinks and your surgery has a greater chance of success. The closer you can stick to the diet and/or the healthier your "cheats" are the better the position you should be in. For example if you are on a liquid preop diet it's still much better for you to cheat with a grilled chicken breast than it is to cheat with a milkshake or soda. At the end of the day perfection is the enemy of good, just try to be as diligent as you can (this is supposed to be hard) and recognize that it in some ways it may be even more difficult after surgery.

Everyone is different and sometime the stats you see here are misleading because they include any pre-surgery weight loss. So it tends to inflate the pounds lost in the same period of time. If you are tracking weight loss over time perhaps is better to look at it in terms of %lost vs absolute pounds, because it's easier to turn 300 into 250 than it is to turn 250 into 200 (and so on).

You've lost 42 pounds. That's amazing and I'm pretty sure that that puts you right in the middle of the bellcurve for 6 months out. Someone else here has a good chart for expected weight loss, and I belive for a female starting in the 225-250 range the expected weight loss 6 months out is 35-50 pounds. You aren't even six months out and you are already in the middle of that expected range.

Every insurance is different, and perhaps you have other co-morbitities that you haven't mentioned here, but usually if your BMI is under 40 they are expecting two or more other comorbidities (Non-Alcohol Fatty Liver Disease, Hypertension, Diabetes, Hyper Lipedimia, Sleep apnea, etc...)

I was responding to your original post. At 6' 1" and 260 your BMI is 34.3 which will make it difficult to get insurance approval (esp if that's your starting weight during the process).

Well insurance usually only covers you if you are morbidly obese, meaning you have either a BMI of 40+ or a BMI of 35+ with two or more co-morbidities. If you are self paying I think you shouldn't have a problem getting a surgeon to do the surgery (I think they generally expect a BMI of 32+).

whoops.

I guess the question I have is a monetary one based on your BMI and lack of co-morbidities it sounds unlikely that insurance would be picking up the tab for this. Does that mean you are planning on paying out of pocket? Not that there is anything wrong with that, but you don't seem to fit the classic definition of "morbidly obese." That said I was also in a similar borderline position and I've found the surgery to be a helpful tool that I can use for my long term health.

It would be so much easier if those plastic eggs were just filled with hard boiled eggs.

Congratulations!

I've probably posted this a million times, but bullion cubes saved my sanity during the liquid phase. I over diluted them, but it was like the best thing I had ever eaten after all the protein shakes and sweet things.

For me the first week or so knorr bullion cubes diluted in hot water were my secret to getting enough fluids. People have different reactions to different temperatures so try different temperature things (even warm water). As other people have mentioned dehydration at this point can set you back (though you probably aren't in danger at this point).

This is a fairly typical side effect (although perhaps not a publicly announced one) of Gastric Bypass. This proceedure can cause a person to have a malabsorption issues. You don't absorb the food and nutrients as well anymore and when the undigested food gets down to the colon, the enzymes and bacteria there digesting the food and cause excess malodorous flatulence.

I sounds to me like you are pretty much doing the right things. Some people lose weight in fits and starts even when doing everything right, but rest assured they still lose weight. Give it time and keep up what you are doing and I'm sure you will start dropping pretty soon. Getting out and doing more exercise is only going to help you lose lose more quickly.

The real question is how big is the company that pays you. More than 50 people means you are entitled to FMLA leave. Sent from my VS987 using BariatricPal mobile app

Everyone is different and 64oz of water tends to be somewhere in the middle in terms of fluid requirements. Some people can get by on much less. If you work out / sweat it out more you will need more. You are correct about caffeine not causing your to become dehydrated. The reason for the initial embargo on caffeine is because it is an irritant that can increase the chance of ulcers in the first few months after surgery.

I think I've had pretty much the same experience you have, and haven't had any issues with puree or transitioning to other food now. I went on to puree after my first post surgery visit and the doctor basically said do this for a week and then start trying new foods and if they give you a problem, try something different.

I think objectively your liquid diet is tougher than most (the only one worse was someone here posted that they had to drink nothing but skim milk for a month). Most people only have a two week one and many more still can still have at least one sensible meal a day on the diet. Mine was 2 weeks, shake for breakfast, shake for lunch, and then a dinner with lean protein, vegatables (cooked), and a small bit of starch. At the end of the day the point of the preop diet is to get you into Ketosis so you shrink you liver quickly (which usually takes about a week) everything else that they do to us on these diets are because we are too stupid to understand carb=bad and/or too undisciplined to stick to it for a week.