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My surgeon said if I want to follow calories that my intake should be around 900 to 1200 calories a day. I average 1000 to 1100. Sometimes I have days when I eat 1600 or more. (Usually due to alcohol intake). I do not eat my exercise points back. I am losing pretty fast. 62 pounds since December. Not everyone wants to lose that fast or be as strict with what they eat. Fast is not necessarily better. With the amount of exercise I'm doing, sometimes I feel I may not be eating enough. Find what works for you.

This is not a study, only a recommendation by the ASMBS for certain surgery types and the introduction of certain foods during the post op diet phases. It is only an excerpt of a very lengthy article. I am not going to argue this point, everyone needs to do what they feel is best for them based upon their surgeon's and nutritionist's recommendations. There are polar opposite opinions by the medical professionals on carbonation stretching your stomach, so it is not something that they seem to agree upon. I guess err on the side of caution if you want to feel safe. This document is intended to provide an overview of the elements that are important to the nutritional care of the bariatric patient. It is not intended to serve as training, a statement of standardization, or scientific consensus. It should be viewed as an educational tool to increase awareness among medical professionals of the potential risk of nutritional deficiencies common to bariatric surgery patients. The goal of this document is to provide suggestions for conducting a nutrition assessment, education, supplementation, and follow-up care. These suggestions are not mandates and should be treated with common sense. When needed, exceptions should be made according to individual variations and the evaluation findings. It is intended to present a reasonable approach to patient nutrition care and at the same time allow for flexibility among individual practice-based protocols, procedures, and policies....... .....Similar to AGB and RYGB, programs offering DS/BPD procedures reported that the clear liquid diet phase is employed for one to two days after surgery. The full liquid phase was most commonly noted to last >10 to 14 days, while the pureed phase was reported to be >14 days. Most programs report that a ground texture phase is not utilized. The soft diet phase was reported to last >14 days. Finally, those programs offering DS/BPD most often reported advancing patients to a regular diet five to eight weeks after surgery. **Foods commonly restricted ** The American Society for Metabolic and Bariatric Surgery members reported in the survey that patients were instructed to avoid or delay the introduction of several foods as noted in [Table 9](#tbl9). Research to support these clinical practices is limited, especially with regard to caffeine and carbonation. Practitioners might theorize that certain foods and beverages will cause gastric irritation, outlet obstruction, intolerance, delayed wound healing, or alter the weight loss course; however, much of the information is anecdotal and lacks empirical evidence. In addition, although practitioners recommend that patients avoid or delay the introduction of these foods, little information is known as to whether patients actually comply with these recommendations and whether those who do not comply have altered outcomes or clinical histories. One retrospective survey suggested that many patients are noncompliant with diet and exercise recommendations [[174]](#bib174). food type Recommendation Sugar, sugar-containing foods, concentrated sweets Avoid Carbonated beverages Avoid/delay fruit juice Avoid High-saturated fat, fried foods Avoid Soft “doughy” bread, Pasta, rice Avoid/delay Tough, dry, red meat Avoid/delay Nuts, popcorn, other fibrous foods Delay Caffeine Avoid/delay in moderation Alcohol Avoid/delay in moderation The article: https://asmbs.org/resources/integrated-health-nutritional-guidelines

My cousin is in the process of getting WLS a sleeve. He was supposed to stop all alcohol but he keeps on drinking 2 glasses a night. I told him that he wouldn't succeed if he continued to drink and if he did he would be drinking his calories. I commend you for realizing that the wine was holding you back from greater success and putting in a plan to stop it. My question, how much were you drinking on a daily basis and how much do you think it affected you getting to your weight loss goal? Thanks again for your journal and I wish you continued success.

Your body is being deprived of the vitamins that we would normally get with the food we eat. I know it's tough but you should try to eat. I am surprised that you are getting sugar free pudding. There is actually a lot of sugar alcohols in the sugar free stuff which typically is a no-no. Can you have soft scrambled egss? try that with a dab of cream cheese to make it smooth and creamy. You'd be surprised how good it is. Good Luck.

