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Trouble with malnutrition
Arabesque replied to Amanda-Cleckner's topic in Revision Weight Loss Surgery Forums (NEW!)
Have to admit I wondered thyroid too. Gall removal can cause malabsorption issues which would add to those associated with your bypass. I struggle absorbing protein & one med since my gall was removed. And my energy is lower than it was before the gall surgery 2.5yrs ago. My labs come back really well too (except the protein which vacillates between 58-61 so barely ok & that’s with meds to help). Also going through a hungry not hungry phase at the moment. Usually this last for a meal or a day or two except this time it’s been 6 or more weeks. Dropped a meal & a snack (now 3 meals & 2 snacks) cause don’t want to eat them. I am concerned as my protein intake is lower as a result. Have lost about a kilogram (2lbs) which puts me back at my lowest weight (48.4kg/about 106lbs yesterday). Not as much as you but … Hoping Christmas will sort it out as I might be tempted to eat a little more again. If it continues I’ll be calling the doctor who does my post sleeve surgery checks. She wasn’t happy 18 days ago at my last appointment when I was 49kg. (She prefers me in the 49/50kg range.) Wonder if it a combination of things with not one single thing being really out of sync or not functioning correctly is what’s happening?? Our bodies are complex & maybe yours needs some fine tuning. I hope they find some answers for you soon. All the best. -
I am also a "stick to the plan" person. You're way too early to eat anything not specifically allowed. Revisit this with your nutritionist when you hit 6 weeks and see what they say.
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December Surgery Buddies!
MLC3409 replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
Hey!!! Another December 27th person. I think we have more than 3 now!! I have been going through all the stuff my doctors and nutritionist gave me. Organized my meal plans by weeks and just finished ordering the list of stuff they suggested. I already had most of it from previous diets. hopefully one of the other people will post too. They have made some plans for family for the first few weeks to make things easier. They have some great ideas too. -
Any December 2023 Surgery Buddies?
sgunter98 replied to April Durel's topic in Gastric Sleeve Surgery Forums
I’m scheduled for December 15th just started my 2 week liquid diet yesterday🫠 -
Simple answer is no to the peanut butter. I didn’t like the shakes either after surgery. I would have just one a day (diluted to try to help with the flavour) & then had soup (cream, bone broths, consumes) for the rest of the day. If you like milk you could make up your own shakes by adding a little Greek yoghurt & a little protein powder. Just keep it very thin. You could get some powdered flavours to add too like a peanut butter one. Only a week to go to purées which is when I never touched another shake again.
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I swear I feel like I'm losing it....
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
Still hurting. Actually looking forward to surgery on Wednesday. Also upset because I'm probably going to miss ALL of next week. Plus the 2 days I missed last week and I will only have 3 paid days on my check on the 15th. Not only do I have bills to pay, that was supposed to cover Christmas. And not just the gifts, but the decorations, the dinner, cards, all of it. Now we'll have literally nothing. And the pain meds don't do anything but knock me out. Once I wake up, I'm in pain again. Time to take my meds and pass out. I'm so over it all.... Oh, before I forget!!! Let's not leave out that I'm basically back on my stage 1 bariatric diet because when I try to eat regular food, it KILLS my hernia (it's a delayed reaction, so I'm guessing it's happening as it makes its way down my colon, or to my bowels, or wherever it goes). That was ok yesterday, but today....nope. But TODAY!!! Oh TODAY has been a joy because now even liquids and YOGURT and Jello hurt. And I have had absolutely ZERO appetite since yesterday around lunch time. I can't just not eat, but I have no hunger feelings, and when I remember to eat, I don't want to because it hurts so much. I don't know what else to do, but I feel like I'm losing it over here. I'm so so over all of this. I've never had a hernia before. Is this normal? Because I feel like I'm about to lose my mind. I walk hunched over, trying to roll over in my sleep causes me to cry out and wake up my husband, and don't get me started on coughing or sneezing or pooing. The early stages of both my bariatric surgeries COMBINED didn't make me this miserable. -
