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The instructions I was given were 48 hours of pre-op liquid, with total fasting beginning the evening before surgery. The longer liquid diet is to promote rapid weight-loss and shrink your liver, but some surgeons don't find this necessary, or only apply it to patients over a certain BMI. The 24-48 hours of liquid-only and/or fasting prior to surgery is just to clear your digestive tract prior to operating. Also, some surgeons don't require a puree stage and go from foods like yogurt and ricotta directly to moist proteins and fully cooked veg that you are instructed to chew for 30 seconds to a minute before swallowing (essentially pureeing them with your teeth).

This year has been a tough year for me. I finally hit a “normal” BMI range. They weight was slowly coming off around the 1 year post op mark. I have been trying to maintain the weight and it has been slowly creeping back on. I am worried that it is a slippery slope back to my post op weight. I want to get back on track but am lacking the motivation and I feel overwhelmed. I have gained 4.5 kilos in 6 months and I am not happy about it. Ideally I would like to lose this weight and then a few more kilos to hit my target weight. I have been working out consistently and have increased my muscle mass as well. Initially it was muscle but the 4.5 kilos is not fat. I also have body dysmorphia which doesn’t help. My appetite has been fluctuating and I know I have been consuming much more sugar and refined carbs. Any suggestions on how to get back on track to losing and keeping the weight off. I feel as helpless as I did before I decided to opt for surgery. If anyone can relate please let me know what you did? Thanks in advance

Nope you didn't ruin anything. Your journey will be all ups and downs and it is really best to get used to it. Throw in lots of stalls and you will be worrying like crazy if you don't believe your teams advice. You should be in a calorie deficit. Once you are on real whole foods as against puree your restriction will kick in big time. Then you will be on reduced calories again because you just can not eat much. You could have gained three pounds because of a few reasons. Have you been eating salty foods, Having a really stressful time, Have a full bowel or is it just the time of the month.

if you're following your diet, then it's either hormones, water retention, and/or full intestines. With any of those, your weight will go back down within a couple of days. Those are all very normal fluctuations. If they're playing with your head, just cut back on how often you're weighing yourself - maybe just do it once a week.

I've been hanging out here for probably nine years. I would say most of us lose somewhere in the 15-25 lb range the first MONTH, so your loss seems pretty normal to me. Of course you will find people who lose more or less than that, but they tend to be outliers - or start off at very high BMI's (like the people on "My 600 lb Life"). there are so many factors that influence your rate of weight loss that you really have little to no control over - like age, gender, metabolic rate, what percentage of your body weight is muscle, starting BMI, whether or not you lost a lot of weight before surgery, genetics, etc, that it's sort of pointless to worry about it. The two factors you definitely have a lot of control over are how closely you stick to your clinic's plan and how active you are, so if you're good with those, the weight will come off, whether fast or slow. as you can see on my profile, I started off at 373 lbs, and I lost 16 lbs the first month - yet I ended up losing over 200 lbs. I was a "slow loser" the whole time, but I really stuck to my plan. so long way of saying, just follow your plan and don't worry about your rate of weight loss, since you don't have a whole lot of control over that. If you do what you're supposed to be doing, the weight WILL come off.

In my first 3 weeks I lost 16lbs too. My BMI was way more than yours and I could eat next to nothing as I had severe swelling on my internal scar. Hang in there, do the plan. This is not a race. Give yourself at least a year to loose the weight. This surgery is more about keeping your restriction going and eating less in the future so you never get obese again. Thats my goal. Log your calories and protein. Stick with what ever your team have said. They know what they are doing.

Hello! I had my surgery on the 11th so we’re not far apart! I won’t lie I didn’t last long on the liquid diet I kind of went on to puree around day 8 post op. I don’t think many people are as honest. I cheated and so what. I’m so glad for the surgery and I wish many more losses for the both of us whether it be fast or slow! Weight loss is weight loss !!!

Hi all I am now 23 days post op and on my 2nd week of puréed foods. I hope Xmas 🎄 has not been too hard on you. I lost my mum back in April, so this is my first year without her and it has been tough. I'm keeping myself busy preparing meals for my husband and it's not really bothered me that I have to purée anything that I am having. What does bother me is that I don't seem to be losing much weight 🤔. My husband and sister say they can see change in me but the scales say otherwise. Since my pre op assessment I have lost a total of 16lb and it just doesn't seem much at all. I don't know if I have an unrealistic expectation of what I should be losing. I think the only thing I maybe doing wrong is not eating enough. I have been lucky ... Although I had bad nausea during my first week post op, I had no sickness nor dumping. I just feel like I am doing something wrong. My dietiy suggested dropping out the homemade smoothies made with fruit which I have done. Is anyone else going through the same issue?

