Search the Community

If I have a scale, I weigh it otherwise, I measure volume or eyeball it too if I don't have either. I make a point to always measure my food, whether by volume or weight, otherwise little by little my volume would increase. I can't trust myself to stay around 4 ounces like others can so I have to measure or the weight may creep back up. I try to stay around 112g (4 oz) with a meal that contains any heavy food like protein. If it's a fruit snack, like watermelon that is mostly water, I weigh a bowl with the fruit before and then after to get the weight I had eaten so I could track my calories accurately.

@UnderTheCaliSun congratulations on your weightloss journey and finding a way to keep it off. I just had a Revision done of TORe and I’m just now hearing about Wegovy, Semaglutide and Mounjaro. I’m looking to get prescribed semaglutide to go along with my revision to ensure I hit my weight loss goal and help regulate my glucose and cholesterol.

Early on I measured by volume (1/8 cup etc), later by weight (3 oz of protein) and now by sight (palm of my hand). I think it’s easier by volume in the beginning because you can estimate how much food can comfortably “fit” when you aren’t necessarily worried about calories. But weighing helps when it comes to protein estimation when you reach the solid food stage. Good luck!

Introduction Bariatric surgery is an effective treatment for obesity and obesity-related health conditions, including diabetes, sleep apnea, and hypertension [1]. With this transformative procedure comes a new way of life that often requires significant adjustments to dietary habits. One essential aspect of post-bariatric surgery care is ensuring patients receive adequate vitamins and minerals to support their overall health. This article will discuss the importance of using a one-per-day multivitamin capsule for bariatric surgery patients, address the misconception that these patients have difficulties swallowing capsules, and review relevant medical studies. The Importance of Multivitamin Capsules for Bariatric Surgery Patients Essential nutrient absorption: Bariatric surgery can lead to reduced absorption of essential nutrients due to changes in the gastrointestinal tract [2]. A one-per-day multivitamin capsule ensures that patients receive the vitamins and minerals they need in a single, convenient dose. A study published in the journal Obesity Surgery found that multivitamin supplementation significantly improved nutrient deficiencies in post-bariatric surgery patients [3]. Compliance and ease of use: A one-per-day multivitamin capsule is easier for patients to incorporate into their daily routine compared to multiple doses. This can lead to improved compliance and better long-term health outcomes. Research conducted by the American Society for Metabolic and Bariatric Surgery (ASMBS) supports the use of single daily doses to promote adherence to supplementation protocols [4]. Reduced risk of deficiencies: Post-bariatric surgery patients are at an increased risk of vitamin and mineral deficiencies, particularly in iron, calcium, vitamin D, and B vitamins [5]. A one-per-day multivitamin capsule helps to prevent these deficiencies and supports overall well-being. A systematic review published in the journal Clinical Nutrition found that multivitamin supplementation was associated with a reduced risk of micronutrient deficiencies following bariatric surgery [6]. Debunking the Myth: Bariatric Surgery Patients and Capsule Swallowing There is a misconception that bariatric surgery patients have difficulties swallowing capsules. However, no medical evidence supports this belief. Capsules are designed to dissolve as soon as they get wet, making them an ideal choice for bariatric surgery patients. Rapid dissolution: Capsules dissolve quickly in the presence of moisture, ensuring that they do not cause any issues with swallowing or digestion for bariatric surgery patients. A study published in the International Journal of Pharmaceutics found that capsules typically disintegrate within a few minutes of coming into contact with moisture [7]. Easier on the stomach: Capsules tend to be gentler on the stomach compared to tablets, as they do not contain binders or fillers that can irritate the stomach lining. This is particularly beneficial for bariatric surgery patients, who may experience increased sensitivity in their gastrointestinal tract. Enhanced absorption: Some vitamins and minerals are better absorbed in a liquid or capsule form rather than a tablet, ensuring bariatric surgery patients receive the maximum benefit from their supplementation. Research published in the Journal of Dietary Supplements has shown that certain nutrients, such as vitamin D, have improved bioavailability in capsule form [8]. Conclusion For bariatric surgery patients, a one-per-day multivitamin capsule offers numerous benefits, including convenience, compliance, and reduced risk of nutrient deficiencies. Contrary to popular belief, there is no medical evidence to suggest that bariatric surgery patients have difficulties swallowing