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I think I used the wrong sweetener and it was a bit too dry which is hilarious because keto recipes usually love butter and this one doesn’t require any.

Guess who decided to cook and it was a total fail 🤣 Tarta De Santiago (keto version) 4 eggs 2⁄3 cup (5 oz.) erythritol lemon zest or flavor 2 cups almond flour 2 tbsp powdered erythritol for decorating Either I’m just not used to erythritol anymore or i just never liked it. Next time I will try a different sweetener.

Such good advice above. I so love this forum. 😍 OP I hope you can judge yourself less and forgive yourself a few lapses - you are human, as are the rest of us. You have done the best thing you could for your health and have gone to enormous trouble (and expense?) to do it! We ALL have slips and do things that we know aren't good for us. If we can look back and analyse why we did what we did then sometimes that can help us avoid the same mistakes in future. I am 3 years post sleeve and I carry protein-based snacks wherever I go - usually nuts or seeds in little packs that I can carry in my bag. If I am hungry (and I do get fierce hunger at quite short notice a couple of hours after eating) and I'm in danger of eating something I shouldn't, then I will eat those. I know they will help stop me eating the rubbish that my head wants but my body doesn't need. It works a bit for me so I hope will help you. I never leave home without them. In addition I have stock phrases to 'explain' (not that I have to but - yunno) why I am not indulging in the delicious sugary fatty rubbish along with everyone else. I learned those phrases here. Oh I ate before I came! I'm just not hungry right now. I'm doing strict keto so I'm avoiding sugar at the minute. And so on. IME people completely lose interest if you say 'a thing', LOL. I wish you the best of luck. You've stumbled a little this week, that's OK, it's a marathon not a sprint. I hope you can use some of the resources suggested above. It's hard. It's hard every day, even after WLS. Take one day at a time and be kind to yourself. We are all here for you.

@Mspretty86 girl good for you!!! I tried to do that but I became too lethargic and cranky! hahaha I wake up at 4am make myself coffee, unsweetened almond milk and a couple of pumps of sugar free sweetener. I also make myself keto toast with Nuttzo butter ,half a banana sprinkled with cinnamon. It starts my day and I know I eat more calories than the average sleeve person (1800-2000 a day) but hey I got to where I am at doing this. Have you found that fasting helped in other ways?

Soooooo healthy fats, always have been scared of peanut butter but omgsh I found this nut butter called Nuttzo and its AMAZING!!! I made PB balls with Nuttzo, pure maple syrup, unsweetened shredded coconut and rolled oats. let me tell you these things are the most amazing snack (usually post workout for me. Anyone else have any other recipes they like with nut butter they want to share? I have been eating it 2x a day. In the morning with my keto bread only tsp and half a banana, but I would like to find other stuff to do with it. Thanks!

Even though plans are fundamentally the same, surgeons will have their own requirements many based on you, your health and your needs. Best advice is always follow the plan you have been given. Of course, if you are struggling with the plan, contact your team and discuss alternative substitutions you may be able to include. As for the pre surgical diet I was one who put on a keto diet for those two weeks. (I did about 2.5 weeks.) But I know a friend with the same surgeon, who had a higher starting BMI was on 3 shakes a day. Another, again same surgeon, was put on 2 shakes & one meal (protein & vegetable/undressed salad) a day. If you are concerned speak to your team.

No keto ice cream for me either, I think I have an allergy to monk fruit and the one brand I like made my mouth itchy. Also it seem to like unpopular or ice cream flavors of bygone eras: mint chocolate chip (but it must be mint flavored vanilla, not green), rum raisin and custom ice cream shop flavors of lemon poppy seed and lavender honey (which I was told was the most requested by their octogenarians patrons).