Well, once again, I am the freak in the crowd. For me, maintenance has been boring and wonderful! I reached goal around this time last year and continued to lose another 10 pounds. I've maintained my lowest weight (with a small bounce range) for almost 10 months. But besides rough counting my Protein and Water amounts in my head each day, I never tracked or measured anything, so the transition between losing and maintaining was no big deal. I'm also one of those "I had surgery so I would never have to diet again" loonies. I am committed 110% to being successful with my VSG, but I'm also not willing to go against what's in my nature to do. I know I would fail (and be unhappy) if I tried. Following a regimented diet plan, using MFP, going to the gym, running 5K's, etc. are just not "me". The main changes I made in conjunction with surgery were to simply make healthy food choices and drink a lot less alcohol. The other difference I've noticed with me compared to a lot of posts I read is that I never made that big of deal about my goal weight. I didn't really perceive of reaching it as an end point. I knew being a WLS patient was a forever thing, not just a losing thing. Maybe that's why I never felt the need to seek a new "goal" to stay motivated. I'm just happy to be the size I am, feel as great as I do, do all the physical activities that I can and simply eat like a "normal" thin person. That's all the motivation I need.....That and an occasional glance at my before pictures. I hope you all find what works for you for long term success. (And that my way continues to work for me)

I felt the same way the week of my surgery and kept thinking "Am I sure" and then the "what if I fail" - all sorts of things go through your mind. I will tell all of you, that it has been the SINGLE BEST DECISION I have ever made for myself and has been the one thing that has helped me to lose more weight than I ever have before. I can't even begin to tell you how much I love my band. I have changed my eating habits, but not so drastically that I'm miserable. I actually ENJOY my Protein first and find myself craving it. I don't miss soda pop and I was never one to really drink alcohol, so I don't miss that, either. Wiggling into a size 16 dress today made it all worth it for me. One day I hope to see a 12. Trust me - the surgery will be over and you will be so happy with the results in about six months or so. :thumbup: Good luck to everyone and if you have any questions, feel free to e-mail me. I remember being a new bandster and feeling so lost!

I agree with everyone else. Those "rules" just don't sound right. I do the sublingual B12, never used Protein shakes/drinks regularly because they made me sick, and I eat anything and everything. I drink soda, alcohol, through a straw, and I'm over 2 years out with zero issues. The pre-op diet (if yours is all liquids, mine wasn't liquids at all just low carb) yep that sucks, and the couple of weeks of liquids to allow your staple line to heal suck, but those things are temporary. So, by your program's rules, I would be the least compliant patient. By my program, I'm one of the biggest successes ! ! ! I would ask more questions, and really evaluate the "why" behind these rules/suggestions.

If any of us could do it alone, we wouldn't do this. 99% of people who lose weight on diets gain it back plus more weight. We are no more flawed then other people. Some people are drug addicts, alcoholics, smokers, batterers etc. Its just that our addiction shows up on our body as extra weight. I think having the lap band isnt a cop out. I think it is smart. Because we are taking responsibility for our lives and our health. Its nothing to be ashamed of. But we don't have to tell everyone either. Its a personal choice to take care of ourselves.

Well. I did not wait long. I resumed drinking about 6 months out I think. And that was a big mistake, at least for me. Alcohol effects me differently now. If I haven’t eaten enough I get DRUNK FAST and I’ll blackout. It’s bad. I had to learn that the hard way. It’s also takes the place of food calories because I struggle to drink and eat together so it becomes a choice between drinking or eating. And I need the food more. And you do too!! Especially early on. I do love wine but even three years out I try and limit my alcohol intake. I’m careful about it. I can see why you want to drink and I wouldn’t think in moderation it’s a problem. But it could possibly slow your weightloss. For me, it did not slow my weightloss but I oddly tend to lose weight when I drink. Most people gain from it. But if you are feeling healthy I don’t see a problem with having a little in moderation here and there, maybe a Glass now and then. I’d say in the first year you can just be very cautious. [emoji4] and don’t let people on here bully you. There is a nice way to give advice and trollish ways. Just remember the people on here, they are all hungry and sober AF.

It's important that you realize that there might be things that you just can't tolerate after getting your band, and it's great that you're asking questions. I always think it's better to be prepared too. There are very few foods I can't eat. For instance, one is raw celery. I'm not even sure that I can't eat it, but I tried it once after banding, and the texture of the fibers in my mouth made me decide not to try it. The thought of swallowing it kind of made me feel gaggy. Often times, it's better to try a new food at home, just in case. But, as Cathy described, as long as meat isn't dry, I don't have any problems with it, and I never liked it dry anyway. It's important to try new foods slowly, and if you start to feel tight, and you'll get to recognize that feeling, not to push it. Actually, some people have issues that their tighter during certain times of the day or month, so it's always best to take those first couple of bites with a bit of caution, especially if you're prone to band fickleness. Pre-banding, not knowing what I was going to be able to tolerate, I decided to go into this WLS as if I was an alcoholic giving up alcohol. If I had to give up steak, for instance, to be healthy, so be it, however, I have been very lucky that most foods don't trouble me. I know you're saying the same thing too. For me, eating smaller portions, eating at a slower pace, taking slightly smaller bites, and chewing a little longer has allowed me to lead a very normal life with food.

i really didnt know you could be addicted anything else then drugs.. alcohol or sex untill 2 days ago.. im in love with diet coke!! yes i FREAKIN LOVE IT..but with the carbonation cant have it!! i was at my grandparents and bam... there was like what seemed like a frickin mountain of diet coke... i just looked at it and looked the other way and wondered what it would do if i drank one... i didnt but i still thought about it for atleast 2 hrs.. i swear i had the shakes like i was fiening for crack lol!!

