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I agree. If it works for you it’s ok. Understanding what I eat & when I eat was an important learning for me. Learning & understanding what’s best for me isn’t necessarily what others do or recommend. If having a protein shake in the morning as your breakfast is fine if it works for you. Personally I’m an eat real food person & haven’t touched a shake since week 3 & started purées but that was what worked, & still does, for me. We always say follow your plan, but if it doesn’t work for you, negotiate alternatives or substitutions with your team. As long as you meet those nutrient goals. (BTW BCAA isn’t a complete protein & can’t be counted towards your protein goals. Fine to drink & count as a fluid during or post your workout but not as a source of your protein.) What & when you eat may change as you progress through your weightloss & learn more about nutrition, your body’s needs & what works best to support how you want to live & enjoy your life. All the best.

A week to the day. Now, about 4 times in 2 weeks. Not solid yet.

This is so true! Before VSG I would always have the mindset of "starting tomorrow". If I messed up, I would say "Okay I'll try again next week". Consistency isn't about being perfect, it's about being able to stick with something long-term. I, like everyone, have my days. Sometimes I just gotta have a Snickers bar after an exhausting long day. But I sure as hell don't eat one every day after that for a week! The quicker you can learn to pick up where you left off without starting over, the easier lifestyle changes become. Wishing you the best on your journey. Don't hesitate to reach out if you ever need anything.

Don’t be discouraged. The sleep study is nothing now. I did mine at home for like 6 days. Then did my follow up. Wow what an eye opener it was. But now I have my cpap machine (it is taking some getting used to) and my surgeon is fine with moving forward. Also, I agree with Netty. I failed to use my preop process time wisely and now I’m 4 weeks out and scrambling. Figure out your vitamins Do some prep meals if you have a family so you don’t have to cook after Get your stuff like journal pill crusher if you take daily meds Large water bottle Maybe if you’re working on the other prep stuff it will take your mind off the insurance thing. I wish I had done more preparation. Just think of it as a blessing you have more time to get things together.

Honestly I think this is one of the reasons therapy is so helpful when going through this experience. Even if you don't go every week, having a person who has both perspective and understands the ins and outs of abusive relationships and how they echo through us for years after can be immensely healing. You are changing a LOT and it is normal to have feels about that. And he will have feels about it too, because he loves you and as you change, he will have to change in some ways too, to accommodate and appreciate the ever-changing being that is you! My partner doesn't care what weight I am. I gained 100 lbs since we were first married. We've been together 17 years. They look at me with just as much, if not more, desire than they did when I was young and smaller, which is hard to wrap my head around! They have always encouraged me to dress in ways that feel good. They prefer curvy women, always have. I have been worried that as I lose weight they might lose some of that attraction to me because in time, I will be smaller than they've ever known me, smaller than I've ever been in my adult life! But they assure me that while they aesthetically like the look of curvy women, they LOVE me in all my forms and my health and wellbeing is more important than anything else and no matter how I change, I will still be beautiful. If they loved me at 200 and they loved me at 320, they will love me at 170 or wherever I land. I've done enough work in therapy with the abuse I dealt with in the past to be able to trust what they say. But it still gets to me sometimes... Today I noticed my boobs have become visibly flatter. This is really hard for me because I LOVE MY BOOBS. 🤣 I have always been booby and I like it! Last year I found out I carry the CHEK2 mutation and with my cancer history combined with it I have a much higher risk of developing breast cancer than I'd like. The specialist I saw advised I consider an elective mastectomy after my weight loss stabilizes. I understand the logic, but I've already had to bid goodbye to my reproductive organs thanks to cancer, I wasn't expecting to have to consider saying goodbye to my boobs too. So I was standing in the bathroom today having the feels about my flat boobs and my partner came in so I pointed out the change. They admitted they could see the difference but very stubbornly said "These are my favorite boobs in the whole world. They are the best boobs ever, no matter what size they are." FFS, really?? Am I not supposed to cry at that?? They said something similar when we talked about a mastectomy. I feel very lucky to have a partner that can abide all the changes that I've gone through in this life and still look at me through the eyes of love. I hope I succeed at giving that back to them...