Oatmeal, rolled oats & porridge are the same thing. Just a culturally differently named food. And I eat them every day. I eat traditional oats. Initially after surgery I was advised instant which are a little more processed then I transitioned to traditional. (Check the ingredients on your pack if it’s just oats your fine.) Then add your own flavours. I add yoghurt, collagen powder, dried cranberries, fresh blueberries and yes seeds. Otherwise seeds on yoghurt or in salads are good too. You could sprinkle them on anything you may use breadcrumbs too like a cauliflower gratin or add them to any crumb mix for breaded whatever. Try mixing some in your meatballs or meat loaf for a little crunch. PS. I’ve noticed a few influences being anti oats (probably either being paid to promote an alternative likely a supplement or are pro keto) but they’re fibre & fibre is good for you. It’s filling, helps you poop, can help reduce cholesterol so is good for cardiac health, can help regulate blood sugars, can lower risk of stomach cancer.

I suppose I'm one of the few people after reading responses to the OP's post who haven't had their past food cravings or the food they love change. I still want pizza, phad Thai and Chinese food etc. No, grilled fish doesn't suddenly appeal to me anymore than it did before surgery, in no way is grilled fish comparable to fish and chips to me. I don't suddenly find a piece of fruit better than a brownie. There are times I'd kill for a roll or a sandwich with actual bread (not keto tree bark full grain bread) and yes I become resentful. I'm being totally honest, healthy alternatives don't taste as good (to me) and trying to change food I love/loved to a "healthier" version just isn't the same and doesn't taste anything close leading me to; 1. A waste of time and energy and cost, cooking/cleaning afterwards 2. Total disappointment and yes anger. I explain this because I found myself becoming upset because I wasn't and haven't experienced the sudden love of healthier food like others here on this forum leading me to be upset with myself. So, I'm being honest about my personal experience. There are some alternatives I have found such as Yasso "ice cream" bars and Wilde chicken chips, but that's about it. Unfortunately, I find myself just not eating opposed to stuffing yet another high protein non tasty food into my mouth. To combat this I stick to a few things I do like (you should know I've had food issues my whole life, in fact I almost died as a child because I'm an extremely picky eater - food texture issues). So, this is on me. I do get the required protein or close by drinking a fairlife protein drink. I say all this because the taste for healthier food doesn't happen for everyone and I don't want you thinking it most definitely will for you then if not wondering what's wrong with you!. I've only experienced dumping one time, but for the most part I can eat what I used too, the difference is I chose not too. Being thin to me is by far better than eating something I love and enjoy. Does it take a lot of joy out of my life? Yes, celebrations/holidays just aren't the same. I'm not trying to depress you, I'm sure you have enough of that as it is, but I am being realistic. You need to determine what your real priorities are; 15 mins of eating enjoyable food or 24/7 of being thinner and healthy? It all comes down to the mentality of it. Having your head straight on what you really want. I truly hope you're one of the lucky ones as all those who've responded thus far and you find healthier alternatives you like or you just don't like your old food loves, but be aware that might not happen and start getting it straight in your head now. Thinner/healthier/longer life/decreased co-morbidities vs. 15 minutes of food enjoyment and weight gain? Lastly, If I really want something I get it, take a few bites and physically walk away from it. I throw it away before I eat more or give it to my husband.. either way I get away from it. It all comes down to choices and what's really important to you. Good luck, you got this, you've haven't gone through all this just to throw away your opportunity for a healthier thinner life. It would be a tragedy for getting a few good tasty bites in. I really hope I haven't burst your bubble after reading others more positive your tastes will change posts, I wanted you to also read there are others who aren't that lucky but still do what's right for a healthier thinner life. Its all getting the mindset down and if all you read was just the your food tastes will change posts and that never happens you'll blame yourself like I did. I hope this helps you. Some may condemn me for my less than positive post, but I've always been a realistic no rainbows flying out my backside type and I would have appreciated both sides of it right after surgery so I knew all possibilities. Lastly, don't condemn yourself if you do cheat occasionally, just up step up and eat right next time!

