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How do you keep your carbs so low? I am kind of in awe of you right now 😄 The bean stew I made for meals is 30g carbs per serving alone (but only 180 calories and 12g protein). I am hitting between 900 and 1,100 calories, 30g fat and +/-70g protein a day. My guidance was to have +/- 60g protein a day and make good choices for food and eat small portions - no set calories etc. From reading others posts and feedback on the forum I have already decided to give my regular banana as it is too high in carbs (just two more left to eat!) and I have stopped taking a morning drink of honey, lemon, pepper and cinnamon as the honey made the carbs too high also. I am a bit freaked out now as my weight loss has slowed down the last three months and I have only lost a couple of pounds.

Heya! I think every Dr/Surgeon must do things with a slight variation, but it is always best to follow the advice given by your own Dr/healthcare team - it is often tailored to you e.g., in terms of weight, health conditions etc. I had my dietician appointment today and we went through when I am starting the LRD, which will be for 2 weeks, and then went through the different food stages which for me are: Week 1 - Liquid Week 2 - Puree/slush Week 3 - Mush (thick/lumpy foods) Week 4 - Soft foods Week 5 - 'Normal' foods

Sorry to hear what you have gone through and are still going through. I know exactly how you feel about wondering if the surgery has been worth it, I wondered the same for many months after mine but I can now say 10 months later that I see the light and know I could not have lost the weight I have done so far without the surgery and I can now finally feel the benefits. I have posted about it before on the forum but a recap to show you how s**t things can go..... I had my surgery 4th July 2023 and suffered severe pancreatitis brought on by the surgery (iatrogenic according to the medical reports) which resulted in me having a drainage tube fitted to my belly area and being hospitalised for one month. Three days after being released I collapsed at home and had to return to hospital via ambulance. There it was discovered that I had a leak in the stomach where the sutures hadn't sealed. I spent a further two weeks in hospital where I had to get clips put in to close the hole/leak. I then lasted 13 days at home before becoming ill again. I went in for a gastroscopy to check on the clips and turned out the clips did not do their job and I had leak back plus two abscesses (1 on stomach, 1 on pancreas). Spent a further three weeks in hospital on a feeding tube before getting all clear to go home after another round of clips were put in and passed their tests. Next time I lasted 15 days at home before having to be readmitted for another month! I never felt fully better but wasn't sure if that was just me recovering from all the trauma or still symptoms. I had a blood test one morning and that afternoon got a call to say I was to come back to the hospital immediately as my CRP was 180. Turned out the hole had opened again and I had an infection. Was put on a feeding tube again for the month and had a drainage tube fitted to my back, had so many different medications, a transfusion, tests etc it was exhausting. I was then sent to a hospital in Belgium to have a tube/coil like thing inserted in my stomach help the hole heal. I was finally released from hospital November 1st 2023. Like you I couldn't do things, I couldn't even stand at the kitchen counter to chop veg without feeling like I was going to collapse. The effort of having a shower and getting dressed some days was too much for me and it took me many months to get to my energy up to more than being able to something small each day. It is really only since mid-February that I can say my energy improved. My weight loss was also slow when in hospital as they were pumping me full of nutrition (via the feeding tubes) but it sped up once I was at home. I had the tube in my stomach removed three weeks ago and had another round of tests to make sure that the hole had healed and I have passed with flying colours. So far so good, no pain or discomfort which is such an improvement. The only thing I suffer with now is a bit of reflux and occasional terrible exhaustion. I was out for dinner on Sunday night and almost collapsed at the table the exhaustion came on so suddenly but I was ok a while later. I don't let it stop me, I have so much more energy than pre-op but I just know I have to pace myself and rest when I can. Basically, I just want to let you know that after all of the above that I have been through I now feel the relief of the surgery and the weight loss. I am now at the weight target the surgeon set for me, 75kg, though I will aim for a bit more and I no longer cry myself to sleep with pain or stress or the fear to make plans for the future. It has taken 10 months for me to get here, I am at the stage now that probably those who have a successful surgery would have been at months ago with their recovery from the op and getting back to a 'normal' life. I am going to see a psychologist through my hospital service for the medical trauma which has helped me as well. Do make sure that you go to the hospital if your symptoms worsen, or don't improve, and ask the doctors to check your levels just to be sure that there is no infection still there etc. Rest when you can, I don't know your situation but if you don't have to get up and go out during the day for work/kids/shopping etc. then don't, just take the time to heal and recover. Also ask for help if and when you need it and also say no to things that you may not want to do if you don't feel up for it - being a control freak these are things I am trying to learn to do.