I remember the first time I realized I have food noise. I was given Saxenda and several weeks into it as I increased the dose, I noticed that the mental pressure to eat was gone... It was like that voice that often brought up food throughout the day was suddenly silenced. I never even realized it was there before, it was such a familiar thing in my mental landscape it didn't occur to me that not everyone has that! GLP-1 medications in general are known for this side effect. Meds for ADHD like Vyvanse and anti-depressants like Wellbutrin are also known to help with this. When I went off my Ozempic before surgery, the voice came back with a vengeance!! I didn't have much of a appetite pre-op, but man did it come back post-op... For the first month I was sooo hungry. And the voice was SO loud. Thankfully I have a lot of techniques to manage inner voices, due to a decade of somatic based trauma therapy. I think without that, the process would have been so much harder for me. One thing that helps me the most is distinguishing that part as a PART of me, not ALL of me. So instead of "I'm hungry!" it is "I'm noticing a part of me feels hungry." This may seem like a weird distinction, but research has shown when we do this with emotions "A part of me is angry." vs "I'm angry!") it helps us create a little space between us and the feeling and helps us remember that there are other parts of us present and not all of them are caught up in the emotion of the moment. Remembering there are parts of ourselves that are like Switzerland helps us navigate internally when voices get loud. So I apply this to head hunger too. I identify the part of me that is hungry. I ask it what it needs. I validate its experience. And then I offer to just sit with it for a while and be present with the feeling of hunger. Then I let it know when we are next going to eat and orient that part to thinking of what we might want to eat at the coming meal. I'm sure this approach won't work for everyone, it is just what I tend to do. I notice when I hear the parts of me that feel things and give them some presence, they often start to soften, or have something important to tell me about what we are experiencing in that moment. For instance, I have severe ADHD. I get easily distracted and forget to eat. Post op it has been a struggle. That voice is there to remind me to tend my body. It may be louder than most people have it, but it still serves a purpose and when I can give it a job it tends to fight with me less. I eat every 3 hours. Without exception. If I go past 3 hours the voices get really loud and I feel sick, probably my blood sugar dropping... So I eat every 3 hours. But I eat within a 30 minute window, then I'm done. I don't snack in between. If my body tells me we need more food before the 3 hour mark I stop to reflect why this might be. If it is because I am bored, I find something to redirect the energy to and wait. If it is due to a workout or being sick and burning through energy faster. I may add in an earlier meal. Seeing my body as something to partner with, as something I have a relationship with that I want to be a GOOD relationship, seems to help me remember to treat my inner voices with kindness and compassion instead of judgment and irritation. If someone you were closely connected to constantly ignored you or snapped at you, over time you'd either get louder or go away. That is what I did to my body. So now when I hear the voice it is a reminder that this is something I'm working to relate to in a healthier way, so I choose a reaction to it like I'd choose a reaction to a friend reminding me to eat or drink water. Sorry for the long ramble, it just happens to be something I've been reflecting deeply on over the past 6 months!! ETA: I do take Wellbutrin for depression. I have never noticed it affecting that internal voice, but some notice an impact. If you are struggling deeply with this voice, you might consider a medication that can support you in this. I have a good friend who has ADHD and noticed when she started Vyvanse it significantly helped with the food noise and binging behavior. It isn't a good solution for everyone, but it is a good solution for some. ❤️

