Big Matty

I took two weeks off from work, although I did feel well enough to go back to work after a week. I made myself take the two weeks because knowing myself, I would have busted a stitch going back sooner. I have a job where I need to lift up to 75lbs, so I went on light duty with a 25lb lifting restriction for 3 weeks. No problems, and I am 2 months out from surgery and back to my pre-surgery lifting. However, I did get lightheaded on occasion, and a little weak. I slept more than usual. I developed back issues due to my weight, and it really started to hurt more than normal the first week or two I came back to work. The pain radiated out of my lower back up to my shoulders and neck. Things have gotten much better as I take the weight off and get back to a more routine of diet and exercise.

I take a door-to-door shared transportation service here in the Lehigh Valley called Lantavan. They pick me up at home, take me where I need to go, then come back and get me later. The seat belts would never fit me. The driver would always have to rig-up an extension to a hardpoint on the floor. About a month after surgery, the belt started fitting without needing the extension. Such a little thing made me feel fantastic, that I was accomplishing what I have been unable to do for years.

I count everything. I was diagnosed with congestive heart failure in 2022 and was put on a sodium restriction. Just two months before my projected VSG surgery date my A1C was 9.6% and I was put on diabetic meds(Metformin and Semaglutide), given a blood sugar meter with instructions to check my blood sugar twice daily, and told to cut out all sugars in my diet. Around the same time as my Type-2 Diabetes diagnosis my Bariatric Surgeon had me go on a Keto/Atkins very low carb diet prior to the liver shrinking diet due to my extremely high 71.5 BMI. That was my first time on a 'low carb' diet since I tried South Beach in 2004, and I really liked it for how it made me feel and how much easier it has become to find low-carb substitutions for common foods. So I decided to stick with it post-surgery. I am two weeks out from my surgery and I am at the point where I can eat 800-1000 calories a day, where 50% is from protein, 40% fat, 10% Net Carb, and sodium between 1,500mg and 2,000mg. I track my Daily Food Intake in an Excel Spreadsheet, listing Calories, Total Fat, Protein, Net Carbs, Fiber, and Sodium of each. I also track my fluids, noting if the beverage has any sodium. I avoid sugars like the Plague, except when it comes to fruits. I will on occasion eat fresh strawberries, raspberries, or some honeydew melon. I don't feel the Keto diet is suitable for Post-op due to the high reliance on Fats. I like a more even distribution favoring protein over fat, but still keeping enough healthy fats in my system so entering Ketosis is a possibility. My carbs are always under 25g a day, most of the time between 15g and 20g. I was only in Ketosis once for a brief few days, and it was right after surgery. I check my ketone level regularly with those over the counter 'pee' strips. I like my method of tracking my nutrition manually instead of using an App or Website, although there is a lot more work looking up nutritional labels for everything I eat, or general nutritional information for those items without labels. The plus side of it is I am amassing a database of my frequently eaten food items so logging is becoming easier. I agree with the general consensus that 'Diet' is an ill-fitting word for what we are doing. I like the term 'Lifestyle Change' much better. A diet, to me, is finite in its duration. It has a beginning and an end. A Lifestyle Change goes on indefinitely.

Welcome to the Forums! Good luck on your Weight Loss Journey!

Hello. I'm relatively new to these forums. I had my VSG surgery on July 10th, 2023. I weighed 450lbs on my surgery date, but gained 13lbs during my two and a half days in the hospital. It was water weight because they kept the IV on non-stop pumping liquids into me without giving me my diuretic that I've been taking for nearly 10 years, Lasix(furosemide). I am at 410lbs now, a little over 5 weeks since surgery. My treatment team has a rather slow and careful recovery diet plan, starting with 1 full week of clear liquids + protein shake only, 2 weeks full liquid diet, 2 weeks pureed diet, 2 weeks of soft foods(where I am now), and then on to introducing regular foods starting the 8th week after surgery. I am extremely thankful for the surgery. I'm feeling better, and am thankful that they cut away the hunger along with 85% of my stomach. I still don't have much of an appetite, but I understand that my stomach is still healing and it is going to take months. Right now is the time to learn new good eating habits. I've been following the rules set forth from my treatment team closely. I haven't thrown up, nor have I really felt nauseous. My stomach seems to be handling everything I've been putting into it. Although at work today my stomach let me know it was not in the mood for egg salad. after 2oz of it I felt a pressure and ache in my stomach so I stopped eating. It might have been stress or I still had some liquid in my stomach. I follow the 30:30 rule, but work was hectic and I loose tract of my liquids. Its frustrating having to stop to take a sip every 10 minutes. I forget to sip more than I actually do. Thanks for reading my short little intro. I need to go back and catch up on the previous 24 pages of posts.

I second that NSV!

