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Congrats on the weight loss and lower cholesterol in your first month! I am three months out and I’ve always struggled with hitting the recommended calories… I’ve hit almost two weeks now where I haven’t lost anything, but the dietitian told me that’s completely normal. Trying not to let it get to me! Curious if anyone a little further out has experienced this yet? I am down 56lbs after three months and started around your SW weight as well. Are you currently doing a blended/pureed diet? When I hit that phase, I think I was still consuming two protein drinks a day (I like Fairlife Nutrition Plan or Premier Protein) which gave me 60g protein total (30 each) and 300 cals total (150 or 160 each). I would try to have three meals a day. For meals, I would make a yogurt smoothie with a little bit of fruit, milk or water. The pre-made Chobani Zero Smoothies are also good if you need something quick. I would have half of one for a meal. Fat free refried beans were good at that phase. I also made a lot of cooked, mashed carrots and sweet potatoes. Ricotta or cottage cheese blended with fruit or lemon juice, tomato sauce, etc.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

For smoothies I started with milk, added Greek yogurt or 0% flavoured yogurt. Some yogurts have lots more protein in than others. Fruit and some low sugar peanut butter. I never had any protein shakes.

I agree it seems absolutely absurd to me. I feel very frustrated and almost alone in this (I know I’m not) but it’s just such a huge change. Some of the hospital paperwork I got at discharge said I should be eating 1/4-1/2 cup portions which I absolutely cannot get down but when I talked to her today she had said that I need to be eating 2 tablespoons a day and that’s it of the soft foods like plain Greek yogurt or applesauce or protein pudding. That’s about what I can stomach anyways but I did eat two of the protein pudding cups yesterday which were about 2.5 total for both. I just feel like I’m already failing. I am going to go back to the basics, and if I don’t go to he bathroom by tomorrow afternoon I’m going to try an enema.