Oh, and as for your mother's concerns. They are valid. The unfortunate fact is that the same mechanisms that help us lose the weight and reverse co-morbidities also restrict nutrients and our ability to get fluids in when we are sick. Sometimes that means we end up in the hospital for fluids or electrolytes. But with a more severe illness sometimes it can lead to low protein levels or low vitamin levels and the body struggles with that, this can happen with ANY of the surgeries, but is of course a little more common with the malabsorption surgeries. This can complicate an illness with an already complicated clinical presentation. I can see how if it got out of hand and wasn't properly treated, it could contribute to someone's death, but it would be secondary normally to their originating condition. However, what I would invite your mother to consider is how pre-existing co-morbidities like diabetes, high blood pressure, and such contribute to severe illnesses as well. If you don't have these now, you probably will in the next 10 years. Those things can kill you too and can make your health much more fragile when dealing with an extra illness, like cancer or severe pneumonia. The only thing I can think of that would be originating from the DS that could kill you is severe protein deficiencies that go untreated, severe vitamin deficiencies that go untreated, and the possibility of bowel obstructions. All three of these things can also happen with Gastric Bypass. They are by no means common with either surgery, but they are a risk to be aware of and watchful for... My uncle was in his 40s when he had his first heart attack. It was also his last heart attack as it killed him. He had all the co-morbidities that I have. I thought long and hard about this before deciding on the surgery. I finally decided I'd rather trade a life of medications for a life of vitamins 4-5 times a day. And a life of being able to move and run and hike, and travel, for a life spent on the couch. And if at the end of my life I get sick and things get unbalanced and that malabsorption does me in, it will still have been a life MUCH better lived than if I had passed up the surgery. And it would (hopefully) be spared the heart attacks, diabetic and high blood pressure complications, possible amputations, etc.. Not everyone would think this way, but I like to go into things with my eyes wide open and I always have to think about the worst before I can let myself dream about the best... I wish you luck in your decision! ❤️

I just started the process. I still have tests to finish. Baritastic is an app they suggested for me to use, use it and track everything. As I said I just started the journey 4 weeks ago. I've lost 27 pounds just by keeping track. My first dietician visit is in a few days. Track everything. You will be surprised on how much it helps. You can do it.

Like mentioned above it depends when exactly post-op you are asking about. I too was one of those weirdly low volume eaters (which, during weight loss phase, equated to being a super low-cal eater) According to my logs at week 6, i averaged 423 calories A DAY (vs. weeks 1-2 when I ate less than that for an ENTIRE WEEK) sloooowwwwwllly worked my way up to about 700-800 cals a day by the time I reached goal (about 7 months post op). I am 5 years post op and maintain now at about 1800 cals a day. (5'2", 51 yr old female, 113 lbs this morning). You will find that the number of calories each of us require to maintain or lose (or gain!) weight varies greatly. The trick is to find out what calories YOU need to lose/maintain/gain, and work that into your eating habits. Note also that this magic caloric number FOR YOU is forever a moving target and will change depending on your health, activity levels, metabolisms, time of year, amount of sleep you get, stress levels, medications, mood, etc., etc., etc. Good Luck! 😍

I am 16 months out. I never made goal I still need to lose 40 pounds . My lowest weight was 173 in August. I had gained weight and was at 187 at my dr. Visit last week. Needless to say my surgeon challenged me to lose 10 pounds in two months. Told him I thouj my sleeve was broken. Turns out I have been grazing. I kept saying few snack won't hurt me. They have killed me and Im so mad at myself. I'm going to Paris in June and want to look fab. This week went back to basics and have lost 6 pounds since monday. I have gone back to basics as everyone on here suggested and it works. 1 Protein shake in morning , greek yogurt for lunch. Lean protein for snack when get home from work. Additional lean protein around 7 pm. Also have gotten in all my Water something I never did before. Keeping my carbs at 20 grams and my protein at 90. I am so grateful. That I have this forum to see that I'm not alone on this journey

Hi all, sorry I'm new to this, looking for advice. I am just under 2 weeks post surgery and feeling fine. I don't feel hungry so living on protein shakes. I am a little worried though as I can gulp water (also a glass at once!). Is there anyone else that could do that? just worried my sleeve isn't small enough or not working? Am I over worrying?? Thank you

Congrats on soft foods. I started soft one week ago. I finally feel like I can eat real food again. I also had no problems eating anything, but things have changed a little on soft foods. Scrambled eggs make me nauseous. And for the first time since surgery, I can finally recognize when I’m full. It actually feels more like full used to feel like pre-op. I think the semi solid textures make all the difference. But enjoy the pleasure of eating real food again. You’ve earned it.

