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Is 8oz / 220gm food too much? 5 years post op
Arabesque replied to molliemaggot's topic in Gastric Sleeve Surgery Forums
I agree with @catwoman7 & @CarmenG. Every food is different so you can’t rely solely on a weight measure or only on a cup measure. When I reached maintenance, I began checking the recommended portion sizes of different foods and then from there I worked out what I could physically eat of that food. Also considered the calories too which also influenced how much I could eat. It’s not perfect but a good place to begin. I eat about a recommended portion size of most foods. For example I eat a little more of vegetables but only about a half a portion of rolled oats. As you likely know, it can differ day to day - some days I can eat my portion & then another I can’t. Have you checked your BMR? Again a good place to start to give you an idea of the calories your body needs based on age, heigh, weight, gender & activity levels. I’d also go back to tracking all your food for a while just to ensure you’re getting in the nutrients & calories you need. I don’t measure & weigh religiously anymore but do random checks to ensure I’m still on track & of course I check any new food I introduce. It can be easy to let things slide or over/under estimate. I was never given calorie goals by my surgeon or dietician only pretty general portion requirements. My surgeon told me to start with 1/4 - 1/3 cup from purée & slowly increase to about a cup by when I reached maintenance. He also drew a picture of a side plate & sectioned off two other circles: protein & vegetables (interestingly no carbs) & said that’s what a meal should look like for me in the future in maintenance. It’s funny that picture really stuck with me & I often think of it when I’m serving a meal or eating out. And using recommended portion sizes as my reference actually does mean my plate looks much like his drawing. -
Pre-Surgery Liquid Diet
ShooterInTheSix replied to LewiB's topic in PRE-Operation Weight Loss Surgery Q&A
I'll be doing two full weeks of liquid diet ahead of my surgery which will start, coincidentally, on the day of my hospital pre-op appointment. -
I would say 3 or 4 days till the incisions felt alittle better. I did a big grocery shopping on day 6. All I took for pain was a couple shots of liquid tylenol. They also gave me a bottle of liquid oxycodone to take home from the hospital. Never took any - it's still full . Honestly,for me,it was one of the easiest surgeries I've had.
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It's just a stall. It happens. Keep up your healthy regimen it will start to fall off again. Also probably water weight.
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August 2023 Surgery Buddies!
tamra. replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
I am getting so nervous even though 8/15 is weeks away!!! How many of you have a liquid diet prior? I have one for 2 days before surgery; my list is small.....broth, popcicles, juice, black coffee.... Also, how are you handling the non-positive people? My mom felt the need to tell me things that can happen AFTER....I just can't.... -
Don't be discouraged!!!!!
KathyLev replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Words of wisdom ..... thank you x 1000 ! I'm alittle beat down because I'm at my first stall- PLUS- I caught bronchitis. For the last 3 weeks my only exercise has been coughing LOL I know there's a light at the end of the tunnel - I'm glad you reminded me -
Mine only lasted about 8 days. My doc prescribed Tramadol for pain but it was only 18 pills ( I think). It was only supposed to last for like 3-4 days. The dosage was one every 4 hours for pain, but I would only take it at bedtime so that I could sleep through the night. That made it last much longer. I did not ask for a refill. After that, if I did feel something like soreness or dull pain, I'd just take the rapid release Tylenol. They dissolve really fast so that more of the medicine is absorbed.
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Hydration is a full time job!
CarmenG replied to DandelionSun's topic in General Weight Loss Surgery Discussions
Same. I have to start drinking my water at about 7 or 8 AM, then I wait about 20 min to eat. After I eat, I usually wait 45 min to an hour before I start drinking water again. However, I'm trying to discipline myself to only eating my regular 3 meals and a snack per day. The reason for this is because I'm a teacher. I can't just be eating and drinking all day. I'm teaching/speaking/lecturing/working one-on-one with my kids for 49 min at a time from 8:15 AM to 4:00 PM. I get a lunch and a conference period somewhere in the middle of the day. My last water bottle is usually consumed after 9 PM. What I did at the beginning was set reminders on my phone for my water and my vitamins. After a while, though, it just becomes part of your regular day. Always have a water bottle in your hand. Have one where you sit to watch tv, have one on your desk, take one with you in the car (you can take sips at the red lights), carry one in your purse. I also invested in protein shots. Bariatricpal sells 3 oz shots of 25g of protein. I use them at the end of the day if I haven't consumed enough protein throughout the day. -
Hydration is a full time job!