@draikaina8503 - It sounds like the struggle has been super real for you, and I hate to hear that you've had such a tough time. I didn't have a drainage tube because of the type of surgery I had (as far as I know, unless it was only used DURING the surgery itself). The staples are a pain; and bending or stretching too much causing pain is 100% something I empathize with you in regards to. I was really nervous about showering with them in as well, but honestly the warm water from the shower set to a gentle pressure did feel really nice. I also used the special soap they gave me when I washed my staple area lightly with a washcloth. I was afraid of using a loofah thinking it might snag or something. I also feel where you (and others) are coming from on the fluids and dry mouth - I still find myself super relieved when I can finally have a drink 30 mins after a 'meal'. I will say that as long as I keep my intake moist (super soupy purees or broths) that it isn't TOO bad - and I definitely have to watch how many ounces I intake for my meals. I eat slowly, but when the food tastes good and I'm eyeballing my protein goal it's HARD not to want to try to 'finish' my serving. I learned my lesson with my oatmeal this morning, though. It sat more heavily on/in my stomach after I ate than I expected and I struggled to have a few burps that relieved the weight and pressure I felt in my chest. Your mention of letting ice chips dissolve in your mouth helped me today - the cold really did slow my intake and provide relief. I hope you're starting to feel better now! I created a sort of 'routine' for my mornings that I think is working pretty well, though. I try to only have a sip of water when I first wake up and them immediately prepare my breakfast. With purees that are thick to the consistency of yogurt there's a trick where you basically just swallow your meds a couple at a time (if they are small) with a spoonful of yogurt/cottage cheese/medium thick puree. That's what I do to get down my morning meds, and as long as I don't overeat I go to have a brief warm shower afterward. The movements of me showering and standing help get my body to produce a burp or two, and putting my arms over my head when I wash my hair (yes, still some pulling especially on the left side so I have to go easy with THAT arm) does expand my torso and help my food settle. This also take sup some of the time gap I have to leave after eating before I can drink. Usually by the time I'm done with my shower, done drying, and have caught my breath it's almost time for me to be able to sip fluids again. @Pepper_No_Salt I'm still shocked that they sent you home from the hospital on the same day. Whew. I'm glad to see you're been feeling better each day, Moving on to strained soups was a biggie for me and I certainly can appreciate that having been one of your first planned stops! I did the same thing after I got my staples out. Today I am going to try to return to some broth for lunch and wish I had gotten more cans of chicken noodle when I went to the store. Maybe I'll try to season some of the 'cream of' soups I've got sitting around. My first try with them wasn't good, but then again they were room temperature then. Hopefully they taste better next time around! @ShoppGirl @Onemealplan @Greekmom4 @AndreaJD- Thank you all for the recipes and information! I tried my oatmeal yesterday with the whey protein powder a friend had given me and honestly - it was gritty, and I was disappointed. This morning I used part of a vanilla ensure and I used a potato peeler to slice off the exterior of three strawberries I mixed in with it and it was 100x better. I actually ate about 5oz of it super slowly and regretted that as it either expanded or wouldn't quite settle. I wasn't sick, but I was very uncomfortable for a while and had to shower and move around, then stand and take a couple of sips of cold water to initiate a couple of burps that provided some relief. Once I started to feel better I realized that the icy cold beverage helped me, and so I went ahead and had a sugar free popsicle. I took my time with it and found that the cold spreading across the inside of my chest felt very good and now I'm feeling much better. Has anyone had good luck finding an unflavored protein powder that doesn't feel gritty when mixed? Just curious - and if someone already answered this I'm sorry; trying to get caught up but not sit for too long! @CrazyDog&CatLady - Good luck to you on your revision and thank you for sending us all positive vibes for preparation and healing! Also, welcome to the thread! @ShoppGirl - I second what you said a thousand percent about using ALL the coping strategies you can to get through this. I'm having to completely re-learn my body, and in fact learning things about myself I never realized or understood before. The feeling of 'full' does echo my feelings of 'anxiety' and I've found that I'm extra sensitive due to that in the hour after I have a meal. I've also found that just like with the walking to get the gas worked out I also need to walk around a little bit after my meal to get my food to sit properly. Additionally, I'm learning the importance of remaining UPRIGHT until my stomach has settled past a meal. It's not even 'going to sleep too soon after eating, it's being at too little of an incline. I've woken up two nights in a row with heartburn in the wee hours that I can only attribute to drinking something maybe too fast before going to bed, or sipping at an incline rather than sitting up completely to deal with my dry mouth during the night. I do space my calcium out to later in the day and have been taking my multi w/Iron and ADEK about an hour after my breakfast. That seems to so far be working to stave off any nausea I would get from taking them on an empty stomach. Thank you for explaining about the B12 injections and congratulations on overcoming your anxiety giving them to yourself! Sorry if I missed anyone - I've hit my cap for sitting for the moment. Best wishes to all and encouragement to those who have surgery in the coming days! If I recall we have two having surgery tomorrow, yes? Another set of 8/21 surgery buddies? I'll try to recap and review later!

Has anyone tried the gardencup meal delivery service? Everything is in a cup to take to go they have soups, salads, power cups, produce cups, and dip cups as well as snack cups. They are $10-12 each so kinda pricey but I’m justifying it for myself since my husband doesn’t eat what I eat and produce tends to go bad on me before I can use it all as do all the different cheeses and stuff to make a variety of salads. That plus the convenience factor are making them enticing. I am looking at the protein and the mini cup salads have less than the regular sized ones which is unfortunate since post surgery the mini one will probably be the better portion size. The minis are around 15-20g protein. I’m Just curious if anyone has tried these or has any thoughts on them. I’m thinking I may have to switch out the dressing for a lower fat option or have no dressing but that’s with premade salad from anywhere. I usually get the southwest or market salad at chick fila with an extra chicken filet on the side. I take it home pull off the toppings and a little of the lettuce and that’s plenty for one day then the next I can make a chicken ceaser salad with the extra chicken, the leftover lettuce and my own yogurt dressing but that’s only when I’m in town anyways. I don’t like to make a special trip just for salad plus those aren’t prepared to grab And go like these cups are. They would fit perfect in a cooler to take with me when I’m out for the day

