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I mean, you titled the post that way lol What else does LSD mean? I was over here thinking "this isn't the forum for that...how do we even help her? I better click on it and see if there's anything I can say, but I doubt it..." I'm having this internal debate with myself and you're over there talking about a 4 week pre-op diet LOL

WOW. No offense, but I'm glad I'm not in the UK. There's absolutely no way I could do 4 weeks. 2 weeks pushed me to my very limits. By the time I couldn't do it anymore and was ready to just give up, it was the day before surgery! I give you all the credit in the world. Just hearing 4 weeks would have absolutely put me off from the surgery. The fact that you're doing it is extremely admirable and impressive. We'll all definitely be here to support you and cheer you on. If you can do 4 weeks of this, you can definitely stick to the bariatric diet after.

I should add that I'm in England, UK and I think the guidelines differ from the USA ones. I think in the UK there are brackets for each BMI and 60+ is 4 weeks. The others include 3 weeks, 2 weeks, and 1 week depending on which BMI bracket you fall into. They stated it's because the higher your BMI the more fatty your liver and harder to move during surgery (especially with a keyhole) and thus could cause the surgeon to abandon and I still get charged. I suppose it ensures that the chance of that happening is minimal as long as I stick to it. I do feel like it's harsh though. I feel like I could have gotten away with 2 weeks since I eat fairly well with my partner anyway.

4 weeks?? I honestly haven't heard of that. When I started, my bmi was higher than yours and I had to do 2 weeks. I feel like 4 weeks is a bit excessive. Did you ask why you have to have no food for a month? I know every surgeon's office is different, but that really seems excessive to me. What does the dietician say?

So happy for you! Wohoo you will reach your 13 more lbs in no time! I am doing ok myself, finally not in my week 3 stall. I’m in the last day of week 4 and loss 15 lbs post op. From 250-235. 85 more lbs to go!

Hi everyone! I have my surgery date scheduled for the 16th of March 2024. Due to a high BMI of 61 I have to do 4 weeks of the liver shrinkage diet. I started on Friday the 16th and I'm really struggling. I'm on total meal replacement shakes x 3 daily with just sugar free squash and water to drink alongside these. My total intake per day is 800 calories or less. How did you guys do it? I know I HAVE to do it, but it's so hard. I cry daily because I'm hungry and I want food. My stomach constantly growls, my stomach hurts and the shakes never feel like they satisfy any of that hunger. My partner is so supportive, he eats away from me and hides food so I don't feel any further distress and jealousy. I know why I'm doing this but I don't know how I'm expected to do this for a whole 4 weeks. Any advice or support is welcome. If anyone is doing the same atm for their March surgery please let me know, maybe we can buddy up! Thank you all ❤️ xKirstenx

I can really only share what the experience has been like for me, and the positives that have come into my life. I was in a very similar spot as you, both mentally and physically. The doubts and fear doubled, trebled, quadrupled to an infinity even as I was being rolled into the OR for surgery. I am now six months and two weeks post-op. I can pop off for a 2 mile run if I feel like it. A 10 mile hike. A long yoga session. I am signed up for getting an open-water SCUBA certification. My cholesterol is normal for the first time in my adult life. My mental health has improved. I've also enjoying seeing my physical transformation. Attaining a high level of fitness remains a strong motivation for me. But eating small portions, managing supplements, timing my water intake, and tracking food? It has gotten easier and easier. I truly wish you well on your journey, no matter which path you decide to take.

Sleeve in 2017 to revision Gastric Bypass Aug 2023 - Update Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I CANNOT eat take out! Purchased chinese for my son as he was going back to college... tried a little and was bringing it back up the rest of the night! If I eat out it has to be at a place that actually cooks food like salmon, veggies, no added anything. Food prepared at home is MUCH beter because you know what's in it. I am not doing too well with my multi because I purchased capsules that I open to put in my protein smoothies (Unjury Vanilla) which I don't take every day anymore. I just purchase the multi-vitamin patch from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum (jasmine or basati brown rice) with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more, move more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. It is good to move from "morbidly obese", to "obese", to now "overweight"...do you guys feel the same? Let me know how you all are doing!

@newbegining2024 Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I am not doing too well with my multi because I purchased capsules that I open to put in my smoothies which I don't take every day anymore. I just purchase the multi-vitamin pack from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. Let me know how you all are doing! (this will be posted in a new thread as well)

Hello I'm 2 weeks post sleeve to bypass conversion due to GERD and vertical hernia. I'm still on the liquid diet phase. I'm able to get my liquids and vitamin in. I definitely miss the restriction with the gastric sleeve. Recovery is slower and more painful this time. I'm still hurting from intubation throat pain and hernia repair. I still have pain from surgical gas trapped in my upper belly and left neck/ shoulder and . I walking 30 mins 4 x / week to move gas and wearing compression to reduce swelling. It seems the sleeve recovery was much easier.