@BlueParis depending how much milk you're using in tea and coffee, that's a decent source of protein. I don't know if you have ultra-filtered milk available in France (in US, the brand is Fairlife, like the protein shakes, but it's just milk that has been filtered to lower carbs and amp up the protein, not supplemented like the shakes). I started buying Fairlife milk and make a 1L thermal container of hot tea every morning, with between 125 and 250ml of milk in it, so my morning tea alone gives me between 7 and 13g protein. I would try adding a slice of smoked salmon to the bagel, but that's just because I love that combo. The omelet seems very healthy and the pannacotta sounds delicious. You might consider adding more beans/legumes to your rotation. I am getting so tired of meat. I've just ordered a vegan cookbook to help me discover new recipes that are based on plant proteins (not the fake meat, processed plant products but real foods). Maybe bean soups and stews, lentil curries? Your stall will break eventually, but in your case, because you're already at a "normal" BMI, it may be a lot harder and slower from here on out. Don't lose hope! After barely losing weight the entire month of May, I'm losing at the quickest pace since surgery, 9 lbs in 16 days! That's been a real surprise. I am eyeing my next milestone, which is 5.6 lbs away, the point where I will cross from an "obesity" BMI into just the "overweight" category. I have never looked so forward to being called "overweight" in my life! I'm also noticing I'm just not very interested in food. Even though I can technically eat a bit more now than in the beginning, I don't really want to. I'm not hungry and chewing is a chore. I'm sick of meat. I'm tired of thinking about protein. And while I do still enjoy going out for a meal, I am exhausted by looking at the plate and seeing 4 days' worth of food in front of me. I'll be going on a family summer vacation next week and have no idea what I'll manage to eat. We're going to amusement parks and water parks, so the typical fare will be pizza and hot dogs, which sound terrible. I'm stocking up on protein bars, which I find a bit better than shakes, though not something I want in my diet normally. But better than a hot dog! So if anyone has a favorite protein bar, especially one that won't melt in my bag on a hot day at an amusement park, please share!

1) you're experiencing the extremely common "three-week stall". Happens to most of us within the first month or so of surgery, usually (but not always) the 3rd week, hence, the name. It typically lasts 1-3 weeks before breaking 2) the gain is almost certainly water or very full intestines. Give it a couple of days and it should be gone.

I had my surgery @23 years ago and there is SOOOO much I wasn't told. Here are just a few of them: * my hair would thin A LOT * I needed to take a multivitamin that included specific things like iron, copper etc. * I should eat a certain amount of each of these protein, carbs, calories etc. not just each less and healthier * the calcium needs to be citrate and spaced out to 3 times a day because your body can't absorb more than 500 mg at a time. * any pills need to be crushed I am in the process of trying to lose weight again to fix hernias from my gastric bypass (Roux en y) full cut. I have to keep telling my doctors "I was never told that"... it's very frustrating. BUT on a positive note I am learning so much and there is so much more available product wise to help me with my goals.

Question. How do they determine “excess weight.” Is it calculated from a certain BMI?? I tried to get an answer to this three hears ago when I was awaiting the sleeve and I still haven’t figured it out.

It's not mean to say, "while I hear what you're saying, according to my medical doctors I'm right at the weight I should be and as he/she's a physician I respect their education and diagnosis but thank you for your concern!"

If you had it to do all over again what would you say was missing in your weight loss surgery experience thus far? Length experience doesn’t matter.