I'm almost 8 weeks post-op, so further out than you but still pretty recent. I have had no trouble with liquids. I mean, I can't gulp them down, but I have been able to finish an 8oz protein shake in under 5 minutes without any issues from about a week out. Yogurt and cottage cheese go down easy, too. I try to take about 15 minutes for those just to pace myself. But those burps you are getting now are a sign you are filling up. Pay attention to that and slow down. Stop yourself from consuming more just because there's no pain. I was doing great until I reintroduced solid foods like fish and eggs. All of a sudden, a few bites and I was done. And those little burps turned into something more like stomach spasms if I ate too much or something that didn't agree with me. Things changed a lot the more I healed, actually becoming a bit more difficult. There's more pain now, and more finicky reactions from my body. There's a pretty good chance that how you feel today will not be the same as how you feel next month, and what works now might not work then. Take it slow and give yourself time to learn your new anatomy.

Hey there, I'm 6 days out from gastric bypass too and the only things I'm having right now are protein shakes, water, broth, and little bit of zero sugar yogurt or unsweetened kefir. Focus on fluids first, protein shakes second, and anything else only when your goals are met for hydration and protein. I'm finding hot tea (decaf) and broth go down much better than cold stuff, so you could give that a try and see if you are the same.

Today marks 1 month since my surgery. Little back history for me, my start weight in March during diet for surgery: 280#. My surgery day: 269#. Today, I'm at 256#. I started and am currently still at at class 3 obesity. Posting before and after pictures. I read and hear so many positive stories on how others lost 30+ pounds their first month. I should be happy with the fact I am losing weight but super slowly. I'm considered a "slow loser" apparently. I'm down 13 pounds in 1 month. I go 5-6 days plateaued same weight before I drop another pound. It's quite annoying. I've been drinking/drinking protein shakes, yogurt, cottage cheese and when I'm not working, I drink between 64-96 oz of water. When I'm working (I work as a warehouse worker and does get to heavy lifting at times), I can hardly down 16 oz of water. When I work, I get excited thinking, "I'm burning so many calories, I'm bound to finally lose that pound!" Just to be disappointed. I weigh daily, I have a separate nutritionist outside of the place I got my surgery as the nutritionist there hasn't helped much, doesn't respond or pay much attention when I try talking to them. So, I found a different one. I tried not weighing in each day, went a week, only to still be disappointed with the same weight. I do occasionally lick unhealthy items or chew and spit out just to get some flavor again. It's not often. Something different about me is I have a lot of muscle naturally. I also have PCOS. I've read PCOS can stall weight loss. I do for sure see changes in my stomach, not so much in my face or my arms...but why can't I be happy about this? Is this like a depression thing others have gone through? I'd love some others opinions, stories, how you're feeling right now.

@BlueParis The liquid diet isn't so bad. I guess it's a good thing I'm not actually hungry. I bought a bunch of smooth soups to add my protein powder to so I wouldn't need to do shakes, and picked up some favorite yogurt flavors. For the vitamin issue, are you able to buy Celebrate or Bariatric Fusion brands of vitamins in France? If so, they both make multivitamins that are iron free, and then a soft-chew iron supplement. I would suggest getting your multivitamin in first thing and then taking the soft chew iron in very little nibbles throughout the day. Celebrate's cherry flavor is pretty good, and the texture is like a chewy candy (like Starburst, if you are familiar with that candy). It's probably the 45mg of iron hitting all at once that's causing the issue, so if you took the very tiniest of bites 6 or even 12 times per day, you could get the iron in by the end of the day without the shock to your stomach.