I just tell people that I'm an addict. food is my addiction and I came to the realization that I could not lose the weight AND keep it off without help to control the constant hunger that I experienced pre-band. The band is my tool, or "crutch" if you prefer and there is nothing really easy about it because it still requires a commitment to changing my lifestyle. I also tell them, if they push the issue, that when they are in the same arena I fight in then I'll listen to what they have to say. I also point out to them that if someone were to develope a surgery that helped drug addicts, alcoholics, and smokers overcome their addictions that was equivalent in cost, safety, effectiveness, and benefit as the lap band is as a treatment for obesity, politicians couldn't pass legislation fast enough to pay for it. Then I tell them my surgery didn't cost them a dime of their tax money and means there is now just that much more food available for them and/or the poor and starving people of the world. I normally don't rant like this may sound. If the person is just curious or really uniformed and seems to be genuinely trying to learn more, I'm usually pretty diplomatic about it, even enthusiastic bordering on evangelistic at times. On the other hand, if they have displayed a particularly obnoxious attitude in pursuing the topic, I have been known to throw in, "Kiss my ass if you don't like it!" at the end.

So the big day is closing in…and I’m starting to freak the hell out!!! I’m scared as frack for a multitude of reasons and my trepidation is increasing with each passing day. Tomorrow I start my pre-op diet. I did try to be good this past week, at least in the beginning. But then I seemed honestly, legitimately more hungry than usual and my junk food cravings were unbearable. I would be good all day then come home and give in to the ice cream in the refrigerator or feel the intense need to stop at 7-11 on the way home and pick up a candy bar (or two). This definitely didn’t help my nerves. If I can’t even go two days without chocolate, how the heck am I supposed to go two months without solid food? What if I really can’t do this? What if I fail? Sure, I’d considered the possibility of failure going into this. I know the statistics. I know it doesn’t work for everyone. I know a lot of people find ways to eat around the band and manage to eventually gain back any weight they lost in the beginning stages. I knew that I might never reach my goal or that I might, in the long run, not lose any significant amount of weight at all. I knew these things from the beginning, but all those images of skinny me at my sister’s wedding this fall, or my ten year high school reunion next year, or me in a sexy outfit in a bar in the city getting hit on by cute boys sometime in the foreseeable future, were the possibilities my head focused in on. I figured once the changes had been made to my body from this surgery I wouldn’t be allowed to pig out. I wouldn’t be able to binge on junk food. And I’m a good girl; when there’s a rule I follow it. So long as I had a hard and fast reason to eat better, I would stop being able to rationalize the bad things I ate, and I would succeed. Or at least that’s what I believed—or what I wanted to believe. But I know it’s not going to be that easy. I’m going to be fighting those cravings all the time, especially in the beginning and If I couldn’t say ‘no’ this week, how will I do it next week, and the week after that, and for the rest of my life? Will I find a way? Or will this just be another failed attempt of mine to lose weight? And that’s not all that scares me. Because let’s be honest here—I didn’t get to be 315 lbs by not liking food. In fact, I love food. And I don’t just love food. I love sitting down and stuffing my face with mass quantities of disgusting, bad for me food. Right now I’m living at my parents house, since I had no money when I graduated vet school, and decided to stay at home for a year or so and save up money to buy my own place (which I will be moving into in a couple of months, but that’s a blog for another day.) Anyhow, the point is that even though I’m living at home, I’m 27, an adult and a doctor who is responsible for many lives on a daily basis. I should be adult enough to be responsible for my own life. My choices should be my own and I shouldn’t have to hide things from my parents just because I’m living under their roof at the moment. And yet, I do. I don’t hide boys, or pot, or alcohol--I hide food. When they go away and I know I’m going to have the house to myself, I think—“oh yay! I can stay in and watch a movie and order an entire pizza and eat it by myself.” I know this is not a healthy view to have on food, or on life in general, but it’s the way my mind thinks. I actually look forward to the opportunity to binge. And now I won’t be able to do that again—ever. Which is good. I shouldn’t ever do that. But that doesn’t mean I don’t want to. And knowing that I can’t use large quantities of food to comfort myself is scary. Now I might actually have to deal with my emotions and to be perfectly honest, I don’t even think I know what my emotions are any more, I’ve been eating them down for so long. And then there are the minor scary things. I’ve never had anesthesia before or even spent a night in the hospital (except the sleep studies I had to do) both of which I will have to do next week for the surgery. How will the recovery go? Will I be in much pain? How will I survive a week at home with my mother without the possibility of escaping to work? (that last one is definitely the scariest.) So well, the freak-out isn’t exactly over, but I guess I’m done ranting about it for now. I’ll probably be back a few more times this week as D-day approaches. Tomorrow I think I’m getting weighed and measured by my PT at the gym so I’ll have some accurate starting stats to share with you. Until then, I’m going to try and convince myself that a week of Medi-Fast and fat-free, no sugar added yogurt sounds delicious.