only 4 weeks out and been on solid foods for 3 weeks
OctoberSky replied to Justloser4now's topic in Gastric Bypass Surgery Forums
I had surgery on November 1st and no way able to eat what you describe. First 3 weeks was still liquids, broth, Jello, water, tea and protein shakes. Now I have been given the window to do scrambled eggs, mashed veggies and soft canned fish/chicken as of last Thursday. I am lucky if I can consume 2 tbs of food in each sitting. SO, I have stuck with the hospital schedule and doing every 15-30 minutes, 2-3 tbs of food. Then sipping water all day long or tea. Again, unsure how your able to do so, so quickly. But each body is different. -
November 2023 surgery buddies
SomeBigGuy replied to Italiano26's topic in Gastric Sleeve Surgery Forums
I had mine on November 20. My surgeon had me go from clear liquids to protein shakes and broth on the 3rd day after, as long as I could tolerate it without getting sick, but had me hold off on non-clear soups or other creamy drinks until today. I've been able to keep down plain greek yogurt, cottage cheese, and egg drop soup since Saturday, and part of a scrambled egg today, even though I jumped the gun a little on that. I'm still waiting a couple more days before attempting softened meats. Definitely stick to what your surgeon/doctor says, and take it really slowly when introducing something new. If you have a bad reaction, wait 2-3 days before attempting it again. They warned me beef can be harder to tolerate at first compared to something like canned/pureed tuna or chicken, and may require a couple more weeks. -
So Confused and Upset Right Now
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
I called again this morning and the person who answered let slip that the entire weight management center at the hospital is closing. So, I am not the only person impacted by far. He said that a manager is supposed to call everyone to explain, but still nothing has happened. Maybe tomorrow? As for what happens next, I'm not sure. The hospital was recently acquired by another big Boston hospital, which has a bariatric department of its own. I assume they are trying to integrate all of the departments across the system to eliminate redundancies, but their communication so far has been appalling. Why they wouldn't have planned for this by shutting down the pipeline of patients months ago so that all surgeries were completed before the closure is a mystery. I attended my full day immersion class in August and completed all my requirements on October 6. At that point, they were booking 10+ weeks out and there was no indication anything was changing. This isn't an independent bariatric practice where I could see there being management or money issues, but a center that is part of a Harvard Medical School teaching hospital. I find it shocking to say the least. I've spent most of the day wishing whichever faceless bureaucratic suit responsible for this trips and falls into a fiery pit. Clearly emotional intelligence was not a job requirement. -
So Confused and Upset Right Now
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
I wish I knew what they have planned. They are supposed to call me to explain, but so far the only person I've spoken with is the guy who answers the phone, and he probably wasn't supposed to tell me anything. He just said, "unfortunately, the center is closing, so..." The worst part is, I've been a patient there for almost 7 years, doing nutritional and medical weight loss. I love my endocrinologist there, and the nutritionists, the staff. If they are losing their jobs, I will cry. And they are always so busy I don't see how they can afford to close. I am so mad because I had a chance to move my surgery to right before Thanksgiving, but I had to pass because it was too last minute for figuring out the childcare. Now I'm kicking myself. Literally, my insurance approval is in and everything. I have a pantry of protein powders and a bookcase of bariatric cookbooks. I have watched every video on the planet. I just needed my final pre-test, which was supposed to be next week. My mom had booked a hotel in Harvard Square to be close by the night of the surgery and take me home the next day. The kids would be off school for winter break. Now I have no idea where anything stands. I will still have my insurance for January because my husband's job doesn't start until a few days into the month so we'll have paid the premium for January, but as of February it'll have to be the new insurance, and I don't yet know what they cover, or even which insurance company it is. Plus, my deductible starts over on Jan 1, naturally. -
December Surgery Buddies!