DandelionSun posted a topic in General Weight Loss Surgery Discussions
When they said eating and drinking would be your full time job, they weren’t kidding! I am 43 days PO and starting my soft/solid stage. Last week the bariatric nutritionist wanted me to start eating 800 calories a day and it really interferes with getting my fluids in every day since we have to wait 30 minutes prior to eating and 30 minutes after to be able to drink again. I have to wake up at 6:30 am to start my day of eating and drinking and don’t finish until 10 or 10:30 at night - and I rarely get to 750 or 800 calories. I know as time goes on my stomach size will improve in order to take more in at one time but for now I try to listen to my body and be patient! Has anyone else felt like this and how did you deal with it? Hugs to all!! -
August 2023 Surgery Buddies!
Jessi2023 replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
When the surgery was further out, it was fine, but now that I'm less than a week away the waiting is driving me crazy! I just want to get it over with and move on to the next step! -
Is 8oz / 220gm food too much? 5 years post op
LindsayT replied to molliemaggot's topic in Gastric Sleeve Surgery Forums
This may be a program and/or person specific. My program, for example, says no more than 8 oz of food at a time for life. At almost 3 months, I can take in about 4-6 oz at a time; depending on what it is. -
Don't be discouraged!!!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
I've seen some posts on here that are sad or upset because in 2 weeks the OP has only lost 10-15 pounds. Let me give you a few things to think about. #1 - everyone loses weight differently, so never compare yourself to anyone else #2 - non scale victories are at least as important (if not more important) than what the scale shows. Examples are: fitting in seats better, walking better, clothes and rings fitting better or getting too big, getting off meds, no longer having high bp or being diabetic, etc... #3 - the average "normal" weight loss is 1-2 pounds per week, and if you're on some kind of special diet then MAYBE 2-3 pounds per week. So if you look at the high end of that, without the surgery you would be down 6 pounds in 2 weeks. So while you may think you haven't lost enough weight, or not as much as some people on here have, you're doing a lot better than you would be if you never had the surgery. #4 - the more you weigh before your surgery, the more (and faster) you will lose after. The first 6 months is when you lose the most, and if you are in the 300-400 range (or higher) you will see the more dramatic weight loss during that time. Those that start off in the 200s tend to lose a bit slower and not as dramatically. That's just the way of it. It doesn't mean you're doing anything wrong or the surgery is a fail, it's just the nature of the beast. The higher the bmi, the more dramatic the initial weight loss. The lower the bmi, the slower the weight loss. AND FINALLY #5 - You may have complications. It's just a fact. Not everyone does. Majority don't. But some, like me, do. And that's ok. Stay in regular communication with your doctor, advocate for yourself, do everything you are supposed to do, take whatever meds or do whatever procedures you have to, take deep breaths, and know it'll be ok and you'll get through it. In the moment, they can feel overwhelming and never-ending. Regret definitely can creep in. BUT... remember that "this, too, shall pass" and when it does, you'll be on the other side, living your best life, and the complication will just be a blip in the road. How many health issues and complications did you have pre-surgery? And you rode those out, knowing another one was inevitable due to being so unhealthy. So just know that once you get on the other side of THIS, you'll be so glad you had the surgery and your health improved. In the wise words of a little blue fish "Just keep swimming, just keep swimming..."- 4 replies
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Please read my reply. I also ended up seeing a second surgeon who has done thousands of sleeves and said bile reflux and severe gastritis which causes severe sharp pain / burning pain is possible and he has seen it. Basically everything is inflamed and unhappy and this can also cause pancreatitis pain. how he helped me and I finally started getting better 2 weeks after surgery was medication to stop the bile called cholestyramine, as well as upping the PPis to twice a day plus adding on a drug called famotidine at night with physically reduced the volume of stomach acid you produce (ppis just neutralise it). Plus I had to take metaclopramide as it pushes things down instead of up, including bile, 3 times a day. I am finally better now 5 weeks out. I was desperate and hopeless and felt like my original surgeon could not help me / did not believe it. And yes, the severe pain was only at night time when I was meant to sleep! You need to see a gastroenterologist stat. Good luck.