Bariatric Realities I’m doing this series called “Bariatric Realities” as a result of many frustrations. In this case, the energy generated in my body and brain, as a result of these annoyances, is my motivation for developing this series. I need to “get it out,” put my thoughts and feelings on paper - and on video - and share them. I want to talk about what I see and hear, day in and day out, from the patients I work with. These vulnerable men and women tell me about the realities of dealing with weight issues, the struggles related to getting extra weight off and keeping it off, and the underlying emotional hurdles interfering with their progress. I’m frustrated that patients, whether they are seeking medical weight loss assistance or opting for weight loss surgery, are given only part of the story and only part of the solution. The emphasis in all bariatric programs, obviously, is on meal planning and “behavior modification.” These are, of course, essential elements of weight loss and healthy weight management, but they are only part of the deal. The emotional components related to weight issues – shame, self-esteem, body image, family of origin issues, past trauma, relationship changes following weight loss – these and many other crucial, emotional/psychological issues are so often ignored. Not to me, they aren’t. And these will be addressed in this series. In addition, I want to inform other professionals in the medical, psychological and psychiatric fields about things patients (and, to be fair, some professionals) know, but the scholarly types won’t listen to, because what I have to say isn’t “evidence based.” Meaning there are no formal research studies or statistics to verify or validate what I, and so many others, know to be true. Oh, I am a believer in, and supporter of evidence based research – without a doubt! And yet, so many topics that need to be addressed in the area of weight loss have not been formally researched, nor do they always lend themselves to scientific investigation. (Not to mention, the evidence found in evidence-based research is very often conflicting and ever changing. That, however is another paper…) I will address those very real problems related to weight loss and maintenance that are largely ignored due to a lack of research-based evidence. And yet, those topics are so very, very real. Here’s a sneak peak at the types of things I’ll be addressing in the Bariatric Reality series. Alcohol Use After WLS This topic is widely debated by patients and professionals alike. It is, indeed, discussed at the professional meetings. In fact, just a few years ago, a big fuss was made at one of the largest bariatric surgery professional meetings about brand new research related to Alcohol Use Disorders following weight loss surgery. The actual researchers presented findings of their newly published data recently released in The Journal of The American Medical Association (JAMA): Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery. The authors reported a 2% increase in Alcohol Use Disorders at the 2-year post-surgical assessment. Is this information helpful? Of course it is! Does it tell much of a story, really? If you ask those of us who work day in and day out in surgical weight loss programs, I’d venture to say that the majority would report that this 2% statistic at two years post-op doesn’t even begin to tell the reality of the problems we see with “Alcohol Use Disorders” following weight loss surgery… some a year after, some two years after, some five years after. And it’s not just alcohol. It’s also abuse of pain medications, spending, promiscuous sexual behavior and eating disorders. And tell me… how many WLS patients who have “Alcohol Use Disorders” haven’t returned to their bariatric centers for follow up to be included in the research results? How many haven’t mentioned anything about “Alcohol Use Disorders” to the multidisciplinary team? A lot. Yet we can’t present the very real information from patients who tell us about their friends who won’t come see the doctor after their surgery … the ones they are worried about because the person of concern isn’t eating but is consuming the majority of their calories from alcohol. We can’t count, or report on, the patients whose won’t come in for a follow-up and who drink so much they are falling down and hurting themselves. There is no “data” to indicate the number of patients calling and insisting they need more or higher doses of pain medication and become hostile or abusive to the staff when told the doctor won’t prescribe any more. We don’t have “numbers” for the patients who sit in my office and cry because they are sleeping with anyone who shows any interest in them. We have no data on the number of patients who tell me and other providers around the country that they meet strangers at motels for sex, something they never did before. How do we help educate other professionals about very real, very dangerous “anecdotal” reports of problems, when, alas, we have no DATA? No, this type of information is not discussed at the “professional” meetings because we don’t have scientific evidence. But these things are happening. They are real. And they need to be talked about. So I’ll talk about them and hope someone listens. A lot of someones – so that people won’t be afraid to ask for help for these issues, knowing they’re not alone. And so that professionals may – just may – stop pretending these things aren’t happening because there are no “numbers” to support the reality. Food Addiction Last year, I spoke at a national weight loss conference for overweight and obese patients. The moderator of the panel of which I was a part, felt strongly that food/eating is not an addiction. He therefore posed this question to the audience of approximately 200 people: “How many of you consider yourself to be a food addict?” Nearly every hand in the audience shot up immediately. I explained to him, and to the audience, that the hallmark of addiction is knowing something is a problem and has caused problems (think of all the health-related problems associated with obesity), wanting to stop (wanting to lose weight) having made many attempts to stop (consider all of the prior dieting), but not being able to stop (most people regain any lost weight from dieting and feel hopeless about being able to make permanent changes to their eating and exercise behavior). These people who consider themselves food addicts are addicted to food/eating, physically and/or emotionally. They know their weight is causing serious problems in their lives, they want to stop, but they cannot. That’s addiction. “Where’s the evidence, Connie?” Well, I don’t have it. And I can’t find that many others do, either. I did find a “scholarly article” from 2013 of a study of 652 adults from the general population in Newfoundland, in which the prevalence of “food addiction” was 5.4%. The majority of other “scholarly articles” that even discuss food addition focus primarily on Binge Eating Disorder or the “neurobiology” of food addiction. Often the conclusions are similar: professionals differ on their beliefs about the idea of whether or not “food addiction” is real. Ask your patients. They believe food addiction is real. So if, at the professional meetings, we can only discuss food addiction based on the “research,” it seems we are limited to debating the existence of food addiction, or to sharing the percentage of “food addicts” in Newfoundland. How, then, are we supposed to talk to professionals about the myriad of non-scientifically-researched REAL issues that patients experience in their REAL lives? I’m frustrated. Bariatric Realities is my new outlet. I will talk in REAL language about the REAL issues experienced by the REAL patients I work with all day long. I hope it will get others talking! Share your REAL thoughts, feelings and observations with me and other readers! THANKS! The NEXT TOPIC for Bariatric Realities: Genetics and Sources of Weight Problems – What ARE You Accountable for? Connie Stapleton, PhD connie@conniestapletonphd.com Facebook: Connie Stapleton Twitter: @cstapletonphd LinkedIn: Connie Stapleton, PhD