I was definitely a deviled eggs person!! They are so easy to pack in a snack box with some cheese, deli meat, and when safe, some cucumber and cherry tomatoes! I think I did pickles until I was cleared for raw food. I did not do chicken well unless it was chicken thighs in a sauce. I ate mild thai curries, shredded pork bbq with a no-sugar sauce, salisbury steak, turkey in gravy, meatloaf, pho with no noodles, just the meat and veggies, deviled eggs, tuna, swordfish, etc... Honestly by week 8 I was cleared for most foods so I ate whatever, within reason, protein first, then a little veggies, maybe a bite of starch if I had room. Lots of whole foods, as little processed food as possible. My fat requirements are higher than most people so I was more generous with the cheese and eggs than someone else might be. I ate a fair bit of deli meat at first because it was soft and easy to eat in small portions. Poached meat would be good too.

Didn’t have one but I understood if you are to experience one it usually occurs in the first few days. While you need to seek help as soon as possible if you suspect a leak, they are usually repaired fairly easily via an endoscopy. You’ll likely be on antibiotics after to ensure any infection is cleared. I have three friends who’ve had sleeve surgery too & none of them at one either. They’re pretty rare I think like 1%. And even rarer if you have one in the years post surgery. Leaks occur because of a suture/staple failure, tissue decomposition, patient health prior to surgery affecting healing like a history of smoking or high blood pressure, food choices (not following your plan), excessive activity to strain & cause trauma to the area.

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.

A small NSV today, and this is just from the pre-op diet. I bought a dress last winter that I had wanted to wear on my birthday because I was going to NYC and going out to dinner. I bought it at a store where I wasn't able to try it on, and when I got it home, it was so tight that every single button gaped ridiculously. But I was optimistic, so I kept it. It's been a year. I pulled it out today and tried it on, and now only one button right at the largest part of my bust has a slight gap. Another 5-10 pounds and I will be able to wear it with no issues. And since my birthday is 4 weeks away, I think I know what I'll be wearing!

Hi Joe! My surgery is in 4 days. I am 5'6" and at my highest weight, I was 250 pounds, which gave me a BMI of 40.3. Since starting the nutrition program and pre-op liquid diet, I am down to 228 pounds, so a BMI of 36.8. I have high blood pressure, prediabetes, and high cholesterol. Like you, I've dieted countless times. In fact, I was enrolled in the nonsurgical program at my hospital for 7 years, starting when I was 42. I found it relatively easy to lose up to about 15% of my total body weight, around 40 lbs, by counting calories, exercising religiously, and not letting my guard down for a minute. After that, I would stall. Then the weight would creep back up. My doctor would prescribe meds (including Wegovy for a while, but it's too expensive for longterm use for me), and I'd lose 10 pounds. Then I would stall, followed by regain. Or the nutritionist would suggest a new approach, and I would lose a few pounds again, followed by regain. A little more each time. After 7 years of trying, I was back to my highest weight ever. I feel like I wasted a whole lot of time with nothing to show for it. And now I'm nearly 50. My blood pressure, blood sugar, and cholesterol all have gotten worse. My feet hurt. My joints ache. I feel older than I am, and I don't want to be old before my time. I know from reading the latest studies in weight loss science that my chance of long term success in reaching and maintaining a healthy weight without the metabolic reset of bariatric surgery is around 5%. I'm fortunate because I've seen my brother go through sleeve surgery 15 years ago. He lost a huge amount of weight (about half his body weight) and though he has regained a fair amount of that, it's nowhere near where he used to be. His appetite is now what I would call the smaller side of normal. Nobody looks at him having dinner and would guess he had surgery. So I know that the most drastic parts of this (like a liquid diet!) are phases you have to get through to get somewhere better. I feel nervous, too. I've never had surgery. I worry about complications. I'm hardly ever sick, so I sometimes think what if I'm trading decent health for problems? But realistically, problems are in my future. I've seen it in countless family members. The writing is on the wall. And the surgery is very safe. So for me, the risk is worth it. I've tried on my own long enough to know it isn't going to happen for me without this. And a BMI of 40 might not be as big as some people, but it's big enough to rob me of good health in my future. I really hope this helps at least give you some things to think about to help you make your decision. Wishing you all the best!