Just echoing what the two very experienced forum members say above. A regain in 2nd and 3rd year post op is almost the norm. Please try not to worry about it unduly. Your set point is the weight/body composition that your body wants to hover around. The video below is short and might help. Your set point gets lowered drastically by WLS. But - processed food raises it. Eating cleaner keeps it lower. Building muscle mass keeps it lower. Might those be things you can work on a bit? Lots of people focus on cardio and that's brilliant, but lifting weights or using resistance bands (even if you never do cardio!) can add another really significant layer to that. Do you or have you ever tracked your intake? If that has slipped just tracking again might make you aware of what you're taking in and what you're using up. I am saying this as someone just about 3 years post op who regained 16lbs this year. I personally wasn't happy with that because it didn't stop as others' seems to, so I lost 10lbs by strict keto and am now back where I want to be. I had dietary lapses I needed to correct too and am working on that. I had this surgery to stop dieting - I feel like I can tweak things to keep me where I want to be without that and that I've learned a lot by stepping back and really analysing my intake the last few months. Also huge kudos to you for thinking about this with only 9lbs on. Much easier to look at what you can change now, if you even need to do that, rather than further down the line. I wish you the very best.

I wish I looked this cool holding an ice cream!! P.S. You don’t look a day over 30. Regarding the keto ice cream, unfortunately that’s all I had in my freezer and it is definitely not my first choice. But it was good nonetheless, I’ve had two tubs of it sitting in my freezer for way too long.

lol great minds...(i.e., ice cream!)...it was another unusually warm day for this time of year around these parts, so i made Mr. take me out to get some. they were out of pistachio (my fave flavour) so we went to the grocery to buy a tub (and a box of sugar cones) instead. no keto ice cream for me...this is the full fat-sugar-cream version, ha. this likely will be the last picture of me standing upright today, i think...as i ate the entire thing and the anticipated dumping im about to experience will surely have me regret it in 3..2..1...

Was craving a fall comfort bake, and happened to come across some giant chinese Fuji apples at the grocery store and picked up one. Made some “healthier” apple crumble that I topped with keto ice cream and it turned out sooooo good. The hubby and I shared this but he ate more than me. I still have quite a bit of the apple filling left, might make this again tomorrow or make some pancakes with stewed apples on top.

