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Do you know what a 10" south shore bar pizza is? They are served bars south of Boston for the most part and are delicious. Today, the Cape Cod Cafe (not on Cape Cod and not a cafe either) serves $6 cheese pizzas. Absolutely delicious. I bought one figuring that I'd eat half for lunch. I had it in the car and couldn't wait to get home. Started eating , and kept eat slowly over the course of 45 min until it was all gone. Oh no! What have I done?! I'm scaring myself a bit because I'm only 4 months out and don't want a big stomach. How come some foods allow me to eat normal portions or even over-eat, and other foods, like eggs, keep me line?. In addition to pizza, I can eat a lot of salmon too (2 fillets). Anyway, looking for explanations, encouragement and support. Many thanks. I started at 386, and after about 4 months ( in a week) I'm down 72 lbs. That's the good news. But I'm not even half way to my goal, hence the worrying.

Egg prices in my area are back to normal. I think I paid $1.50 USD for non specialty eggs a week ago. I’ve resigned myself to only buy fruit on sale/promotion. Somethings I cut and immediately freeze like pineapple. Fruit has been going bad too quickly imho.

Glad you are on the other side of it. I'm almost 5 weeks out, and you can still see where the horrible redness and reaction was.

mine was 14 too just push through as best as you can and remember before you know it it’ll be behind you and you’ll be on your way to your new future! it feels light years away at this point lol (im now a week out from surgery)

Ha! And I I made an omelette last Thursday (& ate it for three days). Egg prices are supposed to increase here to $15 a dozen soon (about $10US). They’re about half that at the moment. It’s just a crazy proposed increase. My omelette lunches may become a very rare occurrence soon.

I was mainly looking for another option to mix with my coffee as I don’t tend to drink protein shakes alone anymore. I get my morning coffee with my jumpstart of protein to start the day. I didn’t do this until 30 days post-op because I couldn’t have caffeine and decaf was awful lol. So I find vanilla is little easier to mix. (Though I have also tried the Chocolate Peanut Butter Cup Chike protein coffee and it wasn’t so bad). I am not opposed to other protein shake chocolate options if I wanted to blend it up even with ice for a treat, but I had gotten sick of chocolate ones for awhile since that flavor was and is the only one I can find in Costco. I was drinking 2 a day pre-op and nearly everyday for a couple weeks post-op. I do drink the Protein 2O protein waters. I don’t drink them as often now since I can make my protein goals mostly with my morning proffee and foods, but I will still throw them in on days I fall short. I agree it’s a nice way to mix it up without adding more heavy milky liquid.

My BP shot up day 2 after surgery. I was worried but the nurses told me that it was a normal reaction following WLS. It stayed elevated for a couple weeks. Never dangerously high, then normalized. It's one of the medications I hope to be off of one day. Also make sure you are staying hydrated. BP rises when dehydrated. Contact your doctor if it doesn't come down. GL

Mine is 7/17 as well. I’m on day 6 of my pre-op diet and it’s a little rough but I’m staying strong. The weekend was much harder than the week days. Hope your process is proceeding well.

I've been lurking for a few weeks so I know what you mean. I am focused on getting through the next few weeks post op- I am definitely proud of how far I've come. Thanks for the advice.

I'm a 66 year old women 3 weeks post op my blood pressure has been elevated since surgery has anyone else had this problem

Hello all. I am excited be on this weight loss journey. I had my VGS on July 6, 2023, so I am a less than a week post-op. I started this journey at 267 lbs- consult day. The day of surgery I was 230 lbs. My surgery went well, I spent one night in the hospital. My incisions are still sore but manageable, I feel great. Today, I weighed in at 226 lbs. I live in Florida. It is so great to have a place to share my experience and get advice. I hope I can be helpful in some way and my words can inspire someone.

