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I was able to talk to my team. They would like me at 2-4TBSP per meal, so it was a mistake / misspeak. They also said that the discharge paperwork is a little more forgiving but they try to have me start slow and work up so that I have room to eat more later. The discharge paperwork is the “max” I can have is what they explained. I have been doing a lot better and was able to transition to purées. Tomorrow I get to introduce soft foods and I’ll be there for like 3 weeks but ultimately I feel decent. the only other issue I have been having now is a sharp pain that doubles me over in my right side. It was coming and going but this is the third day of bad pain. I have a call in to the on call team now to see if I need to head to the hospital.

It can take a week if not longer for the first BM - there's not a lot in there because you haven't eaten solid food in a while. But that first one can be a doozy, so it might not be a bad idea to start taking a stool softener - or as NickelChip suggested, maybe some Benefiber. and as ms.sss said, for many of us, constipation becomes a chronic issue. I've been taking a capful of Miralax every morning for almost nine years to keep on top of it.

nah, i get it, i'm a numbers gal myself, and i LIVE for tracking and data and spreadsheets! ok,so if i were to respond to this specific statement then, my surgeon made his calculations with my weight when i first got accepted into the program...which was 2+ YEARS BEFORE my actual surgery (long story, but i backed out twice before i finally went through it). granted, for ME, it didn't really make a difference because i was the same weight on my acceptance date in 2016, as i was 2 weeks prior to my surgery date in 2018. but im sure many others could not say the same if they were to use the same barometer. long story short, "excess weight" is arbitrary, and the calculations are different depending on who you ask. your best measure of success and progress in the endeavour of weight loss is yourself. is your weight loss graph trending down? yes? then YAY! again, you are doing great...but you don't need me (or anyone else) to validate that, you can see it yourself in your numbers and hard work ❤️ .

awwww bummer, I had turkey meatloaf the other day, it was very soft and so tasty. I only ate 1oz of it and felt so satisfied, or cottage cheese and peaches. I also heard some make deviled eggs, I havent tried this yet but its on my meal plan for the week

