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As a bypass patient, there is really nothing that's off limits for me. I pretty much eat anything I want to, just in smaller portions. Some people have to be a bit more careful due to dumping syndrome, but I've been pretty lucky in that dumping for me is really rare. It's happened once in 2 years when I significantly overindulged on pretty much pure sugar with no fiber or protein to moderate things, It was not fun and I definitely learned my lesson! One other thing I'll say is that my tastes have changed. For example, I just don't really want much red meat, so I now eat a mostly vegetarian/pescatarian.

@RRenaeL23, I can hardly believe what a badass you are! (And I mean that in a "wow you're awesome" way.) Walking 2 miles already? That is really great and I am so happy for you. Keep up the great work! I also need to start working on my muscles - for me it's core, arms, and legs (well, now that I think about it, that's pretty much everything, right?). @Greekmom4, I have never heard of the foamies, but I certainly don't want it! Hope that doesn't come back for you. Today I had a NSV because I'm wearing a fitted sweatshirt that I love but haven't work for a long time because it was tight across my middle. Not anymore: now it's just right. My middle is still far too thick, but at least the sweatshirt doesn't showcase it, LOL. I am starting to see little indications of weight loss; just flashes, but they're there. I don't know what my body dysmorphia will do going forward. When I've lost weight before, I've just felt like everyone else looked bigger to me, I didn't look smaller. But I currently don't recognize myself in pictures because in the mirror, my mind tells me I'm not as big as I really am. (I learned at Jenny Craig that's why we should take pictures, because your mind can't bend them.) On paper, I've now lost 36 pounds from my highest pre-surgery, but I certainly don't see that much weight loss (I'm only 5 feet tall, so that's a lot on my frame). I guess that's a function of how much I have yet to lose, but also they say I'll be the last one to see it. I'm now to the regular diet phase, although there is a lot I haven't tried yet. Ground beef and turkey seem to be fine, but I tried some pork chop which was a big mistake. I think I may get much more of my protein from plant sources (beans, etc.) going forward, which is fine with me. Today we got a whole bunch of groceries to make a list of recipes I'm going to try (hubby is the cook at our house). My sister's vegetarian and sent them to me, so they're all veggie. I'm slowly learning to branch out. Since I am eating 1/2 cup at a time, I've been just having protein, but I started craving veggies and fruit. I saw something that talked about having "a few bites" of things, so I'm incorporating that. I can have up to 3/4 cup now, so I have a bit of room to add some veggies and a little fruit. TMI ALERT: I am eating more beans than I ever have, so maybe that's it, but is anyone else producing a surprising amount of gas? I thought giving up carbonation (which was a massive sacrifice for this former Diet Coke addict) would mean a lessening, but DANG.

WOW! 12-14MILES?! I am toast after 3miles a day LOL but I am trying to build up slowly, its great cardio and I feel great afterwards. The whole calorie macro deficit confuses me. I feel like I eat plenty and enough to sustain my workouts that I do a day, I am not hungry after my day but super duper hungry when I wake up. Do you eat seafood and vegetarian by choice or is it because your stomach can do poultry or red meat? I know pork sits really heavy and I have eliminated that my diet completely- its not work the pain lol

Interesting question! I don't have a ton of routine when it comes to meals, with the possible exception of breakfast. Most days I eat a yogurt parfait with Greek yogurt, fresh berries & protein boosted Kind brand granola. That said, I'm not opposed to other things like banana nut pancakes (a favorite), or even cold pizza on occasion! Lunch is most often leftovers from dinner since we still haven't figured out how to cook 1.5 meals (half for me, whole for my wife). Dinner is super varied. We both like to cook and like good food, so it might be just about anything. That said, I have found that I just don't enjoy big slabs of meat anymore. We do occasionally have red meat, but it's probably once a week or less. I'd say we have seafood based dinners 3-4 times a week and 1-2 vegetarian meals per week. I also eat a lot more beans than I used to. Overall, I don't focus much on macros. It's more about eating a variety of healthy foods and enjoying what little I can eat. As far as activity, there is no typical day. It can vary from nothing at all (I do one dedicated rest day a week), to running 12-14 miles or more on my long run day. In a typical week, I run 30-40 miles (my main sport), but I also do strength training a couple days a week and do a little bit of cross training either on the bike or on a stationary rower. Later in the year I'm thinking of starting a marathon training block. If so, I'll be increasing my mileage up into the 50-60 MPW range. I think one of the main reasons my diet may differ from the "typical" post WLS diet is because of the high activity level I have. I just wouldn't be physically able to do that volume of running without eating a lot more carbs to fuel my runs. In fact, getting enough calories is my current challenge, not getting too many. That's another topic for another day however!

Tomorrow is the day... but today's clear liquid diet had me with a constant headache. Of course it didn't help that my mother decided to schedule a cookout at the last minute not realizing (or accepting) that I cannot have a thing. *side story I've been vegetarian for over 12 years so if there's a cookout she goes out of her way to have things I like to eat...months ago I asked for a lasagna for my birthday for this month (not knowing I'd be back on this weight loss path or that my procedure would be expedited or that I'd be scheduled for Sept) sooo guess what she decides to have on this menu for this surprise cookout? 🤦🏽‍♀️ She meant well of course but there I was sipping broth and watching my family enjoy my gift 😆. Anyway, then I had to take my daughter to urgent care for what I knew was strep and I'm in there praying no one coughs, sneezes or happens to touch me... including her... not sure how this exposure will pan out tomorrow. I notice my husband seems on edge and I finally accept that his worry and stress has got the best of him. Nevertheless all is quiet now, early day tomorrow... I do believe I'm ready to finally get to the other side of this journey... THE REAL WORK.

Yep! It’s great! I use it for scrambled tofu or when I cook vegetarian dishes. It’s not a spicy spice and adds great color and flavor.

@ShoppGirl my biggest incision is kind of dented in also. My surgeon said it will flatten out. It is also where they removed my stomach. Steristrips: I did not have them, or staples. My incisions all have stitches and a strange purple glue covering them. It is slowly wearing off. Food: We had a vegetarian potluck at work today and I did have a small teaspoon of ranch dip, one bite of a very spicy hummus, and a bite of a veggie meatball. I knew I could tolerate the food and did not want to punish myself by not having anything. Today I am 3 weeks and 2 days post-op and wore jeans for the first time. Not the brightest idea but I survived the day. LoL going to change as soon as I get home. I have lost 16 pounds since my surgery day. I am a slower loser and have had a couple of 3 day stalls. I like to weigh daily to see if a certain food or activity affects my weight loss. It also keeps me accountable. I know this may not be good for all people. I can’t wait for my 6 week checkup so I can be cleared to go to the gym. We have a large department move at work coming up in a couple of weeks and know that may pose some problems with my weight restrictions. Hope everyone is doing well and it seems like we are progressing along from all the posts. Keep up the good work. We’ve got this!

I’m 5 years out & maintained since my weight first stabilised. I’m also one who finds some carbs sit more heavily in my tummy & are too filling. Specifically simple carbs like the rice, pasta & bread were advised to avoid while we’re losing. It’s not a big loss even though I used to love eating them before surgery. But I don’t consider myself to be low carb. Lots of carbs in fruit & vegetables. I eat a good two serves of whole or multi grains a day sometimes a little more if I say throw barley or lentils in what I may be cooking too. I usually say I’m lowish carbs, lowish fats. I also think the quality of these food types are an important consideration too like the whole/multi grain, less processed complex carbs vs white, more processed, simple carbs. Same with fats like good fats vs bad fats. One of the big learnings I had was that you have to work out a way of eating that works for you. That is it allows you to maintain your weight, complements your lifestyle so you don’t feel like you’re missing out or making sacrifices and is sustainable. It may be high fat or low fat, high carb or low carb, paleo, keto, vegan, vegetarian, carnivore or a mix of eating styles. Just what works.

@BariatricBunnyBabeCan you please share the recipe? I'm keeping an eye out for handy, yummy vegetarian recipes and this one looks great 😊

I add date paste and cocoa powder. It is a very special, delicious sweet savory. You can also add red lentils or pureed white beans if you want to increase the protein while keeping it soft and vegetarian

Awesome vegetarian recipe. High protein and veggie rich too!

I'm sure that 99% of us here feel you on the disordered eating. ❤️ RE: protein water: I find most protein water/powders excessively sweet. If you hunt around, you may find one that's sweetened with a sweetener that seems less powerful to your taste buds -- but I myself have had very little luck. Instead, I water it down further and add a squeeze of lemon or lime juice to help cut through it a bit. It might take you longer to drink 1 serving -- but the protein absorbs the same. Same with the protein powder / shakes -- water it down with more milk if you need to, or add other flavours. I've had great luck adding instant decaf coffee to vanilla, and unsweetened peanut butter powder to chocolate (PB&Me No Sugar Added is a great friend! A little tougher to stir manually, but perfect in a blender or with a frother). Depending on where you live, there may be milk brands that have added protein already, which is a bonus, For cooking, I've yet to find an unflavoured protein powder that is tasteless and doesn't clump up, etc. If you're not vegan/vegetarian, bone broth powder is a great protein additive with minimal flavour -- just make sure you check the sodium, cause some brands are nice and low and others are crazy. It usually comes in both a chicken and beef broth variety. Usually the flavour is mild enough to be complementary to savory dishes. It sounds like you're well ahead of the game, doing all this work pre-OP, so I'm sure you'll do great! You sound very organized & mentally prepared.

Any favorites? Creative recipes and recipes that can be made veg welcome

Meat here too. If we're not vegetarian or vegan (i'm not) then we have the luxury of mixing it up a bit. I do do lots of veggie soups with pulses or cheese as protein though - vegetable soup with barley and lentils, hot and sour lentil soup, broccoli and stilton soup, etc. Basically everything we eat post op has to pack a protein punch. If you build your meals around that then you won't go too far wrong OP. I also avoid ultra processed foods as much as I can. Basically anything with an ingredient that you don't have in your pantry you shouldn't put in your mouth - that's what made us obese in the first place. I do realise that I have the luxury of being able to cook pretty much everything I put into my mouth from scratch. Not easy if you don't.

This has also been a big concern for me, but my Peruvian family has been very supportive of my decision. My boyfriend is also Peruvian and supportive of this decision, but we plan on visiting Peru when I am 6 months post op (surgery date for June 13th 2024). This will be my first time in Peru since I am from the US and we plan on doing a lot of walking around Lima, Callao as well as touring Huacachina, Ica and Las Ballestas. If you are still active on here do you have any insight now on how your relationship with Peruvian food has changed? I plan on staying as safe as I can abroad so making sure things are cooked thoroughly, no tap water, only peeled fruits/veggies that are thoroughly cleaned. As well as portioning when we do eat out we plan to share dishes, I will try to order vegetarian options when possible, and if I have to/want to order my own plate I will ask for a to go box right off the bat to make sure I dont eat too much due to like you said the massive portion sizes.

I had VSG (2015) to RNY revision on January 18th due to GERD. I also had regained almost 70 pounds from my VSG post-op low weight. I've so far lost about 20 pounds since the pre-op diet & surgery. I need to lose another 20 pounds (for normal BMI) to 50 pounds (for calculated ideal body weight). I'm now on unrestricted food textures, and per my program's dietician, I'm supposed to be on my "maintenance" diet now. However, they refuse to discuss any calorie goals or macros other than protein. I'm someone who needs very clear goals and guidelines (thanks, long-undiagnosed ADHD), and I'm feeling very lost about what my diet should look like moving forward. The lifelong guidelines for my program, as I understand them: 60-80g protein per day Up to 4 oz. (1/2 cup) per meal, consisting of: Up to 3 oz. protein per meal Up to 1 oz. (total) veg, fruit, or starch per meal 3 meals per day 1 snack per day (the program guide I was given says 1-2, but per my surgeon I'm only allowed to have 1 snack per day and it has to be between lunch and dinner) - I have no guidelines for the amount I'm allowed for the snack. I assume it's not supposed to be as much food as the meals, but I don't know. Protein shakes/powders are frowned upon The only sample menu provided in my program guide is as follows: Breakfast: Egg omelet with sautéed peppers & onions Snack: Protein shake OR Greek yogurt with berries [removed per my surgeon's instructions] Lunch: Lettuce wrap with turkey and avocado/cheese [it is not clear to me if the / means avocado OR cheese, or avocado AND cheese, but I assume the former] Snack: Apple slices with 2 tablespoons nut butter OR carrots with hummus Dinner: Pesto chicken with spaghetti squash, sautéed spinach, and cherry tomatoes I plugged this menu into the Baritastic app to try and get a sense of what the calories and macros are supposed to look like. The sample menu gave no amounts other than the nut butter, so I used the 3 oz. protein + 1 oz. veg/fruit/starch rule. With the carrots & hummus snack option, here are the macros for the day: 593 calories 62g protein 32g fat 17g carbs (13g net carbs) 4g sugar 4g fiber And here are the apple & nut butter (I used natural peanut butter) macros for the day: 739 calories 67g protein 43g fat 21g carbs (16g net carbs) 8g sugar 5g fiber So from that, I'm extrapolating that I should be aiming for the following daily: 600-750 calories 60-80g protein 30-40g fat less than 25g carbs less than 10g sugar I have a few concerns... I have already been going well over those amounts at just over a month post-op. I've typically getting around 800-900 calories per day. It seems like a real struggle to get to the upper range of protein daily while sticking to the allowed amounts and without using any shakes or protein supplements. Even then, 80g seems low for a protein goal. I have never been a big meat eater (I was vegetarian through most of my teens and 20s), and I absolutely cannot stand any fish or seafood. I do eat a lot of dairy, eggs, and beans, but it seems like that's not going to do it. The standard daily fiber goal I've always heard is 25g per day. I've been getting about 12-15g per day right now, but knowing that I'm overeating and already having too many carbs means even that's not sustainable. I've struggled with post-op constipation... I have gotten to a much better place recently, but if I need to cut back to 4-5g of fiber per day to be within my other limits, I'm afraid of going backwards. That I'm limited to 1/2 cup of food per meal for the rest of my life came as a shock to me, as a revision patient. I knew that my pouch would be smaller than my sleeve, and like with my original surgery, the amount I'd be able to eat at one time would be very small initially. But with my sleeve (which was done by a different surgeon in a different program), there was definitely not the expectation that the amount I could/should eat at 1 month post-op would be the same as what I could/should be eating at 6 months or 1 year out. My bypass surgeon also told me that she left my pouch a little larger than normal so that I wouldn't lose too much additional weight, so my pouch is already larger than a regular bypass patient's. Do these amounts seem in line with other people's experiences? Or am I way off-base?

