SpartanMaker

Congrats! Sounds like you're doing really well! I too get tired really quick, but I'm hopeful it will get better soon. I seem to feel a little more energy every time I go to a new diet stage? I just started soft foods today and am hoping that helps with the energy!

Typically we only see 4 weeks for people with a lot more weight to lose. Don't know what your specs are since you have not added them, but people with a BMI in the 50's or 60's will sometimes have a 3 or 4 week pre-op diet. If that's you, it's to make the surgery as safe as they can.

Definitely could be dehydration, but would be best to talk to your surgical team.

You won't permanently stretch out your pouch over one meal. It takes overeating repeatedly over time. Also keep in mind that ounces of protein is a measurement of their weight, not volume. While 4 ounces of most meats will be about the same size, the 4 ounce rule doesn't apply to other things. The only thing where we generally use ounces as a volume measurement is liquid ounces.

I just ignore the MyFitnessPal nastygram about low calories. It still works fine, even if they want to complain about my calorie count.

Word of warning: A LOT of people have issues with scrambled eggs post-op. So much so that my plan says to avoid them until at least 4-6 weeks out. If you're like me, I was always told that scrambled eggs were a good choice when we had an upset stomach, but new tummy, new rules, I guess? At the pureed stage, I was allowed poached eggs, and they were fine for me. Also egg salad was fine, as long as I mashed it up well first. I agree that pureed meats were generally not appetizing, but mashed-up (not pureed) tuna salad was allowed on my plan and it was pretty good. Pre-surgery, I already mashed up my tuna salad some, so I didn't really notice much of a difference. Chicken however was unpleasant. So much so that I won't be eating chicken of any kind for a while! Another good choice is refried beans or pureed bean soup. You can add unflavored protein powder to those and really up the protein if desired.

I agree with @catwoman7, but I'll add one thing. There are three things I suppose this could be: Dumping syndrome. Not all that likely, but possible I guess? A reaction to one of the ingredient. Could be xylitol, but there are other "not-really-foods" in there that may have also caused a reaction? That said, my money's on excess fiber. Those bars seem to have quite a bit of fiber in them, especially soluble fiber. Soluble fiber will swell in the gut, expanding to a much larger size than the bar itself. As a bypass patient, I think that definitely could have caused your symptoms.

For sure, and it's so variable. Lots of people complained about not tolerating shakes, post-op, so I bought several brands & flavors of protein water. Luckily I don't really get nauseous PO, but I found the protein waters didn't sit right on my tummy, so was better off not drinking them. The shakes as still fine, by the way. Go figure?

100% agree. Waiting won't hurt, so I'd say wait and see what happens now that you're working with the endocrinologist.

Cyclobenzaprine maybe?

Might just be a pulled muscle, but if you have or develop any of the following symptoms, please go to the ER, it could be something more serious and may or may not be associated with your surgery: Persistent vomiting Unable to eat or drink Fever > 101.5 Pain gets worse instead of better Not urinating or dark or foul smelling urine Dizzy/light-headed Sudden sharp chest pain Shortness of breath or difficulty breathing Rapid heart rate at rest (>100 beats per minute)

Don't know if that's quite a universal truth, but there is an important point here: bedside manner be damned, I want the best. I'd much rather have an a-hole that's really good at what they do, than a super nice person that's just an average surgeon. Hopefully the OP won't have to make that choice. There are actually decent human beings that are really good surgeons as well. I hope you can find one

The only one that can really answer that is your bariatric team. Don't hide the truth from them. Let them know what's going on and they will let you know what you need to do.

Squats bro, squats! 😎

I hear you. I honestly don't think the OP has anything to worry about. Bariatric surgery is almost universally praised for its ability to either completely reverse diabetes, or at the very least, reduce the need for medications. If surgeons only did the surgery for people that already had controlled blood glucose levels, it wouldn't have this reputation. Now from a complication perspective, when patients have an A1C above about 8.5 or 9, the data suggests that they are much more likely to have issues post operatively, such as infections, renal failure, or even heart attacks. The lesson is, I think, high A1C = bad, low A1C = good 😊

I agree. While this is probably just something like a vitamin deficiency, there are any number of other causes. You need to be screened for those to rule out anything more serious.

OP could always ask for another test, but since it's measuring the last ~90 days, it's not likely to be that different.

You shouldn't need to fast for an A1C test. This test is actually measuring your average blood glucose over the past 90 days or so. That's one of the advantages of the A1C compared to just measuring your current blood glucose level. It's not impacted at all with things like how soon you ate, so it's a better measure for diagnosing diabetes.

I'll second the one about medications. Between the supplements and meds I take, it sometimes feels like it takes me all day to get through taking everything. Many nights i stay up too late just trying to get through all the meds! I knew it would be challenging, but I think I was also expecting to more quickly drop some of my meds. At this point, I dropped my diabetes med and one of my BP meds, but added 2 more (at least temporarily): ursodiol and omeprazole.

7.1, while not great, if far from "high". For a diabetic, doctors consider anything under 7 as controlled or "good". I can't imagine any surgeon cancelling due to that that number, but honestly the best way to know is to call them.

Welcome! I think many of us have had similar experiences with yo-yo dieting. As I tell people, losing weight is not a problem. By now I'm an expert, considering I've lost the same pounds many many times now. 😁 What I suck it is maintaining! This is one of the key reasons I finally decided on WLS. FYI, there's a wealth of knowledge here on the site in terms of what to expect as you progress through the stages and on past surgery. If you run into anything that you don't see answered, feel free to ask. There's likely someone that can help. That said, one of my biggest pieces of advice would be that it's always best to ask medical questions of your medical team, not the folks here.

Are you measuring and logging your food? Most people find that they eat more than thought they were once they start accurately logging their food.

Varies a bit I think? For me I didn't really notice it at about a week to 10 days post-op.

Not saying you can never eat out, but I wanted to mention that the research is pretty clear that people that eat out frequently are more likely to be overweight or obese. Salads can also be a real hidden source of calories. We think of salads as healthy, but when you add in all the high calorie toppings and dressing, salads can actually be one of the most caloric things on a restaurant menu. Just food for thought.

I think there's probably a few reasons this happens. Fat is insulating, so the less fat you have, the colder you'll feel. Our metabolisms have slowed down. This means we're basically burning less fuel, so just like a heater on low vs. on high, there's less heat being generated. Our circulatory systems have also slowed down. Most us us seems to have much lower blood pressure and a slower pulse than we had before. Blood is the way heat is distributed throughout our bodies, thus since we're moving less blood slower, it's harder to distribute the limited heat we are producing.