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This July it will be 5 yrs out since my gastric bypass. Originally I wanted to put goal weight at 150 but even when I was 16 and on the swim team and burning calories like crazy, the lightest I ever was, was roughly 145. As a teen I even did VERY UNHEALTHY things to try and get down to what at the time, according to the notorious insurance standards, was a medical goal weight of 114 -135 lbs for my height at the time. I never managed to get down to 114 despite going on under 600 calories a day (again, with no medical guidance..I was a teen and listened to peer pressure and society tell me what was 'ideal'). So to think that in my 50's that I need to even try for that kind of weight, I figured I'd just disappoint myself plus I'm older and my body has changed. I finally set my goal at 170. Fast forward to THIS year (year 5) - I had consistently been tracking between 169-175 (and been THRILLED) and for some reason I hit a rough patch about 7 mos ago where I was hungry all the time, scary hungry considering I had been more at ease with my life and not feeling like I had to monitor anything. Things felt like there was a natural rhythm to hunger and how I addressed it. I didn't feel desire to overeat and my family said I still 'ate like a bird, but I realized I had let bad habits creep back in and it was more a boredom thing and honestly, extreme stress. What I was doing that let calories creep in was I was eating more frequently. You can overcome any 'restriction' at some point by eating frequently. I gave myself 'guard rail'/target weight zone instead at the end of my first year post surgery. If I'm in my 'zone', then I'm not actively trying to gain or lose, I'm content. If I get up towards the high end of my zone, I re-evaluate what I'm doing. I ended up in 1 month blowing past the high end of my zone to a weight spike that I had not had for 3 solid years. I had been consistent AND happy with where I was at. Thankfully I've course corrected and with some help I'm at my lowest weight ever since I was...er...18? I'm 165 right now and as I am also considering plastics, I'm going to re-review the valuable info on the plastics forum/threads as I know I want weight 'stability' for sure. I knew when I did the surgery that I personally wanted to wait until a few years out because honestly, I was afraid I'd find some way to tank the surgery even though I waited 5 yrs before having the surgery to work on myself mentally/emotionally. I also knew I'd have to pay for it out of pocket so I would need YEARS to save so I figured I could lose the weight and tone what I could so the plastic surgeon, if I was fortunate enough to find one I could trust, would know what they had to work with. I'll let them tell me if they also feel I'm ready. I have SO much loose skin that I honestly don't know with it removed if I'd weigh 5 lbs less than what the scale says. I also learned my watching my 1000 lb life that loose skin doesn't weigh as much as I THINK it should..LOL. That is why I'm only attributing 5 lbs to my loose skin I think you are doing AWESOME! I'm glad you are keeping your goal where it is. Just settle into your 'new fantastic self' which is just another facet of the already awesome person you were! We can both spend time researching the plastics info while you are in this new chapter of your life and I'm hanging out at 5 years hoping I win the lottery or at least a big payoff scratch off so I can put some money 'down' with a plastic surgeon..LOL!

The Bariatric Hospital I went to has a very good post op program. They have in person monthly and weekly online support meetings. The Doctor that started the program many years ago is the moderator. He said they started out the pre liquid diet at 2 days. But they ran into issues with the liver being too big. In one instance he said he went to move the liver and it split because it was so big. So, that's why they will not work on anyone that has less than a 2 week pre op liquid diet to shrink the liver. If they go in to do the surgery and someone didn't follow the 2 week diet, they wouldn't do the procedure. They are very safety conscience and take it seriously along with their follow up program. I would go into what all is done but it's fairly lengthy. I'm just a few days from being a month out. I started the Puree'/soft food phase about a week early. Because I was having issues with constipation and needed to get in some fiber. MiraLAX alone wasn't doing the job. Ever since, I've not had an issue. I've even cooked up some ground chicken. But you will fill up fast. Half a cup and I'm full. One scrambled egg with a 1 tsp of salsa & 1 Tsp Mashed Avacado and I can just get it down then I'm done. I've been trying to eat to meet my protein goals, but that is just impossible. I have one shake (premier protein) and I'll mix 60 Grams of Chobani greek non fat yogurt, with one scoop of powdered Premier protein and 1 tsp of PBfit2 to get a chocolate peanut butter yogurt. Don't forget the Sugar free popsicles, it really helped my stomach. Hot food or broth seemed to hurt my stomach a little. But the cold didn't. My Insurance doesn't pay for a Dietician either, however with the Bariatric program it only costs $25 per visit. Between the Surgeon and Bariatric hospital they charged my Insurance $75K so I'm sure they use part of that to cover some of the cost. Do you use the Baritastic app?