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I was on 3 diabetes meds pre surgery. My surgeon told me to stop them once I had the surgery. And I'm glad I did. My A1c pre surgery was 7.6 and my average blood sugar level was 163. Within a month after the surgery, my blood sugar level was averaging 145 and by 3 months out, I was averaging 105. At my 6 months post op appt, my blood work showed my A1c at 5.7 and has stayed between 5.5 and 5.7 ever since and my blood sugar levels tend to stay around 100-105. So definitely do not take the Ozempic anymore. If they really want you on something (not sure why at this point) try Metformin or something much more mild.
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Hi there, I was sleeved June 19 and I had this!! I had 2 ER visits and was re admitted to hospital. I referred myself to a gastroenterologist in the end. That is what you need. My pain was only at night too! Here is my long story and I hope it helps you. Please know I am feeling better now. You’ve had complications but there is hope. Here is what I posted last night in another thread. Hi everyone! I was sleeved on 19/6 (Australian date format lol). My experience was no smooth sailing and I developed severe complications despite seeing the best surgeon at the best hospital. I’ve felt really scared, alone and isolated so I am delighted to find this forum. my weight was only 92 pre op and I guess I was considered a healthy young woman. 5 days post op I developed a severe burning pain deep inside my stomach. After numerous emergency visits and tests, it was determine I did not have a gastric leak. I had to be re admitted to hospital to manage the most severe pain of my life, for another 5 days and they still didn’t know what was wrong. Long story short, I had to self refer myself to a gastroenterologist who immediately knew what was wrong. I had developed bile reflux from my bowel into my freshly cut stomach which was causing the searing pain, severe inflammatory gastritis of my stomach lining, which then caused pancreatitis and severe spasms of my actual stomach. Because of all of this I could not even get Water down and my throat was burning and mouth dried up from bile damage. He put me on a bunch of new intense meds and nearly 6 weeks post op now I am starting to feel normal. It’s been a really scary rough ride and emotional and I haven’t known if I’ve made the right decision. I can eat about 1/4 cup soft foods now which I am grateful for. Anyway I wanted to share my story in case you ever come across someone with these symptoms and doctors don’t believe them / don’t know what is wrong.
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Not Allowed To Gain Weight
SleeveToBypass2023 replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Have you tried Blue Cross Blue Shield? I didn't have to do the 6 month nutritionist visits and there was no clause about gaining weight. I saw my surgeon for the first time Feb 28th 2022 and I was approved and in the surgery room literally having my surgery on May 3rd 2022. I just had to meet their criteria which was bmi over 40, at least 1 comorbidity (I had 3), and have tried at least 2 other weight loss options. Then my blood work and ekg had to come back that I was healthy enough for the actual surgery. And that was it. -
As someone who has had a plethora of complications from my 1st surgery and then 1 or 2 small ones with my revision, I can 100% understand how you're feeling. But try to remember that our bodies go haywire after major surgery like this. It will eventually calm down, and when it does, it will all be worth it. No matter what, I still don't regret either surgery. I'm so much stronger, healthier, I got off 4 meds, I'm no longer diabetic or have high blood pressure, I can do a 3 1/2 mile hike with no issues, I can work out 5 days a week and really push myself, and my mobility is SO SO much better. The complications are temporary but the benefits are permanent.
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Type 2 here… My last shot of insulin was in my pre-diet phase. My sugar dropped like a stone after. I actually ended up back in the hospital two weeks after surgery with starvation ketoacidosis. My doctor said I was following the post surgery diet to strictly(all protein) and I needed to add back in a few healthy carbs here and there to keep my insulin level steady. I think that shot you took was a mistake. Until it clears, you will need carbs to keep your sugar up. After that, monitor your levels and adjust diet as required. Of course, all of this should be checked by your doctor and his team.
