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I would talk to your dietitian or nutritionist. Your doctor is a surgeon. When I read this type of advice from them I just have to wonder.. I would have questioned him about that most definitely. They don’t know everything. my dietitian said 3 meals, 2 snacks. She preferred only one protein shake a day. And drink, drink, drink. good luck

@ElleRodriStarting just a one week pre-op diet Monday. Tomorrow's my "last real meal." KFC Original recipe and I love their cole slaw!

Don’t be scared, I’m currently pregnant. 1.8yr op gastric sleeve. I’m currently 5 months pregnant (almost 6) and I have gained 5 pounds in total. Baby is healthy and everything is working perfectly. I have 3-1/2 more months to go, I’m eating healthy, walking, drinking lots of water and no sugar. If you do things right everything will be fine.

Your plan is not that different from my plan. 3 meals of 3-4oz protein + 1oz veggies, no snacks, no protein drinks. The idea is learning to eat like a healthy person. It took me several months to be able to complete a meal somewhat regularly. Unfortunately for your Surgeon, the math doesn't really work out. There is no way you will get to 80g of protein on this plan, nor do you need that much. 60oz is more than enough for a healthy person. Depending on your size even less may be OK. Regardless, just do the best you can. You can only fill a cup so much. You will manage. All these years later, this is still my eating plan. It just comes naturally now. Still don't manage to eat everything much of the time. Good luck, Tek

I went for my EGD last week due to all the GERD I have been experiencing for over 5 months which has got worse and no OTC or RX medication is touching it. Results of EGD: - Localized mild inflammation characterized by erythema and linear erosions was found in the prepyloric region of the stomach. Moderate bile reflux into sleeve. Chronic Gastritis. Doctor has me on RX Pepcid and I see him in 6 weeks to discuss revision to Bypass. Personally I wish I would have went with the bypass instead of the sleeve when I had my WLS. How was everyone's experience who had the revision to bypass that experience GERD. Was it gone after?

I sit at a desk so I went back to work the following Monday (Surgery on Tuesday before). My daughter who is a nurse but doesn't lift patients etc, took the second week off as well and went back to work. She is on her feet all day and didn't have any issues.

With my sleeve, I took 2 weeks off and needed every bit of it. With my revision to bypass, I was up and doing things after 4 days. Only took a week off, but honestly didn't need it. Still took it, though lol

Ok, not to sound too harsh here, but your surgeon is being stupid. In this one (and only this one) thing, ignore him. There's nothing wrong with shakes. And you should be eating 4-5 times per day, 3 hours apart. I do 3 meals and 2 snacks. For my snacks, I do things like colby jack cheese cubes and pepperoni slices. Or pepper jack cheese sticks and salami (or roast beef) slices (sandwich meat). I tend to make my own protein shakes in the morning, mostly because I've never been big on breakfast foods, so making a protein shake works well for me. I get my protein shakes from Arbonne (so so many vitamins in it, 20g of protein, mixes well, not grainy, and really yummy flavors). I'll put in 16oz of unsweetened vanilla almond milk, 2 scoops of whatever protein shake I'm doing that day, 2 tbsp of avocado (no flavor, makes the shake creamy, added healthy fat), 1 tbsp mct oil, 1 tsp black seed oil, 2 tbsp "triple seeds" (flax, chia, and hemp seeds), 1 scoop Arbonne protein boost (10mg protein), 2 scoops Arbonne probiotic fiber booster, 2-3 tbsp Jordan's skinny syrup (whatever flavor I want to add, it has no calories, no carbs, no sugar), sometimes I add frozen fruit (depending on the flavor shake I'm doing), a few icecubes, blend, and YUMMY!!!!! When eating meals, you want to make sure they are protein first, then veggies, then carbs. Too much protein isn't good for you. That's why, in general, you need between 60-80g protein. I tend to be in the 80-90 range on heavy work out days, and 60-70 on rest days. If I know I can't get my veggies in, I drink my greens. I get the Arbonne super greens powder (blend of 36 fruits and veggies), and I make sure to add the Arbonne GutHealth (digestive enzymes with pre and pro biotics). Drinking greens is a good way to supplement getting in your fruits and veggies without adding all the extra calories, carbs, and sugar. But it's not meant to completely replace eating veggies. It just helps if you're struggling to get them in, or if you really don't like to eat them all that much. You stomach is much smaller than it used to be, so you need to eat more often. I tend to get protein in 2 of my meals and both snacks. The 3rd meal usually has more veggies (I love salad, so I've been known to have a salad for a meal and have very little protein in it) but with my shake, my snacks, and 1 other meal, I get the protein I need. I like to add veggies to my salad (green peppers, olives, cucumbers, shredded carrots, etc) so I try to balance my needs with protein and veggies that way (and drinking a greens drink at least 3-4x per week). I drink A LOT of water (84oz typically per day) and that actually helps with hunger. So does drinking tea (I love green tea, black tea, white tea, oolong tea, and yerba mate tea). It's true that protein helps you feel full longer, but you can't fill up on just protein. Your body needs a variety of foods, vitamins, nutrients, and minerals to be balanced and healthy.