I'm scheduled for sleeve surgery in three days, and I'm experiencing serious cold feet. I'm a 44-year-old male, 5'9" tall, weighing 270 pounds. I've struggled with yo-yo dieting for over 21 years, with my highest weight being 280 pounds and my lowest 198 pounds. I've had success with intermittent fasting and restricted calorie intake, but I've regained the weight. I suffer from mild sleep apnea, which causes heavy snoring and comes with its challenges. Thankfully, I don't have any other health problems, and I take medication that contributes to weight gain, though I doubt they'd make me fatter the 270 pounds than I am now; they just make it harder to lose weight. I'm feeling uncertain about the necessity of the surgery since I'm not extremely heavy and overall healthy. I'm also worried about only being able to eat small quantities in one sitting, and the idea of changing my body scares me. Yet Im also excited to get this option available

Stick to your diet plan, make sure you change up any workouts you're doing to "confuse" your body and work parts you normally might not, only weigh yourself once a week at most, and really take stock of how you feel and your Non Scale Victories. Get lots of fluids in. I'm very close to my goal, as well, and I'm in the same boat as you. It's annoying, but if we stay consistent, we'll push past it and get there. What surgery did you have? What was your starting weight?

Thank you. I also took one gas x the night before and drank zero Gatorade with Mira lax the night before. The day of surgery I took another gas x and a sip of Gatorade with my morning pills. It is now day three since surgery and I am taking it slow, I have been drinking what I can in water and in broth and I have had decaf coffee in the morning. I also do the SF popsicles through the day too. I did try some SF jello yesterday and that sat okay so will have that done today to. I go the 26th for my post op appointment and see my nutritionist.

TORe is a relatively recent revision for RNY. Essentially, they go in through your mouth and esophagus and stitch your pouch and the opening to your pouch back into the tight little basket It was when you first got gastric bypass. I’m looking into it as I was very successful for 20 years, but regained most of my weight in the last three from life, stress and menopause. Has anyone had an experience with this?

Hey Ron! I had my BP on the 6th. I’m doing pretty good as well. I don’t start vitamins until Tuesday a full two weeks after surgery. I guess they want to make sure I’m eating something to protect me from getting nausea. I saw my nutritionist yesterday and he said I can ease into soft foods with yogurt and cottage cheese. Luckily I love both! I was able to have about 1/2 a cup without feeling uncomfortable. I just stopped eating and I wasn’t hungry or wanting more. A few hours later same thing with a Greek yogurt. I’m so ready for eggs, tuna, cheese etc. I also was told to wear my binder for 4 weeks. It definitely makes me feel more secure. My glue is still on my incisions. I guess they put a super deluxe hospital grade glue on me. I’m not scrubbing it off or peeling it off until it comes off naturally. I’m too scared to open something up. So, good luck my friend. And everyone else hang in there with your liquid diets. It’s definitely worth it. It will make your surgery go smoother and recovery easier. 💖💖💖

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

Stick to your plan. Don’t stress your body more by making more changes. Stalls are when your body takes stock of your current needs & readjusts things like digestive hormones, etc. The stall will break when your body is ready to move forward again. Also, your weight loss slows so much as you near your final weight (set point) it almost does feel like stalling. Consequently shifting the last pounds can be a b**ch. it’s because you’re eating much to what you’ll need to eat to maintain. Oh, & if you do cut your calories &/or increase your activity to lose more you’ll always have to eat less than you are now & do more to maintain the lower weight. Don’t give up yet though. You can keep losing vey slowly for months. I lost another 10kg over 12 months after reaching my goal.

It can be challenging when your taste buds are against you but it is a great opportunity to try things you haven’t before or give food you didn’t enjoy in the past another go. I wasn’t hungry or interested in eating either (for 8 months or so). So I ate to a routine to ensure I got on my required nutrition. It helped to change how I looked at eating - not for comfort, to make me feel good/better, if I was bored or …. but to fuel my body. Eating to live not living to eat. Was also when I began asking myself if I needed the next bite or just wanted it. Never forced myself to eat all my portion if I didn’t need it or thought nope, no more. At two months, I was eating only all real food & eating a wide variety of meats. Some vegetables were challenging but steamed green beans, cauliflower & cabbage were good. I could add tomatoes, celery, capsicum, onions, mushrooms to any slow cooked soup, stew, minced meat dish. etc. About a month later all vegetables were fine. Didn’t touch shakes from purées. Aim for three meals a day & maybe one snack. (I snacked on fruit or yoghurt.) Check with your dietician to see what they recommend for you. Try to avoid falling back into the old habit of eating if you have head hunger.

First photo was 1 month before WLS (Dec 2021), the other photos were taken a week after my 2nd surgery-versary 8 Feb 2024. I noticed that I don't have any full body shots before the surgery. I was really conscious about my thighs and how big my lower body was. Not anymore haha

Programs are so different, but you should definitely be eating, or at least attempting, more solid foods by 8 weeks. In case this helps, I've just found this YouTube channel where a bariatric dietician is working through the food stages in the post op diet. I don't think she'll get to where you are until next week, but you might want to check her out: https://www.youtube.com/@BariatricFoodCoach Also, I found this video really helpful in explaining how to approach eating right after surgery: