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I’m pretty sure dry skin can also be from l not enough protein I’m using my phone so I’m not sure which surgery you had but if it’s bypass and increasing, your fluids, doesn’t work consider whether you just need more protein than the average bypass or if your activity is high, talk to your team, but they told me I needed to increase my protein because of my level of activity. Also, if your activity is really high, you may actually need to increase your carbohydrates. I would definitely talk to your team about your activity and your food intake. I know that increasing carbs sounds scary and counterproductive, but I’ve been on here for about four years now and a lot of people found that when they exercise level was high their body thought it was starving and was hanging onto everything until they increased their calories and then it started dropping so I would definitely ask if that could be an issue. Daughter it’s just the three weeks stop which isn’t exactly at three weeks, but it does happen to pretty much everyone.

Thank you for your encouragement! I am at a plateau in my weight loss journey. Somewhat discouraging. I am exercising, measuring, and getting my protein in. Worried I am not getting enough hydration (noticed some dry skin on my legs). Wishing you continued success throughout your journey!

Hey March buddies, Just checking on y’all. Hope everyone’s journey has been going smoothly. I will admit that I have been struggling to get both the recommended amount of protein AND water down each day. It feels like I have to choose one or the other, because there doesn’t seem to be adequate time to fit both. I’ve been prioritizing the protein, but I have my checkup with my surgeon in a couple weeks and hopefully they’ll have some tips. I’ve been lucky, I haven’t experienced dumping at all yet. I’m not a huge sweets person, but even when I’ve had dessert, I was okay. My stomach did not approve of fresh corn the last time I tried it, but that’s been the only thing to give me an issue. Popcorn at a movie was fine. My hair has thinned dramatically, and I’m praying it comes back. I already have alopecia and was prepared for this to happen—I’ve been wearing wigs all summer, but I miss my hair and I’m trying not to worry, but it’s hard. I’m down 65 pounds, but I’ve been in a stall for the last 3-4 weeks. I’m going to try to get up earlier to get more water in and I’m starting to weight train in the gym, which is something I’ve wanted to do for a while but just felt super self-conscious. Just gonna pull up my big girl panties and get to it. Hang in there, friends. Even with the challenges, I wouldn’t go back to what was before. I’m excited for a season change and for the weather to be cooler so that I can walk outside a little more. Sending good vibes to all of you!

What does your plan say and what in that is concerning you? From your profile you're less than 3 weeks post op - is that right? I have a sleeve not a bypass but at that stage it was more about sticking rigidly to my surgeon's plan than measuring anything. I was happy to get in my protein shakes and fluids. Everything else came much later. I hope you are doing well, not worrying too much, and get the maximum benefit from your surgery.