I took three weeks off work but could have gone back after two. Other than being tired in the afternoons (or most afternoons), I felt fine.

I really did misunderstand what they meant, I'm doing best with food I've been having and even though I'm 6-7 weeks post op I thought I'd have no issues with anything, but it is what you said it's that I'll have no restrictions in now allowing to *reintroduce* everything else I hadn't before. 😕 Still a bit of a hurdle, but I'm definitely out of the painful part lately as it's a very full feeling (which I'm grateful for as I used to never feel full pre-op) and an uncomfortable bubbling feeling at worst with stuff I haven't tried.

After almost 10yrs fighting with different insurances, I was approved for surgery June 2022, took a mandatory 10wk educational course that started that August, and FIIIIINALLY got scheduled mid August of THIS year. I will be having surgery a week from today, September 15th

I had two weeks off from work. I would have liked to have one more week, but that wasn't an option. I also had a hernia repair on top of WLS, so that made a for a little more pain and discomfort.

Just had my second follow up with my Dr. (who I'm not very impressed with anymore) and would like some help figuring out how to get all my protein needs in. I am supposed to get 80g a day but only eat 3 times a day 5 hours apart, no snacks, and I can only physically eat 4oz at a time Not allowed cheese or protein shakes, I don't really like yogurt. No added carbs that aren't already in food ( which isn't that big of a problem). I am also supposed to be adding vegetables in but don't see how I can eat vegetables and get my protein. I just requested a meeting with a dietician and hope they can help. Just a little discouraged after my appointment and needed to vent.

Yesterday was my one year roux-en-y gastric bypass surgery anniversary and as of today I am officially in onederland! 199.8 lbs! highest: 410 lbs | surgery: 355 lbs | current: 199.8 lbs (1 year post-op) | goal: 185 lbs I had my one-year appointment with my surgeon today. We discussed my progress, and how my restriction is doing. I have some recurring nausea and vomiting that happens about every other week or so. My surgery a year ago had a rare-ish complication (occurs in less than 0.9% of rny patients). My roux limb, the piece of small intestine that now connects to my stomach pouch, became severely constricted by scar tissue, and I had a second laparoscopic surgery to fix that. I've since had three upper endoscopies to widen my stomach pouch because I still have semi-regular bouts of vomiting. My stomach pouch also has an ulcer which may be a cause for the vomiting. I have another endoscopy scheduled for next week, and my surgeon and I discussed my options: treat the ulcer with strong bouts of Prilosec, or if that doesn't work have another laparoscopic surgery to cut out the ulcer and reconnect the roux limb to the now even smaller stomach pouch My surgeon also put in a referral to a plastic surgeon so I can start seeing my skin removal surgery options. I doubt I will ever be able to afford the surgery in the U.S., but I would certainly feel better having surgery here than in Mexico or Thailand. My current stats are: Exercise: 20-30 mins cardio and 45 mins strength training each day, 6 days per week Hydration: 80-100 ounces of water/iced tea per day (my fave drink is Starbucks peach green iced tea) Food: 80-100 ounces of protein; 1000-1200 calories per day (I don't track my calories closely) I love strength training! I'm starting to see a ton of muscle definition in my legs, shoulders, back, and arms. I also recently attended a convention and walked more than 15,000 steps each day and it was TONS easier to walk around downtown Seattle than it's ever been in my life. I'm so excited to be below 200 pounds - I haven't been below 200 pounds since I was in middle school! I hope you all are doing well! Keep up all your hard work!

