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I start my liquid diet a week from tomorrow, which is why I will be spending some time this weekend buying things my 15 and 12 year old daughters can cook for themselves, and prepping some stuff ahead for them to put in the freezer so I don't have to deal with food prep for the next 4 weeks or so. After that, I should be able to make some foods that we'll all be able to eat, hopefully. Luckily, my kids are self-sufficient for breakfasts and lunches, but they are still really limited on dinner skills. I guess I need to work on that with them (along with teaching them to do laundry).

In time, yes you’ll be able to take normal sized bites (whatever that is) but not big mouthfuls. You’ll notice as the weeks pass you can take more than just part of a teaspoon until you work out what size bite you are able to take. For me, it’s more not swallowing too much than the size of the bite. But smaller bites do help ensure you to take time to eat your meal & allow the message you’ve had enough to get through (takes a good 20+ minutes) & to think about your eating not mindlessly shovelling food in. You may find you don’t have to wait 30 mins before & after eating to drink & can get away with less time. Or you may be able to have the odd sip while you eat. Again this is an in time/eventually thing & working out what you can do as against anyone else. But remember, fluids will temporarily fill you & will flush food through your digestive system more quickly.

If you feel like therapy can help you consider finding one that takes your insurance or even payment plans. I didn’t do it the first time around because I couldn’t find anyone taking new patients and I gained my weight back. Now I am facing revision and working on starting with one that is private pay but I asked if she can give a lot of homework so I hopefully won’t need as many sessions. You don’t necessarily have to do like every week I don’t think. I haven’t met with her yet but I’m hoping I can do like once or twice a month to start and do my homework in between. I have a regular therapist and she wants to speak with her so my hopes are she will basically tell my regular therapist how to help me and I won’t need her too long. I will be posting about how it goes I’m sure. Lol

Thank you for the advice! It's weird, a day or 2 after I last replied, the random nausea and intense abdominal pain practically disappeared on its own. Of course now I've been fighting with trying not to eat so fast I make myself sick and getting tired of eating the same thing over and over. Do you actually weigh out your food? I'm avoiding that because it reminds me of all the failed attempts at dieting. I doubt I'm hitting my protein and water goals still, but it's been an improvement from the past 6 weeks. You have to stay positive right? Do you actually eat 3 meals or at specific times? I'm still trying to recognize my body cues on that.

I tend to find the healthier option, however I have done a burger with no bun, no condiments. I will ask to substitute out the fries for a vegetable. Most meals at a restaurant will be 3-4 meals, and I don't eat them all in the same day. It will be spread out over the week. One thing to remember, if it is a 2000 calorie meal and you eat it all the same day (spread out), it is still a 2000 calorie meal. Just be wary of how and what you eat. I am 7.5 months PO, 8 months since I started Pre-Op, and I am still losing pretty quickly. I still limit my carbs (no bread, no rice, etc). And if you do have something that isn't "healthy", just get back on the bandwagon, don't beat yourself up about it, and don't abuse it. It is ok (no matter what everyone says) if you have something that isn't perfectly healthy once in a while. Just remember we all had the surgery for a reason, don't back slide into the same mistakes you made before.

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I wasn't given any specific restrictions but I did lift my 15kg dog about a fortnight out and caused considerable pain to my biggest incision (where they removed my excess stomach). Took a couple of weeks to be pain free after that. I agree you should check with your team. They all seem to be slightly different. And proceed with caution - you have the rest of your life to get fit!

So my doctor has me seriously ticked off. She told me she'd like to see my weight and bmi down. I said "WHAT???? I weigh 183 and my bmi is 30. What's wrong with it???" She told me she wants to see my weight around 155 or 160 and me at a normal bmi. I was like "if I do that, I'll look sickly!!! I've always been bigger boned and somewhat curvy, I carry my weight differently. Not one person would look at me right now and think I look like I weigh 183. No way would I look healthy if I went down to 160" and she said it would be better for my health and I should at least think about it. I told her "my blood pressure already runs on the low side of normal. I struggle to keep it up to 103/55!!! My A1c is 5.0 and my glucose is 96. I'm not on any meds except what I take for my MS. All my labs come back perfect. What else do you want??" I told her I feel amazing, I'm really active, I'm able to work as a clinical medical assistant for a busy specialty practice (infectious disease) which has always been my dream, I hike, I work out, literally I'm living the life I only dreamed about. What am I missing here???? I was so mad. And she said we'll discuss it at our appt on the 17th. I said "oh we'll discuss some stuff, alright, but that ain't happening". She's going based off my height, weight, bmi, and their supposed "ideal weight" BS. My bariatric surgeon is ecstatic with my progress. He actually said I've lost more, with both surgeries, than he realistically expected that I would. My neurologist is thrilled because losing all the weight has significantly improved my MS symptoms. My gastroenterologist is thrilled because all of my GI issues have gone away. Just this idiot yahoo isn't happy. I definitely think I need a new doctor. This is just too much. For reference, here's what I looked like when I first started seeing her, and here's what I look like now, literally this week....as in Monday and yesterday.....