Hi everyone, It has been awhile since I have posted. We have been very busy around my house. I will be 6 weeks post-op on Tuesday. I can officially transition over to regular texture foods as of then. My dietician did tell me to not attempt over 1/2cup per meal. She said that is my max goal for a couple more months. Daily goals: 60-80g protein, 48+ ounces of fluids, 500-700 calories, eat 3-6 times per day. Obviously do not eat 1/2 cup 6 times per day though. Lol I am excited about being able to go to the gym and start an exercise regimen. I also do not need protein shakes anymore as long as I am meeting my protein goals. So happy about that. I have found a new product, Nurri, it is an ultra-filtered milk (shelf stable) with 30g protein and only 150 calories. It is honestly better than Fairlife and comes in a can. I have been drinking that for my breakfast and while I take all my meds. I slowly take my meds over the 30 minutes or so I drink it. @draikaina8503 hope you are feeling better. @Justarwaxx the foamies are the worst. I’m glad it has only happened to me once. @ShoppGirl the target heart rate formula is interesting. I can walk across the room and my heart rate would be higher than that. Those goals don’t really work for me but if it’s great if they help you. @Voca my date was also 8/6. Hope you are doing well. I can’t remember who asked about weight going up and down. That has not happened to me since my surgery, but in previous dieting for sure it happened. I have had a couple of days where my weight did not change. I am more of a slow loser so I weigh every day to keep myself honest and to see if something I did the day before might contribute to loss or even a stall. It works for me but might not be good for everyone. I have tried chili from Wendy’s and McAllister’s Deli and they were okay. I do not really count those as “eating out” since they were chili and I could have had almost the same from a can. Last night I went to dinner with some friends for the first time since surgery. I had not told any of them about my surgery and then they were all worried about what I could eat. I had already looked at the menu before going so I knew what my options were. Really not super WLS friendly. It’s a wood fired pizza restaurant. I ordered the best protein option pizza and had only the toppings from 2 pieces. They were small pieces and the entire pizza fit on a single plate. My choices worked because today I am down 1.3 pounds. It made me happy that I knew I made the right choice. I was also not bothered by them eating other foods and seeing them finish their entire meals. They were all super supportive and asked if we needed to go somewhere else. I recently went through my closet and started pulling clothes that are too big and adding in fall clothes. I had previously done a big purge of clothes that did not fit and I did not want to keep so my clothing options are a bit limited right now. My cousin had the gastric sleeve about 18 months ago and she gave me all of her clothes so that has been a huge help. It was like getting new clothes for free. Haha My NSV is putting something on that did not fit a month ago and now is loose. That is a great feeling. Looking at the scale and saying I have lost 25 pounds since 8/6 and that does not seem like a lot to me but knowing how a certain shirt or pants fit before and now they are loose or even too big to wear. That helps keep it real for me and helps to keep me motivated. Hope everyone has a great week and keep focused on those small goals and successes.

I believe the original poster has already had their surgery, but for anyone else who is reading this as someone else who has had a sleeve and needed a revision, if you do not have a strong medical reason for choosing one surgery over the other, and you’re choosing between the sleeve and the bypass I would’ve gone with the bypass to avoid meeting to take a PPI. my only reason for going with the sleeve and giving it a try, knowing that I may have to revise was because I’m on mental health meds, and we were concerned about the absorption. The sleeve was obviously a better option for that. However, I believe it’s like 26%, I read somewhere, of sleeves that need to be revised for Gerd or inadequate weight loss/ regain. The risks with the bypass are slightly higher, but in my opinion, not enough to have to end up revising because the revision surgery in itself is riskier than either procedure plus it’s a second surgery so twice the chances to experience the risks. If your doctor offers the SADI as a virgin surgery that complicates things a bit because the risk are lower for Gerd than the sleeve and the weight loss is higher and more durable than both research has found so far but it’s a little newer, and comes with its own set of sure and long-term risks that may not have been figured out quite yet. It does have a higher no absorption, so the risk of malnutrition is slightly higher than the sleeve and bypass but lower than the DS. Long story short, there really isn’t a perfect option, only a perfect option for you.. The biggest thing to keep in mind with all the surgeries is that any risk of complication is drastically lower than the risks of staying obese.

Okay so look at the macros and see if this fits your plan. It may be a little high in carbs for some if you’re not very active but this recipe is probably my favorite out of my two weeks if soft foods so I thought I would share. It’s called south of the border chicken chili from the McCormick website. I added onions and garlic because I like them in everything but this is super simple and high protein. You may want to leave out the corn and do more beans or tomatoes if your tummy is still fussy but I haven’t had any issues with anything and I’m allowed to start incorporating more foods so I’m having it with the corn and so far so good 🤞 My pot made a little over 7 one cup servings which Baritastic calculated at 25g of protein (12.5 if you can only do a half cup) and 26g carbs (but part of that was the onions). I needed more protein for the day so I opted for the shredded cheese on top. Anyways, it’s chicken, bell pepper, white and black beans, canned tomato and corn with a seasoning pack from McCormick. I can’t finish the whole cup so I’m gonna have it again for a snack but I really love it. I hope it freezes well. https://www.mccormick.com/recipes/main-dishes/south-of-the-border-chicken-chili

Not sure if anyone else is trying their hand at freezing prepared foods but I decided to use the notepad in my phone to start a running log of what I freeze so that I don’t have to dig around just to see what’s available. I pulled out my Turkey taco meat last night and made a ricotta bake with it tonight. With the marinara you couldn’t tell that it was taco flavored. It was actually really good and so simple. I just shredded the mozzarella and the Romano and threw it all into a small rectangle Pyrex and popped it in the microwave. My hubby really liked it too which was surprising because he doesn’t like lasagna. I was going to add some leftover veggies to it as well but I didn’t want to need more ricotta which would increase the calories. It had plenty of protein already 37g. I forgot the marinara at first though. If I had put the marinara over the meat and then added the veggies I think it would’ve been fine. I have made it before but I never measured the ingredients like I’m doing now.