NickelChip replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
December 27th is going to be a very busy day! Regarding meal prep, I'm making room in my freezer now to freeze some favorites ahead of time. I'm also going to be teaching my daughters, 12 and 15, how to make some of the simpler meals they like. This way, after surgery, they can cook for themselves with minimal supervision. Which they should learn anyway! Meals like spaghetti, tacos, chili, shepherd's pie, and quiche, that barely even need a recipe. For myself, I have a cookbook I'm really looking forward to that covers bariatric meal prep. It has 6 weeks of meal plans and directions for making ahead and portioning. I'm using that and Dr. Weiner's bariatric cookbook for most of my new recipe ideas. Here's the meal prep one: https://www.amazon.com/gp/product/1645674967 I'm choosing 1 or 2 new things to try making each week this month, hoping to have a few to add to the rotation that all of us will like, and some small containers to freeze for later. -
November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks for the advice guys! I'm already doing all those things. I get 60-90 grams of protein a day (I'm a DS patient so my protein requirement is higher), I am getting all my water in daily, I'm walking when I can, and doing anything physical that is safe for this stage of my healing. Truly, there is nothing I can do to break the stall. Stalls break when they are ready. This is my body recalibrating. It is discouraging but I'm trying to be patient. This is a marathon, not a sprint, and the body needs down time to rest and recover and recalibrate so we can move forward. The best thing I can do right now is stay the course so I don't give it anything new to have to adjust to! LOL I'm one month post op today!! So happy with that. My healing is going well. I'm still nauseous on and off, especially in the morning, but other than that I feel good. My incisions are almost invisible already. No more soreness in the muscles of my abdomen. I still can't lift much yet but I'm being very careful about that because I don't want a hernia. I can sleep on my side again. I'm getting the hang of estimating what portions of what foods I can eat without measuring cups. I still think anything resembling chicken breast is vile and dry and a concrete block in my tummy. But I can get all different sorts of protein drinks in now when I need them!! Aaaand my partner bought us an espresso machine for Christmas so I can have my favorite espresso drinks decaf with my high protein Fairlife milk!! That's true love man... -
December Surgery Buddies!
CelticSoul replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
Hello Everyone! I am also new to the community. I am having a gastric sleeve on 12/27. I have been investigating the sleeve for many years, but the timing is finally right. I had my first appointment with my surgeon in the beginning of August and got the go ahead two weeks ago. I've been reasearching, prepping, and planning my butt off! 😊 Looking forward to sharing the journey with all of you! -
Stuck at weight 4.5 months after surgery and always starving
eggplantMan replied to eggplantMan's topic in POST-Operation Weight Loss Surgery Q&A
Thanks for your help. While I do have a team, Unfortunately they don't really function like I see many other people say on the internet say their team does. My team did the surgery and now they just say eat less and the surgeon says go to PCP for every concern. Even if I had to go to the hospital for an obstruction I'd likely go to a completely different hospital at random. I felt permanently hungry right after this surgery for about 5 weeks. It did pass once I got on solids again but that feeling of fullness only lasted maybe 6 weeks. Now 4.5 months out I'm essentially always starving. For example I had a Premier Protein bar and felt nothing from it. I then had another one 40 minutes later and only then did I feel some sense of fullness but only for about 10 minutes. But that's just breakfast and that's already 40g of protein and probably 370 calories. I do sometimes feel restriction but it passes very quickly and I'm left starving again. For example if I ate a piece of chicken and broccoli. Maybe a chicken breast and a cup of broccoli florets. Just plain. I'd get through half and would feel full but that only lasts maybe 10min. As for keeping carbs out. The team did say to prioritize protein and have carbs last as you mention. As for no carbs, well they may have said it but at the same time I don't recall it. I figured I was eating way more calories. But I'm quite hungry so it's not always easy when they voice in my head says hey you need to eat. That month where the hunger went away was amazing. That's what I was expecting things to stay as. But they haven't. Now I eat lean meat and more or less it just passes quickly. Leaving me unsatisfied. -
I signed up on here awhile back and waited to post anything until now and hope I can give some of my experience. March 1st of this year I had my gastric sleeve. I went in with a weight of 363 pounds and am 6’1. As of today posting this I am 225 pounds. Definitely was one of the smartest decisions I ever made for myself. Everyone’s journey is different. I was met with immediate energy following my procedure, like waking up everyday and ready to take on the world. And it’s still like that. For whatever reason for me, my eating habits and likes and dislikes immediately changed. I hated fish my whole life and now find myself craving it. Once loved ranch dressing, not it makes my stomach feel yuck. You hit these plateaus where your weight doesn’t change, sometimes for a couple weeks at a time, it’s easy to get discouraged but trust me, stay the course, don’t go back to bad habits and then bam! Next thing you know, you’re dropping a pound or two a day, followed by another plateau. This will happen repeatedly. For me I’ve noticed that walking 4 or 5 miles a day and being as active as possible REALLY makes it come off even quicker and maintaining a diet with no sugar for me has seriously helped. I treat myself to a little bit of carbs daily but mainly all proteins and it has worked great for me. Again, these are just the things that have worked in my journey and no two are the same. I’m fortunate that my job is pretty active so I keep track of my steps climbed and steps to get my exercise minutes in while I work. I also find a reason to be active when I’m not working. I wish everyone luck that is or has had this procedure done. And like I said, it’s the best thing I ever did for ME.