Just responding to my own post to have everything in one place. General Down almost 60lbs after surgery on May 18th. No complications. I followed the rules exactly on the diet, but continued to push the exercise because that's my personality. In fact, I would say I've become a little obsessive with the exercise, walking/running/biking everyday. I have also experienced a lot of ups and downs since the surgery. Food The first week after surgery I was fine with the limited clear liquids, however, near the end of the first week I was sick and tired of the clear liquids. The second week was the same. First part of the week was good because of new liquids, but near the end of the second week I was sick of the limitations. Basically I was excited every time I got new foods, and was sick of it by the end. This was not so much because I was having cravings for fatty or sugary foods, I just needed variety. Now I'm opened up to try whatever I want, except carbonation. I'm still not trying bread, but have had really small tastes of pasta (really small) or eaten really small keto tortillas without issue. I'm still keeping a daily log of all food eaten and hitting my macros on most days. I'm really focusing on my protein (100+ grams a day; I've really been aiming for 130+ grams, but it's tough) intake as I don't want to lose any more muscle. I do notice that I get the hiccups when I'm full. Sometimes my nose runs when I'm full as well. I did get the "slimes" once. I was trying to eat a breakfast taco on the keto tortilla and I guess it was too dry. I only got half down (the tortillas are only about 3.5 inches across; really small) and it felt like it was stuck. So what do you do when food is stuck, DRINK! That was a mistake. Got the slimes and eventually threw up. That's the only time that has happened. Fortunately, it was like 5 weeks after surgery, but I was worried I had done something to my stomach. Went out to eat with the family a week ago and tried ghost pepper wings (which I'm normally fine with). I also put ghost pepper hot sauce on my refried beans, without issue. The spicy wings did not go well. It was much spicier than normal and I ended up drinking water and almost threw up. Prior, I had eaten 3 wingstop wings with blue cheese and was fine (mango habanero). We went out to dinner again last night and I had a few bites of salad, about 2 ounces of chicken breast with BBQ sauce and a few bites of sweet potato and was stuffed. I used to get a 16 ounce ribeye with mushrooms and onions, mashed potatoes, veggies and a couple of tall beers. I did not feel like I was missing out, which feels kind of weird. My kids got a dessert and I wasn't interested in it. Sugar free popsicles taste really good and are almost too sweet now. I was really worried about eating out (what I was going to eat; how it was going to go, etc). I feel more comfortable now for when we go out with friends. Bonus, I have saved a TON of money on food and alcohol. Like a crazy amount. I did have a glass of bourbon on the rocks last week. Drank it slow and it went down just fine. Zero issues. I'm not going to start drinking though, and will just stick to an occasional drink. Exercise I started walking very soon after surgery, 10K steps a day, and pushed it too far too early. I dialed it back for the first two weeks, but then picked it back up. Now I either walk for 15K+ steps a day or ride the bike for an hour. Every day. I get a more intense workout on the bike plus it's better on my joints. Walking seems to hurt my hips and back, but I'm powering through. I'm going to a physical therapist on Thursday to try to figure that out. As I said above, I'm definitely obsessive about my exercise. Sometimes to the point where I wear myself out and am exhausted for the rest of the day. Some of that is a mix of the intense exercise and limited calorie intake. I've also told myself that I was not going to obsess about the scale and I was only going to weigh once a week, because the weekly/monthly trend is the only thing that matters (my weight fluctuates up and down daily, but trends down weekly/monthly). However, I find it really difficult to avoid weighing myself multiple times a day. I'm obsessed with the scale as well. Mood Overall, I'm OK. Weight loss is really good. Hit a couple of short stalls. No complications, but my mood is really up and down, which is not normal for me. So much so, that I have scheduled an appt with a therapist next week (first time in my life). The doldrums are real, especially after VSG, so take care of yourselves, physically and mentally. Meds I'm completely off my BP meds and it's currently averaging 120/80. I have GERD with a history of Barrett's Esophagus, and I'm currently taking 40mg omeprazole daily. I was really worried about it getting worse after surgery, but I have had zero issues. I have a follow up appt with my VSG doc next week and I'm going to see if I can test 20mg. I would love to get off all meds. I tried the barimelts at the suggestion of my doctor, and they were OK the first couple of days. Then they totally grossed me out. I mean, like I was about to vomit and dreaded taking them every day. I only made it about a week before I gave up. I'm back on regular vitamins for now and tolerating them just fine. I'm going to ask the doc about that next week as well. Misc Because of the connective tissue disorder, my shoulders are really messed up. My right one especially. I'm glad it's not affecting my exercising. I just saw an orthopedic and she described my shoulder as "gnarly". Reverse shoulder replacement is in my future, but in the meantime, I'll have it scoped for labrum and rotator cuff repair, plus Bankart repair with the remplissage procedure. I am looking forward to relief from the chronic pain, but not the recovery. I hear it is brutal. TLDR Wished I would've had the surgery sooner. Plan for some ups and downs. Follow the plan. Take care of yourself. Don't be afraid to ask for help.