Sure, I was really distressed about the amount of food I ate two days ago I think it will be a decent example. 1 icelandic skyr coldbrew yogurt 1 cup coffee + sugar free cream 1 capri sun 4 oz of steak cooked in 1tbsp olive oil & minced garlic 1 chocolate premier protein shake 1 strawberry atkins protein shake (it's half the protein of the premier ones) 1 scoop vanilla isopure protein blended with 1/4 banana, 1 strawberry, 4 blueberries, 8 oz darigold fit protein milk 3 oz chicken, 1/4 cup macaroni this kind of is similar to a daily menu. the steak happens maybe once every 3 days, chicken is an every day staple. coffee is a one or two time a week option. yogurt is typically every day, but sometimes is subsituted with oats overnight bottles that are mixed with the protein milk. -edit- I'm stuck in this cycle of feeling hungry, then feeling guilty after I eat because I realize i ate food and I haven't been losing enough weight, then i don't want to eat again for a long time because I want to lose the weight, then i feel starving, then i eat, then i feel guilty, etc etc. It's a really shitty loop I'm stuck in.

I spoke with the nurse last night and tomorrow I get to begin the soft proteins phase, which will be one week post-op. I'm going to the grocery store tonight. I will have to start separating food and liquids, waiting 30 minutes after drinking to eat and then 30-60 minutes after eating to drink. This is going to be a challenge because it takes me forever to drink anything. Part of the problem is I am developing an aversion to my protein shakes and anything sweet or artificially flavored. I think it's time to start making use of my unflavored protein and Greek yogurt to make my own shakes because the commercial stuff is just tasting terrible. Soft proteins include cottage cheese, string cheese, ricotta, flaky white fish, ground poultry, refried beans, tuna salad, eggs, yogurt, and tofu. My eating schedule when I begin soft proteins will be: Breakfast soft protein 16-20oz fluid plus a protein shake between breakfast and lunch Lunch soft protein 16-20 oz fluid plus a protein shake between lunch and dinner Dinner soft protein 16-20 oz fluid plus a protein shake after dinner/before bed

If you love soups here is a recipe I found that I have made twice now recently and really like; https://www.bbcgoodfood.com/recipes/spiced-carrot-lentil-soup I made it in the slow cooker and added 2/3 of the carrots for the whole process so they were soft and then added the other 1/3 in for the last hour or so to have a bit of bite to the soup even after blending down. I did peel and chop the carrots, did not leave the peel on. Also I did not use the oil or yogurt and went with more than a pinch of chili as it gives it a really nice kick. I got 9 to 10 servings out of the recipe instead of the indicated 4 so the nutritional values according to MyFitnessPal are; If I need to up my protein intake for the day I add some protein powder to the soup.

So I am 8 months in and down a considerable amount of weight I was at 388 and am now at 267. It’s been a rough road. For several months I could only eat yogurt and drink protein shakes or I would throw up. Well that ended up being from the rapid weight loss causing my gallbladder to act up. I ended up getting my gallbladder out. I would like to say I don’t throw up anymore but that’s not the case. I still struggle with proteins. Poultry is the worst. I also can’t eat low carb high protein wraps or pasta. Before my gallbladder surgery they also checked to see if I needed my esophagus stretched but that was fine. For a long time i regretted the surgery. I’m definitely not at that place anymore but it’s definitely not been easy. I was just wondering if anyone else has the issue with poultry. Best of luck to everyone.

I can identify with the feelings you are having when trying to get food down... also being so tired! Some of my favorite pureed foods have been an egg scrambled with Ricotta cheese, cream of wheat made with veggie broth, and vanilla yogurt (zero) with some peanut butter powder mixed in it. I'm allowed to have hummus and have liked that occasionally. I hate that blocked feeling... I'm actually scared of it at this point. I'm trying to find a way to avoid it but haven't been successful yet. I can only eat a 1/4 cup of food at a time max. Have you tried using baby spoons? I've found that it helps me take small bites and eat slower.

Yes, it burns almost every time for me. I am bruised too! My stomach at this point looks like I’ve been in a jail yard fight! Haha Omg eggs and refined beans sounds like fine dining to me at this point!! I did eat like 1/3 cup of fat free low sugar vanilla Greek yogurt and it went down just fine but I’m nervous to try anything else at 5 days out. No constipation for me, thankfully! Glad the addition of fiber helped you!