First of all I am proud to be a member of this site. It is wonderful to hear the stories of those who have been banded and those in pre-band status. It helps to read forums about the successes and the concerns, the achievements and the lessons learned. However, I wanted to reach out to those whose journey to Lap Band was slightly different. You see, My journey began at birth. I was born with a defect that was not treated until July 10th but caused me many issues throughout life. I was never an overweight child or teenager. I stayed active and in shape BUT I was sick. As a baby, I couldn't digest most formulas and I had a hard time with breast milk. Ended up with PET milk and karo syrup. As a young child, I had multiple stomach viruses. At the age of eight, I learned that falling asleep after I ate lead to choking in my sleep later on. This was chalked up to having a weak lid (whatever that means) and bad family history. During my college years, I began to develop ulcers. I was placed on a daily regiment of Protonix and sent home. By 30, I was experiencing fatigue, slight hair loss, and pain whenever I ate certain foods. At 31, I had enough and I requested to be sent to a specialist. I had an Upper GI which confirmed the presence of a hiatal hernia. One I was born with. Told that I could live with it and sent on my way. At 32, the list of foods I was unable to digest without pain was growing by leaps and bounds: NO fruit, no raw vegetables, no cakes, no desserts, nothing with tomato paste, no spicy foods, limited greasy foods, no carbonated drinks, no alcohol. I virtually had to watch almost everything I ate. I was in pain when I ate and pain when I wasn't eating. My vitamin levels where awful and my immune system not the best. I was exercising but not losing weight. I was surviving off of starch. I met with the specialist who performed and EGD - or scope on my stomach. Afterwards, He said he understood why I was in pain. The hernia had went from small to moderate size, Gastritis, GERD, reflux, and signs of Sleep Apnea. My stomach was a hot mess. All relating to the fact that my Hernia was never treated and 33 years later the damage was evident. My part in it all: Im sure I sped the process along with my awful College eating habits - aka eating when I had a chance and not getting anything remotely close to proper rest.) I remember sitting through my Pre Surgery Informational Class shaking my leg because I was in so much pain: I had just ate chicken and mashed potatoes and cole slaw. Yes I know: not the best - but anything I ate caused me pain. Well, the doctor sat down and discussed my options with me. LapBand seemed the best option. As of July 15th, I feel so much better. I actually rest when I sleep now. My thoughts are clearer. Outside of the pain of surgery, My stomach feels much better. I did start the protein shakes a month before my surgery. Two shakes and one meal for four weeks, which greatly helped with the abdominal pain and agitation. Two weeks before surgery, I had a protein shake every 3 hours and water in between. NO food. Yes I lose 24 lbs before surgery: though I was not very thrilled during the process. My doctor informed my loved ones that not only where things better than he anticipated during surgery, but my surgery went well and everything looked good. I wanted to share this story with those who are experiencing the same issues. Please note that your journey may be slightly different: It may not have started with the desire to lose weight or high blood pressure or diabetes or bad cholesterol, BUT I want you to know You are NOT alone. Many adults suffer from Hernias they know nothing about. They are not aware of the symptoms and just think they have stomach viruses and ulcers. If you are living on Maalox or Pepto or Mylanta: I am talking to you. If Nexium and Protonix are not working: I am talking to you. PLEASE get checked out. Have your children checked out. What seems like a small problem may lead to very bad complications later on in life. There is a better way of life available to you. I am and aim to continue being a witness to this fact. Thank you for reading this. Good luck on your Journey. Most importantly, Love yourself ALWAYS.