I'm almost 5 months post op RNY Gastric Bypass 1/3/24. 52 F 5'9.5 HW 272 SW 255 Surgery date 219, CW 174 1. I had surgery for a variety of reasons, severe GERD, hiatal hernia, gastroparesis, obesity, chronic pain and disability. The best part is not feeling either nauseous, in pain, or hungry 24/7. I feel hungry, I eat, and I feel good. Don't get me wrong, I still have some nausea or pain if I eat too much or too fast, or just knowing something isn't likely going to agree with me, but I've been pretty good at avoiding those things. The chronic pain is lessened, I'm more mobile, and feel more energetic throughout the day, instead of just in the morning. 2. I've had some hard days with emotions, not being able to eat mindlessly anymore, regardless of the food. It's been an adjustment, but honestly, no one needs to eat mindlessly, it just isn't good for anyone. 3. I had a sketchy bladder issue, it didn't wake up for a few days after surgery. I had a sketchy bladder already (Previous Cauda Equina Syndrome), so it wasn't completely out of nowhere that it didn't cooperate. 4. It's been really good for the most part, there have been moments that felt hard like traveling with family and not planning well enough, had a hunger meltdown, and struggled getting what I needed in a hotel room with a barbie fridge. Though recently traveled again, same scenario, but better prepared, no melt downs, no strife. 5. I was started on purees in the hospital and it was a slow progression to regular food and I felt okay through every stage though I would say that I started feeling "normal" when eating after about 3 months? 6. I don't eat bread, pasta, rice, fried foods anymore. My ultra favorite was fish fry, now I have baked cod and still eat it with tartar sauce, so I don't feel deprived. Most foods that I crave I've been able to find a satisfying alternative for that works for me. . 7. I have not vomited once since the surgery, I've wished I could at least twice, but it was a matter of having eaten too much and needing to wait to let it settle. That is a good reminder for me to go slow and take breaks. I've not had any dumping, though I avoid all sugar anyways, and did prior to surgery. 8. It's different for everyone, I think I felt most like myself again at about 8 weeks. Though that doesn't mean that I felt bad before that, I just felt less energetic, a bit more emotional, etc. 9. Yes, very much so. I don't have that afternoon slump anymore, I feel clearer and just happier. I feel like I am now what I was supposed to be all this time. If that makes sense? 10. It affected my mental health in the expected way, I was weepy, sad, afraid, etc. I was thoroughly prepared for it by reading on this site and American Bariatrics site. I knew what to expect and it didn't shock me or frighten me when it happened. Thanks to all of you who so generously shared about those experiences. I'm definitely happier now, I feel more comfortable in my own body now than I have in a very long time. 11. I don't regret a moment of it, would definitely recommend it to anyone who is eligible and interested in having surgery. For me, the biggest piece of it is that feeling of eating, then feeling satisfied. When I go out with friends or family, even though there is so much food still on the table, or on my plate, it doesn't keep me preoccupied. I'm able to just sit and enjoy the time with friends and family without spending the entire time talking to myself about one more bite, one more piece, no, no, maybe...................This piece right here is invaluable, and when combined with the fact that I don't feel sick all the time anymore, it's definitely been worth it many times over for me.

Brunging up thick mucus/saliva is the foamies which can occur if you eat too much or too fast or food that is too dry or coarse. You can bring up the last bite or so of what you ate too. The possible blood could be a concern. Have you definitely ruled out anything you ate or drank? Wouldn’t hurt to check with your medical team or go to a medical centre to be sure. Better to be safe & sure.

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Hello all, We are back on...Day 4 of liquid diet. 11 days before the bypass operation. My cravings (pizza especially) come and go fast. I have been dreaming of food. On that note i have been getting a little repurcussions from my family as its going to happen very soon. Some comments -You wont be fun anymore. Like you wont drink and eat with us! - There is no point to order Pizza with you as it was my favourite meal and I can only eat 1 slice and other comments... Its making me feel bad and questionning but I am doing this for me and not others! I need to stay strong!

Hi Joe, I am almost 8 weeks post surgery. While I can't speak for everyone, I did not experience this. Yes, you have to chew your food well (if it needs chewing), but it is not as onerous as it seems. Sure, the first time I had solid food I made sure that it was well chewed and I ate it slowly to make sure it was not going to present a problem. I've done that with every new food I've tried. But it has NEVER taken me 10-15 minutes to eat 2 tablespoons of food. In fact, I have to make sure I don't eat too fast! It is like drinking water after surgery... at first you struggle to take a sip at a time. Then you notice you are taking bigger sips and then a large swallow. I can drink 8 oz of water in a couple of swallows now. I know that thought of the changes this surgery may bring to your life can be scary, but does it really matter if when you are past the initial stages of the process it takes you 15 minutes longer to eat your dinner than it did prior to surgery? That you can't get your money's worth at an all you can eat buffet? If you look at the surveys of people who have had WLS, their most common regret is that they didn't have the surgery sooner. BTW - I'd always been a "healthy" fat person until I wasn't. I can't count the number of times I lost a little weight only to gain it back; Weight Watchers should have been giving me frequent flyer rates. Today, I went under 300 lbs. for the first time in 19 years and I'm 35 lbs away from being a weight I haven't seen since 1984. Yeah... I'm good with it all!