Stalls are super frustrating! I am currently in that 3-4 week stall myself but I came across an interesting article regarding WHY it happens. Basically, your body is trying to figure out its new normal. During the low calorie liquid and puréed stage during the first 4-5 weeks, your body has gone from burning things like carbs for energy to burning fat. But during this process you had to burn through your glycogen stores as well. (Glycogen also holds a lot of water which is why we can get dehydrated even though we are drinking a lot of fluids). Our bodies are trying to find our new normal in what to burn for energy and our fluid levels are equalizing which can keep the number on the scale the same or even climb. I have a scale that gives me my water, fat and muscle composition and during this time, I am losing fat, gaining water and muscle and the scale hasn’t changed in 13 days and knowing that my body is adjusting really helped me relax. My blood pressure also dropped enough to stop my blood pressure meds!!! Be kind to yourself, give yourself good foods, drink as much water as you are able and get your movement in. As others have said here, this is a marathon, not a quick fix. Hugs to all!

I'm feeling really good. one week out today!! Trying a couple of pureed foods also.

Walking from day 1. Longer walking with slight incline by week 3. Cleared for ALL exercise at week 6.

When I had my original surgery, I added black pepper and crushed red pepper flakes to my broths. It got me through the bland phase. I know it’s difficult the first few weeks until you can eat more solid food. What I’ve done with ricotta cheese, yogurt, sugar-free pudding and cottage cheese is to add Splenda and extracts or professional flavorings (like cake decorators use; I did some cake decorating). Missing pumpkin pie? Add pumpkin pie extract or flavoring to ricotta cheese. I use flavorings by Lorann Oils. You can find some at Michaels, Joann, and local cake and candy supply stores. You can also order them online at www.lorannoils.com.

I am one week out today. I had my surgery last Monday. The worry and anxiety before were way worse than the past week has been. Today I feel really good.

RickM, thank you for your reply. I'm slowly realizing it's a completely different journey than when I had my sleeve 14 years ago. I'm going to try to stay away from the scale for a while (I was using it every 3 days because when I was sleeved, I was really losing weight fast). After my sleeve, I lost 15 lbs first week, 9 lbs second week, and it just melted off. Over the summer, I'd lost 78 lbs altogether. So this is a really big change. But I'm sticking to my plan, my vitamins, and working on upping my water intake. Since May 11, I've lost 43 lbs, so in retrospect, it's really not so bad. 😊

Behind paywall, here is verbiage: Ozempic is under review by European drug-safety regulators after they received reports of suicidal thoughts linked to the popular weight-loss drug and another medicine in the class. The European Medicines Agency said Monday it is evaluating the safety risk for patients who take the drugs, manufactured by Novo Nordisk, after learning that three people who took the medicines reported thoughts of self harm or suicide. Suicidal behavior isn’t listed as a side effect for Ozempic—and a related drug called Saxenda that is also subject to the review—in the European Union, the EMA said. Novo Nordisk said the company’s studies of Ozempic and Saxenda, as well as its continuing monitoring of their use, haven’t shown a link to suicidal thinking or thoughts of self harm. “Novo Nordisk remains confident in the benefit risk profile of the products and remains committed to ensuring patient safety,” a Novo Nordisk spokeswoman said. Depositary shares in Denmark-based Novo Nordisk were flat in trading on the New York Stock Exchange midday Monday. Ozempic, Saxenda and other drugs targeting a gut and brain hormone called glucagon-like peptide-1, or GLP-1, have exploded in popularity after studies found they can help people lose significant weight. Companies initially developed the class to treat people with diabetes. Ozempic, which is approved for diabetes treatment, has a sister drug named Wegovy that is cleared for chronic weight management in people who are obese. The U.S. Food and Drug Administration said it doesn’t comment on external research or individual reports, but may evaluate them. It said clinical trials for Wegovy didn’t support an increased risk of suicidal thoughts or behavior. Prescribing information for Wegovy, however, includes a warning and precaution for these risks because it has been reported in clinical trials for other weight-management drugs, the FDA said. The EMA said it would consider whether to expand its inquiry to other GLP-1 drugs. The agency said it began its review after the Icelandic Medicines Agency reported suicidal thoughts by one user of Ozempic and similar thoughts by a user of an older drug in the class called Saxenda. A third case reported by the Icelandic agency involved thoughts of self-injury by a user of Saxenda. Write to Melanie Evans at melanie.evans@wsj.com

The good news is that this seems to be fairly normal - our weight loss when we start a major effort, surgical or not, tends to be front loaded - lots of initial loss, mostly water weight, and then slows down. Plus you are just getting in.to the "three week stall" window where weight loss typically slows or stops for a bit while the body absorbs what has happened to it, and then resumes (though usually at a slower rate.) The not so good news is that as a revision, weightloss is typically slower and less than with the original surgery. My simple minded thought on this is that originally, our stomachs will hold 32-64 oz, but now after your original WLS and whatever stretch and adaptation it goes through over the years, it might hold 4-6 oz, yet you have adapted to that (learned how to eat around your sleeve/pouch) and still regained. So things will be slower. And, the biggest loss tends to be around surgery time when we are stuck with the highly restrictive pre- and post-op dieting. Additionally, the RNY is metabolically similar to your original VSG, so it doesn't provide a big change over what you had - so it is much slower going the second time around. (The DS, duodenal switch, is stronger metabolically than either of the others, so does work somewhat better on regain, but few surgeons offer it, or mention it.) Those who I have seen who have done really well with revision weight loss are those who take the "I'm not going to let that happen again" attitude and really knuckle under and get, and stay with, the program.