Hi there, well your not going to get a lecture, your booty kicked or pity from me. . . cause i've been there and am struggling big time. . so your not alone. . .i was on a 7 month stall from January 2011 to mid July 2011. . . then i kicked myself in the backside (hard to do) and did a reality check. . . I didn't pay $15,500.00 of my hard earned money to NOT get to my own personal goal. . . there was no way. . .so i pulled up my big girl panties and went back to the olden days. . . DIETING. . . yup and charting on myfitnesspal. . . i only allow 800- 950 calories and less then 40 carbs a day. . . those carbs are from veggies and fresh fruits only. . .i dropped all diet soda, alcohol, flour products and sweets, desserts, etc. . . it's really really tough but it's working. . . in the first 2 weeks I dropped 20 lbs and i'm in week 3. . . I'm only doing this in small 6 week increments then taking a break for 1 weekend and off i go again for another 6 weeks. . . as far as exercise, change yourself up a bit, do something different then the bike. . .walk or something else. . . your body tends to get really used to all this business of sameness. . . good luck!

I started w/ bmi of 36.3 and I'm now 23.9. (I'm 14 months post surgery). For me, when I'm out w/ friends I still have eyes that are bigger than my stomach. I have fun and occasionally have some alcohol or a treat, but I try to stay within my daily calorie allotment. Just remember to order the appetizer and not the entree (unless you want to take home a doggy bag)!

If they are like the Blue Bell SF pops I had, they are made with sugar alcohols. While not completely carb free, from what I've read, your body only absorbs about half the calories from the sugar alcohols.

That's something I'm struggling with. I'm 13 years out and was to goal however I'm not longer working and doing stairs at the hospital and still enjoy my vino. Resulting in a 30 pound gain over the last 3 years. I'm stable the past year with no loss. I'm now Journaling and cutting back on alcohol. Doc says it's fine so long as I journal it. Say some prayers please. I need back down. Sent from my SM-T350 using the BariatricPal App

Well I had the sleeve done - This is the story. Left for Vegas on Tuesday got off the plane and headed for my appointment for Pre-surgery - everything was a go. So my wife and I hit the strip and I played black jack and won.... not much but still won. We ate normal and I did not drink alcohol. Went to bed on time for a 7:00am surgery at a surgery center. We had signed up on one of those package deals where the hotel is included. So we were up and headed to the center (by the way rent a car it is better to have the freedom to go) I went in and filled out some more forms and headed to the prep room. Met the anesthesiologist he went through a few items and the nurses were wonderful. Then I saw my Doctor (Thomas Umbach ) not long after that I was being wheeled to the surgery room. I was give something that made me feel very sleepy but could understand everyone. Then told to breath deeply two breaths and I don?t remember anything except being woke up saying surgery went fine and it is done. This was about 10:30 or so I think. Surgery was about an hour and recovery 2 . I took some pill for pain and they started me walking. It did not hurt to walk so I kept going after hearing everyone on this site telling me how walking really helped. Dr Umbach also installed a pain drip system that hung around my neck and had some small tubes planted around where the surgery took place, with a big ball that would dissipate in 3 days, this provided a pain free experience. I was released at noon to go back to my hotel which I walked and slept and drank water (very very very small sips) the fist night I had some small discomfort felt like acid reflux so I called the doc on his cell phone which was nice about 10pm and he said I could get some pepto or any over the counter acid reducer I wanted. My wife drove out to get it and also got liquid Tylenol which I recommend very much. I burped a lot and had to raise my arms when drinking water to get it down. The doc said for the first day my stomach would be swollen and until it went down it would be a bit tough. It was, but by the end of the next day it eased up. Sleeping and walking is the trick and the Tylenol made everything right as rain. On Friday we went back for a follow up with the doctor, and everything was perfect so we said our good bys and we headed for the Hoover Damn wanted to see it. I even drove ? I don?t feel the surgery hardly at all it is the drinking that lets me know it is there. So we got back from there and got our flight out back to Kansas City ? Because I have traveled so much we both were in first class so that was nice, bigger seats if you know what I mean. This is the first day back home and since the 2 weeks prior with the protein shakes to today I am down 27 lbs. I am just starting to feel hungry this whole time prior I have not had a desire to eat. I have force the drinking because I know that is good for me. I hope this helps with those who have not taken the plunge yet. I plan to keep you up to date on the progress. My doctor told me to walk everyday so my wife and I are headed to the gym in a little while, course I will be on slow mo for a while. Thanks for listening and hope it helps someone else.