Hello! I had my surgery on the 11th so we’re not far apart! I won’t lie I didn’t last long on the liquid diet I kind of went on to puree around day 8 post op. I don’t think many people are as honest. I cheated and so what. I’m so glad for the surgery and I wish many more losses for the both of us whether it be fast or slow! Weight loss is weight loss !!!

It does apply to snacks as well, however for myself personally, I don't have to withhold liquid prior to eating or snacking and depending on what volume I'm eating, I don't wait the full 30 mins after. 15-20 mins suffices for light snacks. I will wait the 30 after a meal. I'm not suggesting this for anyone -consult your team and listen to your body- but like all things not every rule is going to be 100% hard and fast for a 100% of people. Same way I am with carbonation and straws. I can't always handle a full seltzer bubble, but some fizzy energy drinks do not bother me. Drinking with a straw also keeps me hydrated. I did not implement any of these until after I felt fully healed and I started slow, testing out what each felt like. That being said, yeah start drinking water from the moment you wake up to the moment you close your eyes at night. Walk around with your water so you can sip throughout the whole day.

1. What was the best part of surgery for you? The best part is also the hardest to explain. The best way I can put it is that pre-surgery, I had a demon in my stomach. This demon demanded rich foods and thought that if one of something tasted good, then four of something would taste amazing (this made the demon a liar, but I had to obey these lies). The surgery removed the demon. I no longer feel controlled by cravings. 2. What was the worst part of surgery for you? The 48 hours prior to the surgery were miserable. I could only have water, Gatorades and black coffee. Then I had to take strong laxatives prior to the surgery, so I was defecating so much that my body was expelling food I hadn't even eaten yet. And I couldn't go to sleep because any flatulence had the potential to be ... explosive. So it's 1 am, I am starving, dehydrated, sitting on the john and I need to be at the hospital at 5:30. 3. Did you have any complications (minor or major) during or after your surgery? Nothing major. I greatly underestimated how sore my stomach would be and how long it would take for the soreness to go away. I am a stomach sleeper and it was three months before I felt comfortable sleeping on my stomach. 4. How has adjusting to your new life been for you? I love the new life. I am able to exercise (bike, jog, lift weights) like I never have, I have great energy. I can shop at pretty much any clothing store. It has allowed me to become a better version of myself. 5. How long did it take you to feel comfortable eating food? It was probably 8 months to a year before I felt like I could try any food and not have to worry about my stomach having trouble. 6. Is there anything you can’t eat anymore that you used to enjoy? Can't eat, as in, I physically cannot handle it? Nothing. But there are plenty of things that I used to love that I am uninterested in. Like I have no desire to eat a donut. Just seems like pure sugar to me. 7. What was your recovery like? Any vomiting or dumping syndrome? I did not have dumping syndrome (although some sugar alcohols hit my stomach hard). I did have some vomiting, but it was either due to eating too fast or eating a food that my stomach wasn't ready to handle yet (I had some stewed beef at like the 90 day mark and I wasn't as ready for it as I thought I was. 8. How long did it take you to feel semi-normal after surgery? I would say 90-120 days before I felt physically normal (could sleep on my stomach, could handle most foods) 9. Did you experience higher energy level post surgery? In the immediate aftermath of the surgery, no. This was my first (and so far, only) major surgery and I really underestimated how much it would sap my energy. I was walking gingerly for a while. But once I fully recovered, I have had way more energy. 10. Did surgery affect your mental health? Yes, in mostly good ways. The pre-surgery success-failure cycle of yo-yo dieting impacted my psyche way more than I realized. So this state of long-term success helped greatly (and success, both great and small, is an excellent anti-depressant). Will it cure your depression? Absolutely not. To the extent that you think your problems in life are caused by your size ("I'm single because I'm overweight" or "My weight is why they won't give the promotion" or "my weight is why my mother is passive-aggressive toward me"), the surgery will not make those problems go away. I'm very lucky and very blessed to live an amazing life and the weight-loss has only further revealed what an amazing and blessed life I have. 11. Do you regret it? Would you recommend it? I do not regret it. I make it a personal policy not to outright recommend it to anyone because everyone has their own journey. For many years, I saw bariatric surgery as a last resort, a kind of "pull in case of emergency" lever. I realized that I was 40+ yrs old with a wife and children and no diet had ever worked for me and I was only fooling myself if I thought the next one would do the trick. I had to either pull the lever or make peace with being morbidly obese for the rest of my life. I pulled the lever and I would pull it again without hesitation.