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

If you are the same in the US as we are in the UK, then Amazon deliver the day after ordering. If thats the case, save your money and buy as you need it. As a example, I bought a blender and did not use it as I barfed every time I thought of pureed foods, still do. I sent for a bariatric cookery book, same outcome. On a whim, I bought a personalised bariatric plate, it is still in its wrapping. My clinic told me to buy suckable vitamins and dissolvable calcium tablets. I used a thermos cup, I was allowed coffee and it takes an age to drink in the early stages, it kept it hot for me. I bought a bed wedge as I had GERD, still do. I never had protein shakes, my surgeon did not believe in them, I just had milk. Everyone who has stock piled a protein shake they love pre surgery, has found it disgusting after surgery. Your tastes flip and you may have a problem with lactose or vegetable protein. Buy one or two of a wide range if you must. I really wished I had a recliner chair, I had to sleep sitting for 3 weeks. As I said before I had problems with Gerd. It took a while to get my meds right. This forum and its wonderful forumites are a asset I used so much. Its all gifted free. Paid forward if you will. They have so much knowledge, they have been and done it before. Some one will have had every eventuality and will help Good luck

One suggestion in terms of your bra is to buy a bra with the correct cup size, but one that actually fits you on the biggest hook. That way you can use the other two or three hooks depending on how many are on it as you lose weight still because usually when they fit you, they aim for that middle hook so that you can gain or lose 10 pounds and it’ll still fit, but you know you’re not gonna be gaining anytime soon. Another option that I thought about doing myself because I had the sleeve and I know that I don’t lose much in my cup size. It’s just the band size is to buy one that fits in the cup, but it’s actually a size smaller in the band and use a bra extender, so it’ll last longer

Hey everyone, In 2019 I made one of the best, most life changing decisions when I decided to get sleeved. After my sleeve I lost 92 lbs, felt amazing, and promised myself I’d never allow myself to go back to my starting point. Well, here I am 5 years later and I’m so ashamed I’ve regained the majority of the weight I’ve lost. I regained about 25 lbs before having my beautiful son but I began really struggling with my weight after having him. I’m considering having revision surgery and scheduled an appointment with a doctor to go over my options but unfortunately they don’t have any appointments available until mid October so I’m just left here with my thoughts wondering if this is the right decision for me. I guess im just here looking for some insight on the process, the success others have had with revisions or lack of, the good the bad the ugly lol. I was definitely excited at the thought of regaining control of my weight until someone asked me why I felt I deserved another chance when I messed up the first one, then adding in that it would be selfish to not consider my son before choosing to go under where anything can happen and that the more traditional way of weight loss is still an option. I tried to explain that wls is a tool to be used in addition to traditional diet and exercise but I don’t feel the need to over explain my decision, especially to those who aren’t my immediate family. I will say though I never thought about it as me being selfish until they mentioned it and now that comment weighs heavy on my heart. Anyway I guess I’m here to just gain some insight from anyone who is kind enough to share their experience. I have to say I’m both ashamed and disappointed in myself.

So totally true.....its more about what you put in your mouth and less about exercise. Exercise is good for your muscles, heart, lungs, joints, but as far as weight loss, you can do it without exercise by watching what you eat and stay within your calories suggested by your doctor/nutritionist - low fat, low carb, high protein.

Oh, @draikaina8503, I'm so sorry to hear that! Sending all the healing your way and hoping you feel all the way better very soon. If you have the option, you might want to check in with your medical team and ask if they have any suggestions in terms of vitamins, zinc, etc. to help boost your immune system while you fight the germs. Hang in there and be good to yourself!