You have had the roughest ride of all of us. Your body is saying enough, I need a holiday. Let it go to the beach. Eat well, exercise to a limit that will not tax your body. Kick back and look at how far you have come I am a great believer of being relaxed about the whole new lifestyle. I am not on a diet. What I do now, I will be able to continue with for the rest of my life. I don't push anything. I don't change the way I do anything, I have watched people do extreme diet and exercise and to be honest it has never worked for them. They fall off the regime that's too much to hard to stick too. I just stick to my teams advice. At the moment they want me to up my calcium and keep below 1500 cals. I don't lose for months and then I clunk down 5 lbs a time. Then the long stall starts again. On here I was advised that a 3 month stall meant that I was doing stuff wrong. The person who said this had not had the surgery and not walked in our shoes. I didn't take offence but oh boy is that person going to have a shock when they get into a stall. Its not all about a calorie deficit.

Amazing work! My six month was November 1st. I'm down 91 lbs (171). I too changed my goal from 160 down to 150. I'm in a US size 10, which I'm to the point that I need to wash them so they'll fit. I'm expecting to be in an 8 in a few weeks. The loose skin is a minimum, which I'm so happy about. All in all everything this going beautifully and I couldn't be happier.

I had the same experience as NickelChip on the GLP-1 meds. Saxenda I lost about 15 lbs on, when insurance decided I didn't lose that fast enough they stopped covering it. I gained the 15 back plus another 10 almost immediately. I then went on Victoza, no weight loss. I did Ozempic for two years, also no weight loss. And on both of them I actually gained weight until my highest weight of 320lbs. They did help my A1C levels but that was it. They all had unpleasant side effects and cost a ton. I'm 7 weeks out from a duodenal switch. I've lost 26 lbs since the surgery and while there have been tough moments I'm so glad I decided to go with surgery instead of trying more medication... I've lost 40 lbs since my highest weight! I've never lost that much weight with anything, ever, not even with keto plus the meds. Usually if I have issues with a doctor's office not returning my calls or responding to my messages, I eventually go in there and talk to the office staff in person and wait until they send a nurse out to deal with my issue. 😂 It is quite effective! I'm super nice about it, but still... I had a LOT of scheduling issues with my surgery and in the middle of it they lost their scheduler and I had to deal with some really rude staff on the phone. But it all got sorted out in the end! Hang in there!!

It was strict, technically more strict than they post op diet, but it's doable and mine was only for 2 weeks. My scans showed significant shrinkage compared to a month ago, so I guess it worked. They said it made the procedure much easier. Only about 45 minutes. Mine was 2 protein shakes per day, 4-6oz of lean meat or fish, and leafy green veggies. No starchy ones like potatoes, carrots, or rice. I could have all the pickles I want but unfortunately I don't like them lol. The first few days when I was struggling, I was able to add a serving of low/nonfat plain Greek yogurt to my dishes for something savory. I believe it's 17g of protein, very little fat, and single digit carbs.

you'll probably just be doing protein drinks and shakes the first two weeks, so I wouldn't worry about food yet. I would just get enough protein shakes/drinks for the first few days, because for many of us, our tastes change after surgery. Something you liked before surgery you might not like afterwards (e.g., I couldn't deal with sweet-flavored shakes for awhile after surgery - my sense of taste became more intense, and sweetness became intolerably sweet, at least for the first month or so. I lived on Unjury's chicken broth flavored shakes for quite awhile). So I wouldn't buy a huge tub of protein powder, for example, at this point, since if you end up hating it after surgery, that's a lot of money down the drain. Maybe just pick up (or order) a few individual packets of protein powder - or if you can have (and want) the ready-to-drink variety, just get enough bottles for the first few days.

My surgeon gave me up to a week before, asking just to make sure I was comfortable with my choice. The surgeon gets prior authorization for WSL ...and can change options mid surgery if they feel its a better option for you. So, I don't foresee it being an issue for you to change.