Officially 8 weeks and 2 days Post-op and honestly I'm pretty comfortable with my progress though a little disappointed with my hydration. The weight loss is steady, protein intake was a little tricky but I think I got it, and keeping up with physical activity has been smooth. Last month's first follow up with the nutritionist did get under my skin, I questioned returning to my previous vitamins vs these nasty Flinstones...and she went on and on about my calcium, iron and protein levels wouldn't be sufficient due to me not eating meat. I explained I had no problem taking additional calcium or iron IF necessary, and finding new ways to add my protein BUT I wanted to see how my bloodwork came back. She finally conceded in saying "well, you're an adult, if you want to take more vitamins that's your choice". I mean OBVIOUSLY it is my choice and her condescending tone is one of the many reasons I've never cared for nutritionist. Nevertheless, guess who's blood work is PERFECT?! In other news, I will say this ketosis stage, while extremely beneficial... it is giving me the "ick" with side effects, smells, body odor etc... I've introduced some carbs hoping things will balance out but it seems to be a slow process. Uranalysis confirmed I'm still burning ketones sooooo there's that. 🤷🏽‍♀️but when will these side effects end ? Speaking of introducing carbs... I had a small bowl (4 oz) of mac and cheese (chickpea pasta)... this is a true trigger food for me, but I ate it, I enjoyed it and I moved on... it wasn't until the next day, I was thinking wow, I really didn't "Want" another bowl... "I'm good". In the head scratching category... I overheard my co-workers having a convo about individuals on the show "My 600lb life"... DISCLAIMER: I say overheard loosely, there's 3 of us in a small room, they were speaking freely as we usually do but I had my earbuds on and wasn't a part of the beginning of the convo. While I can't say I've ever watched a full episode, I am familiar with the premise of the title as well as what "reality shows" really entail when it comes to production and I'm sure I've caught a snippet of an episode on a meme, commercial etc. They also do not know I've had a procedure. I digress, at some point in the convo, they were both giving their opinions on "how could someone let it get so bad"..." when your pants stop fitting..." "when you're out of breath walking from house to mailbox..." etc. and while I have no doubt that they did not have malicious intentions nor have I personally fit into any of these examples... I suddenly became very offended. I even thought to myself have I lost that much weight that this is how "skinny" people speak freely among you ? (The answer is no, regarding me... I've lost a good amount, but they've known me for several years...at my heaviest). I thought, are they thinking I'm really deep into my work and not paying attention ? (The answer is no, we always engage with each other based off of body language to get the others attention and they were engaging). The answer boiled down to, they were just ignorant to the reasons this could happen to someone and the fact that reality tv has a way of making people look and behave at their worse. So I chimed in with "As a fellow big girl..." and explained to them that food addiction is real, and it's real easy to forget that unlike, drugs and alcohol, people have to eat for survival/nutrition and if you are addicted to such it's easy to forget how someone can "let it get so bad", there are also health issues and medication side effects. They were both receptive and admitted that didn't even consider that thought. We went on to talk about the state of "healthy" food choices, labels, vending machines in schools and all. But I definitely walked away from that convo scratching my head because they are both thin and love to eat and not always the "healthy" stuff... so I'm thinking it didn't occur to you others JUST CAN'T do that. Anyways, it was an experience and I'm glad I had it.

You being able to drink more fluids is not due to your tummy being bigger. You probably are not having as much internal swelling as someone else does. Also, some never lose their ability to gulp a good bit of water, and you don't list your surgery, some bypass patients also have this happen. Fluids exit our stomach really quickly, some faster than others. The restriction with fluids early on is because of the internal swelling and how long it takes to get to the stomach through that swollen area. I had a LOT of swelling. Water went down at a trickle. I could literally hear it displace air in my stomach when it finally got there, like a little drain finally clearing. It was hilarious and so strange feeling. For me it took 3 weeks for this weirdness to stop. I can take a good 3-4 full swallows most days now before I get pressure from my tummy to slow down. I tell you all this because I know for a fact I have a larger sleeved stomach than most, my surgeon made it that way due to reflux. I've seen it empty fluids on imaging, it is fast as lightning! LOL Your tummy will not lead to bad food choices, even if it were bigger. But your mind will! Trust me, once you add solid proteins in, you will probably feel your restriction to some degree. Many never feel restriction with purees and fluids.