I was also not a fan of the pureed phase so I mostly stuck with Chobani zero greek yogurt, they have some really great flavors. I ate cottage cheese with some favorite pasta sauce. Tuna with mayo and pickle juice helped, chewed very well. Adding spices to things really helped also. Hopefully this will just be a phase for right now, maybe the dissonance between the brain and the stomach? My body tells me I need fuel, my stomach doesn't want any food, and my brain wants spicy indian food. It's getting easier.

I had zero interest in food, If I am honest, apart from my breakfast yogurt and fruit, I could easily go without food. I have little appetite. Early on I had serious nausea issues. I cooked and discarded so much food in the early days. I gave pureed foods a wide berth. Pureed meat just was not for me. My team were sympathetic and said to just do my best. At this time I found protein yogurts and they helped me along. Eggs took me 18 months to accept. Chicken took over two years for me to manage a small piece. Pasta and potatoes are still off my menu. I have just begun to eat homemade bread again and I can manage about a Tbsp of rice. Cooked salmon is seriously off my menu. Its made me ill so many times since surgery that I have a phobia. I force myself to eat meat, Cheese is a huge favourite, especially paired with fruit. TBH, My weight is stable and my labs keep coming back ok, so I am skinny and happy. You will figure it out for yourself. Don't feel pressured by others who you think are doing 'better' than you.

Ty! Yes we are! Some of that weight loss was pre-surgery, lost about 26# since surgery. I feel really good actually. a) I too need to stop eating before I’m too full like so many others here, I’m having a hard time with that. b) I was super nauseous for the first 3 weeks or so but was lucky in that my surgeon gave me Zofran for it. My Dr. cleared me to eat whatever (as long as it’s healthy) I want after my 1 month follow up and so far so good. My new favorite food is canned chicken crust pizza I make. It’s soooo yummy and gives me tons of protein intake with just one piece. c) I’m definitely feeling the stalls, I’ve had 2 (one currently) which is what makes me come see how y’all are doing and then I realize it’s not just me so that makes me feel better. It’s just so annoying bc I typically eat about 750-900 cal a day and my brain just doesn’t want to get why the weight doesn’t just drop off 🤣. I think it thinks I’m starving to death 🤦🏼‍♀️😂 d) I have on occasion gotten super hungry which I hate. I was so hoping that feeling was permanently gone but 🤷🏼‍♀️. It’s only happened to me 2 or 3 times so maybe I was dehydrated? That’s what I’m telling myself for now. I also have a hard time getting 64 ounces of fluid in but I try. And going back to the nausea thing….i just had a couple of suggestions that I’ve tried and have helped me, but of course ev1 is different. Even the thought of protein shakes now make me want to vomit, I do everything I can to avoid having to drink them. I try to hit 60-80 gm of protein a day. I eat a lot of tuna, chicken, Greek yogurt, the Only Bean roasted edamame beans and chicken pizza crust pizza. And use liquicel if I need a protein boost before breaking down and having a shake. I don’t ever take my vitamins on an empty stomach, I always eat light and fit Greek yogurt first. water makes me nauseated now. So I very rarely drink plain water. I usually drink decaf unsweetened iced tea and now add Mio to my water but I’m trying to integrate the plain water back in, I think it’s just some kind of weird mental block. And just keep in mind that dehydration itself can cause fatigue and nausea! Of course so can the vitamins were all taking 😂 Sorry for the vvvveeerrryyyyyy long post guys! And thanks again for all y’all’s unknown help. I wish ev1 the best on their weight loss journey!