Nerves & feeling anxious before surgery isn’t unusual. You are doing something that requires many changes to you physically, psychologically & emotionally. And you don’t have any experience with any of it. I didn’t have any co morbidities at all before my surgery but I knew they would be in my future simply because I was obese. Being generally in good health bedside surgery puts you in a stronger place for your surgery & recovery so a plus. The very small portions are only in the beginning during the staged return to eating. As you progress you are able to eat more until you are eating what is a recommended & appropriate serving size. Not those large servings that are two, three or more times we been acclimatised to think of as normal but the portion size we should be eating. Doesn’t mean you won’t ever eat your favourite foods ever again either. In time you work out how much you can eat of that food & how often. Or you may make changes to the ingredients or the cooking method to make it a healthier & more nutritious choice. We talk about having to do the head work while we are losing. This is the most important step. Working out the why, what, when you eat & changing your relationship with food. Reflecting on what drives you to eat & the food choices you make so you can mange those cravings & work out a way of eating for the future that is sustainable, doesn’t restrict or limit you & allows you to enjoy your life as you want. This is the difference between the surgery and every other diet I’ve been on (& I was almost 54 when I had the surgery & had been on a lot of diets). I’ve never been able to lose weight & maintain it for any length of time like I have after the surgery. Yes, I work on it every day but it doesn’t mean I don’t or can’t enjoy my life or miss out on anything. A lot of it is routine & I look at it as not being on a continuous diet (so many negative connotations) but this is just my way of eating. Like how people who have food allergies or may be vegan or vegetarian eat & the food choices they make. Ensure you have access to a supportive therapist you can call on if needed & a helpful dietician who listens. This isn’t something you can really do completely on your own. Best decision I ever made. All the best whatever you choose to do.

I'm curious @catwoman7, how did you determine your 100g protein requirement? Has it just been trial and error, or were there tests involved? Also, this is why I added a scoop of plain protein powder to my smoothie every morning (I say this in past tense because I'm on my preop liquid diet now and smoothies seem like a distant, heavenly memory compared to protein shakes). I also got my teen daughter doing this because she's mostly vegetarian and I know the veggie meals at school are questionable in the protein department. My typical smoothie recipe packs in 40g protein so I felt good knowing I was knocking out a big portion of the protein for the day first thing in the morning. I imagine I'll return to that at some point when I have the capacity for them again.

Does your clinic want you to track it? Personally, I hate, like really hate, tracking food, it's inconvenient and annoying. My clinic wants me to eat 5 very small meals a day that are balanced, protein, carb, veg, and fruit. For me, I am still losing weight and my energy increased once I was able to have these other foods. My goal was to eat how "normal" people should be eating. I do struggle with real meat and raw veggies, my system still does not like them, so I eat a vegetarian diet and cook/steam all veggies. I have learned when to stop eating based on how I feel, I now know when one bite will be one bite too much, that is how I track. I just did my labs today for my 3-month check-up ( hit 3 months Jan 27) so I will see what my clinic has to say about my labs on Feb 12th and I will make adjustments from there if needed.