I am currently almost 6 months post op for my original procedure and am writing this from my hospital bed. I am unable to tolerate oral intake of food or fluids of any kind and am being fed via a nasojejunal tube (NJT) and TPN via a peripherally inserted central catheter (PICC) My surgeon along with many others that have consulted on my case are at a complete loss for what is going on and why I can't tolerate anything. I'm reaching out to fellow people who have undergone bariatric surgery in the hopes of finding someone else with a similar experience to maybe get some opinions/answers. In order to do this I will start from the beginning and tell you all my entire story. I know it's long but I am desperate so please bear with me and read to the end. I will try to explain everything but also be as brief as possible to keep it as short as possible. I had surgery at the end of November 2023. It was a One Anastamosis Gastric Bypass or "mini" bypass. The surgery was routine and there were no issues whatsoever. I couldn't tolerate fluids and my intake was too poor to be released from hospital and progressed to vomiting every time I drank anything. Was diagnosed with a stricture and it was dilated and I finally started progressing. I was discharged from hospital finally almost 2 weeks post op (booked in for further dilatations at regular intervals to slowly stretch the stricture) and was home for less than 24hrs before it began again and my surgeon readmitted me and I underwent another dilatation. Upon getting back to my room I started violently vomiting and no amount of antiemetics would settle it. Emergency CT scan confirmed the stricture was perforated and my stomach contents were leaking into my abdominal cavity. I developed sepsis and had a nasogastric tube inserted for drainage. I underwent IV antibiotics and was later rushed to surgery to repair it, however due to the damage from the infection, it required a conversion to a Roux EN Y Gastric Bypass (RYGB) and I needed my abdomen washed out and other infected tissue removed. It took about 5 hrs. I spent a further month in hospital recovering, initially on TPN to supplement my oral intake but was wraned off as my tolerance improved and was finally discharged. At this point in time I had progressed to a pureed diet. I was by no means meeting my requirements but the benefits of being home vs hospital given everything outweighed the negatives and my surgeon planned on seeing me weekly as well as my dietician. Now here is where is starts to get weird and my real troubles began. Just over a week later I woke up one morning and had a sip of water (with a few drops of cordial to break the surface tension) however as soon as it went down I experienced a wave of nausea. It was different from before, I can't really explain the difference but I just ignored it believing it would go away (Denial as I just wanted to get on with my life and get back to work and due to the conversion surgery, my surgeon had created an extra large opening to account for my body closing the join so that it would end up a normal size.) I started experimenting with foods and fluids, different textures, consistencies, temperatures, etc. I tried absolutely everything I could think of. About a week or so later and my intake was getting progressively worse and I was once again admitted and went straight for an endoscopy (My 3rd since 1st surgery) to dilate the suspected stricture but there wasn't one. I then underwent a barrage of tests and every general and GI surgeon/specialist in my town came and consulted on my case, as well as my surgeon consulting doctors from all over. A NGT was eventually inserted and enteral nutrition (EN) started but was not tolerated and the tube was advanced into my intestines to be a NJT, which was then tolerated but the focus was on trying to get my oral intake to be adequate. I spent weeks in hospital trying different medications, getting tests and ruling out different conditions. I was discharged on EN with the NJT on 16 hour feeds at a rate of 50ml/hr which was not enough to meet my nutrition requirements but was the Max rate I could tolerate and the belief at this stage was that the nausea would go away and I'd be able to eat again. On the 8th of May I was admitted for a gastronomy tube insertion into my remnant stomach via laparoscopy as it was finally decided that this problem was not going away and by this stage I had lost 38kg (84lbs) and was severely malnourished, despite increasing my feed rate to 60ml/hr (still not enough to meet nutritional requirements) The purpose of the gastronomy tube was not only to have a more discreet way of feeding and for comfort and whatnot but because the tube is in my remnant stomach, I should be able to tolerate a much higher rate to actually meet my nutritional requirements and spend less time attached to the feeding pump. Feeds were commenced at 20ml/hr the next day but I developed severe pain and discovered feed had soaked the dressing around the tube. I was yet again rushed into surgery as the tube was leaking. Another NJT was inserted along with a PICC line and both EN and TPN were started to maximise my nutritional status while we wait for my body to heal around the tube in order for that leak to stop happening again. I've been on IV antibiotics and whatnot since as well. I developed a fluid collection in my abdomen and needed a percutaneous drainage which failed as the fluid was too thick to aspirate and a minor infection at the insertion site and it was believed that there was a fistula however luckily that was not the case. However yesterday I had a fluroscopy in which contrasted was put into the tube to see what happens and whether it's now working correctly and that caused me to violently retch as my body tried to expel the fluid from my stomach but as its not connected to my oesophagus anymore, it was unable to do so. This has now lead me to start worrying about whether whatever issue is preventing me from tolerating anything going into my pouch is affecting my remnant stomach too. I'm now facing the prospect of permanent EN and TPN for the rest of my life and I'm not even 30. So if you or anyone you know has any ideas or similar experiences or literally anything, please let me know. Even if it's just a chat because I feel so incredibly alone in this. To anyone that made it this far, I appreciate you taking the time to read this and thank you in advance for any responses. I'm happy to answer any questions you may have as well.

I have my meeting with the surgeon on Tuesday as well, although for me it is 4 weeks pre-op. I believe the 2 week liquid diet is a given for me, but I've been getting used to the idea by replacing breakfast and lunch with a protein shake several times a week for the past few weeks. It's not too bad. I haven't gotten really hungry during the day, although getting to have a regular dinner does make it easier, so I'm not looking forward to the real thing.