I was never given a timeline for alcohol. I'd wait until you're at least done with the special diets post op. Alcohol will hit you harder than prior to surgery - or at least, it does most of us. In the beginning, I sincerely doubt you'll be consuming even remotely close to 700-900 calories a day, let alone what you'd been eating pre-op. There is nothing wrong with the OCCASIONAL indulgence. You have a choice: treat your sleeve like a diet or treat your sleeve like a tool that can help you learn moderation for life. If you choose the first option, remember that you still have to learn how to eat in maintenance. If you choose the second, maintenance becomes infinitely easier. In any case, always be wary of transfer addictions. Freshly sleeved we can't eat our emotions and there are numerous threads on VST about transfer addictions - to alcohol, in particular. So remember that the long term goal is control over food and our emotions, as opposed to letting food and our emotions control us. Do not feel bad for asking this question, OP. For every question you ask, you'll get as many varied responses as their are people on the internet. You have to choose what sounds right to you and what you can live with, but ultimately it's your choice and it's up to what your body will tolerate. ~Cheri

The stuff that passes for absolute truth on these boards, although no different from The Huffington Post content, would require more time than I have to debate it. So I usually don't. But throwing out a few well-known, well-substantiated facts -- like too much sugar and too much salt are bad for us -- does not warrant that all other comments and advice uttered thereafter are grounded in anything other than the poster's personal beliefs and experiences. What works best for you and what works best for me don't always coincide. And the presumption that my truth will solve everyone else's problems and become their authentic, legitimate truth really does strengthen cults and other rip-offs, whether it's Scientology's weirdess, Dr. Mercola's supplements business, Joel Osteen's church, or the Arbonne multi-level marketing company. Protip: If your guru wants your money, it's a cult. As with other cults, every dietary cult needs a super-villain. We've all seen rants and articles and cultish advice advising WLS patients to eschew these villains: trans-fats, saturated fats, non-virgin-olive oil, canola oil, beef, chicken, all animal Protein, eggs, milk, corn syrup, gluten, wheat, corn, celery (those evil strings!), raspberries (those devilish seeds!), artificial sweeteners, sugar, all alcoholic drinks, caffeinated teas, coffee, bottled Water, well water, filtered water, chlorinated water, unchlorinated water. Although my truth is no more valid than anyone else's truth, here's mine: Don't smoke (my only "eschew" truth). Eat less sugar. Eat less salt. Eat better fats. Eat slower food. Drink less alcohol. Stand up more. Walk more. Stretch more. Make your bed. Watch less television. Read more. Talk to your family at mealtimes. Take your meds. Have more sex. Smile more (fascinating, persuasive research about that one). Brush your teeth. And some unsolicited advice: Don't start a cult, and don't join one.