@draikaina8503 - It sounds like the struggle has been super real for you, and I hate to hear that you've had such a tough time. I didn't have a drainage tube because of the type of surgery I had (as far as I know, unless it was only used DURING the surgery itself). The staples are a pain; and bending or stretching too much causing pain is 100% something I empathize with you in regards to. I was really nervous about showering with them in as well, but honestly the warm water from the shower set to a gentle pressure did feel really nice. I also used the special soap they gave me when I washed my staple area lightly with a washcloth. I was afraid of using a loofah thinking it might snag or something. I also feel where you (and others) are coming from on the fluids and dry mouth - I still find myself super relieved when I can finally have a drink 30 mins after a 'meal'. I will say that as long as I keep my intake moist (super soupy purees or broths) that it isn't TOO bad - and I definitely have to watch how many ounces I intake for my meals. I eat slowly, but when the food tastes good and I'm eyeballing my protein goal it's HARD not to want to try to 'finish' my serving. I learned my lesson with my oatmeal this morning, though. It sat more heavily on/in my stomach after I ate than I expected and I struggled to have a few burps that relieved the weight and pressure I felt in my chest. Your mention of letting ice chips dissolve in your mouth helped me today - the cold really did slow my intake and provide relief. I hope you're starting to feel better now! I created a sort of 'routine' for my mornings that I think is working pretty well, though. I try to only have a sip of water when I first wake up and them immediately prepare my breakfast. With purees that are thick to the consistency of yogurt there's a trick where you basically just swallow your meds a couple at a time (if they are small) with a spoonful of yogurt/cottage cheese/medium thick puree. That's what I do to get down my morning meds, and as long as I don't overeat I go to have a brief warm shower afterward. The movements of me showering and standing help get my body to produce a burp or two, and putting my arms over my head when I wash my hair (yes, still some pulling especially on the left side so I have to go easy with THAT arm) does expand my torso and help my food settle. This also take sup some of the time gap I have to leave after eating before I can drink. Usually by the time I'm done with my shower, done drying, and have caught my breath it's almost time for me to be able to sip fluids again. @Pepper_No_Salt I'm still shocked that they sent you home from the hospital on the same day. Whew. I'm glad to see you're been feeling better each day, Moving on to strained soups was a biggie for me and I certainly can appreciate that having been one of your first planned stops! I did the same thing after I got my staples out. Today I am going to try to return to some broth for lunch and wish I had gotten more cans of chicken noodle when I went to the store. Maybe I'll try to season some of the 'cream of' soups I've got sitting around. My first try with them wasn't good, but then again they were room temperature then. Hopefully they taste better next time around! @ShoppGirl @Onemealplan @Greekmom4 @AndreaJD- Thank you all for the recipes and information! I tried my oatmeal yesterday with the whey protein powder a friend had given me and honestly - it was gritty, and I was disappointed. This morning I used part of a vanilla ensure and I used a potato peeler to slice off the exterior of three strawberries I mixed in with it and it was 100x better. I actually ate about 5oz of it super slowly and regretted that as it either expanded or wouldn't quite settle. I wasn't sick, but I was very uncomfortable for a while and had to shower and move around, then stand and take a couple of sips of cold water to initiate a couple of burps that provided some relief. Once I started to feel better I realized that the icy cold beverage helped me, and so I went ahead and had a sugar free popsicle. I took my time with it and found that the cold spreading across the inside of my chest felt very good and now I'm feeling much better. Has anyone had good luck finding an unflavored protein powder that doesn't feel gritty when mixed? Just curious - and if someone already answered this I'm sorry; trying to get caught up but not sit for too long! @CrazyDog&CatLady - Good luck to you on your revision and thank you for sending us all positive vibes for preparation and healing! Also, welcome to the thread! @ShoppGirl - I second what you said a thousand percent about using ALL the coping strategies you can to get through this. I'm having to completely re-learn my body, and in fact learning things about myself I never realized or understood before. The feeling of 'full' does echo my feelings of 'anxiety' and I've found that I'm extra sensitive due to that in the hour after I have a meal. I've also found that just like with the walking to get the gas worked out I also need to walk around a little bit after my meal to get my food to sit properly. Additionally, I'm learning the importance of remaining UPRIGHT until my stomach has settled past a meal. It's not even 'going to sleep too soon after eating, it's being at too little of an incline. I've woken up two nights in a row with heartburn in the wee hours that I can only attribute to drinking something maybe too fast before going to bed, or sipping at an incline rather than sitting up completely to deal with my dry mouth during the night. I do space my calcium out to later in the day and have been taking my multi w/Iron and ADEK about an hour after my breakfast. That seems to so far be working to stave off any nausea I would get from taking them on an empty stomach. Thank you for explaining about the B12 injections and congratulations on overcoming your anxiety giving them to yourself! Sorry if I missed anyone - I've hit my cap for sitting for the moment. Best wishes to all and encouragement to those who have surgery in the coming days! If I recall we have two having surgery tomorrow, yes? Another set of 8/21 surgery buddies? I'll try to recap and review later!