@RRenaeL23, I can hardly believe what a badass you are! (And I mean that in a "wow you're awesome" way.) Walking 2 miles already? That is really great and I am so happy for you. Keep up the great work! I also need to start working on my muscles - for me it's core, arms, and legs (well, now that I think about it, that's pretty much everything, right?). @Greekmom4, I have never heard of the foamies, but I certainly don't want it! Hope that doesn't come back for you. Today I had a NSV because I'm wearing a fitted sweatshirt that I love but haven't work for a long time because it was tight across my middle. Not anymore: now it's just right. My middle is still far too thick, but at least the sweatshirt doesn't showcase it, LOL. I am starting to see little indications of weight loss; just flashes, but they're there. I don't know what my body dysmorphia will do going forward. When I've lost weight before, I've just felt like everyone else looked bigger to me, I didn't look smaller. But I currently don't recognize myself in pictures because in the mirror, my mind tells me I'm not as big as I really am. (I learned at Jenny Craig that's why we should take pictures, because your mind can't bend them.) On paper, I've now lost 36 pounds from my highest pre-surgery, but I certainly don't see that much weight loss (I'm only 5 feet tall, so that's a lot on my frame). I guess that's a function of how much I have yet to lose, but also they say I'll be the last one to see it. I'm now to the regular diet phase, although there is a lot I haven't tried yet. Ground beef and turkey seem to be fine, but I tried some pork chop which was a big mistake. I think I may get much more of my protein from plant sources (beans, etc.) going forward, which is fine with me. Today we got a whole bunch of groceries to make a list of recipes I'm going to try (hubby is the cook at our house). My sister's vegetarian and sent them to me, so they're all veggie. I'm slowly learning to branch out. Since I am eating 1/2 cup at a time, I've been just having protein, but I started craving veggies and fruit. I saw something that talked about having "a few bites" of things, so I'm incorporating that. I can have up to 3/4 cup now, so I have a bit of room to add some veggies and a little fruit. TMI ALERT: I am eating more beans than I ever have, so maybe that's it, but is anyone else producing a surprising amount of gas? I thought giving up carbonation (which was a massive sacrifice for this former Diet Coke addict) would mean a lessening, but DANG.

Dr Matthew Weiner has done a few podcast and has been speaking about regain with sleeve on his social media a lot lately. May be worth checking them out if only for some information to consider. He does prescribe GLP -1s for many of his sleevers and says this is a path many will have to go down as regain is common with sleeve. Have you been in contact with your surgeon (if they are still practicing nearby) to discuss options? Have you considered revisiting your dietician too. May be worth tracking what your eating and drinking too just to ensure your not missing something. It’s easy to become complacent about food choices, portion sizes, frequency or meals, etc. or not meeting protein & fluid goals as time passes. Have you had any medication changes? What are your activity levels like?

I don’t take them because of an issue with my pancreas either. I don’t absorb protein well as a result of my gall removal. Malabsorption after gall surgery isn’t uncommon but it being for protein is more rare. (Also don’t absorb some medications either now like hormone replacement meds.) I forget to take them at times too - usually my lunch time one. I keep the bottle on the bench right in front of me to remind myself. The creons keep my protein levels at just on the border of okay. The original dose of 10 000mg 3 x a day didn't do anything so it was increased to 25 000 3 x a day which does. I don’t like having to take meds. Am lucky & very glad I only take the creons and a Nexium in the morning.