I'm currently almost 3 weeks post op and am on 2 oz servings of purees, but I don't know how many per day. I find that I'm not very hungry during the day but by around 7pm, I am hungry. By that time I've already had a "breakfast" puree and a "lunch" puree and will have "dinner" but after that, I am just hungry. Continuing to meet my fluid goals with water and Jello don't really do anything to help. I feel like I need more substance but I am unsure how many servings of 2 oz purees in a day I should be consuming.

Is anyone struggling with taking pills? Tomorrow is two weeks out from surgery for me, and I dread taking my pills morning and night... especially in the morning. This morning I woke up feeling full and the thought of my pills was making me gag. It doesn't matter what size they are; I don't like swallowing them. Once I take them, I have to sit and let them go down. I took them over an hour ago, and I still feel full and a bit gaggy. I have no clue what the deal is with this. I never liked taking pills, but this is crazy. I'm trying to drink a Protein drink to get my mind off this, but I'm struggling cuz I feel so full.

I had surgery 1/24 and this morning was my first post op appt (9 days). I lost 18 pounds! Like, WHAT!? It’s not even 2 weeks. I was so shocked I wasn’t even emotional. Today, I am celebrating me for doing this.

I am about to turn 57 and had my surgery almost 23 years ago. I have given birth to three children and stayed thin the whole time. I started at 250 and settled at 125 ( I’m 5’4.5” and that made me a size 0 or a 2) When I was done having my last child I settled back at 155, still wildly successful. When I entered into perimenopause, it became a fight to keep my weight off and I kept fighting. And then now through full-blown menopause two years since I’ve had menstruation, I’m almost as big as I was when I started. I’m wondering if there’s any help in this situation. Any doctors who will look at a revision I guess or make some practical suggestions. I have changed my eating, habits a dozen different ways to try and bring everything down but it’s like it was before, the weight loss is nearly impossible. I can get it down sometimes but then it comes back and it never goes down more than 30 or 40 pounds. I regularly get my hormones checked and I’m on progesterone and testosterone. My estrogen is always fine or even high. Looking for optimistic ideas. Thank you in advance for your suggestions.

That was the worst when I had my surgery last year. I was advised to take milk of magnesia or Dulcolax by the team to get things moving. As well as to flush out any residual anesthesia. So after 1 week, I tried the Dulcolax and it was easy on the tummy while taking care of the constipation. Which is common after this procedure.

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.

Some of us just need the “extra help” that bariatric surgery can give us. I was a total food addict. Always thinking about my next meal, feeling cheated if I did not have heaping portions and eating until I felt sick. Some of us are just wired like that. It’s not just “push the plate away” or having “will power” I believe it just how we are wired, an addiction. This surgery does change your brain, I’m serious, I don’t plan my day around food and I easily choose healthy foods. I don’t crave junk and sweets. The hair loss is no joke but I knew that was going to happen. I’m 7mo post op and it has slowed down. As far as vitamins .. I take 2 chewy multivitamins and 2 calcium chews per day and a b12 every other week because my b12 level was really high. All other blood work was good. I’m happy to answer any questions you may have. I wish you the best of luck on whatever journey you decide to take.

What else is allowed on your program? Some are more lenient than others. Mine allowed tomato or strained cream soups, for example. Although lobster bisque has got to be one of the richest soups I've ever encountered. It's so full of calories and fat, not to mention lobster is not as easy to digest as, say, flaky white fish. I honestly can't imagine eating this 4 days post-op. Greek yogurt would be a healthier option, or strained cream of chicken soup. So, the issue with coffee is caffeine, which dehydrates. If you said you were getting 64+ oz water every day, no problem, I might shrug at a little bit of coffee. Some programs allow a cup a day. But given that you're struggling to hit even a much more modest 48oz goal, I wouldn't drink something that is known to dehydrate you. Could you try decaf instead? I drink a 32 oz travel mug of decaf tea every morning and it goes down so smoothly, better than water, and counts toward my hydration goal. Ultimately, taking a bite or sip of something forbidden isn't as big an issue as why you're doing it. When I am tempted to do something not approved on my plan, I have tried to ask myself why, and get to the bottom of it, because what can quickly undo all your best efforts and intentions is not being in a healthy headspace. Is there something going on that will continue to drive you to push the limits, or lead to a slippery slope? That's something only you can know. I totally understand how boring and disgusting the options get that first week post-op. But it's really such a short time. For me, my program allowed soft proteins at one week post-op. That's really not so long to wait. Your body doesn't need much right now. If you're like me, you don't even experience hunger yet. So "needing" something different is mostly head hunger, which can get a lot more dangerous as you go along. Bending the rules now makes it a lot more likely you will bend them later, too.