I didn’t really deal with a ton of hormonal changes as far as I can recall but yes I have heard that many women do. I am an emotional eater too and not to scare you but I have gained my weight back and I’m contemplating a conversion. If you have access to a therapist to get to the bottom of the emotionally eating. I STRONGLY suggest it. There aren’t any in my area so I am working with my regular therapist but I don’t know how well it is working. One of my questions for the surgeon is if he can make some calls for me and find someone who will try to fit me into their schedule. As far as tool or equipment I had sleeve and didn’t need much. I bought those little cups that your dressing comes in at restaurants for the very beginning just to measure things out and store in fridge but you can use anything that is the right size. Some people do use a blender in the purée stage. Personally puréed food that isn’t normally purées kinda grossed me out so I didn’t use that. I did buy a few flavors of shakes and keep others ready in my online cart for my husband to pick up if I needed him to. I did buy a scale but honestly don’t recall using it much. One thing that someone told me that you didn’t ask about was what to pack for hospital. I found pajama pants, a sleep mask and a extra long phone charger to be helpful items that weren’t on the list. The pants come in handy when you get up to walk since the gowns are open on the back.

I definitely think having PCOS can be holding you back. I also have PCOS and according to an endocrinologist I had years ago, ev1 that has PCOS is insulin resistant. He put me on Metformin even though I wasn’t diabetic and it definitely helped me when I ate properly. We don’t metabolize carbs well and in my experience tend to lose more weight if our carbs are more restricted…..ie lower carb diet, staying away from simple carbs like sugar, noodles, rice, potatoes and sticking with complex carbs like whole grains and carbs from veggies and beans. Like ev1 else has said, everybody is a little different and you’ll eventually find what works for you. Wishing you luck!

I’m with @Spinoza. The stall will break when your body is ready to move forward again. I was barely eating 900 calories at 6 months (probably less as I didn’t have to track just randomly checked for my own interest). But I couldn’t eat anymore than I was at that time. My stalls were very brief but that’s just how my body reacted to the stress of the weight loss & my changing needs (digestive hormones, metabolism, etc.) How much weight have you lost? What do you currently weigh? What’s your goal weight? How tall are you? These details can be helpful for us to be able to share more specific experiences. For example, when we get closer to our final weight, our weight loss slows to almost nothing & sometimes it almost seems a stall.

I had surgery on March 21 making me almost two weeks out. I am eating every few hours, dropping weight like crazy. My scale says I'm down 29lbs from when I left the hospital. I'm eating some soft foods now, when I do eat though I get like an empty feeling after a couple bites. I feel like that's my "full" Feeling because if I do try to eat any more, I'm hurting. Anyone else get different cues that you're full?

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

I have awful veins, they are tiny, like to hide and roll and refuse to comply. There is no difference in the hunting game based on weight, I was told it is hereditary and that makes sense, far as I know all the women in my family have tiny veins. Hydrating helps but if it is hereditary nothing will change it, it is how your body formed in the womb. I usually look bruised and battered after they get done with me. I had surgery last week and both my hands are black and blue because they insisted on trying my hands first and my hands NEVER work. I'm going to start forbidding them to do it, it takes a month for them to heal and it hurts like hell. We forget that as patients it is okay to tell someone they can't do something to you. Anesthesiologists are the best at finding a good vein, but most good hospitals have IV teams that can come and do it with their sonograms too. I don't let anyone try on me more than twice. Two tries and they have to go find someone else to have a go because by then they've lost confidence and their odds of finding something are nil. My record is 8, thankfully the IV team finally arrived to end my torture. 😂

Thank you all for your replies. It sounds like I’m going to have to go back since it’s so different for everyone. I was hoping it was just a couple extra tests I could ask the NP to add on easily. It’s always such a big deal cause I had a lymph node biopsy under one arm which rules that out and my veins in the other apparently Aren’t great anymore. sorta wondered if it was just the girl at my primary dr at first because the issue started when I started doing it there but I can’t see any veins in that arm anymore either. She had someone else helping her today and between the two of them they found one (the third try) and told me to remember the location of it cause it was a good one they said. My friend told me that if I go to hospital they have actual phlebotomist that know stuff that the nurses do not though so if he does order more I will just ask him to send the order to the hospital this time. I am curious to know if this hard to find veins issue coorelates with weight. I am hoping maybe it will get better after surgery. Wishful thinking probably.