I feel you, three weeks out and I have lost that joie de vivre, nothing taste's good, I have sn awful taste in my mouth, can't stomach purees or protein drinks, when I eat something it's painful, water tastes horrible to me, but then again this is why we lose weight I can honestly say I am not having cravings more of a repulsion, hanging in there since everyone says it gets better.

So, Ill be 2 weeks post op on Wednesday. Last week on Wednesday I was from 247 down to 227. Now, I'm currently at 230 !!!??? Why? ?? It's so stressful to see that 3 pound gain. I have been following my diet well, with the exception of not always eating 5 or 6 times a day. Is that why? But shouldn't I still lose?? Honestly I just forget because I don't get hungry. Or I'll be busy trying to wrangle 3 children. I can't eat what they eat and it's not very convenient to make pureed foods all the time. It's a process ya know. Some days idek how much liquids I drink. I'm not great at tracking. But I've had a mix of juice, milk and water. Anyway, has anyone else experienced this? Did I already ruin the good thing I had going??? Please help friends! Thank you!

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.

If just going to the gym was so easy to lose weight Americans and other countries wouldn't have medically necessary weight loss surgery and the diet industry wouldn't be a billion dollar sinkhole. Usually people who state that bariatric surgery is the easy way out have no idea what it entails. They believe you have something done to your stomach, you eat less and lose 150lbs. Educating them might change their minds but most of us don't care enough to try. I just ignore people. People will always have an opinion about what others are doing with their body.

There is a lot of conflicting information out there so I'm not going to argue. Even different surgeons say different things. I will say that all bariatric surgeries altogether have a high chance of reversing diabetes. I have not heard of anyone that still has type two diabetes after the sleeve unless they regained their weight. Maybe the 'punishing' term rang bad to you, but what I meant was consequences for carb dumping and overeating are usually more severe for DS and Bypass patients. So maybe punishing was not the correct term. I'm sorry you saw it as being negative for those with bypass/switch but that was not my intention. But I do view throwing up, foaming at the mouth, dumping, and general malaise as punishing. No one enters into these surgeries to feel that way but keeping bad habits does result in this outcome and I wouldn't call it a reward. It is a definitely and incentive for many not to eat badly. I have even read on here and seen in other places where people felt they need something really restrictive to keep their diet in check. It happens with sleeves (not the foaming bit) too but you can usually get away with more. This is why the success rate with sleeve patients are slightly less. Also you don't have to defend your choice in surgery to me or explain it. I am not saying any surgery is better or worse than the other. All surgery comes with risks and downsides. The original poster asked for the NEGATIVES and the positives for the different surgeries and I just told her what my surgeon, research, patients of all three surgeries have said, and some other bariatric surgeons I follow. Also I never said sleeve patients couldn't suffer from vitamin deficiencies. I said it is more common (easier) with switch and bypass, which it is. Sleeve is not a malabsorption surgery. Vitamin deficiency also occurs in non-bariatric patients. A lot of people are suffering from vitamin d deficiency right now who have never had surgery. I can point you to a bariatric surgeon who doesn't even believe that sleeve patients need as high as potency and 'bariatric vitamins' like bypass and switch patients but they set the standard and the industry is going with it. Also, weightloss is more rapid for switch and bypass generally which is why gallbladder problems is more common but as always it doesn't HAVE to occur. Which I never indicated this was a one shoe fits all for anybody. It's a risk. At the end of the day everyone must make their own decision on what is right for them. Be it sleeve, switch, or bypass. I commend anyone taking charge of their life and going through this difficult process to come out the other side happier and healthier.

I’ve had mine on May 3rd. Best decision ever. I’ve been at my lowest weight in almost 10 years. Around the 5 month mark, Ive plateau. I’m still dropping some weight but a lot slower than I want. Hopefully the next 5 months, I’ll reach my goal weight.