A person who uses smokeless tobacco gets 3 to 4 times the amount of nicotine as a smoker. A person who uses 8 to 10 dips or chews a day gets the same amount of nicotine as a heavy smoker who smokes 30 to 40 cigarettes a day. The nicotine in smokeless tobacco is absorbed by the body more slowly than in smoking. But it stays in the body longer. As for hindering healing post-op, seems there haven't been enough studies done to be conclusive for dipping. My unprofessional guess is that whether nicotine is smoked, vaped or dipped, it's still in your system...hindering healing. For those who choose not to quit, I've read to stop 6 weeks before surgery and 6 weeks after. But between the tars and acids you ingest with dipping, it will probably increase your future ulcer risk tenfold. Yikes!!

Let me introduce you all to the many ways I’ve eaten eggs this past week. 😂 I was feeling a little heavy so wanted switch up my diet back to keto (which has worked for me in the past) and decided on a slightly modified egg fast to get back into things. Lost 7lbs of water weight in 4 days. Eggs with avocado (my modified one a day veggie choice) and feta, hard boiled eggs with mayo and hot sauce (not pictured), snickerdoodle cream cheese egg crepes, scrambled eggs with cheese, hard boiled eggs and chipotle mayo, a pizza chaffle moth marinara (my modified one a day veggie choice), garlic bread? ( this recipe needs work but the flavor was good), the recipe called it a crustless quiche (with mayo added), mini lemon cheesecakes (these were SO good!), and then cloud eggs with homemade hollandaise (these were just ok). Annnd what I ate for breakfast this morning was these reverse scotch eggs.

Thank you. I do understand the reasons and how necessary the pre-diet is. Not doing it is not a question, I do understand the need to get the liver as small as possible. My concern was I’ve been doing the pre-diet in sort of a “Light” version, trying to figure out ahead of time (with my nutritionist’s encouragement) the flavors I like and the mechanics (like what blender works best, powder vs premix, etc etc). I want to know what I like, get the shopping out of the way and be ready to roll when the time comes. I was surprised to see the scale dropping, thought to myself Wow, I can lose weight just drinking one protein shake a day? Might want to rethink this whole thing- and then I started taking my glucose readings. What I’m worried about is it’ll be 2 more months minimum before the surgery, mandated by insurance prerequisites, and my diabetes has taken a turn for the worse. Up to this point, it’s been borderline but OF COURSE now my numbers have started spiking and I’ve started losing weight. My insurance has a BMI of 40, or of 35 with health issues. I’ve bounced around between 37 and 42 over the past few years, have the health issues (diabetes, heart, high blood pressure). I’m seeing the endocrinologist this week to probably be started on medication and I hope that gets things under control quickly. My worry is the weight I’m losing has been unexpected. I know from family members that weight loss was one of the first signs of diabetes. They regained the weight eventually, but it was rather dramatic, and muscle, not fat so there wasn’t even a silver lining there. So. That’s my worry- if this weight I’ve lost (and will possibly keep losing for a little while until medication and diet modification stops this) added to the weight loss from the 2 week liquid diet could slam the brakes on the bypass surgery at the last minute.

Tuesday for me! I just had my last bit of solid food, a spoon of peanut butter as my last snack. Per my dr, loading up on Tylenol ahead of time. Tomorrow is liquid only and my last day at work for 3 blessed weeks. We have an hour drive after work, a ferry ride (I love ferry rides!) and then about 30 minutes to the hotel. I'm mostly packed, just deodorant, my tablet, and Kindle. Maybe a spindle for spinning yarn.

I thought I had found the perfect bariatric vitamin from Walgreens (Optifast Post Bariatric) but recently found out it's either completely out of stock or discontinued. So now I am on the search for a good RNY vitamin as well. I was told too by my nutritionist that taking a chewable multiple times a day was better absorbed than taking a bunch of regular pill type vitamins. At least for gastric bypass patients. I need to figure it out soon since I only have a couple weeks supply left. The last thing I need is to become vitamin deficient and have my teeth breaking off like chalk. If I have to, I guess I'll stock up on Flintstone chewables. xD