Hop_Scotch

It has been 10 days since my ESG, I have lost about 5 kilos (11lb) since then. The centimetres are also dropping off. I am on a free liquids diet until 11/11 and then a pureed food week followed by a week of soft foods. There was a couple of days where I seemed to be lacking energy, all good now though. Other than the initial cramping it hasn't been painful at all, I am still on a nexium a day for another couple of weeks, so far no acid reflux. My skin is even looking better as I haven't been eating all the crap food I use to. I had my follow up with the doctor on Tuesday, all good, he wants 4 hours a week cardio until my appointment with the exercise physiologist, where weights/resistance training will commence. My doctor works of body composition rather than the scales. My post procedure support program includes 4 appointments each with a dietician, exercise physiologist and behavioural pyschologist along with unlimited support from a bariatric physician, formally there are eight appointments with the bariatric physician. I have yet to have a bowel movement, I am slowing upping the levels of treatment for that, started off with the lowest does and working my way up until output

Walking up a flight of stairs without gasping for breath. Enjoying what use to be my hour regular walk with lots of hills After having a soak in the bath, getting out of my bath easily without having to contort myself Not having to buy tops that are a size too big so as to fit my breasts Being energetic in general

Great job!

'over all' perhaps?

Well done on your loss so far. You will find plenty of support here, join in posts and before you know it you will have the accountability buddies you are after.

Sorry I can't help...but how far are you out from surgery? Did you have any anti-nausea meds? Have you spoken to your surgeon or dietician?

I didn't have an overnight stay so can't help you there, but there are plenty of posts about what to take to hospital, there is a search link in the top left hand corner. Good luck for your surgery it will be here before you know it!

How much water are you actually drinking? What does your surgeon have to say about the amount of water you are drinking?

I asked the question because I am mindful when I look at research results of who the investigators are, that way I can be aware of any possible bias. I think I am going to back out or stay out of the OP's threads from now on, responding only keeps pushing the scare tactic posts back to the top of the recent activity lists. Can't say I won't not respond all the time but I will do my best not to.

So Valter Longo is a vegan?

I have put my goal weight at 65kilos for the moment, not within the healthy BMI but it is a weight that I previously lost weight to and I was happy with. My doctor doesn't really want to set weight goals he wants to work with body composition. I had a DEXA scan the day before my procedure and my body fat was 42%. Ideally it should be between 25% to 31%. I have my first procedure follow up on Wednesday I will discuss goals with him then.

It was extreme and I doubt many could stick it out like he did. It's great that he lost weight and regained health, be good to see his outcomes a year or two down the track. Also good would be see to his body composition...body fat vs lean body mass. He ate between three to four kilos of potatoes a day, three kilos of potatoes (with skin) has approx 70gms protein, 48gms fibre and 387gms of carb. No one is saying there is anything wrong with carbs it is the way that the argument or topic is being presented. There are many bariatric post op diets - some focus on carbs, some focus on protein, some vegetarian, some vegan.

Most of everything you posted after this would infer you are telling people they are doing it wrong and that there is only one right way...

https://mayoclinichealthsystem.org/-/media/local-files/eau-claire/documents/medical-services/bariatric-surgery/bariatric-surgery-keys-to-success.pdf?la=en&hash=62E02F70DE090F422E066410072C2500D4E3BF54 https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/in-depth/gastric-bypass-diet/art-20048472 The second link was last updated in Sept 2018 so still valid. Not sure about the first link. I would have previously assumed before now that most people would know that what works for them may not necessarily works for others. For every single bit of research there is an opposing research that proves the opposite of the other. It's hard to sift through and find truly independent research..at the end of the day each one of us should go with what works for us. There will be trial and error, but determination should see us reach the best outcome for ourselves.

I have not heard of him before now. How he lost his weight is his own business, if he has WLS I get that he chooses not to discuss it, I had an ESG last week and so far only one friend knows about it.

One person knows about my procedure and she is the one who came with me while I travelled interstate. If my doctor had not insisted on me having someone with me 48hrs post procedure she probably wouldn't have known. I have rarely discussed my weight issues with anyone and I guess I see this as the same, no one needs to know my personal business.

I had my ESG on Tuesday, all went well, I have had some stomach cramping but all good now. I am on my last day of clear fluids, tomorrow I start three weeks of free liquids. I did get a bit hydrated and had an infusion, felt so much better, but rather bruised. My veins are difficult at the best of times, took four attempts to find a good vein, three of them via ultrasound...all good in the end though.

Thanks elcee. it went well and I am feeling not too bad just bloated and gassy.

I'm from Tasmania, in Sydney now for a few days for my ESG tomorrow.

Nearly there now, tomorrow (Sunday) I fly to Sydney, have an appointment with the doctor plus a dexa scan on Mondy afternoon. My hospital admission is Tuesday morning at 6.15am, I am hoping i am first off! My doctor focuses on body composition as well as the scale weight hence the dexa scan. Reduce body fat and increase lean body mass. Feeling slightly nervous but being busy today will take the edge off that. Work for a few hours, visit my mother at her nursing home, last minute run to chemist and shop make sure I have the right supplies for when I return home first for the clear liquid diet and then free liquid diet. Oh and packing.

If you are struggling to eat 60 gms of protein but are eating 600 to 700 calories per day, the non-protein calories must be coming from carbs, fats or alcohol calories. 1gm of protein = 4 calories as does 1gm of carb, 1gm fat = 9 calories, 1gm alcohol = 7 calories. Say you have 50gms of protein, that would be 200cals...the other 400 to 500 are coming from something else. That or you are not consuming as many calories as you think.

You may need to rejig what you are eating if you need more protein but don't want to eat more calories. What carbs / fats are you eating? What can be swapped out for protein foods?

Hope you stayed strong! I am on my pre-op diet too, it does get easier believe it or not.

Unfortunately the ESG subforum isn't all that active here: https://www.bariatricpal.com/forum/1294-endoscopic-sleeve-gastroplasty-forum/, I am a member of three ESG facebood groups one is USA based, it is reasonably active, let me know if you would like a link to it. What is your post op diet? Are you still on free liquids, pureed foods or soft foods? What foods and beverages are you consuming and in what quantities?

How many calories are you currently eating? Protein, carbs? Getting plenty of fluids? Are you exercising?