They have vitamin patches. However, the drawback is they aren't as good from what I understand. I'm certain your doctor will find something to help you. My insurance does cover rehab for my knee. I did it for two months, but I can do the samething at home. It was just stretches and certain movements to strengthen other parts of the knee to help stabilize it. The doctor did a couple injections but that only helps for a couple weeks. I'm at 100 lbs weight loss since October when I weighed in at my first visit to the bariatric center. I dropped nearly 70 lbs before I had the surgery. Thanks for the comment. I'm not a very photogenic, but I will post some pictures at some point.

The guidelines lines I’m referring to are : Limiting sugar intake to 5g or less per serving, protein forward meals, limiting carbs and fats. Separation of meals and drinks (30 min rule), limiting calories from drinks, etc. (I’m sure others can chime in with more Bariatric specific rules that they were given to follow). What is your doctors recommendations now that you have stalled? How tall are you? What does your exact calorie intake look like weekly? Do you accurately track it or eyeball the amounts? Have you used any online calculators to figure out your BMR, visceral fat, lean muscle mass, etc? These can help you figure out your excess body weight . Also InBody and DEXA scans will tell exactly how much excess fat you are carrying.

Puree can be tough. For some it’s a textural issue for others like me it’s a taste thing (everything tastes disgusting). You can puree a lot of things just add enough stock, milk, water, mayo, gravy, etc. to keep it the right dollopy texture/consistency. A friend told me she survived on pureed chicken with gravy. I mashed eggs with Mayo, was allowed thin instant oats, thin scrambled eggs, yoghurt, soups, etc. I tried pureeing tinned fish but blah! During soft foods I ate a lot of minced meat based dishes. Just made sure there was enough sauce/gravy to keep the meal wet. Also soft white fish, omelettes & made a couple of casseroles/stews & meat & vegetable soups. Yep, stalls can be frustrating & demoralising but remember an important step in your weight loss (when your body takes stock of your new needs & adjusts digestive hormones, metabolic rate, etc.). 17.5lbs in about 4 weeks is still pretty darn great. Even with the stall that’s an average of more than 4lbs a week. Can’t be upset with that.

I went out food shopping too about 8 days after surgery and let me tell you… I felt dizzy and everything was spinning around me. I went and sit in the car too. When I told my doctor, she screamed at me for going out. I had a revision RNY which is a major surgery. I didn’t expect it to have that effect with me. I finally feel better after full 3 weeks. I am glad I took 3 weeks off from work. From time to time I still feel dizzy. I think I need more liquid intake. How are you feeling now?

I'm sorry so many of you are having struggles. I, too, was told that the first 4 months or so will be filled with ups and downs. I guess I'm in more of an up place right now. The nausea has subsided, it's almost gone. I don't feel good when I eat, but that's about it. My energy is way up from where it was when my bp was low and I was dehydrated. And the scale had been going down... 3 pounds this week. I almost feel guilty telling you all this. I do struggle with getting enough protein. I get between 30 and 60 grams a day, and I'm trying to add protein powder to anything I can. I can't eat enough food to get it in. I'm pretty much off protein shakes and bars. I can sometimes tolerate half a protein bar. Right now, I have a shake sitting here next to me. I get gaggy thinking about drinking it, but I'm going to try! Is anyone experiencing hair loss? I heard it usually starts around the 4-month mark. I cut my very short to prepare for it... but am hoping it doesn't happen. At least it will be during the summer months! Have to look on the bright side