Hello everyone!! I know I did a bit of a vanishing act, but I have things to report in. First of all - I hit a really frustrating plateau that lasted about 3.5 weeks from around weeks 7-10. That had me feeling pretty bummed, as it was post-two month check in and I had been feeling great about my progress before switching from purees to solids. I had last posted about hearing somewhat contradicting information from the nurse and Nutritionist. I had been told that I didn't need to really worry about staying on keto because I wasn't eating much as long as I hit my protein goal and by the nurse to try to stay Keto because eventually I'd get this great burst of energy from going into ketosis. WELL -- After doing some research I found out that the thing your brain tells you would be the worst thing to do - EAT MORE - was actually the solution. I started bringing in more vegetables and an occasional grains while sticking to mostly lean meats, plus using a protein shake for breakfast to keep me on track with my protein goals. I was already using Genepro; and I since picked up one of the Whey protein powders in a chocolate plus some of the PB2. That did the trick! I have started allowing myself an occasional 'cheat' type meal on days that I'm locked in on my protein, and find myself often meeting my protein goal and then some - more like 70g of protein per day rather than the minimum of 60g/day. The result of spreading my meals out - breakfast, three hours later lunch, three hours later 'dinner' and three hours later 'protein snack' if I'm still hungry - DID IT. My energy is up now that I've been walking more and giving my body more fuel. I am seeing the weight loss finally, and even when the scale doesn't show it right away I'm seeing my measurements shift and the way my clothing fits feeling different. I had purchased a cute pair of jeans about a week before my surgery and a button down short sleeve gingham shirt. At the time I couldn't get the jeans all the way up over my thigh; and now they fit loosely. My bras don't fit properly and I already had to buy one in a smaller size. I'm turning down plus sizes clothes I like that I find at the thrift store for pretty much the first time because - they're too big. I'm borrowing shirts from my Mom that I handed down to her previously and other friends handed down to her rather than me because she was a 2x/3x for a long time (mostly due to her chest) and I was a 4x+. I can feel where my arms have gotten smaller in the way shirts don't feel snug in the arms, shoulder, and chest area. I've gone down 2.5 ring sizes! All in all, I've found that portion control is still a big deal, but so is listening to your body and remembering that if it sends you a message about hunger, there is a reason. I DO have to focus on making sure I drink enough water, but the Baritastic app has helped me keep my sugar low. Even if I do hit over 30g of carbs in a day it's rare and because of something like beans, rice, or vegetables. I'm feeling more comfortable loosening the reins a bit on how strictly I adhere to my diet - although I still don't do anything carbonated, do minimal caffeine, and keep sugar very low. The idea to bring your own tupperware to restaurants along with a cooler is really smart. I'm not in an organized group exercise of any kind yet but I do have personal goals like trying to get in over 10k steps three times per week. I'm working my way up and have gotten to an average of around 5k steps each day, which I'm very proud of. My calorie deficit is usually 800+ calories less taken in than what I'm burning via exercise per day, and this week I have lost almost 6 lbs due to exercise and losing the bloat from my first period post surgery. I wanted to mention that - I did miss my first month's period and my second month's was late. As to exercise - I feel the activity in my back and as a low ache across my lower abdomen mainly, which I think is a result of using those core muscles and the way my figure is redistributing the weight on my joints. I'm shopping Marketplace to add weights to my exercise and still use my exercise bike when the weather isn't nice enough to walk. OH! And Old Navy has an amazing 50% off sale on their website right now and I just finally ordered myself some pants in two sizes below my pre-surgery size! I'm so excited for them to get here. Best wishes all, keep up the amazing work and be kind to yourselves!

I'm always hungry. Always have been. Never had any reduction in the hunger hormone. So for me, it's about sticking to the plan, eating appropriate things at the right times, and ignoring the rest. For snacks, I like things that are higher in protein and fat. I love protein rolled oats with blueberries, raspberries, and sugar free syrup on top. I like to have snacks like smokehouse almonds, cheese cubes, and pepperoni or salami. I like to have a sandwich with keto white bread (I tend to go for mayo, mustard, lettuce, a tomato, cheese, and either roast beef or pastrami). I take every chance I can get to add avocado onto whatever I'm eating. Salads are HUGE for me. I love them, they're healthy, and I can put whatever I'm in the mood for on them. But the key is to EAT. You can't skip meals. Set an alarm if you have to, but you absolutely cannot miss meals. Especially not in the beginning after surgery.

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.

Firstly...big congratulations on your weight loss success. Amazing results from a recliner. Wowo!!! I didn't have DS and haven't tried Keto post surgery. But I did the diet for a year right before WLS, coupled with intermittent fasting. Despite my efforts I only lost 30 pounds on the average then hit a wall. Eating high fat meats might not be the best for you at this point but everyone is different in how their body responds to food after WLS. Lean meats and veggies is pretty much our food plan now. I am interested to hear what others have to say on this subject because although I have been able to lose weight adding carbs to my diet (at the urging of my nutritionist and to my keto minded horror), I haven't tried any types of "diets" to get the last few pounds off post surgery. Some say I have probably met my goal weight and the excess pounds are lose skin?? But I don't have a lot of excess to be honest, so not sure about that. I am also a big advocate of extended water fasting a couple times a year for cleansing purposes, but have not attempted it post. I was told it might mess up my sped up metabolism tool. I don't want to risk that happening. Also, I don't relish the idea of returning to a diet mentality. And I will admit, I enjoy being able to eat some carbs now where before, I could just look at them and gain weight. LOL Godspeed on your healing process for the bilateral knee surgery. I have a feeling after you are able to get up and move around, you just might lose those last 40 pounds without the Keto, GL