So I am 5 years and 2 months post-op RYGB. I made it beyond my goal weight of 170lb to 160lb. Technically I was as low as 145lbs because I was very sick in 2020 then again in 2022, but after getting better, I stabilized at a steady 160lb. Last July I started online streaming/socializing with people. I started snacking more because of nerves and also began drinking quite heavily because being silly tipsy in front of strangers is fun! I had NO IDEA how many calories was in alcohol. Over the course of 5 months, I gained 20lbs. Even more, I noticed that I can eat almost a "normal" plate of food the same size as my family's. I broke the rules and had started drinking fluids with my meals. I think I thought I could get away with breaking rules because I was at a stable 160lbs. Now I am FREAKING out! I hate exercise. I never did it, even with my prior weightloss. I am using a tracking app my husband's VA dietician told him to use called Fat Secret. I am trying to stick to 1600 calories, which is super hard. I feel hungry all the time now. I think I caused pouch dilation. I refuse to be heavy again. My clothes are already getting tighter than I like. I was doing research today on weight gain after years post-op. I basically am reading that I need a bariatric reset. I am going to do a 2-week "Pouch Reset Diet." It's not to make my pouch smaller, but it's to retrain my body to feel full with smaller portions again. I need to go back to the basics, and it's really hard. I also don't get DS with sweets like I used to. Don't get me wrong, I still get sick, but I noticed that my sugar tolerances have changed. It really worries me. 40% of bypass patients fail and bounce back to within 10% of their original weight pre-surgery. I will NOT be a part of that 40%. My support system at home is tricky. On one hand, my husband does support me outwardly. But he himself weighs 415lbs and isn't doing much about his weight. He watched my struggles and drustrations and outright refuses surgery for himself. He's on some stupid intermitent fasting diet, but he still eats way too large portions at meal times. My 15 y/o son is pushing 285lbs, and his only exercise is video games. For me, it's like living around all these food temptations is a struggle. It's like being an alcoholic and living at a bar. I just ordered a crap ton of protein powder so I can jump start this Pouch Reset Diet. I started to push myself on working out at least a little bit. I have a mini stair stepper and an eleptical bike. Anything is better than nothing. I am just wondering if I am alone in my struggles?

like others, eight lbs in eight years is actually great. Most people have a 10-20 lb rebound - and usually earlier on than you - usually at about three years out. And fortunately, as someone implied, it's eight lbs and not 40! It should be do-able, although that said, the closer you are to a normal BMI, the harder it is to lose even a few lbs. I've said this before on here, but I remember going to Weight Watchers meetings before surgery and listening in disbelief to those barely overweight women moan and complain about how hard it was to lose 10 lbs. And there I was - 200 lbs overweight. But I totally get it now!!! I've been dealing with regain, too (I'm 20 lbs above my lowest weight and have been since even before the pandemic), but I've been weighing back and forth after all this struggling if it's even worth the struggle (and my doctor is fine with my current weight, so she doesn't "get it" - which is no help!). I know a ton of long-timers who are dealing with the same thing. Some have just given up trying and are just focusing on maintaining where they're at, some have had some success with Weight Watchers, others swear by intermittent fasting, some go really low carb for awhile. And some go back to eating the way they did the first year post-op (not all the way back to purees and soft food - but they way they were eating when they were 6-12 months or so out). Whatever works and fits your lifestyle is worth a shot. But know that it's tough - your loss will be in ounces at this point rather than pounds, so it's hard to see your successes - but it can be done and some people do succeed! Anyway, best of luck to you!

Homemade purees should be completely smooth, like yogurt or pudding. No bits, no lumps, no bumps. I was advised to take bites no bigger than my thumbnail and yes, use a baby spoon! Most of us use smaller utensils, at least at the beginning. Even with bites that small, and even though it is pureed, you should chew it just to ensure it is smooth before swallowing. Then set down your spoon/fork and give it time to work its way down. The advice to eat a 1/4 cup is the MAX you should do, NOT the minimum. Most of us could only do a few tablespoons of food to begin with, if that. Don't eat more than your tummy can handle. Give food time to move down your throat and into your stomach before you eat more. Relax, eating should be slow and deliberate. And it should take a lot of time to eat, like 30 minutes or more. Don't drink within 30 minutes of eating. 20 minutes is too soon. Some have to wait a little longer than 30 minutes, it depends on how long you personally need to give digestion to complete and move the food out of your stomach. In the beginning I needed to wait 45 minutes. For many of us, yogurt was considered a puree, it is a heavier texture than a liquid. So if you can do yogurt without thinning it down, you are doing good! It is fine that it was in your full liquid stage, but it is still good to have in pureed stage. Try the above suggestions and see if that helps. It really sounds like you are eating too much too fast. Take the amount of time you think is slow and double it! Take the bite you think is small and half it, at least! Your tummy is very brand new, purees are heavier than shakes, it is normal for them to take longer to make it to your stomach, and longer to digest. ❤️ Good luck!!

Hello all I was wondering if anyone else has had this rare complication. I got my sleeve done in Mexico Oct 2021. About a year ago, January 2023, I noticed I started to have excessive saliva. It started randomly but picked up more. Well fast forward to January 2024 I got an endoscopy and was told my sleeve is “tortuous” and I have a hernia. This means that my sleeve has a lot of turns. I don’t feel any pain but the acid reflux which was manageable completely prior with one 20mg Prilosec has now been a little more annoying. I’m getting a referral to a Bariatric surgeon here in the states even tho the gastro told me I’ll be fine and don’t need to do anything. I’ve read that a twisted sleeve happens to about less then 2% of sleeve patients. I’ve also read some great success stories of surgeons fixing the twist and hernia. I’m hopeful and not in any pain. But I don’t want it to get worse and it’s just a little overwhelming. Thank you!