First, I want to say that I am happy with my weight loss so far (23 pounds in 7 weeks), although it is slowing significantly to less than 1 kg (2 lb) per week the last three weeks. Next, I want to say that I understand that there seem to be as many diet plans after the sleeve as there are dietitians. I actually have an appointment with a different dietitian who was recommended to me by a friend who has also had VSG, as a "second opinion" on what my primary dietitian (who works with my surgeon) has told me. When I spoke with this other dietitian on the phone she agreed with me that the diet my current dietitian has me on might not be the best choice for me. My current dietitian also uses basically the same diet for people with the band and sleeve, just reducing the calories a bit for the sleeve versus the band. The liquid stage was fairly standard. In the puree stage I was told that half of every puree should be lean Protein, a quarter should be non-starchy veg, and a quarter should be grain-based starch (rather than potato or other starchy veg), because the grain-based starches give us B1 and other important Vitamins. OK. This worked fine, even though it seemed a lot more specific than most people have for the puree phase. Then, he didn't really have a soft food stage, but just moved me straight to full foods, giving me some advice about things that I may have trouble tolerating at first. It turns out I haven't had trouble tolerating anything. The thing I am having trouble with is the composition of the full food diet. His advice is a lot different from almost everything I see here. Here is the guideline he told me: 1. I am to have a balanced meal, not particularly high in protein or particularly low in carb or fat. This is to make sure that I'm getting all the nutrients I need. 2. I should be eating around 1000 calories a day. He reckons I am burning around 1800 calories a day and this will promote a 2-4 kg (4-8 lb) loss per month. 3. I should not count calories. Instead I should be using an exchange diet as follows: a. 3-4 servings a day of grain-based carbs. A serve is one slice of bread, 1/2 cup rice, 1 cup Pasta (1/2 cup if it's dense or small), or 2-4 whole grain crackers depending the size. b. Max 1 serving starchy vegetables a day. A serving is 1 medium potato or 1/2 cup mashed potato c. 4 servings other vegetables a day. A serving is 1/2 cup cooked veggies or 1 cup of salad d. 1-3 servings fruit a day. A serving is 5-6 strawberries, 1 medium apple, 1 medium orange, 2 small mandarines, 2 plums, etc. e. 4 servings dairy a day. A serving is 1/2 cup milk or yogurt, or 1 slice of cheese (like the Kraft slices) f. A palm-sized 1 cm (1/2 inch) thick amount of protein, spread over 2-3 meals, per day. g. One teaspoon of fat or oil per day, or 1/8 avocado h. A max of 2 alcoholic drinks per week, and a max of 2 Desserts or other "treats" per week I am nervous that this diet has too many calories and too little protein. I am also nervous about the idea of not logging my food (he is strongly against logging and counting calories, because he doesn't think it is a natural behavior for live). I am also nervous that it is so different from what most people seem to be doing. Is anyone else here on a similar "exchange" type diet, instead of having a set number of calories or protein per day? Is anyone else on a diet that is radically different from the high-protein low-carb low-fat diet that most people seem to use?

I have two that I don't think have been mentioned yet. When others try to pressure me into drinking alcohol. I am 9 months post op and could have a drink if I wanted to but honestly I don't really enjoy the taste of wine or beer and I am cheap. Which brings me to the next pet peeve of how much food I throw away because I can't eat it fast enough. This could range between veggies and fruit I didn't eat quick enough to left overs because left overs are usually at least 2/3 more meals. Just a few pet peeves Love the thread. ~LA

FORGIVE THE LENGTHY MESSAGE. NEED TO GIVE CONTEXT I am wondering if any one experienced this my starting weight was 139kg before surgery on the 15th of January 2023 on day of surgery it was 131kg 2 weeks post-op i was stalled for 8weeks which was not a bother to me at the time i healed quite quickly with no complications and was moved to solids within 3 weeks by the dietitian too. between January and April i lost some weight down to 111kg Since april i have not lost anything. I have gained and lost 3-4 kg since April till date which is September 6th 2023 I do everything many people say on every platform which had never been a challenge namely Monitor what i eat: I eat between 88 - 1200 calories I have more protein than anything eggs, lean meat, chicken, fish, shrimps carbs are mostly bulgur wheat. which i have sparingly 2ce a month. Plantain i have daily to balance my protein intake but not as much as protein. I prob have more grams of protein a day and that includes protein water. I work out 4-5 days a week for up to 1:30 - 2:00 hours each day In April i worked out more 4 days a week 2ce a day 2day time cardio 1:30 hours night time strength training. no weights heavier than 25kg i take my vitamins biotin and all recommended as well as powdered collagen Recent bloods shows everything within normal range. I am going into my 5th month and i am still 111kg Since April. My dietitian is numb on what is going on, the nurse recommended liquid collagen ( which makes no sense) and have said hormones.... but hormones cannot affect this 5months straight. I did bloods to check my thyroids and it showed elevated parathyroid (no idea what that means)..... not gotten an explanation as my vitamin levels and calcium levels are normal my nails are very soft and brittle and my hair falls like the weather ( only blessed to have a full head of hair but cant say it is helpful soon) No ...... the clothes i wore in April are still the same September. measurements are the same..... the only win i am getting from this is that my knee and ankle dont hurt as much when i workout. i dont burn out as i used to and i work out more than i used to before which was walking up to 50k-70ksteps a day. I have never been one who drank alcohol and havent started post surgery. I have never been one who ate junk food like crisps, tacos, burgers. I have not been diagnosed diabetic nor with PCOS i noticed when i had no carbs in my diet i lost fast but when i introduced carbs as suggested by the dietitian everything came on hold I NEED SOME SIGN THAT I AM NOT IN AN ALTERNATE UNIVERSE OR A LONG DREAM!!! Cos it feels pointless having done the surgery not to be an effective tool Anyone in a similar predicament before