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Not Allowed To Gain Weight
New To This23 replied to ChunkCat's topic in PRE-Operation Weight Loss Surgery Q&A
Same for me too, different insurance though. I also had to lose 5% of my starting weight in six months. I really struggled with it. In the past I had been able to lose more than that within 3 months, but this time I had had to see a registered dietician as part of the program. I ate what she told me to eat and I also was required to exercise a minimum of 5 days a week. It took me 5 months to lose the 5%. I went to my final weigh-in at the 6-month mark and I was 1lb OVER the 5% goal. This meant I was not allowed to meet with the surgeon or do the testing the surgeon requires before the surgery. I had to call my insurance and explain to them what happened. They allowed me to have a weigh-in 4 days later. At this weigh-in, I was 8lbs BELOW the goal weight. I have since seen the surgeon, and had all of my testing done. I am not allowed to be over the goal weight at all. It is really hard trying to maintain this while I wait to get a surgery date ( If I am over the goal weight on the surgery day, then the surgery will be canceled) and it has added a lot of unnecessary stress. I constantly weigh myself several times a day, and I am super paranoid about eating. No food funerals for me and I am envious of everyone who gets to do one. If my surgery gets canceled for being 1lb over, which I was told it would be, then I will call my insurance again. -
Vitamin Patches for Bypass Patients?
WanderingLass replied to CarmenG's topic in Revision Weight Loss Surgery Forums (NEW!)
My nutritionist said pretty much the same thing, that there's not enough research showing we absorb enough through the skin, but that things are always changing so maybe in the future. She expressed her frustration with liquid vitamin manufacturers not making them bariatric appropriate. I tried them for a couple weeks but soon forgot to put them on. I did feel like I had a little bit more energy/alertness, though. -
Since you’ve started maybe just keep to one or two shakes a day & have a meal of portion & calorie controlled protein & vegetables/salads for the other meal/s. You’ve started to break some of your sugar & carb dependencies & it seems a waste to throw that away. A two week pre surgery diet is pretty common though some are only on a one or two diet. They can take the form of an all liquid (protein shakes) or two protein shakes & one meal of protein & vegetables or a specific diet of solid food (I was on keto). Just depends on your surgeon. Mine gives different patients different diets depending on several factors including starting weight, weight loss/gain history & medical status. All the best what ever you choose to do.
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Hi all! Newbie here... I've been lurking for months though. LOL I got notice today that my policy covers the surgery but that I cannot gain any weight the entire time I'm in a bariatric program. I'm curious, how many other people have had this as a clause in their policy? And if so, how did you deal with it? Did you gain weight and get kicked out? I find this to be such an absurd requirement. If I could control what the scale does I wouldn't be pursuing weight loss surgery in the first place! I just gained 10 lbs in the last 3 weeks on a new medication (Lyrica) that I have to stop now because its not worth the gain. Doctors are always playing with my meds, what if something else causes me to gain before surgery?? This is such an annoying detail to have to worry about.
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Maybe I’ll get that lucky and only have to do it for a day but something tells me it’ll be like 3-4 days before but I will cross that bridge when I get to it for sure! I have just been watching what I eat today which hasn’t been much but mostly protein!
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I eat it occasionally when I want pasta, because it is a *better* choice, but it is still pasta. It may help if you try to load your bowl with about half veggies and treat the pasta as a "topping" vs the base for the dish. I do that with mushrooms, broccoli, etc throw some alfredo sauce on it, and maybe 1 serving of (cooked) pasta for my husband AND I (and he eats about 2/3 of the amount I make, he hasn't had the surgery yet), sprinkle a little cheese on top and bake it in the oven. You still get your pasta "fix" but not as much. I'm almost 2 years post op, and 15 pounds BELOW my goal weight, before anyone comes for me telling me how fat I'm going to get again. (YMMV, but that's how I've incorporated it into my diet).
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The pre-op diet is really difficult for all of us OP. A full 2 weeks of liquids before surgery is one of the stricter regimes I've seen but if that's what your surgeon is telling you to do then you'll need to do it. Hope it gets easier every day. I wish you the best of luck.