I will try to keep this short. I am coming up on two weeks post op for VSG. At the two week mark I move to puréed foods per my surgeon. I have done well with fluids and the progressions so far, and I am losing well, but now I am scared to start the next part of the process and further because I am scared I will gain back what I have lost and not continue to lose weight. I have NEVER EVER been scared to eat before. I just really don’t want to mess this up.

I took two weeks off from work, although I did feel well enough to go back to work after a week. I made myself take the two weeks because knowing myself, I would have busted a stitch going back sooner. I have a job where I need to lift up to 75lbs, so I went on light duty with a 25lb lifting restriction for 3 weeks. No problems, and I am 2 months out from surgery and back to my pre-surgery lifting. However, I did get lightheaded on occasion, and a little weak. I slept more than usual. I developed back issues due to my weight, and it really started to hurt more than normal the first week or two I came back to work. The pain radiated out of my lower back up to my shoulders and neck. Things have gotten much better as I take the weight off and get back to a more routine of diet and exercise.

I had surgery on Tuesday, was back to work Monday. I have a remote desk job. nothing physically strenuous, and my kids are older (long past the diaper change, carry around on my hip years). I felt ok, pain was very minimal, but I was EXHAUSTED. I took naps everyday for probably 2 full weeks.

My doctor gave me six weeks at my request. Two weeks shouldn’t be a problem. Others, who have needed to go back, were able to do so in just a few days.

How long were you out of work? I have 3 children and was actually hoping to get this surgery shortly before their winter break so I can stay home with them. Not sure if my doc will sign off on me having 2 weeks off for FMLA. What was your experience?

Ok, so In hyperparathyroidism, one or more of the parathyroid glands is overactive. As a result, the gland makes too much parathyroid hormone (PTH). Too much PTH causes calcium levels in your blood to rise too high, which can lead to health problems such as bone thinning and kidney stones. Excess parathyroid hormone can lead to negative effects on the body such as osteoporosis which can lead to fractures, kidney stones, decreased kidney function, heart disease, pancreatitis, increased acid secretion in the stomach and ulcers. Primary hyperparathyroidism (pHPT) very often causes Vitamin D deficiency, and so it is common for patients to be told to take Vitamin D supplements. Surgery to remove the enlarged glands is the most common treatment for primary hyperparathyroidism and provides a cure in most cases. As for this weird stall thing, what kinds of working out do you do? When I had stalls for 4, 5, 6, 7 weeks long, I added weight training, core and strength training, and intense cardio, beginners pilates (using the wall for balance/less intensity). I work out 4-5 days per week. On those days, I have higher carbs and calories, on rest days I have less. I make sure to get around 84oz of water per day, and on work out days, at least 20 of those ounces are from a zero sugar gatorade or a Propel. Watch what you drink, because it's super easy to drink your calories and carbs without realizing it. Make sure you're eating enough per day. I do 3 small meals and 1-2 snacks, each about 3 hours apart. You want to make sure you get protein, but don't overdo it. Too much protein isn't good for you, either. You want protein first, then veggies, then carbs when you eat. I cut out sugar and salt, but if I really need salt, I use pink Himalayan salt. I use monk fruit sweetener, if I really need it. I hope this helps out some.

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I have Kaiser as well, but in NorCal. I went to my regular doctor and told him straight up. I need weight loss surgery, he asked if I have dieted at all. I told him yes, I have dieted since I was 12yrs old and now after 2 children being a little older I cannot lose for nothing. I am also on ADHD meds and cannot lose weight so even the stimulants are not working. He took my weight and my BMI is 43, I am only 34 and I am on track to have diabetes, heart disease ect. He told me I was a good candidate, I don't smoke, I don't often drink and my BMI meets the requirements. I had to get a bunch of bloodwork all came back normal except my HDL. Then he sent my referral in to the bariatric surgery center in South San Francisco. I had to do an orientation and take a test, Takes an hour and 10min total. Then 5days later I got a schedule for nutrition class and then meet my surgeon. those are scheduled for next week so I am anxious on how that goes. My "Why" are my children. I have a 12yr, 6yr and 1yr old. I am currently in school finishing my bachelors. My partner doesn't have weight issues and I absolutely refuse to get to the point where I cannot play with my kids. I want to be able to be their coaches in sports as I was very much into athletics till I was in college. I want to run around with them and live a very long life with them. As well as teaching them to have a healthier life style. I am scared doing this, but I know in the long run this is what I HAVE TO DO!

