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Most programs will tell you to stick with 1/4 cup to 1/3 cup portions for the first month or two. There is a lot of swelling internally and a lot of nerves are cut that communicate fullness so it is hard for us to discern whether we are full or not. I found this portion varied per food personally though. I have always been able to eat a bigger portion of yogurt, for instance, than a pureed meat. Density seems to matter to my stomach. You could always call your surgeon's office to find out their recommendations. But if you don't want to, I'd stick to the 1/4 to 1/3 cup range. I noticed my portions changed at around 2 months out. I can eat closer to 1/2 cup portions now. I'm assuming that is because all the swelling finally went down and there is more space now.

I'm on day 3 of liquids today and doing okay but trying to figure out what choices are working and which ones aren't. Oikos triple zero yogurt has been a life saver. I have learned I am not a fan of ready-made sugar free pudding. I'm going to try making a batch from a box instead, but if that doesn't taste any better, I'll cross it off my list. Jello, on the other hand, has been delightful. I may end up going through a box of sugar free Jello mix per day. Bone broth tastes nice but does not score high in the satiety department. I may save it for post-op. I'm averaging just under 900 calories per day, 130g protein, 10g fat, and 50g carbs. I get about 150 oz fluid per day.

How are you doing now Shark?? In the soft foods stage I could eat anything easily cut with a plastic fork. So eggs of all varieties worked, though my first "solid" food was swordfish, followed by scrambled eggs the way Gordon Ramsey makes them, all soft and buttery... My surgeon was super eager for his patients to eat seafood early and often, he said fish is the gentlest meat protein on the stomach and he was right. Plus it carries a lot of protein with it... Other than that, soft meats cooked in a sauce, canned veggies are good at this stage because they are so soft and easy to chew, yogurt, and my dietician included wafer protein bars and protein chips into this category because he said when you chew them up they end up a crumbly paste and don't irritate the stomach. Chewy protein bars had to wait until the all foods stage though. But if you just keep in mind that soft food stage is anything you can cut/mash with a plastic fork, you'll do fine.

I am six months out and my typical day is: Breakfast - 20g protein yogurt, 10 almonds Lunch - Tuna salad - 15 g protein Dinner- 3.5 oz broiled chicken thigh - 24 g protein Snacks - Kodiak Bear Bites- chocolate graham crackers - 5 g protien, Protein 2o 20 g protein water, pistachios or other nuts, peanut butter on seed cracker - to hit goal of 85-95 g protein. I try to keep carbs under 60 g. Re: Quest protein chips -- liked them before surgery, stomach doesn't like them now (I get nauseous). Good luck!

I'm 5 weeks post op RNY, I eat 3 meals of protein, 2 oz per meal, and add 1 cup of fairlife milk and a protein shake. If I'm feeling hungry I'll add 2 oz of greek yogurt or protein pudding for a fourth meal. I usually feel a bit hungrier on days that I swim. I exercise every day and I can tell when I got too into it, I feel tired and hungry. So far the easiest to digest have been ground turkey, smoked salmon, chicken, tuna, and cottage cheese. I'm still drinking chicken broth when I feel like I need more salt and if I forget that, I crave chips. I also pretty much eat my weight in sugar free popsicles.

I have to eat every 2-3 hours and have since I was post op, so I eat 5-6 small meals a day. I prefer this because it keeps me from mindless snacking, provides a rhythm to my day, and allows me to get in a variety of flavors and textures. I'm only 3 months post op, there is no way I'd get my daily macros in with just 3 meals a day. My stomach doesn't have that capacity and if I go past 3 hours without eating my energy crashes, I feel light headed, nauseous, shaky, and irritable. Each person's body is different, but by necessity I ascribe to the "eat less more often" method and I'm not alone in that need. My target macros are 120 grams of protein, 100 grams of fat, 40 grams of total carbs, calories don't matter because I malabsorb a good percentage of fat and a moderate percentage of protein. 8:00 am Premier Protein Vanilla Shake 9:30 am 3 tablespoons hashbrowns, 4 cherry tomatoes, 1 1/2 scrambled eggs 12:00 Ratio Coconut Keto Yogurt and 2 tablespoons Diabetic Kitchen Granola 3:00 pm Espresso with 1/2 cup Fairlife Whole Milk, Quest Spicy Sweet Chili Protein Chips 6:00 pm 1 grilled chicken thigh, no skin, 3 tablespoons green beans 9:00 pm 14 Wasabi Soy Roasted Almonds, 1 Choxo Dark Chocolate Coconut Cup Total Macros: 116 grams of Protein, 40 total grams of carbs, 78 grams of fat, 1305 calories. This is pretty typical for me. I don't always eat the protein chips, I was just in a hurry and they are one of my go-to snacks when I can't have something perishable. Normally they'd be a protein and veggie.