I'm on a two week liquid diet before my Feb 7th surgery. What's your restrictions? Ask your doctor about taking multivitamins. I'm able to even on the liquid diet. But other doctors might before restive.

If you take away the time you had a feeding tube, you’re probably more at about the four month mark compared to the rest of us. I think I was eating about 600 calories then so a little more. I was a low calorie small eater too. Didn’t stop e losing all my weight & more. So don’t give up. (So sorry you had these struggles.) and I would expect that is also why your doctor is okay with your lower food intake at this time & your eating routine. While yes it is important for you to be slowly increasing your caloric intake & increasing your portion size as you progress, I would expect t your path will be even slower. Out of curiosity what are you eating? Maybe there are some foods that are less dense & with higher calories you could be consuming. Do you regularly see a dietician to guide you on food choices with your specific needs? May be you could reduce some of your activity to take some stress off your body. Exercise only contributes to about 10% of your weight loss. I didn’t exercise as such. Just upped my daily every day activities. Parked further away from where I was going. Walked up escalators. Took stairs. Did single trips up & down my stairs instead of carrying multiple bags or whatever at once. Get some resistance bands. You don’t have to do a lot to see a change in muscle toning & building which ultimately will help you burn more fat. I’ve been doing about 4 x 5 minutes or so sessions across my day for about a year. Doesn’t burn a lot of calories. I say I wouldn’t burn 40 calories a day but my arms look great & I get complements & I had to buy new pants as my thigh muscles had grown. All the best. And yes, the stall will break when your body is ready.

I took 2 weeks off work. The first week made sense. The second week was more of a precaution for myself as I work inside a prison and anything can happen. My doctor didn’t want me lifting more than 15 lbs for 4-6 weeks after surgery. But if I’m honest at 3 weeks I was picking up my niece at 25lbs carefully but no issues. I think it just depends on what you do for a living and what required of you to complete you day. Do what best for you!

Tracking is a thing that can be polarizing for sure. It's almost like weighing in daily - it's not necessarily a good thing for all people. Some it helps, some it hinders. I, like many here, have been on a weight loss journey long before choosing surgery. When I was ready to be serious back in 2014 I tracked daily on MyFitnessPal. I only had a calorie goal and macros wasn't even on the mind. It for sure helped me in my journey to lose 100lbs and maintain that loss for a few years. I was definitely more consistent with it Monday through Friday, but not overly "religious" with it on weekends. Sometimes you guess a serving or a recipe that's close to one you use - but at least you have a close enough snapshot. Then came 2020, tracking, activity and all that jazz all of it went out the window and by 2022 I gained all my weight back. Then was the serious contemplation of surgery. Now I track via the Baritastic app (which i like, but do not love) and it's honestly more about protein and fiber tracking and reminders for vitamins throughout the day. I've never been overly anxious about writing down every last bite and morsel or if the calories were more one day over the next. However it can help to provide insight if you feel like maybe you stalled and try to lower or raise carbs to help it budge. Or that it can help track activity along with intake. The numbers might help the big picture and to reflect back. Some track for a period of time and then step back when there's a good grasp of macro counts by reflex and it becomes second nature. But once I think it starts getting obsessive or causes anxiety or to villainize foods, then maybe tracking in that manner is not for you.

Did your doctor give you a list of what was tolerated on the liquid diet? I would just follow what was suggested for the liquid diet phase. Each doctor has their own plan specialized for their patients. I had gastric bypass and had to do a full one week of protein, water and decaf tea. My friend who had the sleeve also did a full one week liquid diet but also was allowed one low cal meal.

I have lost almost 100lbs since I start the process 3 years ago ( when I first started playing with the idea of having surgery) .. since my surgery I am down 43lbs.. I wish there was a way to add those dates to the tracker. According to my status on the Baritastic App I am averaging about 2lbs a week. I think I am just so worried about failing, or disappointing my surgeon/medical team. Thank you for the boost of confidence.. your stats are amazing.. my boobs are starting to get flat too ( next shoping experience is bra's)