For the purée stage a food processor comes in handy and I got some tiny containers at dollar tree that were a little over two ounces that worked well to store leftovers. Tylenol, stool softeners, soluable fiber or milk of magnesia (or whatever combination your team recommends) and a good thermometer are good to have on hand as well as ice packs that you mentioned. I had one that is made for the lower back that comes with a belt like thing velcros around you with a pocket for the ice pack. It comes with two ice or heat packs (my team said no heat though). I got it on Amazon a long time ago for my back but I tried it for my tummy and it works. Great for icing while still being able to do things. The one I got is called magic gel. My waist was about 48” I think when I started and it just fit though so keep that in mind. It may fit up to 50?? Don’t stock up too much on the protein shakes because your tastes may change a bit and tastes for sweet stuff is a common change. Your dr may give you a stomach binder if you don’t get staples but if not ask if they have one or are okay with you ordering one (Amazon) if you feel like the jiggling is causing you pain. The compression really helped me. Also while you are in hospital you can ask for ice packs too. Other things that have really come in handy not for recovery but for a little later In the process were the Baritastic app which is free but familiarize yourself with it no so you can start logging your measurements and weight right before your start your preop diet. It sends reminders for your vitamins and you can log your fluids and moods (there is a little diary) and even your bowel movements. I also got a pair of Bluetooth headphones which make my exercise (walking) a lot more fun and a fitness watch is more important than the headphones. They have some on Amazon for like $20 my friend got one and says it works fine to log her heart rate and distance. The apple Watch has a fitness app that lets you set goals and stuff and it’s pretty user friendly. I have a much older one that I haven’t used in forever but I got it out and updated it and it works just fine. The cheaper ones may have a fitness app too I’m just not sure. That’s all I can think of for now. I’m sure others will think of some things I am forgetting.

Lot's of good advice in your post! I wanted to comment on the above issue regarding proteins that seem like they just don't want to digest properly. I was advised by my surgical team to try papain (also known as papaya proteinase I). It was like a miracle in quickly easing that really horrible feeling and getting the food to digest. It might not be for everyone (I hear some people can react to it), but it worked so well for me I tend to carry some with me when I'm traveling or know I'll be eating out.

Thanks for posting! I just bought the gastric sleeve cookbook! I have my 2 week appt with the nutritionist on Friday and I cannot wait to start the purée stage! I am so tired of surviving on protein shakes!

Walking outside is not a very good option right now as the temperatures are over 35-45 degrees (middle east tings) but "winter" is around the corner so I'll be happy to do outside walks then! Tbh I am not idle during the day but like I can do more for sure. I try to not ask for help (nanny or son) and just should it myself to get in some extra steps.. but I really wanna push myself to do the treadmill 3x a week. I love how u sleep in ur workout clothes hahaha! It will work for me to workout in the mornings before I start work on the 16th then it will have to be after work. I totally know what u mean about being more energetic after workouts. It does make u feel great! I will do it!