Just curious, are you on a mainly vegetarian or vegan diet, because its common for copper levels to increase with a lack of meat. Foods that commonly have more copper include shellfish, beef liver, whole-grain products, nuts & seeds, avocados, chickpeas, tofu, potatoes, mushrooms. So if you eat a lot of these, this may be the cause. I'm not a doctor or nutritionist, just some random guy on the internet, but from what I can find on the matter, it sounds like it can be caused by eating a diet mostly consisting of those things I mentioned, but also from a deficiency in other minerals like Zinc and B & C vitamins, as well as other metals needed in a diet, which copper will take the place of in their absence. It may be worth looking into a multivitamin that's lower in copper but has other metals in safe levels. It can also be environmental, so check to see if there's anything you're around frequently that could expose you to copper, such as copper plumbing for your water, copper cookware, jewelry, and IUDs. I have a similar issue with Nickel, and have to be careful which metals I handle, since its common for steel to have nickel in its alloys.

Hey there, congratulations on your surgery date, it’s probably been quite a wait. My sleeve surgery was done 2wks ago privately in the U.K., my surgeon also works in the NHS so I presume the post op diet he uses is the same or similar for both sets of patients. within 3hrs of surgery I was sipping water, and throughout the following day I had half a milk shake, 4 spoons on soup, 2 spoons of jelly and another half milk shake. For 6 days post op I pretty much consumed protein milk shakes, protein yogurts & puddings, also Frubes, which were easy to eat, laughing cow/dairylea triangles, thin soups and cups of tea and water. At 2wks post op, I’m eating the above, but also mashed lentils (the pouches of ready made ones for ease.) liquidised bean/lentil/pea soups and hummus. All washed down with 2l of fluid per day. Trial and error over the past 2wks have taught me I need to eat small and often, as I’m rarely hungry it’s easy to forget to eat, but this is a mistake as then I do get hungry, eat too quickly, eat to much and feel rubbish. Really rubbish. I’ve found it really useful to make up little 50g pots of food, so I have a ready supply of yoghurt/protein pudding/lentils/mashed egg/lentils/hummus to grab and go. I eat 5 or 6 of these pots per day. Yesterday I had 200g of liquidised bean soup at one sitting, which was lovely and filling. my nutritionist said let your body guide you, so if you are starving at the liquid stage you may be ready for the soft diet/puree stage. At this stage she advised you can eat anything which is of a paste consistency as you swallow it. So bread sticks or Melba toast which melt and break down might be easier to eat than say a berry. I chew everything at least 20 times, so anything which arrives in my stomach is basically mush. I am a vegetarian but I read on here other people eat tuna and salmon at this stage, Hope this helps. Good luck for a straightforward procedure and steady recovery. You can do this 💪

Those all sound tasty. You are very organised which is half the battle. Pickle juice is a nice flavoursome addition, I shall try that. I am vegetarian so am thinking of how to adapt your ideas. how are you finding hot foods? The soup I had today caused me some discomfort but I can easily sip away at a protein shake. Raising my arms above my head and gently twisting my torso has helped me relieve gas pains. I had a 4hr nap earlier, so although I feel fine I must be tired. Trying to remind myself this is a marathon not a sprint. Have a Good Friday. 👍

Do you have a dietician? If so ask them for more specifics. We all need the amount of information & depth of detail that makes us feel comfortable & confident about we have to do. We have different needs (food preferences like vegetarian or vegan, food sensitivities or allergies, general health, current weight, age, mobility, etc.) which is why I suggest you get the specifics from your dietician for what will best complement your needs. Your surgeon may have requirements too. As some general advice, start tracking your food (lots of tracking apps available like My Fitness Pal). Increase your fluids to 2L/64ozs. Reduce or drop any carbonated drinks. Reduce snacking. Reduce the highly or ultra processed foods in your current diet. Increase your protein & vegetable intake - look at around 4oz protein & a good cup of vegetables for a meal. Modify some of your cooking styles like use an air fryer or bake not pan fry. Swap simple carbs for complex whole or multi grains. Reduce the number of sugary/sweet foods you eat. You don’t have to do all these things at once, unless you have a tight time frame but certainly start introducing a couple of these things each week or two until you get more definite information from your dietician. PS If you don’t have a dietician yet, ask for a referral to one from your team.