Hello everyone. My name is Tom and I have been a lurker for years. I had my surgery 11-22-22 at 471lbs. I weigh 214, for the moment, as I continue to lose. What a powerful tool this has proven to be! I am so blessed and thankful I couldn't possibly articulate it. With that being said, I feel I could help anyone that needs it just based on my own research for years into nutrition, fasting, and the many diet plans out there. I would be happy to give my own anecdotal experiences as well through losing the 255 lbs so far. But the point of this post is for me to lean on some of the vets of duodenal switch. I am approaching maintenance phase in around 35-40 more lbs. Does anyone do low carb in maintenance? If so what does that look like? Am I right to assume for us keto is out correct? The fat would be an issue or maybe someone has tried it? My concern when asking about low carb, for me specifically, I have protected my pouch size. I can still barely eat a few ounces of meat or whatever. I could, and may consider, actively stretching it a little when I get to maintenance, but as of right now I am not sure I could sustain on just meat once I am down to maintenance. I have Bilateral knee surgeries coming starting in Jan. I have lost all this weight in the recliner due to health issues. I am lifting, once I hit 300lbs weight, hard 4 days a week. But 0 steps for the most part. That's important because my exercise will skyrocket once I am healed from the surgeries and I will need more calories eventually. Carbs and fat are obviously the most calorie dense so.. Any thoughts or advice would be appreciated!

What are you eating that has so much fiber? I do a soluble fiber in the morning but I don’t seem to get much from my diet. I eat a lot of veggies but mine is still fairly low. The only days I have a lot is when I do low carb stuff like a keto wrap or when I have chili.

Excellent thread - thank you @JamieLogical! I got sleeved almost 3 years ago. I hit my goal weight well within my first year. I lost another 10lbs very slowly in my second year to reach a BMI of 20. I was absolutely thrilled - I had lost just over half my body weight and was well beyond wildest dreams territory after a lifetime of obesity. But I started to regain this year. Initially I thought it was just the classic '3rd year regain' of the 10 - 20 lbs that so many people seem to experience. I asked lots of questions here and was reassured by the answers. I hadn't really drifted *that* much off the path (I thought). However, I continued to regain with no let up and was getting really worried. I eventually reached 16lbs over my lowest weight a month or so ago. Finally, I decided to go back to absolute basics and see whether that might reverse the regain. Carbs had crept in a bit (NOT A LOT, honestly) so I started every meal with protein, ate veg next, and stopped all bread, rice, pasta, potatoes etc. Just as I would have 2-3 years ago. Guess what? I have lost 9lbs of that regain in just over a month. My current diet is pretty much strict keto and not hard at all. I totally agree that the tool is there, we just have to use it and not eat around it. I'm so happy that I caught myself before I regained much more, but I can also totally see how I might have undone much more hard work. I wish you all the very very best with your new loss. I suspect you'll greet every milestone with just as much joy as you did originally.

I would agree that it’s wise to contact your doctor but while waiting for your appointment you may as well work to rule out a few things. How many carbs are you having? Could it be keto flu? Especially if you are burning all that you are eating you could be in ketosis on more carbs than someone who isn’t active. Less than 50g is what they say for ketosis for the average person but the more active you are the more carbs you can have and still achieve ketosis. Some very active people can be in ketosis on 200g of carbs, even. Maybe try adding some healthy carbs for a couple of exercise days and see if that helps alleviate your symptoms. Unless your team wants you in ketosis, in which case I guess you just have to kinda wait it out. My NP told me to increase my carbs because I am walking around 5-7 miles a day and I showed her my food log app and my activity app and she said you need to be eating more carbs and protein as long as you keep up this level of activity. It kinda tough. Seems counter productive but I increased mine and I am still losing. I usually get them from vegetables and fruits so I get a variety of nutrients but I will add a small amount of brown rice (1/3 cup) to my dinner if my carbs are too low for the day. My calories went up a bit too but she said that was okay.