Thanks!!! I’m super curious to hear the answer to that one. I assume altering the sleeve with increase the risks and complications as well as recovery time but I think that there may be some value to it. I recall him saying your sleeve worked last time though so I may really need to stress this one. It worked because I used the advantages of less hunger hormone and acted like I was on a diet. Not because I ever felt full. I may need to be sure he understands that. Also it Seems like the percentages of weight loss I found in my research are for virgin surgeries so just doing the other part without touching the sleeve I’m guessing my weight loss will be considerably less. I’m curious what that looks like.

A good way to remember the difference is to ask yourself "Is this processed? If so, how much?" For instance, white flour is a simple carb, it has had the fiber and such stripped from it, which causes the carbohydrate in it to hit the system faster and spike blood sugar rapidly. Stone ground whole wheat flour is more of a complex carb, because it has the fiber intact along with all the nutrients that come with it and spikes the blood sugar less rapidly because of that fiber slowing the release. Eating it with protein and fat will slow the spike of blood sugar even further. Potato chips? Simple carb--they are white, starchy, and fried. A baked sweet potato? Technically a complex carb, though it does have a lot of sugar in it. Still, much better choice nutritionally than potato chips! Most fruits and vegetables are complex carbs, as their fiber and nutrients are intact. But some can be higher in sugar than others, so it is good to be mindful of their glycemic load as well. Whole grains like quinoa or brown rice and beans are complex carbs, though due to their high carb content they are best eaten in moderation. Most white, starchy, processed things you buy in boxes or bags are simple carbs. Cakes, cookies, white rice, sugar, semolina pasta, ice cream, all simple carbs. Most SADI and DS patients have issues with simple carbs causing gas, or large amounts of complex carbs. So, a big slice of cake may cause gas. A large fruit salad could also cause gas. Their sugar sources are different, but the digestive system sees sugar as sugar and reacts in kind. Apples in chicken salad? Probably fine once you are far enough out to digest fruit. A wedge of watermelon with a bunless hamburger? Also fine once you are far enough out to digest fruit. A few bites of cake or fruit salad? That may also be fine if you are able to practice restraint! Personally, at 6 months out, I have never had any issues with onions like I used to. But I cannot eat beans in any form, not even pureed on the soft food diet, they immediately went through me and caused gas! I can eat small amounts of a cooked fruit, like blueberry muffins, or frozen blueberries microwaved and stirred into yogurt. But I cannot yet eat fresh/frozen fruit. The nutritionist suspects it is because berries are really fiber dense. This is likely to change in the next year. But that first 18 months is prime weight loss time and prime weight loss is boosted by being in ketosis, which means I have to keep my fruit portions small anyways for now. Once I'm at maintenance I'll worry about adding fruit and complex carbs in. Right now I focus on protein, then low starch veggies, then a bit of starch if I have room, like a bite or two of potatoes (I'm Irish, I can't cut them out forever), or a few bites of quinoa.

I haven’t had any blood work since surgery to say they’re working but all my bloodwork was off a couple months beforehand and I started them about a month and a half before surgery. My pre surgery bloodwork didn’t show any deficiencies in any vitamins or minerals then. I figured if the surgeon had them on her list of approved multivitamins then they must work but occasionally I do wonder how lol. My appt is next week on the 25th so I will let you know. Im one of those people that struggles with my levels on a good day so during this post op diet I’m sure I’ve been challenged. Amazing job on the weight loss and walking despite the knee pain. I often stay down because of pain or exhaustion and I need to get up and moving. I hope your knee surgery is in the near future!

A good phlebotomist once said it's not about what you see, but what you feel. I don't have any medical issues that relate to vein issues, but many many times it was a hunt for a vein to have my blood drawn. I've been poked up to 3 times and have had to have blood taken from the top of my hands on several occasions and once from my wrist (do not recommend that one hurt like a /@%$*). On the day of surgery, the anesthesiologist also poked me 3 times before finally placing the IV and that was with the use of a sonogram thingy(?). I won't lie, that hurt like heck - one because i'm already not a fan of needles and two that one is larger than a standard blood draw needle. Thankfully that was honestly the worst part of my entire in hospital experience start to finish. I was also told that drinking plenty of water helps a lot to plump the veins and I have found that has worked. Obviously that won't always be fail proof when you are restricted from both eating and drinking several hours beforehand. Oh and nothing really changed for me from before or after major weight loss as far as visually finding veins. I've just been lucky the last few blood draws to have someone who knows how to feel around for a good one and only poke me one time.