Hello, I want to preface saying I have not had my surgery yet but I have been losing weight in the pre-op stages as per my dietitian and doctors request and this includes me going to the gym and getting my protein/calorie goals in for the day. The important thing to know is plateauing is inevitable as your body gets used to the things you do on a daily basis. So since you know that already you going to the gym is a beneficial first step in the right direction of losing more weight. That being said weight training is an amazing cardio/full body workout and for women you actually don’t have to worry about getting “bulky” my doctor said it’s just not what our bodies do to get stacked like that (he didn’t say it in those words of course but I’m paraphrasing). Which it’s true generally unless you’re a bodybuilder you won’t get bulked up like crazy (even then it’s usually the addition of hormones that add to bulking) so go ahead and lift girl! Cardio exercises like running, swimming etc. are also great to get into your routine which I see you have and it’s important to also not forget about aerobic exercises like yoga/pilates this will also minimize your chance of getting “bulky”. Overall, I would say if you have set days of the week you work out like MWF do that for 2 weeks then switch up the days, intensity of workouts and type of exercises you do on each day to give your body that “restart” it needs in order to start losing weight. It is also so incredibly important to eat enough calories! Yes sounds weird but you actually might not be eating enough for you to lose weight and this is what my doctor told me. If you don’t eat enough your body goes into “survival” mode because it’s not being given enough food in order to carry out your bodily functions to its fullest potential. Yes you can be taking supplements and be healthy on paper but if you’re trying to lose weight and exercising and eating well and still unable to lose the weight then it’s time to evaluate if you’re eating enough during the day. I would highly recommend reaching out to your doctor and/or dietitian about adequate dietary input your should have because there are all kinds of info and pamphlets on lines telling us to be between so and so calories at this point in time or to not exceed x amount but in reality everyone is different and all bodies are different. I hope this helps sorry for the book/lecture.

I look for any excuse to get some extra walking in -- like @ms.sss said, takes the stairs when it's an option, park further away. I like to find different parks and trails to visit on weekends for longer walks -- even mall-walking can be entertaining if you switch it up. Most of the community centres in my city have drop-in classes in a heated pool -- some for therapy, others for strengthening or low impact cardio, etc. It's a nice way to get a taste of a few options before paying any full-on membership dues. Maybe check around your local area for something like that -- or a gym that offers a one month trial, etc. (Honestly, everytime I've bought a membership to a gym, I'm awesomely committed for a few weeks and then never go back -- so I stay away from gyms myself) I also bought a foldable stationary bike for at home (like $130 on amazon) for days when the weather is too wet / hot / etc for me to enjoy a good walk. (When I was younger, I loved this exercise series called Power90. It's super out-dated now in terms of style (etc) but I found it on youtube recently and will probably give it a try again once I'm a little further into my recovery. Short 30-45 minute workout videos, I think the only thing you needed to buy was either a resistance band or light handweights, and a yoga mat if needed. They have updated versions throughout the years with more flash and pizazz but I'm a fan of simplicity.)

a week - and that's actually pretty common. There's not all that much in there since you've been on fluids. It's good you're taking stool softeners, though, because that first one can be a doozy..

Agreed, your temper-tantrum-toddler-tummy is likely to go back and forth on things. The slower you eat, the easier it'll be to tell when something is even beginning to irritate your insides -- hopefully so you can stop before it leads to cramping or other nasty symptoms. For me, the transition from purees to soft foods was (and still is) a bit of a battle. I couldn't handle tuna or egg salad (unless it was completely pureed with greek yogurt / light mayo) until... uh.... well I'm 12 weeks in and I still can't? LOL, my body gets angry at anything not exceedingly moist, so canned fish and any egg other than poached just won't go down. Mayo and yogurt have been fine though. Anyway, whenever you run into digestive issues, just take a step back. Eat some things you know you can handle for a few days, and try again -- or try a different method of prep. I've found that steaming most of my foods (even found an awesome microwave steamer) helps keep them moist enough 8/10 times. Healthy sauces or dips are your friend. Don't rush yourself, you'll be eating more satisfying textures soon enough. (I've also found that for egg salad, if I puree half of my serving and then hand mash the other half, the consistency changes enough to give me less problems. I also throw in some mashed avocado and more greek yogurt than is probably needed.) (Have you tried egg drop soup? You beat an egg or two, and drizzle that in a spoonful at a time to simmering / lightly boiling broth. Simple, but can be really satisfying.)