I count everything. I was diagnosed with congestive heart failure in 2022 and was put on a sodium restriction. Just two months before my projected VSG surgery date my A1C was 9.6% and I was put on diabetic meds(Metformin and Semaglutide), given a blood sugar meter with instructions to check my blood sugar twice daily, and told to cut out all sugars in my diet. Around the same time as my Type-2 Diabetes diagnosis my Bariatric Surgeon had me go on a Keto/Atkins very low carb diet prior to the liver shrinking diet due to my extremely high 71.5 BMI. That was my first time on a 'low carb' diet since I tried South Beach in 2004, and I really liked it for how it made me feel and how much easier it has become to find low-carb substitutions for common foods. So I decided to stick with it post-surgery. I am two weeks out from my surgery and I am at the point where I can eat 800-1000 calories a day, where 50% is from protein, 40% fat, 10% Net Carb, and sodium between 1,500mg and 2,000mg. I track my Daily Food Intake in an Excel Spreadsheet, listing Calories, Total Fat, Protein, Net Carbs, Fiber, and Sodium of each. I also track my fluids, noting if the beverage has any sodium. I avoid sugars like the Plague, except when it comes to fruits. I will on occasion eat fresh strawberries, raspberries, or some honeydew melon. I don't feel the Keto diet is suitable for Post-op due to the high reliance on Fats. I like a more even distribution favoring protein over fat, but still keeping enough healthy fats in my system so entering Ketosis is a possibility. My carbs are always under 25g a day, most of the time between 15g and 20g. I was only in Ketosis once for a brief few days, and it was right after surgery. I check my ketone level regularly with those over the counter 'pee' strips. I like my method of tracking my nutrition manually instead of using an App or Website, although there is a lot more work looking up nutritional labels for everything I eat, or general nutritional information for those items without labels. The plus side of it is I am amassing a database of my frequently eaten food items so logging is becoming easier. I agree with the general consensus that 'Diet' is an ill-fitting word for what we are doing. I like the term 'Lifestyle Change' much better. A diet, to me, is finite in its duration. It has a beginning and an end. A Lifestyle Change goes on indefinitely.

@NCL04321 and @LindsayT I have scheduled an appointment with another Dietitian. Lets hear what they say. my other dietitian said to limit my fruit intake. ( I keep having tummy ache when i take things with some degree of sugar in it. the higher the amount the more painful) I take some veggies like spinach, kale, lettuce (okro not sure if it is a veggie) alergy to banana ( tummy hurts even before surgery) but i will be honest it is not part of my daily meal cept for peppers that is part of my daily protein meal. and i usually have proteins most> for carbs i take shirataki noodles and bulgur wheat mostly. Potatoes are once a month meal. i will be honest i dont have a vast variety to my meals cept for the protein which are lean meat, turkey, fish, lobster, kidneys, shrimps, prawns, seafood, chicken, eggs which is the predominant variety of meal i have. then have lettuce with them sometimes i eyeball my meals but i decided to weigh it and noticed in an entire day my meal is prob a total of 18oz spread across the day but take a lot of protein water to help me. I am hungry often but i cant seem to go more than that as it is mostly protein i eat and it fills me quite quickly. my idea of indulging is having So much rice i can throw up (hahahahhah) and maybe a coconut biscuit..... which i have thought i should indulge in yesterday and today. will look into a prebiotic it is healthy from what i gather. I have already gone past 2liters of liquid today and it is 14:14 here now. as i mentioned i workout often so take a lot of liquid more water than coffee or lactose free milk on the days i work out. the other 2-3 days i probably manage 1.8liters ( that is my 2 liter botte is not completely empty) @LindsayT yea my thyroids were checked and elevated parathyroid was discovered even though Vitamin D level and Calcium levels were normal. So i have been referred to an endocrin department