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New month, new surgery...
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Still hurting. Actually looking forward to surgery on Wednesday. Also upset because I'm probably going to miss ALL of next week. Plus the 2 days I missed last week and I will only have 3 paid days on my check on the 15th. Not only do I have bills to pay, that was supposed to cover Christmas. And not just the gifts, but the decorations, the dinner, cards, all of it. Now we'll have literally nothing. And the pain meds don't do anything but knock me out. Once I wake up, I'm in pain again. Time to take my meds and pass out. I'm so over it all....Oh, before I forget!!! Let's not leave out that I\m basically back on my stage 1 bariatric diet because when I try to ear regular food, it KILLS my hernia (it's a delayed reaction, so I'm guessing it's happening as it makes its way down my colon, or to my bowels, or wherever it goes). That was ok yesterday. But TODAY!!! Oh TODAY has been a joy because now even LIQUIDS -
only 4 weeks out and been on solid foods for 3 weeks
SleeveToBypass2023 replied to Justloser4now's topic in Gastric Bypass Surgery Forums
Holy crap. Ok, so a few things. First, just because you CAN eat these foods, doesn't mean you SHOULD. You're not even close to healed. You still have numbness from nerves being cut. You could be doing damage you can't even feel yet. There's a reason we're supposed to increase our eating in stages. Second, the amount you eat is more of a head thing than a physical thing. You cannot fit the same amount of food into your new stomach that you used to, and you shouldn't be trying to. Your pouch is only so big, and you have to remember that and start working on your head hunger and your relationship with food. Third, talk to your nutritionist about how you're eating and how to get back on track with your bariatric eating plan, because if you aren't compliant now, you'll never be able to be later on. In no way should you have been eating actual, solid foods 1 week after surgery. So before you do damage that has to be surgically fixed, reach out to a bariatric therapist to help you with your relationship with food and learning the difference between real hunger and head hunger, and your nutritionist to figure out how to map out an actual way to get on track and a realistic meal plan. You might also want to talk to a nurse practitioner about what possible damage you might have done and if there's a way to kind of fix it before it gets to a surgical level. -
That app is good we also use Calorie king. But I’m finding I’m not getting the calories anyway. I am on 60g of protein a day. Im 1 month 1 day post op. I have vomited twice since Friday😔. I had a zoom with the surgeon Friday and he has suggested to have purée an extra week. He was afraid I may have inside scaring in my oesophagus and if I do they will do a endo to remove scaring. I see my gp again Tuesday to discuss this as I’m away from Tuesday arvo to Late Friday night. Then I’m home 4 days before going away again for 9 days. Pity I can’t have any soft foods yet. but am feeling positive. Walking an Hr doesn’t hurt anymore.
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November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Here's an example of what I'm talking about. Yesterday I went out for lunch with my partner. I got some items people might frown at, but they fit in with my overall DS macros and I didn't eat as much as I felt like I did. And it didn't have as many calories or carbs as I thought it might. A tablespoon of this, a tablespoon of that adds up, but there are still ways to keep it balanced so in the end it doesn't set you off track. I wouldn't eat this every day, but it was a nice treat this week and being able to eat out normally really cheered me up! -
I begin my 2 week liquid diet in 10 days, I want to try different shakes beforehand so I can see what I like & so I don’t get bored or just stuck with the same flavor for 2 weeks. please comment protein shakes you would highly recommend to try, Ready made protein shakes or powder !