When I had my sleeve I tried to do the treadmill and absolutely could not stick with it. This time I am walking outside. Not sure if that’s an option for you but it’s so much more entertaining. Things to look at, people to say hello to, and you can go different ways and plus it’s fresh air. It’s also easier on your knees. I also walk a bit inside. For both, headphones help with music and a fitness watch so you can log your progress. After my nighttime shower I just put my exercise clothes on and sleep in them. That way when I wake up I am already dressed and I jump up and walk a bit around the house while my coffee is going and chilling over the ice so I can make my “proffee.” It’s just like 15 minutes (started with 5) or so but it’s a good start to my day. Then, I try to do a few minutes a couple more times during the day so I do it when I take my calcium (I have a recurring alarm to remind me). Depending on your job you may be able to do this on breaks. In the evenings, I prepare dinner but then head out to walk, depending on the weather. I am now up to 45 minutes but I started at 15. This one I get sweaty so I shower and put my exercise clothes on again (I have two sets and wash the other one daily) and then I sit down for my dinner and chill with my hubby for a while before it’s bedtime and i start it all again the next morning For me, it’s also easier to make a habit of things if I do them everyday, at least for a while. Eventually things will come up so I don’t do it every night, I’m sure but until it’s a habit I do it daily. My goal is 30 minutes a day no matter what but I try to do as much more as I can. The PA (physicians assistant) was at my support group meeting and did a talk one night on fitness and he shared that 90 minutes of exercise a week (15 minutes a day for 6 days of the week) causes a 15% Drop in “all cause mortality.” My surgeon was there and said that surgery actually only creates an 11% change so it’s pretty incredible. This takes 25 minutes per day because you want to do a 5 minute warm up and a 5 minute cool down. During the 15 minutes your goal is a zone 2 heart rate. You calculate the zone 2 range by first subtracting your age from 220 that is your MAXIMUM heart rate. Then you multiply that number by 60% that’s the lower number of your range and 70% which is the upper number of our range. The example is a 40 year old. 220 - 40 = 180 (MAX). 180 X 60% = 108 and 180 X 70% = 126. The zone 2 heart rate range for this person is between 108 - 126 beats per minute. (The fitness watch will tell you your heart rate so you can check You can do it at the gym if that works better for you and you can of course break it into three 30 minute sessions instead of daily if you choose as long as you get 90 minutes per week minimum. Once I can add strength training I may actually do it this way and do my weights on the other days. For now I’m just worrying about the cardio part. I can tell you though, it is so absolutely worth it. Since I have been doing the exercise I feel incredible. My energy has increased tremendously and my mood is so much better. It’s an all around good thing and not that hard, really, once you set your mind to it and get a few days under your belt it gets easier. I have been very sedentary for YEARS and I can’t believe I didn’t start this exercise thing sooner. It’s seriously pretty great!! Ooh and I was told the same thing for weights. At 6 weeks I can lift more than 10 pounds but not weights. Especially if I didn’t lift them before surgery and would be straining. Even at two months I’m supposed to slowly work my way up but I think that’s probably advisable for anyone whether they had surgery or not. Also, my friend found a fitness watch on Amazon for $20. Doesn’t have to be a fancy expensive one, just need heart rate and steps or distance really to get started. And if you know anyone else who wants to do some exercise, my friend and I talk on the phone most nights while we are both walking around our own houses. She said she wants to do her exercise bike last night but it goes so much faster when we talk. I said we can still talk while you ride your bike it doesn’t matter if we’re doing the same thing. The person you’re talking to doesn’t even really have to be exercising. They just have to be willing to talk to you and encourage you to keep doing it music works pretty well as an alternative busy a couple of nights and I’ve just used my headphones from instead of talking on the phone. Some people listen to podcasts as well

Had my one month post op appointment today and I showed her my food tracking summary of all my macros and told her what I’ve been doing on my fitness and she was very please. Said my weight loss is excellent and my food choices are perfect. She wants me to increase a little bit to add a little more protein and carbs because I’m so active now but other than that everything is fine. I cannot believe how amazing I feel you guys. I have not had this level of energy since I was a teenager and I’m not just eating but ENJOYING foods that I never liked before!! The fresh ingredients is seriously the trick. It’s more work but it makes things taste so much better.

I'm day 4 post op and I finally had my first day where I feel somewhat sane. I wasn't continously whincing in pain anytime I had to drink something or let alone move. No longer having serious issues swallowing..I mean the dypshagia, was triggering. I'm down 5 lbs in the 4 days I have been out. I'm no longer constantly throwing up and the whole foamie stage has left me. I'm also gonna be able to meet my proper protein intake even. So many wins today!!

Today was my one month post op appointment and I gave her my phone with the summary of all my macros for the past week since I’ve been on soft food and a “normal” portion size (3/4 cup) and told her my current steps and she was really happy. I was worried that since my stomach was not operated on and I can tolerate foods and the larger portion of the range that I was eating too much for a month out and she said that with my level of activity I actually need to increase my protein a bit and the carbs as well and that my calories were fine to go up with that. She said that my loss is excellent and to keep doing what I’m doing just to increase my protein to 90g. She even said that I can add more veggies and some other foods as tolerated. I was worried about trying like asparagus and corn or rice paper (I’ve been craving spring rolls since I seen a recipe while on purée). I had already done my grocery order for this week and was going after there to pick it up so I added them rice papers to my cart for next weeks grocery run. I went ahead and scheduled my appointment for next month but she said that if I am still doing this well I can reschedule to my three month for my labs. I’m pretty excited! I did not feel like this after my sleeve. I feel like I have a handle on this, I am actually enjoying the healthier foods and the exercise. My energy's and my mood have improved tremendously. .