I don't know if this helps, but when I saw the nutritionist last week for my last pre-op appointment, she suggested choosing three regularly spaced meal times, 4 to 6 hours apart. I've decided on 8:30, 1:30, and 6:30 because it works best with my daily work schedule. She said to eat what I could of "real" food at the mealtimes, but not to let myself keep eating beyond 30-40 minutes. My goal is 20-25g protein at the meal, but let's say I managed to eat 10g for breakfast. In that case, I would want to supplement 10-15g of protein shake at 11am (halfway between breakfast and lunch). If I managed to eat 20g of protein at lunch, then I could skip the supplement between lunch and dinner. But if I only got 5g protein at dinner, I should supplement with 15-20g of protein shake a couple hours after dinner. That way you're trying real food first, but not letting yourself get behind as the day goes on. She said it would take quite some time to ween off protein supplements completely and that was fine. Eventually, she wants me to be at 3 meals and no snacks with 60-80g protein per day. If you don't want to rely on protein shakes but you find you can easily eat something like a Greek yogurt in between meals, you could do that instead. But basically it's just going to take time, and even after you are at a point that you can usually get all 20-25g of protein in a meal, there still may be some days where you can't and you need a supplement.

And yes, by all means, if you continue to have problems after modifying how you are eating, do follow up with the nurse. There are a few things that can prevent you from progressing your diet past liquids, but they are rare, and if you are getting down yogurt it is a good sign!

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!!

So i started taking the b12 complex ( advised by the doctor to switch to complex) and it hasnt completely cured the itching but im not wanting to scratch my skin off now lol hopefully within the next few days it stops altogether. I also have been using cocoa butter to slow it down. Now the other issue im having is eat pureed foods. I have threw up every time i try to eat the recommended foods and measured amount. I tried to puree the food myself but maybe im not doing it right. I called the nurse anyway and was advised to puree it more, take smaller bites ( i mean how small do i need to do really like a baby spoon? ) and if im still having issues in 2 days call back and they will figure out something from there. When i swallow it feels like its stuck in my throat and just sits there and it hits my gag reflex when i drink water ( after 20 min of eating) so everything is just floating around in my throat and blam its coming back out. I feel the measurements i was advised to eat is still too much for me 1/4 cup i cant eat it. The only thing close to normal i can eat is yogurt and that is technically in the full liquid category. Im getting agitated again because its like man when will i be able to EAT!?? I dont care if its broccoli or carrots at this point i just want to be able to eat food again lol but im stuck at full liquids at this point i dont know how this is going to go but as always ill keep you all posted. Wish me luck.

You are 6 days post op?? You should be getting the bulk of your protein from things like protein shakes, protein waters, fairlife milk, and other things like that. Your tummy is way too small and way too raw to be getting your protein from actual food yet. I know every surgeon varies and some do purees early, so I won't comment on that, but even then, you can't possibly get enough in on food alone to hit your protein goals. Some soft things to try on the puree and soft food stages: very softly scrambled or poached egg, cottage cheese, ricotta cheese, greek yogurt, sugar free pudding, sugar free jello (you can even get protein jello), some even include bean purees though I found those VERY hard on my stomach. You can also puree proteins into a soup base. I did a lot of cream soups and strained soups. I was on strict liquids the first two weeks. In soft foods you can also try things like egg salad, chicken salad made with chicken thighs because they are more moist, and tuna salad, but don't add things like onion and pickle to it yet. Too rough. ETA: Generally patients are encouraged to focus on their hydration goals for the first two weeks. This is because dehydration is the number 1 complication of bariatric surgery. Our bodies have protein stores that will last us the first few weeks after surgery. So focus on those 64 oz of water and if that is going well, then you can think about getting some protein in as a bonus!

I had two weeks of a modified liquid diet (the shakes all day and a small, lean meat and veggie meal at night), and then another week of pure liquids, no snacks, no pudding or yogurt, just shakes! It was SUCH a marathon... Then I had 2 full weeks of strict liquids post-op, no puddings, no yogurt, and I couldn't tolerate any protein shakes or jello. But post op it was easier in a way because my body was telling me very clearly it didn't want any of those things! Pre-op the diets are a serious head game. LOL

VSG Jan 24, 2024. So far so good! My surgery was uncomplicated. Once home I didn't need any pain medication. I've been doing okay on full liquids and I'm looking forward to pureed foods (not something I ever thought I'd hear myself say) after my first follow up with my doctor on Feb 8. I was surprised to find that I experience hunger--genuine, not head hunger. I guess I thought I'd never feel hungry again. I'm dealing with it, though, by sipping something a little thicker when I feel hungry. There are some really good protein shakes in The Gastric Sleeve Bariatric Cookbook by Sarah Kent MD. Yogurt is a little too thick and doesn't sit well but I tried thinning it out with some skim milk and that helps! I'm sleeping well. The only concern I have is that I am still very sore on my left side and it doesn't seem to be getting better. Or maybe it is, but just so slowly that I am barely registering it. Is anyone else experiencing this?