I started the eating out once a week after my honeymoon. I kept it reasonable, but it gave me something to look forward to and variety (and taste). When I started getting hungry again I took out the high calorie low protein nuts (which I added because they told me to go from 800 to 1200 calories when I wasn't even able to consume 800 yet and upped me to 100g of protein from 80) and a scoop of protein powder (high protein, low cal) and added in peanut butter toast, raison toast and another serving of ham. I don't mind eating the same thing every day when I'm at home because it's easier. If you put all your food in a spreadsheet and figure out the calories and protein per ounce, then you can switch it around easier if you need a change. Once I met my goal they told me to add 100-200 calories a day to stop my weight loss. I added in the daily cheat. I still have my spreadsheet, meal plan and measure everything, but when I eat out I can't figure the calories and protein, so I just count it as a meal and a cheat and watch my weight. My weight stayed within 1 pound of my goal weight for over a month when I was going to Halloween parties, Thanksgiving and going out with friends. I've lost another 2 pounds in the last month since I was not going out much. I'm OK with losing a little more weight for now even though I like the way I look at my goal weight because I know most people gain a little back, but I will have to maintain my weight after I get the skin removal surgery next month, so I will probably watch my weight and add in more fruits and vegetables. I'll still count the calories so I can figure out how many I need and make sure I get my protein, but at least I won't have to cram in high protein for EVERYTHING. I saw a different nutritionist when I went in earlier this month and she was surprised my regular nutritionist had told me to avoid fruit and only eat 2 servings of veggies a day. I told her I thought it was because she wanted me to get extra protein due to not being able to exercise much because of my back issues and fruit isn't a protein source. Note, if you get too much protein, your farts smell really bad.

Sports bras for sure. I'm almost at my goal weight and my boobs are flabby, saggy, and dropped from a full D cup to a saggy B cup. Can't wait for my skin surgery, tummy tuck, and boob job. I just want them back to where they used to be lol

Just keep moving, drinking water and eating protein first hand stay off the scale! Your body letting go of the weight is not just physical but mental! Give yourself some grace and be patient with the process! It will move again so stay positive and try to keep the negative thoughts away! I just came off a three week stall where I fluctuated between 3 #s to the point I thought my scale was broken!!

I didn’t tell anyone other than my sister before surgery, because I did the research and wasted years trying to do various diets that worked for a minute and then nothing! Trust me everyone else’s arguments had already been in my heads and I made my decision! They don’t realize living life at a high weight is just existing and taking up a lot of space! I am at the point in life that I don’t care what other people think or want for me! It’s me and God ! And now that I am 50# down and do go to the gym, don’t drink ANY soda or fast food (a weekly dessert is earned at gym) no one says “ you shouldn’t have done it”! Do it for you, your health and your chances to live a healthy vibrant life! It’s your journey and you have to deal with the consequences good, bad and otherwise! Love and joy to you!