Today is 8 days post op. It seems like my innards are awaking and they don't like me right now, but that's nothing new. Yesterday I made breakfast, took a half hour brisk walk on the treadmill, went grocery shopping and made my little 2 oz food containers, baked a cake and made dinner, then folded the laundry. All told, I'm feeling much more normal again, feeling antsy to get moving and I'm having more difficulty limiting myself than motivating myself. Before the surgery I was used to either a one hour lap swim with drills, or a one hour fast walk on the treadmill with hand weights. For the liquid diet I shortened both to about 40 min and slowed a bit, no hand weights. My body still wants to move but I know that I can't get too worked up right now, I need to heal more first. I have my first Post-op appt on Tuesday, hoping I can go back to swimming next week if my incisions are healed enough? 🤞

@newbegining2024 Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I am not doing too well with my multi because I purchased capsules that I open to put in my smoothies which I don't take every day anymore. I just purchase the multi-vitamin pack from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. Let me know how you all are doing! (this will be posted in a new thread as well)

Hello all I was wondering if anyone else has had this rare complication. I got my sleeve done in Mexico Oct 2021. About a year ago, January 2023, I noticed I started to have excessive saliva. It started randomly but picked up more. Well fast forward to January 2024 I got an endoscopy and was told my sleeve is “tortuous” and I have a hernia. This means that my sleeve has a lot of turns. I don’t feel any pain but the acid reflux which was manageable completely prior with one 20mg Prilosec, some days didn’t have to take it at all, has now been more annoying. I’m getting a referral to a Bariatric surgeon here in the states even tho the gastro told me I’ll be fine and don’t need to do anything. I’ve read that a twisted sleeve happens to about less then 2% of sleeve patients. I’ve also read some great success stories of surgeons fixing the twist and hernia without revision to bypass etc. I’m hopeful and not in any pain. But I don’t want it to get worse and it’s just a little overwhelming. Thank you!

Sleeve in 2017 to revision Gastric Bypass Aug 2023 - Update Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I CANNOT eat take out! Purchased chinese for my son as he was going back to college... tried a little and was bringing it back up the rest of the night! If I eat out it has to be at a place that actually cooks food like salmon, veggies, no added anything. Food prepared at home is MUCH beter because you know what's in it. I am not doing too well with my multi because I purchased capsules that I open to put in my protein smoothies (Unjury Vanilla) which I don't take every day anymore. I just purchase the multi-vitamin patch from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum (jasmine or basati brown rice) with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more, move more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. It is good to move from "morbidly obese", to "obese", to now "overweight"...do you guys feel the same? Let me know how you all are doing!

you need to temper your expectations a bit. At a starting weight of 230 lbs, you were lighter than many of us, and starting BMI is a big factor in how fast the weight comes off - at least initially. I'd lost 52 lbs by month 4 (where you are), but I also started off at almost 400 lbs. You are doing absolutely fine! and the majority of us DO have occasional stalls. It's a normal part of the weight loss process. Your body has to stop once in a while to recalibrate before heading down again. As long as you stick to your eating plan, the stalls WILL break, but they usually last 1-3 weeks (mine were sometimes longer once I got past the one-year mark...but that's true of anyone once you get close to a normal BMI). as long as the stalls and occasional fluctuations (which are also normal) aren't playing with your head, the daily weighing is fine. But it sounds like they were bothering you, which is why I suggested staying off the scale for a while. But it's fine to continue to weigh daily, of course. But remember there WILL be stalls and fluctuations, but as long as the overall trend is down, then you're doing fine.

Had surgery on 14th. My anxiety was insane during Pre op worrying about what is coming aftersurgery and i had to lie on a tiny stretcher for 3hrs before going in. Pain conrtol was terrible after surgery and i didn't get relief til i got to my room and on dilaudid. Then the first day was great and relatively pain-free and stress-free. I insisted on the overnight because I knew with my anxiety it would give me a good Kickstart to recovery. Went home next day and I still took some hydrocodone that day but didn't take any more after that. I couldn't believe that these incisions hurt less than my gallbladder and a colon resection so recovering from the surgery pain is fast compared to other laparoscopic surgeries I've had Struggling really hard with the eating. I can't seem to figure out how you can get all the protein you need and all the water you need in a day when you have to pause between meals like you do and you can only drink so many ounces an hour. My Cravings are huge. I was really hoping I wouldn't feel hungry anymore but I feel like I feel hungry all the time. I was psyched to get to the full liquid diet only to find out that I couldn't have cream soup or pudding more than once a day. Have to mix protein powder in with everything I'm definitely going through my doubts about why I did this. I mean I know why but looking at food and realizing I can't just reach over and take a little bite of something is really hard. I am adhering to the diet because I don't want to be sick but I feel like I might be drinking too much through the protein meals or water because I seem to get that full feeling quickly after just a sip but then it releases itself through burps I'm also psychologically in a bad place because my psychiatrist did not change one of my meds over from extended release to normal release and so this weekend has been really rough and I can't call him till tomorrow. I am definitely very low about all of this right now