I would say it’s a combination of fluid retention from the Ringer’s Lactate or Saline if you received an I.V, any meds you were given and the stress from illness itself. I know it’s easier said than done but try to hold off weighing yourself for a while. 10 weeks post op is still fairly early on and you have many more months of progress to look forward to. Good luck ❤️

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

I'm several years out at this point. I think I also got it every three months my first year, but after that just once a year (unless something was "off" - then we'd make whatever adjustment was needed and retest about three months later)

Yep, it’s gas in a totally different part of your body. The surgical gas is pumped into your abdominal cavity so outside your lungs. The remaining gas post surgery rises up behind your lungs pressing in nerves causing shoulder pain & general discomfort. The surgical gas is absorbed into your lungs, attaches to water molecules & is breathed out. It takes about a week to be fully expelled from your body so is a very slow process. Using your CPAP machine won’t affect you or the side effects of the surgical gas. Using your machine will help you though with your recovery by ensuring you’re sleeping well & not straining your heart. And slow, deep breathing actually helps expel the gas faster too.

Okay, I set up a YouTube like just now, I have not posted but the name is BariatricStart2Finish, It's so new, I lost where my channel link went 😂😂, but the user name is BariatricStart2Finish. I do have an Instagram, it is currently set to private and I have not uploaded any photos, but I plan to. The Instagram account is BariatricStart2Finish it is currently private, but it does have a black and white picture of me for the thumbnail. If you are interested in following please do. Warning, it will be a bit of a slow start (it already has been,lol) I am in my final few weeks of school (I returned to school on top of all of this as an elder millennial). I will follow you under one of the above-mentioned accounts depending on the platform. The Instagram pic is the same as this profile pic, the YouTube on is me laughing next to a fish tank

Sorry you guys are dealing with this! Are either of you on a PPI (proton pump inhibitor), this could be something like omeprazole. Typically the over the counter dose isn't high enough, so it is best prescribed by your doctor. Some people end up taking it twice a day. Omeprazole never worked for me, I take pantoprazole in the morning and Dexilant in the evening. Both are prescription. Bariatric patients typically need a PPI after surgery to protect their stomach from acid and help the sutures heal. Our new tummies are still producing the amount of acid we produced for our whole stomach, which is obviously too much acid for a little tummy. This can cause pain, nausea, vomiting, a feeling of not being able to swallow because acid is washing into the esophagus and irritating it. It can also cause that classic heartburn feeling... If you aren't on one, tell your doctor you want one. If you are on one, it's possible it isn't working, you may need a higher dose or a different medication (some people metabolize omeprazole too quickly). In addition to this, it takes a while for our new tummies to heal the nerves that were cut and our fullness cues and stomach sensations can be different than they were before. Fullness may feel completely different and very uncomfortable. After I eat I feel pressure at about the middle of my stomach and a feeling of heaviness sitting there. It is my signal not to eat anymore. If I persist, I'll start hiccuping and sneezing aggressively, and sometimes vomit. I am very careful not to get to that point. But I can eat a normal bariatric sleeve portion for 3 months out... Sometimes heavy proteins like meat sit very heavily in new stomachs for the first year. It isn't unusual to not tolerate beef or chicken breast. Proteins should be moist (like chicken thigh in a sauce), with small bites and very thorough chewing. You'll probably eat a smaller portion of them than you would yogurt or eggs. Fish and other seafood are the easiest meat proteins for us to digest because they are lighter and softer, so try that if beef and chicken are too heavy. If after a few weeks on a PPI you are still not able to at least advance to moist fish without pain or vomiting, I'd be requesting an endoscopy or other imaging to ensure there isn't a stomach stricture or scarring getting in the way of you eating. Strictures aren't super common in sleeves but they do happen.

Hello everyone! Hi, I'm new here and I'm scheduled to undergo the VSG procedure on November 6th. Currently, on week 2 of my pre-op diet and it's going very well so far. I'm beyond excited but growing more and more nervous every day. Wishing much success to you all!