I hate to cook too and still struggle to get as much water in as they want. I do get the minimum 48oz/day but don't always make the 64oz they want. I was so glad to stop eating cottage cheese and yogurt! I scoured the grocery isles for food that looked good and was easy to make (Or better, didn't require making). I have to admit I got a little bit of attitude about my diet when I was ALMOST, but not quite, meeting their calorie and water goals, telling them that I was struggling, and they scolded me and raised my goals. I have a spreadsheet that calculates calories and protein from every food I get with a nutrition label and buy low fat, low sugar foods so the calorie and protein count meets my goal. I got a frown from my nutritionist when I told her I eat ham every day, but I gave her a "look" and told her my calorie and protein goals were being met and she refrained from scolding me. I buy Kentucky Legend Bonless Quarter Sliced Ham because it doesn't have lunchmeat texture and I can just weigh out my portion and eat it cold. I got another frown when I told them I eat beef jerky, but reminded them that 100g of protein is hard to do, jerkey is low calorie and high protein, and I chew it VERY well and spit out gristle. If they have to cut a ball of gristle out of my stomach, then I'll stop eating beef. I switched nuts for peanut butter toast when I started getting hungrier. I eat a lowfat sharp cheddar with crackers. Quaker makes a protein Banana Nut Instant Oatmeal. I also eat 1/2 Atkins Chicken Margherita or Healthy Choice Simply Steamers Grilled Chicken & Broccoli Alfredo (1/2 is less than my 6 oz, but it's easier to just take half and eat the other half the next day and the math is easier too). Those 2 were the best my WalMart carries for frozen food Calorie/Protein ratio that I also liked. For an added vegetable I eat 2oz canned french style green beans with 1/2 oz Velveta low fat cheese heated in the microwave. Tyson makes a fajita chicken that microwaves well if you put a dollop of water on the plate. Turkey bacon doesn't really satisfy my bacon cravings, but turkey sausage is really good. If I'm craving sweets I'll eat a Quaker Caramel Rice Cake or a few dark chocolate chips. Luckily I crave salt, not sweets, and the salt cravings have almost gone away. If I'm going to be away from home for a few hours I pack an insulated lunch bag with a serving of ham, cheese and crackers, and jerkey to take with me. If I'm going to be gone for a day or longer I pack my food in bags and a cooler. I got married a little more than 3 months after my surgery and ate what I wanted at my wedding and during the honeymoon, I just kept the servings really small and took protein with me to make sure I still got enough protein and because I needed to eat more than 3 times a day. After that, I allowed myself one meal out each week, eating my 6oz and taking the rest home. Hubby ate most of the leftovers. After I reworked my diet to include tastier, real food, I switched my protein powder to a Collagen with the added missing amino acid. It mixes best with warm or hot liquids and was approved by my nutritionist. I still use 2 scoops a day, 1 with my protein oatmeal and 1 with my sugar free hot apple cider. I met my goal weight at 7 months, just in time for a Halloween party, and I allow myself a small cheat almost every day (my nutritionist told me to add 100-200 cal per day to stop losing weight and i decided to add a tasty snack rather than rework my diet). I watch my weight to make sure I'm not overdoing it. If I eat out, that's my cheat and it replaces a meal. I order what I want and ask for a container BEFORE the food is served so I can pack away all but 6oz before I start to eat. Some cheats aren't really cheats. I've added in apples, pineapple, strawberries and mango. Breyers Carb Smart Fudge Bars have 50 calories, 3g fat, 2g sugar (0 added), and 1g protein. It's only a cheat because of the low protein/cal ratio. Pure Protein bars could be a meal substitute instead of a cheat and have 180-200 cal, 3-4.5g fat, 2-3g sugar, and 19g protein. I like the Chocolate Salted Caramel that's a little chewy and the Chocolate Mint cookie, which has more of a grainy (cookie) texture but tastes really good. At a party, I may eat a bag of chips (~150cal), or I may give in and eat a single Reese's cup (105 cal). OK, maybe a bag of chips AND a single Reese's cup, I'm weak. Dot's Seasoned Pretzels have 130cal per oz. An entire bag of buttered flavored popcorn has 150cal (DO NOT LICK THE BAG). It's nice to eat something tasty and not worry about if it has enough protein. I just had my 9 month bloodwork done, it's all fine.

Your comment about slapping stupid people made me laugh! My answer is this: If I went around slapping stupid people making stupid comments I'd be slapping people 24/7! Although, all the swinging my arms back and letting go would be good exercise and probably therapeutic Just a fair warning, I'm a major smart A** so my response is my personality... Good or bad. Just do as I do; ask to see their medical license. Explain your doctor, who has the experience, knowledge and an actual medical degree in their medical opinion feels its a necessary medical procedure, then tell them you appreciate their bedside manner, "medical expertise" and judgement! I also like to add that insurance companies don't like to pay for "the easy way out" and unnecessary procedures, they don't go around approving surgery unless its necessary! If that doesn't stop them ask them why they think its "the easy way out"? Then shoot down their preconceived stupid concepts with facts and how its the furthest from easy to lose weight. Last option, ignore them and do what you need to do for you! After all, you can lose weight and get healthy, they'll always be stupid! Lastly, it always amazes me that people question or make comments about a medically approved procedure. Do they question a vasectomy ... or a cesarean birth, how about rhinoplasty for a deviated septum to stop nasal issues...how about a root canal..after all they could take the easy way out for these procedures...

Hi all I had surgery on Aug 28 I went from 197 to now 173 which going down even 1 pound is better than going up. My goal is 160 which means I have 13 lbs to go. I have been sticking with my dietician’s initial recommendation- basically no white carbs. I was a potato head. Now if I want something with potatoes I use sweet potatoes instead. I quit rice and I was never a big bread eater. For the most part I stick with protein first and veggies. I continue to monitor sugar intake - the added sugar in food products- at home I have used Splenda for a couple years now. I don’t really snack I just eat my meals. My issue has been that I’m not hungry. My weight dropped then stalled and it wasn’t until I began to take in more protein that the pounds started coming off again. If you haven’t already I would suggest reaching out to your dietitian to reevaluate your diet and get some helpful new insights. Always be kind to yourself and give yourself grace. Celebrate every oz and inch that comes off.