ok, gonna throw my story on the table...take from it as you will, as a lesson to live by, a cautionary tale, or a personal justification...you choose. pre surgery i was also a weekend warrior, actually, more like a yearly quarterly warrior, lol. i had like a couple drinks every 2-3 months. probably got stupid drunk once a year or less. during weight loss phase (which lasted 7 months) i had maybe 5 partial drinks. i don't think i finished any of those drinks. my first "drink" was 3 weeks post op. I had maybe 2-3 sips of a glass of red wine. it was really weird, i swear i could feel the burning of the alcohol pass down my esophagus, through my stomach and along my intestines. my second drink was about 1 month later (christmas) and it was a very sugary soju-sake drink. again i had maybe 2-3 sips but this one resulted in my second worst dumping experience ever. *shudder*. the next 3 or so drinks were vodka or gin sodas (learned my lesson! less sugar!) ok. now its 2019, im in maintenance and i'm looking hawt and feeling awesome and me and mr. go on a couple vacations and i drink way more than i normally do. but its vacation, right? so its ok. i also took up smoking again after being smoke free for 10 years (but thats another story). now its 2020 and its effing covid, and i, like many others i know started drinking at home (i never did this before, i was always a go-out drinker) ...and now its 2024 and i drink every day. i don't get stupid drunk every day or anything (not that i'm trying to justify anything - i fondly call myself a high-functioning alcoholic), but i do drink every day. its at a point where others (i.e., my doctors and my hubs) are chastising me with the amount i drink. i know i drink too much and its probably doing a number on my health despite nothing showing up on any of my labs or whatever. i quit drinking for a month last year because my son said i couldn't stop drinking for a week. so i know i can stop (or at least slow down) if i really wanted to. trouble is i don't seem to really want to. last year, my OBGYN said i really should stop smoking AND drastically cut down the amount i drink. i told her i'm not sure i could do both, so i made her a deal and said i would stop smoking. i'm proud to say i have been smoke free for 9 months (after smoking for 4 years after quitting for 10, after smoking for 20...say that ten times fast, lol). its been surprisingly easy, but i think its because i can still drink. ANYWAY. i'm hoping to get into a mindset soon to address my drinking problem. i don't doubt my ability to reduce, but i'm not sure i will actually WANT to anytime soon. le sigh. so there you have it. i am the poster child of transfer addiction. despite all this, my weight has more or less remained unchanged (go figure). i continue to stay below goal weight this entire time. ....and i am literally typing this post out with an espresso martini in hand. dont judge me! lol. i am relatively chill about all this so even if you do judge me, i wont take it personally. p.s. oh, i should also mention that i get "affected" real quick and on very small amounts. and i also sober up real quick. this phenomenon is a purely post surgery thing. i needed lots more to get drunk before surgery....although my smaller size now may also be a factor....

For life? Not true at all. Stage two of the post op return to eating is purée. It usually is weeks 3 & 4 so two weeks only in the first month. The staged return to eating (usually a two week cycle of liquids, purée, soft then solid foods) is to protect & support your healing tummy. It takes about 8 weeks to fully heal. Some surgeons recommend chewing well before swallowing to help during this time too to ensure nothing too coarse or fibrous is swallowed that could impact your healing. It also makes you stop & think about your eating. I wasn’t told to do that. A couple of weeks on the solid food stage (probably early start of month 3) I was eating chicken thighs, steak, lamb chops, pork loin, etc. Yes we are advised to eat slowly. It takes a good 20 odd minutes for the message to get through that you’re full. If you eat quickly you’ll easily eat too much & be over full. It’s about being mindful when eating too. Putting your cutlery down between bites & really thinking about if you need the next bite yet or just want it is a good habit to get into. It’s actually a good practice for everyone not just bariatric patients. So many people just shovel in spoonful after spoonful of food in their mouths & before they know it they’ve eaten copious amounts of food & are groaning & uncomfortable because they are overfull. Something to be aware of is eating too much, too fast or food that is too coarse or fibrous can result in the foamies. Thick foamy saliva rises to protect your oesophagus & to help you bring up the excess food or food that is causing a blockage. I still have the foamies at times. I think my oesophagus is more sensitive. Char grilled meats & vegetables & sometimes fibrous vegetables can cause me grief. But I feel fine once I’ve bought up the offending thing, I feel fine. Last time I had an episode it was because I hadn’t trimmed my sugar snap peas well & there was string left dangling & it irritated me. Most people rarely experience it & not in the long term. There’s lots of misinformation & scary horror stories online many not based on any truth or vey little or posted to drive likes (the scarier the story the more clicks). Go to reputable medical sites & forums like this one. Generally a good idea to avoid social media too. Highly recommend the you tube videos of Dr Matt Weiner (A pound of Cure) & Dr John Pilcher. Straight forward, practical information, clearly explained.