I just started the Puree stage of my diet. I made a batch of Pureed Chicken thighs made from skinless boneless chicken breasts with every iota of fat removed. I thinned it with low sodium chicken broth until it came together into a paste. I combine this with pureed hard boiled eggs and a little light mayo and greek yogurt to make a simple egg/chicken salad. I also mixed the pureed chicken with broths and strained cream soups to add a little protein and flavor. My body seems to be tolerating the chicken in pureed form just fine. I was a little concerned about introducing chicken back into my diet after talking to a friend who had Gastric Bypass about 8 years ago. She said Milk and Chicken were nightmare foods for her. I understand how you feel about chicken wings, and that crunchy fried texture. (I love my air fryer too). I have a few pounds of chicken wings, 2 wing-ettes per zip-lock bag, in the freezer waiting for the 'regular food' phase of my diet to start, after soft foods. My plan is to slow cook them in a sauce of some form until they are tender. It wont be crunchy, but they still will be wings. I have them in pairs of 2 for portion control. I'm going to treat them as, well, a Treat, and consume in moderation. Good luck on Soft foods, and your weight loss journey!

Hello. I had my gastric sleeve surgery done on July 10th. I am in the USA, so I am a bit jealous of the folks overseas in the UK and Europe with lax restrictions. My team also seems to have some of the strictest restrictions from what I've researched online. I was on clear liquids for 7 days following surgery. After that, I was on a full liquid diet for 13 more days. During this time I've only been consuming protein shakes, sugar free gelatin and sugar free pudding, low sodium beef and chicken broth, and strained healthy request campbell's cream soups(cream of chicken, celery, mushroom, tomato). I've only been getting 300-400 calories a day. Its a struggle for me to get enough protein and my 64oz of clear liquids a day. It isn't that my body won't tolerate what I am putting in, but I am trying to do everything exactly as dictated by my treatment team. I can eat more than 2oz of yogurt at once, but they say to limit portions to that. I can put 6oz of soup in my stomach without any pain or discomfort, but they say only 1/4 to 1/2 cup at once. As for liquids, I am a gulper. I am used to drinking in excess of 1-1.5 gallons of clear sugar free liquids a day.(mostly crystal light iced tea mix). I am finding it so hard to take a sip and remember to keep taking sips. I usually just drink down 16oz and move on. Like others have mentioned, I too am able to drink more than I am supposed to without any discomfort. I am not doing it on a regular basis however, because I am terrified of complications. Also, I know I will have a much easier time of mastering my new lifestyle and diet changes moving forward if I learn and practice moderation early on. So for that reason I have been following my teams' advice verbatim. Until today that is. I decided to move on to the pureed food stage a day early. I went back to work last Tuesday, having taken roughly 2 weeks off for my recovery. My first two days were good. I had more energy than normal and enjoyed being back in the grind of things(pun intended, I am a butcher. :P) Yesterday and today, however, I've been dizzy, light headed, and my balance has been off. Also I've had a lot of muscular pains, more than before surgery, in my back and neck and sides. my blood pressure during one of these episodes was 88/41. I self diagnosed myself as having hypotension brought on by dehydration and possible lack of protein in my diet. So I left work early today with two bags of groceries to fuel my pureed stage of my diet, and set off to make up some egg salad, pureeing the eggs with nonfat greek yogurt and light mayonaise. I ate 2oz of that to test my stomach's reaction, and I didn't have any discomfort at all. This evening I made some adult baby food from 1 pound of skinless boneless chicken thighs, which I boiled, drained, chopped, seasoned, then pureed with a cup of low sodium chicken broth. I added 2oz of my chicken paste to 4oz of my creamy cheddar and mushroom(strained) soup, and that was dinner. At the moment it was the greatest thing I've ever eaten. As a Carnivoire pre-surgery, I really missed eating meat. I feel better tonight after getting more protein, and having gotten my 64oz+ of clear liquids in me. I am a bit concerned though, aside from my stomach gurgling and being a little gassy and occasionally bloated, I've had absolutely no adverse reactions like vomiting, nausea, trouble swallowing, or feeling really full. Maybe it is because I've adhered to what my treatment team told me to do, or maybe it is the slow pace of their rules. Here's the full list: Week 1 - Clear liquids. Weeks 2 & 3 - Full liquid diet. Weeks 4 & 5 - Pureed foods. Weeks 6 & 7 - Soft foods. Week 8 - Slowly start to introduce regular healthy low fat foods. The saving grace to all this is the fact I have no physical hunger, so it is easier for me to stick to this restrictive, slow pace. I think I am going to stick with it instead of trying to eat something 'normal' too early, risking injury. My total nutritional info for today: 588 calories, 29g fat, 63g protein, 18g carbs, 1,679mg sodium. Today I've eaten the most calories in a single day post-op.