Welcome. Yes, there will be many changes ahead but there will also be so many benefits and wins. And yes, it’s not uncommon to have concerns and fears and mourn what you used to do. (Yes, you may find the thread @summerseeker recommended helpful. At least in knowing you’re not alone in how you’re feeling.) I can only speak from my experience. Did I feel worried or grieve before my surgery or after? Honestly no. I truely had, had enough. And it all happened very quickly like not quite 6 weeks between seeing my GP for a referral & my surgery. Though I am someone who once makes a decision I stick to it. It’s interesting you should say you feel having the surgery is a punishment. I saw the constant dieting a punishment for gaining weight. I’d got to the point that nothing I did changed my weight. (Menopause did the final number on me.) I’m five years out. Do I think I’m on a diet now? No, this is just how I eat. Do I feel like I’m not eating enough? No, because I’ve learnt what I eat is appropriate for my needs and I used to eat way too much & way more than my body needed. I pretty much eat the recommended portion size of foods. Do I feel like I’m missing out on anything? No. There’s always alternatives, or you can have a small amount of what ever it is others are having or you used to enjoy. It comes down to how often you have it and how much you have. Plus you may find new things you really enjoy. Do I want to go back to eating exactly like I did before ? No. I mean that’s how I got to the weight I was & why I always struggled. Do I like to exercise. No & never really did before either (another punishment in the most part) so you’re ahead of me in that game. But I have found some things I do (little things like stretches and using resistance bands I do throughout my day) & I actually don’t mind doing them. A lot is of this is about learning & introducing new habits, new routines and developing a new relationship with food. Never be reluctant to seek the help & support of a therapist. Your head can be your greatest enemy. I do have a couple of little issues I deal with since my sleeve? Yes, I call them my quirks. I had a quirky tummy before my surgery so nothing new really just some are different & some are gone. Doesn’t stop me doing what I enjoy. PS And congrats on being able to do a push up. I’ve never been able to do a proper one. I can get down but can’t get back up again - tee hee! I do wall pushups though - stand about a meter away from a wall.

I wonder if your therapist just chose the wrong word. I think we all enjoy food (stimulating all the senses) but what we don’t do (or try not to do) is rely on it as a comfort or let it take up a great deal of our thinking. So may be glamorise wasn’t the best word and focus or fixate may have been better. But they should have given you some strategies to help. You may have to ask for some the next time you meet. You know that old adage of eating to live not living to eat? For many of us that is what it is like now. I still love to go out to restaurants with family & friends. I still like to try new foods. I still like the taste, smell, texture, & sight of food. I still love to cook & try new recipes. I just watch portions, ingredients, cooking styles, frequency, etc. & make adjustments accordingly and also make the best choices I can in the situation. But a lot of that has become second nature now & don’t think about it much. If you were someone who used food to comfort or sooth yourself, the first weeks after surgery can be challenging. Your emotions can be all over the place & you may be stressed, anxious, teary, …. If when you felt like this before surgery you turned to food you may want food more now simply because you can’t which can also make you more emotional. Plus being restricted about what you eat can often make you crave the food you can’t have even more. Though challenging, these things are temporary, not long term & certainly not forever. In the meantime try distracting yourself when you find the food voices in your head too loud or you think you may hungry. It’s a great strategy we all use. Go for a walk (as you’re able), read a book, craft, ring a friend or family member, play a game or do a puzzle, check your socials (like this forum), meditate, etc. Sometimes a warm drink can be helpful like green or herbal tea (counts to your fluid goal too - yay!). All the best.

My program skipped pureed foods and went directly to soft proteins with the instructions to chew thoroughly. But your best bet for purees is blended soups. You can make a very flavorful soup and puree it, and it will still be tasty (as opposed to pureeing meat, which is gross). Bean soups and butternut squash bisque work well. You might also try a ricotta bake in that stage, which can be made by mixing a cup of ricotta and an egg, spreading this in a greased baking pan, and topping with a non-chunky marinara and some mozzarella and parmesan, and then baking at 350F until the cheese is nice and brown, maybe 30-45 minutes. As for protein drinks, you should plan to be supplementing with those for quite some time, at least several weeks. Some people can get what they need from food really early, but others need at least one protein shake a day for several months. You also might want some plain, unflavored protein powder to add to things like soup or smoothies to increase protein.