1. What was the best part of surgery for you? The best part for me has been being able to do things I enjoy again. There were several things that I either couldn’t do or didn’t want to do because of my weight and now after losing so much weight I have been able to start doing most of those things again. For example, I love going to sporting events, but I had stopped going because I didn’t fit comfortably in many chairs at stadiums. 2. What was the worst part of surgery for you? I was one of the lucky ones that didn’t have any complications with the surgery (I had the bypass). Really my only complaint about the entire process was the gas pain following surgery. I was told by my doctor I may have some pain in my chest after the surgery, but it was way worse than I was expecting. But it only lasted for a few hours and after that everything went smoothly. 3. Did you have any complications (minor or major) after your surgery? Not really. My surgeon did notice an umbilical hernia while doing my surgery but decided it would be better to get that fixed after I lost some weight, so I had another surgery for that 9 months later. 4. How has adjusting to your new life been for you? Easier than I expected actually. I think it helps that I live alone right now so I have quite a bit of control over my environment. Like if I had a roommate who ordered pizza a lot, I think I would have a lot harder time eating healthier, but since I live alone I am able to control what food I am around for the most part. Probably the hardest part for me has been making sure I get enough fluids. I have always drank a lot with my meals and now I can’t do that anymore, so I’ve had to learn to drink throughout the day. I am finally doing better with that but I felt like I was constantly dehydrated for several months after the surgery. 5. How long did it take you to feel comfortable eating food? Not very long. The toughest part was remembering not to eat too fast or take too big of bites. During the first couple of weeks especially it does not take long until you will feel full and even just one too many bites can make you very uncomfortable for a while. 6. Is there anything you can’t eat anymore that you used to enjoy? The short answer is no. I have not found any food that I can’t tolerate, but there are foods I choose not to eat anymore. The only issue I had was with rice, and I think that was just because I ate a little too much. 7. What was your recovery like? Any vomiting or dumping syndrome? My recovery was not bad at all. Like I mentioned earlier, the gas pain was the worst part, but after that really the only pain I had was in my abdomen when I got out of bed or the recliner. I vomited a few times when I was learning to eat again but all of those were from just eating a little too much I think. Recently I’ve discovered I get low blood sugar really easily (and I’m not diabetic). I actually just talked with my nutritionist about this earlier today. I don’t have sugary foods too often, but I’ve found that if I have too much sugar all at once, I will get low blood sugar a few hours later. This never happened to me before my surgery. 8. How long did it take you to feel semi-normal after surgery? Just a few days. My surgery was on a Monday and I remember thinking I probably could have gone back to work that Thursday if I had needed to (my job is not physical at all though- I work at a desk most of the day). The toughest part was energy level. I returned to work one week after surgery but I was only able to work half days for a couple of days. 9. Did you experience higher energy level post surgery? Yes, I have way more energy than I used to. I used to have to force myself to work out a few days a week, now I don’t like going even one day without some form of exercise. 10. Did surgery affect your mental health? Yes, I think it has. It has helped my mental health in some ways, like being able to do more of the things I enjoy has helped with my depression, but I have also found I am struggling with stress and anxiety more than I used to. I think at least part of the reason for that is that I used to cope with stress and anxiety by eating and I can’t do that anymore, at least not the way I used to. Also I should add that there was a part of me that thought that all of my problems (including my mental health issues) would magically go away once I lost weight. My mental health has definitely improved since I lost weight, but it is still something I am struggling with. I started seeing a therapist a few months ago and I believe that is helping me out a lot. 11. Do you regret it? Do you recommend it? I have not regretted it for a second. I was relatively young when I had the surgery (I was 32) and a part of me felt like I didn’t need the surgery, like I thought I was still young enough I could lose weight without surgery, but looking back on it I am glad I didn’t wait. I had a number of minor health problems that were all slowly getting worse, and I realize now that it was good that I didn’t wait for them to get worse. I will add that I feel I am one of the lucky ones that has had basically no complications from the surgery and no food intolerances or dumping. I know not everyone has had as easy of an experience following the surgery as I have.

I didn’t tell anyone other than my sister before surgery, because I did the research and wasted years trying to do various diets that worked for a minute and then nothing! Trust me everyone else’s arguments had already been in my heads and I made my decision! They don’t realize living life at a high weight is just existing and taking up a lot of space! I am at the point in life that I don’t care what other people think or want for me! It’s me and God ! And now that I am 50# down and do go to the gym, don’t drink ANY soda or fast food (a weekly dessert is earned at gym) no one says “ you shouldn’t have done it”! Do it for you, your health and your chances to live a healthy vibrant life! It’s your journey and you have to deal with the consequences good, bad and otherwise! Love and joy to you!