Thank you for the replies. Summerseeker : "Food should not be boring. I just do not live to eat it anymore." I don't Iive to eat, I never have, but good food contributes to a good life. "Variety is the spice of life" variety I can't have. Yes, I knew this goes into this but, it doesn't make it any easier! What I was attempting to say is its boring because; 1. Unlike you I detest cooking so the thought of sitting down to think out my weeks meals sounds tedious and time consuming (even if necessary) I really wish I had the time and inclination to do it and I'm jealous of those who are willing and able.. I just don't want to add yet more measuring, weighing prepping to my day off since I do enough of that weekly in very exacting details (down to microns) 😛 Perhaps its also the lack of options..see #2; 2. With this new way of eating and my intolerance of carbs it makes my options very limited. After all there are five food groups and I've eliminated 3 of the five as it is - grains, most dairy unless you want overly processed artificial dairy and fruits. Add to that my food texture issue (symptom of ADHD) ..this leaves me with low fat beef, fish and chicken for proteins and veggies (non starchy). I do track everything I eat and drink as well although I love your way of if you get your proteins in and still want a "biscuit" and a bite of noodles you have it. Perhaps, I'm being overly controlling of my diet out of fear of regaining the weight and its causing me to feel this way. Arabesque: I understand why drinking water and peeing is important and your body should adjust to more water consumption, but, after 9 months I still go 20+ times a day - very inconvenient when I work managing a pathology lab - I have to remove a lab coat, gloves and mask, then go through decontamination processes each time I exit the lab and then upon entering resuit up and on top of that no drinks allowed in the lab - so in order to get my water in I have lunch time and when I get home OR leave the lab for my sip. So, this means working 10 hours a day it gives me a very short window to get my water in especially since I can't drink large quantities at once. I should have explained better (but my post was already long). My apologies. I guess my lack of "thirst" has developed from years of training from this job and my last. I just worry about not getting the required amount in. Anyway, its just me whinging. I'm just finding it difficult and quite frankly tiring (getting up several times a night to pee doesn't help).

It's been a few years so I can't remember how tired/sluggish I felt pre-surgery, but my bad hip joint caused me a lot of pain back then because of the extra weight. Constantly. It doesn't get like that very often any more. It's sometimes painful, but not very often - and the pain is much milder. I also used to only be able to manage one trip up and down the basement stairs a day. I'd either have my husband run down there - or I'd pile things up near the top of the stairs and take them all down at once. Now, I probably go up and down my basement stairs 5-10 times a day. Walking - I still can't walk long distances because of my arthritis, but I can walk for an hour at a pop without much effort. Before? Maybe two blocks before I got winded and had to rest. So...yes. That all has definitely improved since my weight loss!

at the time I wanted to be normal-sized so badly that I knew I had to do whatever it took - and I made it. But you'll eventually be able to eat most/all of those foods again. All my food restrictions were dropped once I hit the six-month mark (although I still was very careful about what I ate until I hit maintenance - I didn't want to blow it after all that work!!). But now if I want something, I'll eat it - but I'm careful to eat small portions of high-calorie foods and/or make choices if several things are calling my name (instead of eating all of them, like I used to do). Sometimes I do splurge - but I know if I do that for more than a day or two, my weight will start heading north again. That keeps me in line.. And honestly, the way I have to do it now isn't any different than the way many of my never-been-obese women friends eat. They monitor what and how much they're eating, make choices when confronted with many not-so-healthy treats calling their name (instead of eating them all), recover quickly from the occasional splurge, etc. They have to or they'd probably end up looking like I used to. It's work - but unfortunately it's what most people have to do.

I like the thought of eating porridge better than actually eating it. I am always disappointed when I retry it. It just sits like a heavy alien in my stomach all day. I think this would be very useful if I need to loose some weight again. Two small bowls of it and I would be ok all day. I have never been a potato person. I much preferred rice, noodles or pasta. To me potatoes need lots of butter to make them edible, luckily that would make me get the foamies.