Even though I was cleared of any eating disorders by the psychiatrist prior to my sleeve surgery I am fairly confident that I meet the criteria for NES. According to my research the treatments are antidepressants which I am already on and Cognitive Behavioral Therapy. I asked my therapist who uses a different therapy approach what that means and she said CBT is about changing behaviors and she suggested that when I wake up wanting to eat that I crochet instead (replacing an undesired behavior with a healthier one). Well the other day I had to fast for blood work and I usually put a towel or something through the handles on the fridge to remind me not to eat or drink anything other than water and I thought to myself if this works for fasting why couldn’t I just do it every night. So I made sure to eat a high protein yogurt before bed so I know it’s not actual hunger then combined the visual reminder with the alternate behavior and I made it through the last two nights without eating any snacks but it wasn’t easy. I woke up and walked to the fridge several times and had a number of arguments with myself and even tried to rationalize that it was okay to just have one snack because it’s still less than normal. My husband said the good voice triumphed over evil for now. 😂 Anyways, I am curious to know if it’s that “simple” of a fix for lack of better word. Has anyone else had experience with NES? I am curious to know if this substitute behavior thing really works and if so how long it will take until the alternate behavior becomes my new habit. (How many more late night arguments am I going to have with myself)?

Things have been going well! After some very slow weight loss in late April thru May, June is really looking up. With my 4-month mark just a few days away, I'm down about 61 lbs from my highest weight, which includes 35lbs since my actual surgery. I'm looking forward to hitting the "overweight not obese" milestone soon, just 5lbs to go! And 35lbs to go until I reach my weight goal! My hair thinning is just starting. My hairdresser styled it a bit shorter when I went yesterday and she'll suggest a new style if it becomes needed. But it's not too bad yet. Thankfully, I don't have any issues hitting protein and water targets. I usually have a protein shake in the morning to start the day and I put around a cup of Fairlife skim milk in my 32oz morning decaf tea, so that's 36g protein before I even have food, which I do a few hours after I get up. I can eat around 15-20g protein when it's solid food. I like Greek yogurt with berries and nuts for breakfast and often do a salad with chicken strips for lunch. Dinner is all sorts of things. The protein shake I use is Syntrax Nectar Natural in orange flavor, which vaguely reminds me of orange TANG. It feels sort of like having a glass of orange juice, enough to not be too weird in the morning before I'm fully awake. The rest of the flavors are just disgusting, although I am okay mixing a scoop of vanilla with some frozen pineapple and a splash of water or milk in a blender to make a frozen treat on a hot day. I do have about 1x a week issues with vomiting, triggered by different foods each time but usually either due to eating too fast or something being too dry. It's hard because a single bite can trigger it so it's very unforgiving. I've started carrying a small hospital-style vomit bags (found on Amazon) in my car and purse so that I won't be caught in an uncomfortable situation in public.. So far, I haven't needed them, but it makes me feel better to have it with me. I'm going on vacation next week and planning to bring along some protein bars and easy snacks like roasted edamame and beef jerky (which I found in 50-calorie packs at Dollar Tree). Once I'm home, I'm hoping to do some meal prep and try some new recipes because food is getting boring and kind of a chore. I don't really experience any hunger, so remembering to eat and making myself eat regularly is a nuisance.

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 wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

Stalls are the worst but you will get used to them and congratulations on your great weight loss. This is what I learned to do on holidays. Breakfasts at hotels are an easy choice for us. Plenty of good choices to be had. Look at every restaurant menu, study it and decide what is good for you before you are seated. I imagine there will be a fridge in your hotel room, stock it with protein yogurt, protein bars and protein drinks. Deli meats, cheese and nuts and seeds are good snack options if you can tolerate them. If at any time you get hungry and there is nothing on the menu - a glass of milk or a skinny latte are really good options If the trip involves a long car journey, plan ahead and pack your meals, drinks and snacks in a cool box. Here is where others will chip in and help you for sure. Enjoy your holiday

I had a very regimented 4-week liver shrinkage diet. The base was the shake but I would also get to have specific items like a low fat string cheese, no sugar yogurt, ands a few snacks of sugar free pudding or jello. The only thing was that I could add whatever I wanted if it was fat free broth, vinegar, or raw veggie after I had gotten in all protein for the day. I definitely hit the broth and vinegar hard when I just needed something that wasn’t sweet.