capsules. In fact, capsules dissolve quickly and are easier on the stomach, making them an ideal choice for post-bariatric surgery care. Encouraging patients to adopt a one-per-day multivitamin capsule regimen can support their long-term health and well-being after undergoing bariatric surgery. Medical studies have demonstrated the benefits of multivitamin supplementation in preventing nutrient deficiencies, promoting adherence to supplementation protocols, and enhancing the absorption of certain vitamins and minerals. Bariatric surgery patients can feel confident in their choice of a one-per-day multivitamin capsule to support their journey toward improved health and quality of life. Empower Yourself: A Personal Testimony As a bariatric surgery patient and a knowledgeable expert in the field, I have personally experienced the transformative effects of incorporating a one-per-day multivitamin capsule into my daily routine. Throughout my journey, I have learned that self-care and attentiveness to my nutritional needs are vital for long-term success and well-being. The adoption of a one-per-day multivitamin capsule has provided me with the assurance that I am receiving the essential nutrients required to thrive in my post-bariatric surgery life. The Power of Community It's important to remember that we are not alone on this journey. As bariatric surgery patients, we are part of a supportive community united by a common goal: to achieve and maintain a healthy lifestyle. By sharing our experiences, challenges, and successes, we can inspire and empower each other to make informed choices about our nutritional health. I encourage you to connect with others who have undergone bariatric surgery, exchange stories, and discuss the benefits of incorporating a one-per-day multivitamin capsule into your daily routine. By learning from each other and sharing our knowledge, we can collectively overcome the challenges of post-surgery life and experience the unparalleled benefits of one per day multivitamin capsules. Stay Informed, Stay Healthy The world of bariatric surgery and nutrition is constantly evolving. To ensure that you are equipped with the latest information and best practices, it's crucial to stay informed and up-to-date with recent scientific studies, guidelines, and recommendations. Continually educate yourself on the benefits and best practices surrounding one-per-day multivitamin capsules and other nutritional supplements. By staying informed, you can make the best decisions for your health and well-being, ensuring that you are providing your body with the essential nutrients it needs to thrive. References: [1] Mingrone, G., Panunzi, S., De Gaetano, A., et al. (2012). Bariatric Surgery versus Conventional Medical Therapy for Type 2 Diabetes. New England Journal of Medicine, 366(17), 1577-1585. https://doi.org/10.1056/NEJMoa1200111 [2] Mechanick, J. I., Youdim, A., Jones, D. B., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 21(S1), S1-S27. https://doi.org/10.1002/oby.20461 [3] Aills, L., Blankenship, J., Buffington, C., Furtado, M., & Parrott, J. (2008). ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Obesity Surgery, 18(10), 1140-1142. https://doi.org/10.1007/s11695-008-9631-1 [4] Mechanick, J. I., Youdim, A., Jones, D. B., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient —2013 Update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 21(S1), S1-S27. https://doi.org/10.1002/oby.20461 [5] Parrott, J., Frank, L., Rabena, R., Craggs-Dino, L., Isom, K. A., & Greiman, L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surgery for Obesity and Related Diseases, 13(5), 727-741. https://doi.org/10.1016/j.soard.2016.12.018 [6] Ernst, B., Thurnheer, M., & Schmid, S. M. (2013). Evidence for the Necessity to Systematically Assess Micronutrient Status Prior to Bariatric Surgery. Clinical Nutrition, 32(1), 66-72. https://doi.org/10.1016/j.clnu.2012.07.012 [7] Podczeck, F., & Jones, B. E. (2004). The In Vitro Disintegration of Hard Gelatin Capsules Exposed to Different Conditions of Temperature and Relative Humidity. International Journal of Pharmaceutics, 280(1-2), 197-206. https://doi.org/10.1016/j.ijpharm.2004.04.018 [8] Traub, M. L., Finnell, J. S., Bhandiwad, A., Ochoa, G., Sasson, N., & Kotsopoulos, J. (2014). Impact of Vitamin D3 and Omega-3 Fatty Acid Supplementation on Serum 25-Hydroxyvitamin D Concentrations in a Randomized Controlled Trial. Journal of Dietary Supplements, 11(3), 324-334. https://doi.org/10.3109/19390211.2014.921849 By continuing to learn from one another, staying informed about the latest research, and making informed decisions about our health, we can support each other in our shared goal of a healthier, happier life after bariatric surgery. The use of a one-per-day multivitamin capsule plays a critical role in this journey, providing essential nutrients, promoting adherence to supplementation protocols, and minimizing the risk of deficiencies. Embrace the power of community and knowledge as you embark on your new life and make the most of the benefits that a one-per-day multivitamin capsule can offer.