No, no difference, however, it is important to remember that everyone loses at their own rate & there is no right or wrong rate. So many get very anxious that they’re not losing enough or fast enough. It’s not a race and every pound is a win. I always say celebrate every pound you lose. You’ll discover there is a lot of variation in the pre surgery diet @RuizAyres but we always say it’s best to follow your plan and not someone else's. I know my surgeon gave different patients different plans based on their health status, current weight, etc. it could be three shakes a day or two shakes & one protein plus vegetables meal a day. It could be no shake but milk like @summerseeker. The 3 or 2 shake plans tend to be the most common. He put me in keto for the two weeks prior. There’ll be slight variations in the post surgical plan too. Also, not sure your age, I was almost 54 when I had my surgery and there are people here who were in their 60s and 70s so you’ll be fine. There was a thread a little while ago called 50 and over I think. You could search for it as you might find it interesting. Found it:

Liquid diets or liver shrinking diets before surgery are very common. Different surgeons will want patients to follow specific diets (like all liquid) prior to their surgery usually for about two weeks though can be for longer or shorter. The aim is for you to lose a little more weight before surgery, thus making it safer, and to shrink your liver so the operating field is more visible and your tummy and digestive system easier to access. Different patients will fe given different plans to follow based on their weight, current health status, surgery, etc. Some are given weight loss goals to reach like you, others not. For example, I was put in Keto and not given a specific weight loss goal just had to lose some. I lost 4.5kg (9.9lbs) in just over two weeks. Just follow the diet plan you’ve been given & you’ll be fine.All the best.

Ok, so I'm 2 years and 4 months out from my 1st surgery and 1 year 3 months out from my revision. I'm still losing (trying to stop losing but so far I'm still losing an average of 4 pounds per month) so I haven't experienced the rebound weight gain yet. I can tell you I eat popcorn all the time. I also eat smokehouse almonds, cheese cubes, salami and/or peperoni slices for snacks. I eat Rebel ice-cream, keto brownies, sliced apples mixed with fresh blueberries and raspberries, Greek yogurt with fresh berries and monk fruit sweetener mixed in, keto cake with sugar free icing, French toast with keto bread, fresh berries, and sugar free syrup. If I want "guilty" food, I have something like steak, 2 spoonfuls peas mixed with mozzarella cheese, and 2 spoonfuls of Bob Evans mashed potatoes. I don't tolerate carbs very well, so I have to be careful with them. I also have kettle chips fried in avocado oil, 1 packet (instead of my former usual 2-3) of oatmeal such as cinnamon apple or banana cream, and minestrone soup and crackers (only like 4 or 5). Everything is a balance. Nothing in excess, no large portions, no "off plan" foods too often. Just a little here and there and whatever you have should be fine. Just remember to keep working out, keep moving your body, keep prioritizing protein and you should be good.