Awesome job on the treadmill! I bought one right after surgery but have not done great at using it. I need to try harder or just start one day at a time. I used to use the treadmill at the gym years ago with a friend so I know it’s doable! I was thinking about getting a sewing machine and taking the side seams in on my clothes when I lose enough weight so that maybe I don’t need to get rid of everything and buy all new clothes. Not sure how well this will work though. Of course I won’t have to buy ALL new clothes because I saved a lot of clothes waiting to go back to my normal size lol. This is funny because I have been overweight for at least ten years…I really should’ve given up my smaller clothes years ago.

the smaller you get, the slower the weight comes off. you don't need as much calories to move your 160-pound body as you did to move your previous 240-pound body. At 700 cals a day you are still below maintenance cals for your height and current weight. so if you just keep going, you will drop pounds. It may drop at a slower rate, but slower weight loss is still weight loss. also: RE: increasing calories with limited stomach real estate...swap out one of your veggie portions for 1/2 an avocado (200 cals). add olive oil to your food (119 calories per tbsp). add cream to your coffee (50 cals per tbsp). spread almond butter on a cracker (100 cals per tbsp).

Can't get everything but in converting to ounces: 2.25 seafood stick 200 calories? 1.5 mozzarella 175 calories 3.7 breast 200 calories .05 pepper 30 calories 1.35 shrooms 30 calories 1.76 onion 18 calories So right there over 600 calories, 2x a day is 1200 calories. Add the eggs in and that's over 1300 calories. Depending on what your calorie needs are for a day, there is your food. I'd tend to agree with folks on getting rid of the mozzarella and seafood sticks. The chicken (or turkey, fresh fish but not salmon which is high calorie/fat) would be better. If you wanted to substitute fresh veggies that were mentioned before, that would be better as you're not getting in really any fiber or greens. As I dropped weight my caloric needs went down. I'm sure you've gotten that, but upping the calorie expenditure is another thing. If your body is used to a mile walk, walking at a faster pace or jogging or doing 1.5 or 2 miles would be next suggestion. You also don't detail what you drink. That is a huge factor. Pulling for you!

My 3 week stall happened at 2 weeks. I was so discouraged! I lost 10 lbs in 2 weeks, then...crickets. But I found all kinds of information here about the infamous 3 week stall, which apparently can happen from 2 weeks to 4 or 5 weeks post op. It broke after 2 weeks and I have been steadily losing since, although it is slow. My surgeon said that since I didn't have a lot of weight to lose it would progress more slowly. I'm not thrilled with that, but as long as I'm losing (and honestly it seems effortless at this point), I'm happy.

Yes! Happy to share! It's this one: https://www.wholesomeyum.com/keto-banana-muffins-recipe/ I doubled the banana flavoring emulsion (I got mine from Amazon) and I added vanilla. None of the box mixes were low carb enough for me and I used to be a chef so I have a bias towards homemade things. 😂 I can empathize with the carb cravings. When I eat carbs I crave them intensely for days afterwards. There are a lot of people who make judgments about those of us who use artificial sweeteners, and though I prefer the real thing, I simply cannot have it. My body HATES carbs, it just doesn't know what to do with them and whether it's a piece of cake or a bagel, it will bloat me and I'll want 3 times as much the next meal. It is just not worth it. And now with the surgery and my designer insides, it isn't worth the gas and such either... The only exception I seem to be able to make is a small amount of very dark chocolate. I think the reason it doesn't cause the carb cravings is because my craving for the minerals in it is stronger. LOL And even with that I can't have it two days in a row without cravings kicking in stronger... I think it is perfectly reasonable to ask those close to you to support you with limitations around what they offer you. I asked the same thing of those close to me and they were happy to do so because it gave them a tangible way to help me with my goal. We don't gain weight in isolation. Food is a social thing. We ask our social circle for support around other goals like going to school or raising our children, we should be able to ask for support with this too. It increases our chances of success!! The head game will do you in every time. Having people close to you wise to that helps tremendously in my experience... As long as they don't turn into food police. 😂