Had my surgery on 1/25!!! I’m still struggling with pain after I take sips. It feels more like pressure or “gas”. I’m trying different temps of fluids to see if that helps. Also added yogurt today. I was really hesitant that anything dairy related would do a number on my stomach AND the taste would be nasty. But so far so good!! 😊

OMG, I posted the same thing last night! I also had my sleeve done on 1/24 and I am shocked to find that I am actually having hunger pangs and growling. I'm at the same stage...full liquid, but I can have cream soups, sugar free pudding, yogurt, protein shakes, etc. I have to thin the yogurt with some skim milk to tolerate it and even then it's not great. Today I am going to add some Isopure flavorless protein powder to pudding. I think if I can get more protein in, I might feel less hungry. I'm drinking Protein 2 0 water and protein shakes in addition to plain water. I'm sorry you're feeling hungry but I'm relieved to find that it's somewhat normal. Good luck!

Thanks for responding. I'm not craving a particular food, or even necessarily "food" at all. In fact, I don't even really have an appetite just yet. I just have plain old hunger pangs and growling. I am plenty hydrated and feel I can maybe get more grams of protein in with some yogurt or pudding with added protein powder...both allowed per my doctors, so I'm not breaking any rules. It's just hard to get it all in 1 ounce at a time! I totally was not expecting to feel hungry and I'm curious if others have had the same thing happen.

Thank you....I was SO not expecting this, and I'm pissed off! I feel exactly as you felt---didn't I do this to NOT feel hungry? I think I need to follow my body's cues and try to get more protein in the form of maybe yogurt and pudding with added flavorless portein powder. I am definitely getting enough hydration because I am urinating several times a day and it is almost clear.

AHHHH!!! okay! I needed the science behind it lol! Yes I am on modified liquids so I can have strained cream soups, yogurts ect....Sweet! thank you, I thought I was going bananas

I just joined this forum. I had my Vertical Sleeve Gastrectomy on 1/24/24. I apologize if this topic has been created before but I didn't see a place to search. I am 5 days post-op. Doing full liquid. My doctor says to concentrate more on hydration than protein at this point but I am drinking a protein shake and Protein20 in addition to water, so I'm getting at least 45 grams of protein a day. In addition I'm trying to get a few more grams here and there with yogurt and pudding with unflavored protein powder added. My long term goal. is 60 but the doc said not to focus so much on that right now. I am absolutely stunned to find that I am hungry! Genuine hunger, not appetite (which is not really present at the moment). I was not expecting that at all. Has anyone else experienced this? What did you do? Help!!!

Protein is essential but look at your sugars, per serving and added=total. To much sugar you will have dumping. I had surgery in 2008 and I still watch sugar intake. I eat to much, right away I get hot, start sweating then run for a bathroom. Everyone is different but I might be able to eat a half of cupcake or bite of a rich cake then I'm done. I use injury protein powder. I prefer the unflavored can add it to anything. Milk is to sweet and thick for me trying to get extra protein and calcium with milk I have unfortunately turned to skim. Unflavored you can put in yogurt shots with less sugar and adding much needed protein.

I start my 2 week liquid diet on Feb 7, but if I had to drink milk, I don't know what I would do . I can't stand the stuff! I haven't had a glass of milk since I was about 8. Thankfully, I can have protein shakes, yogurt, pudding, broth, and jello. If I start to feel grumpy about it, I'll remind myself I could be stuck drinking milk!

Hi guys! I’m on day 5 of my two week liquid diet. My surgery is scheduled for February 6th. I have to say that even though it’s not as horrible as I expected, it absolutely does SUCK having only liquids, sugar free jello, popsicles and broth! The weird thing is that technically I only get hungry around normal meal times. I do miss actually chewing and I have super low energy and headaches. I also am having trouble sleeping. I’m all out of wack. I’m not working because of disability, so I’m thankful I don’t have to worry about WORKING. Whenever I feel bad or super hungry, I look on TikTok for before and afters for motivation. In the wee hours of the morning if I’m awake I’ll “cheat” and have a zero everything Greek yogurt. It kind of makes me feel better. I don’t think my doctor will mind, but I’ll ask tomorrow. It’s hard, but I’m trying to find distractions too. I just want this time to go by faster.

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it. Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours! I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣 Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and protein, and later on when cleared for all foods, on adding complex carbs like veggies, beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake). Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per protein shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it. All of which is a longwinded way of saying you're doing fine! Congratulations!

Hi all, I had my surgery 1/24, the first two days I consumed 250-300 calories with only broths and Water. I could hardly choke down a sip or 2 of Protein Shakes. Today I was able to incorporate yogurt and modified liquids. My “stage 2” stats are 64oz of water 72g of Protein, 16g carbs and 11g of fat with 502 calories. I had two “meals” bfast was a 2oz of hot cereal with FF fairlife milk and protien powder, then had protien shake, lunch was zero sugar chiobani yogurt, then had another protein shake. I really want some soup but that’s a head hunger thing. is this too much?