I don't know where my other post went - I swore I typed one up earlier. Oh well - Here we go again! So, I'm at 3 weeks out exactly today from my SADI (Sleeve + Intestinal shortening) surgery and I'm definitely starting to feel less pulling and pinching with movements. I'm beginning week two of my puree diet, and I feel like it's going pretty well. During the Protein shake / liquid post diet for two weeks I did deal with constipation. It's still leveling out, but as I eat more 'regular' food (Even as a puree) that seems to be lifting a bit. I did still take some milk of magnesia yesterday out of caution because I hadn't 'gone' in two days, and didn't want to worry about it worsening. I'd say the hardest part for me continues to be the 'No drinking 30 mins before/after meals' but I use the Baritastic app to set a timer. I also use the timer to make sure my 'meals' take at least 30 minutes. Want to make sure I don't rush and end up feeling poorly afterward. Things that have worked well for me during my puree stage include egg drop soup, chicken/tuna salad made with puree chicken or tuna, light mayo, and sometimes a bit of relish, and for added protein a boiled egg or two, with or without the yolks per preference. (Dill relish is healthier than sweet relish). I did allow myself 2-3 saltines with those, usually about 3.5 oz of the tuna or chicken salad makes me feel sated. Other recipes that have worked include the ricotta bake and unstuffed cabbage rolls, pureed low fat/0 sugar yogurt or cottage cheese with Genepro powder and cooked, strained strawberries or blueberries (I added a bit of 0% Milk to make it more of a smoothie), Riccotta pureed with either a bit of fruit or avocado, small serving of oatmeal pureed with fruit (test yourself with an ounce or two less than you normally eat for oatmeal because it sits heavy and often swells - add some zero or skim milk to make it thinner if needed. Other recipes include homemade no-noodle chicken soup of sorts with rotisserie chicken, chicken broth, and pureed carrots w/a little bit of onion powder or diced onion. I also made a homemade 'philly cheese steak' filling of sorts with some sautéed bell peppers and a bit of diced onion, some roast beef lunch meat, and cream cheese. Others speak highly of pureed refried beans with a bit of seasoning to taste more like taco meat, adding either a bit of mild salsa or a combination of onion powder and perhaps a bit of cumin. That's a personal choice, and definitely suggest going slow with your seasoning due to possible heartburn. You could add a bit of shredded low-fat/skim mozzarella or even low fat sour cream to round it out. Today I made 'chicken pot pie w/no crust' which was basically just cooked carrots and finely diced celery and onions with finely diced rotisserie chicken with a can each of 98% fat free cream of celery and 98% fat free cream of chicken. I haven't had any yet because I'm a little unsure about the celery, even cooked, but pureed and in a small serving I'm sure it would treat me fine. The Ricotta Bake I made was super simple and I know there are a lot of variations to the recipe online. I made my own marinara sauce by peeling about 5 smallish tomatoes, dicing them, and simmering them with a little less than equal parts water, Italian seasoning, and a bit of diced onion. The ricotta mixture was easy; just used 8oz ricotta cheese, 1 egg, 1/2 cup of grated parmesan (I used the shaker but fresh is better) and 1/4 cup shredded mozzarella cheese. I put a layer of half the mix on the bottom of a buttered baking dish, topped it with 1/2 lb cooked and seasoned ground beef, then put the rest of the mixture on top. Poured about 3/4 of the homemade marinara over it then covered the dish with aluminum foil and baked at 400 degrees for about 20 minutes. It's basically a no-noodle lasagna. The Unstuffed Cabbage Rolls I made were equally easy - I used a rotary grinder (Works SO well, bought on Amazon for around twenty bucks) to grate half a head of lettuce. Instead of canned diced tomatoes I once I again peeled about 5 small/medium tomatoes and diced them, adding to the skillet along with maybe 1/8 cup diced onion and another 1/2 lb of the ground beef. For seasoning the recipe I used just had me add a packet of Italian Dressing Seasoning mix. The family enjoyed it and after pureeing the ground beef a bit I found it fine to eat, although slowly and very well chewed (same with the ground beef in my ricotta bake). Both it and the Ricotta bake probably make about eight 1/3 cup servings with about 22g of Protein each. I want to respond more to folks - @Pepper_No_Salt I hate that you're dealing with so much nausea! I absolutely second talking to your care team about that. There are some nausea pills that dissolve under the tongue and work more quickly for me than the Zofran, they'd probably be willing to call you in some. Things that made me feel queasy were taking meds or vitamins before my meal had hit bottom, drinking too quickly, not walking around after I ate, and taking calcium and my multivitamin with iron too close to my Calcium. Not sure if any of that helps - I am also taking Prilosec for heartburn in the mornings and they had me add Magnesium Citrate at bedtime to help with constipation. Sometimes when I'm due to pass gas or have a bowel movement working its way through my system I'd start to feel a little icky and not really nauseous but more anxiety / feelings of fullness. I found that for whatever reason putting an ice pack on my chest or low back helped. I hope you find some relief! Oh, I also found that as soon as my thirty minutes post-meal is up it helps me to sip on REALLY cold water or Gatorade zero, especially if I do it while standing and moving around a little bit. I equate it to the need to get the burps out after eating, just like I had to do post-surgery. @ShoppGirl - Thanks for all of your support and input. I continue to read your posts and while I'm low energy on responding right now I hope the details of my recipe for the unstuffed cabbage bake is helpful! @draikaina8503 - Congratulations on your walk! I still wear out quickly even at three weeks out, but I knew the first month or two would be a slog and do feel my energy is rebounding. @Onemealplan - Sounds like you're doing great and I hope you enjoy the heck out of your vacation! I second what you said to @ShoppGirl about trying the crab, and hope the meals you do get to taste on vacation treat you well. I think her advice to just explain you're recovery from stomach surgery should more than reassure any staff concerned about your small portions. @AndreaJD I'm so glad your sister has been supportive! My 'chosen' brother and best friend has likewise done the same. He's been on a Keto journey for about two years with great results and I worried at first that he would think I was taking the 'easy way out' and now that he's heard more he's been great in reassuring me that he does NOT think that is the case at all, and in fact believes I chose a great option for myself that moves things along quicker but certainly with a lot of sacrifice and hard work. I also completely agree with you on the 'mind hunger' vs 'body hunger'. I'm lucky that I do feel a bit of pressure in my chest that I now identify as a feeling of 'fullness' as opposed to anxiety and I'm less worried about my protein goals now that I have the Genepro protein powder. I love that it isn't gritty when I mix it in with things as long as I mix it with something room temperature FIRST. That's on the instructions, actually, as is the fact that for your macros to count it as like 30-ish grams of protein per scoop rather than the 'weight' listed in Nutrition facts of 11g/scoop. Just wanted to make sur eI mentioned that! Oh - in regards to weighing - I get on the scale every day or so to kind of 'reinforce' what I'm doing, but remember that sometimes you see more from your measuring tape at the waist, hips, etc than the scale will show. Also head's up, a lot of folks plateau for a handful of days around week three and it will happen on and off moving forward, so don't be discouraged by that! @RRenaeL23 - I hope these recipes and suggestions for your puree diet work well! I'm still finding myself comfortable eating no more than about 3-4 oz at a meal, and certainly am following the no drinking 30 mins before/after meals. It's absolutely easier for me to do if I make sure my meal is on the moist side, even if it means adding a little extra water. It's better to add protein powder (Can't speak highly enough of the unflavored Genepro) to hit your protein goal than to overeat to make it, that's for sure! I'm always eager for my 30 minutes to be up so I can sip on icy cold water or Gatorade Zero. @Meme Campbell - Best of luck to you on your surgery tomorrow! Don't hesitate to ask for ice packs and pain relief and take advantage of the pain relief to get some walking in, especially the first couple of days. The pain lessons as you walk because it works the gas out. I also strongly suggest sipping your shakes / water / propel sitting as upright as is possible and not laying back until about ten minutes has passed or you've burped a few times! Keep us updated! Most of us in this thread have already had our surgeries but if you read through the first 3-7 pages you'll get a pretty good idea of what to expect if you don't already feel prepared. It's a bit of a process but the pain WILL start to lessen in the coming weeks! Don't be surprised when you get tired super quickly and be gentle on your body. Across the board surgeons seem to agree that your #1 priority fresh out of surgery will be walking as tolerated, focusing on your hydration, and getting as much protein as you comfortably can. Don't let yourself go more than three days without a bowel movement - Milk of Magnesia works wonders for that. I let myself go 5 days post surgery and that was a somewhat painful and unpleasant process to reverse. Colace makes your bowel movements 'smoother' but is NOT a laxative. If you deal with heartburn talk to your team - they put me on Prilosec for now. We're rooting for you! Sorry for anyone I missed; not sure what happened to my other post. Wishing you all the best in surgeries and recoveries!