Congrats on your surgery and your perfect recovery. Your woolly symptoms are from the anaesthetic. It might take a few more days until you recover from the baby brain. Not everyone has the internal gurgle but I am told its quite loud and funny. I had the hormone storm in a big way at about a week out too. It wasn't a side effect that anyone had explained to me beforehand. I had to ask my questions on here. Female bodies are wonderous, mysterious things. I didn't feel my smaller stomach at all but I did think that it had been moved into my chest as soon as I began eating.

I am struggling terribly with eating. I am 8wks post-op and did ok with food stages in the first few weeks. I now have been cleared to eat what I want within guidelines. My problem is that I am just not hungry most of the time. When I am hungry it seems like everything just tastes gross. Or the thought of eating anything makes me feel queasy. I did talk to my team and they reassured me that its not terribly uncommon until around 3 months out, and to just keep trying foods and supplement with shakes to get protein, I am doing great getting fluids and taking all my vitamins but food is just a struggle. I can tolerate most things I have tried (except bananas for some reason) so I don’t think it’s anything structurally wrong bo pain or vomiting or anything like that. I just dont have the desire to eat. Its like I have an aversion to food!! I absolutely can not stand the thought of eggs anymore. Or cottage cheese because I ate so much of it during soft foods. Salty food are too much so even soup has been off putting. Im not a sweets person so protein puddings and smoothies really aren’t my thing though I will make smoothies as a quick and easy meal but I cant drink them every day because its just too sweet. I didn’t really have a dependency on food, just made terrible choices. so I dont really crave anything either. Its just so weird and I am so lost on what to try. Meal prep is a flop because I make foods and then dont want to eat them and end up throwing most of it away.

I surpassed my goal weight by 2pounds! in March is my 9 month follow up. I was just thinking back to two weeks after my surgery when I ended up in the hospital with dehydration and not hitting my protein goals. Here a I am kicking ass and taking names.

*raises hand* im a sleeve. while i can't really comment if/how much my stomach "grew" or stretched, as ive never actually SEEN any before and after pics of it, i can say that while i can't eat IN ONE SITTING the vast amounts i could pack in BEFORE surgery, i can definitely eat more now IN ONE SITTING than i could IMMEDIATELY AFTER surgery (im 5+ years out now) for example: (note im talking like a regular, delivery type pizza below, NOT neapolitan/thin style nor deep dish nor pan pizzas, etc): pre-sleeve: 5-6 slices of pizza 2 months post: no pizza lol 3-5 months post: 3-4 bites of pizza 1 yr post to now: 1 regular pizza slice (like a 4x6 inch triangle) . i have been known to eat up to 2 in one sitting, but that's pushing it for me and not really comfortable. however, i could definitely eat an entire regular pizza over the course of a day. or a neapolitan style one in much less time if i really wanted to. but i dont want to, so yeah. background: 5'2" female: 235 lbs two weeks before surgery. 127 lbs goal at 7 months post. 115 lbs at one year post. 117 lbs this morning (am 5 years, 7 months out)

Had my surgery on 1/25 and I’ve been off work for a full 3 weeks. Tomorrow is my first day back and I’m DREADING it. My energy levels have been low. Since I’ve been off, I’ve been waking up around 8am after a good 10 hours of sleep and I’ll do a few things around the house. Nothing strenuous. I don’t work a desk job and am constantly on my feet from 7am to 7pm. All this week I’ve been trying to wake up at 4am which is when I would normally get up for work, but I just end up napping. I work the next 3 days in a row. It’s gonna be rough!!! Wish me luck!

Your first week postop when you’re on the liquid diet, what does it feel like when you’ve had enough? I didn’t picture it feeling like this, but usually my first sip is OK, and then my second one hurts. Like right between my breasts, it hurts going down and then it’s like it tries to come back up and it hurts. Is that what feeling full is going to feel like now?