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- Gastric sleeve
- Protein shakes
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The food addiction is real, and combining that with surgery not being an instant cure all that fixes your problems, while still allowing you to eat as you did before is a double whammy. I'm dealing with missing the food I used to eat, and it stays on my mind constantly still. I'm only 2 weeks out from my procedure, but not regretting it so far. As @ChunkCat and others have said, basically kissing diabetes, high blood pressure, and high cholesterol goodbye is what makes the compromise worth it to me. Five years or so ago, before I started having debilitating problems with all of those, I probably would've regretted it, but since my health declined significantly in the last year, to the point that I was a burden on my wife and family, I had to make this change. I don't know if this will help anyone that is on the fence or regretting having it done, but take it from me, if you can avoid having the uncontrolled blood sugars issues even with meds, not knowing if I'm going to pass out or have my heart feel like its going to beat out of my chest from hypertension and tachycardia, it is worth it. My dizzy spells and stroke-level blood pressure have already subsided thankfully. I'm already off my diabetes meds, just on a reduced dose of my blood pressure medicine, which my primary care thinks I can wean off of by March. Not trying to sound condescending, because you are going through a lot of trauma in this process, but consider yourself lucky that you can avoid this happening to you. It came out of nowhere and slapped me, and if this helps you from having it happen, I'm glad you had it done. Yes there's limitations after surgery, but you can live without that constant fear of death hanging over your head. Please seek the therapy you need to at least get things off your chest, but also to help learn new habits to replace the ones you spent a lifetime building. Just venting to my therapist helps me a lot. Sorry, rant over. Just wanted to help reframe things if I can.
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Gastric Bypass on the 27th of November and I have a sweet tooth from hell
learn2cook replied to Emtmom2020's topic in Gastric Bypass Surgery Forums
By my second week post WLS I had an amazing hankering for ricotta cheese baked into a pasta shell. As a lactose intolerant person, this wasn’t something I normally kept around the house. This thought stuck in my head for days. I finally bought the frozen stuffed shells after reading that ricotta is mostly lactose free, baked it with marinara, and ate the soft inside when it was done. My kid thought he won the lottery and I felt so so satisfied. I never craved it again. It was exactly one ounce of ricotta cheese inside one shell. I did taste the shell, which tasted like wet cardboard, and spit it out, because why bother. The idea is to think about your craving first, then plan it into your week when your body is ready. I find guilt to be a waste of time, we are all messy humans. Slow down and enjoy your craving in small healthy sizes with careful thought. -
November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Most definitely yes!! Felt like I had done a core muscle marathon. 😂 It lasted a few weeks but now at 1 month post op it's gone. It is there to remind you to take it easy!! -
Just had The Talk with my doctor..
learn2cook replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
Birth control pills and eventually menopause took care of the PCOS for me. I went into vitamin and weightlifting mode in my 30’s to also manage symptoms and preserve child bearing abilities, and that was somewhat successful for me (I did have one child, yeah!) Others definitely have more serious issues and other solutions so there is only encouragement for you to live your best life. I was very undecided about sleeve or bypass but further testing in me confirmed severe GERD. Bypass was the only solution my insurance would cover. In a perfect world I would have chosen DS or mini bypass as a more reliable alternative for more permanent weight loss. I still keep an eye on how my clothes feel, and how my skin looks. I do not lift weights with the vigilance I used to, just a couple days a week to beat age related decomp. I still track vitamins because it’s easy to forget iron or the B’s, or proteins, then my hair falls out (not again!). I think of the changes and tracking I would have to do as a full blown diabetic verses now, and I chose the surgery and health every day. I am so grateful for bypass every, single, day! 2+ years now -
Just had The Talk with my doctor..
NickelChip replied to warmandlovely's topic in Gastric Sleeve Surgery Forums
I will be having gastric bypass done at the end of this month, but when I was trying to decide between sleeve or bypass, one of the resources I used was this risk calculator. In addition to risks, it lets you select your own co-morbidities such as sleep apnea, hypertension, or diabetes to see how likely it is that they will resolve based on which procedure you choose, and shows you a BMI predictor chart at the 12-month mark. I found it pretty helpful. Additionally, I found this video super informative: The factors that I considered most were GERD risk and the desire to control my blood sugar and blood pressure, as well as feeling like I could benefit from the threat of dumping if I ate too much fat or sugar, my weaknesses! It definitely took me several weeks to decide as I weighed it all.