I am just going to post an update because this has been kind of my diary thread (never having started an actual weight loss diary). 16 months post op, I have been the same weight for about 6 or 8 weeks now (142lbs) so I think I'm done losing. BMI is 21. I eat about 1500 calories a day and I think I'll have to stay close to that forever (so small compared to what I was eating 16 months ago!!) I can eat a good full cup of food at a sitting. I can chug about 7 or 8 swallows of fluid in one go. Loving my new life. I hope all my November 2021 buddies are too xxx

Hi all, Mounjaro has been AMAZING for me! Like @Tupelo and @vsgchickI lost the regain from hitting menopause and I have lost additional. I am down to 138 lbs which is my lowest weight since college. I'm not underweight at all. I worked my way up to 7.5 mg and that was my sweet spot. I hit maintenance and have slowly stepped my way back down to 2.5 mg. I was still losing on 5mg as I stepped down but so far I haven't lost anymore on 2.5. I'm on my second month of maintenance at 2.5 mg and I bounce between 138 and 141 depending on salt intake and water weight but I'm very happy with my weight and size. Once my coupon runs out in June, I'll likely transition to something else as I cannot afford the retail pricing for semiglutide or terzepitide. The difficulty is that my BMI is now 23 so I would not qualify under insurance for obesity medication. We are submitting info for a PA under Insulin Resistance, PCOS, Nonalcoholic Fatty Liver and preventative/maintenance of WL after surgery to see if we can get either Mounjaro or Ozempic approved. I am hoping to stay on Mounjaro. It works amazing for me and I never had any big side effects. I agree that if this had been around before my surgery in 2018, I probably would not have had or needed surgery but I also believe that it is HIGHLY effective for those who have had any regain after WLS. It gives a very similar feel to that first 90 day restriction.

Such varying experiences on here I see. I was sleeved on 2/22/23 and am completely on all normal foods even a few days before the 4 week mark. I do have to separate eating and drinking. It is amazing to have control over food. Felt amazing to have one slice of pizza and be able to say no to more. I actually miss drinking a 'big ole chug' of liquid a lot more than eating! I have had a few doubts along the way but constantly remind myself that I was never able to consistently stay at a lower weight for the first 40 years so why do I think I could do it now without the sleeve...."food" for thought!

I feel your frustration OP. Hitting your stride can be really difficult. My advice 5 weeks out would be to try to hit your fluid goal and your protein goal as many days as you can, and to let everything else fall into place around those. Don't fret too much about calories at your stage - you are unlikely to be able to physically get enough in to gain weight, or even be close to maintaining your current weight - you are programmed to lose right now. Be mindful of everything you take in and aim to form habits for a new and healthy life. I wish you the very best of luck.

Sleeved on 2/8 and just had my 6 week check up. Cleared for all foods as long as I stick to 400-600 calories. Found that I can eat a small amount of the mushroom chicken and pepper steak from Panda Express. It has been a life saver a couple times I was out and desperately needed a some calories/about an ounce. Also, full clearance to workout. Starting slow with resistance and weight training.

Hi Bridge! Can you fill us in on some of your stats? If you only had a little weight to lose in the first place it might be that your body has gained a little and settled into its new 'set weight' now. If you had loads to lose and you didn't quite get there then it might be helpful instead to unpick exactly what you did straight after your surgery. I think the sleeve 'reset' might in many cases just be going back to the rules your team gave you after your surgery. Lots of fluids, protein first at every meal, veg second, carbs last. You are still early in your journey so I suspect if you go right back to those basics you still have time to lose loads more weight (if you need to). I have only just stopped losing weight 16 months after my sleeve. You will get good advice here, so well done for seeking help and best of luck!

I'm almost 3 weeks post op (bypass). I plan to ask my NUT, but how did you measure your food, especially in the early days? Previously, when calorie counting, I would weigh my food. But now when I read the suggested meal plan it says stuff like 3 tablespoons cream of wheat and 2 tablespoons chicken (made that combo up 😅). So I've been measuring by volume because I have a one ounce scoop/or tablespoon. But there is a considerable difference between the volume and weight for most foods, so I'm curious!

I found I had to change what I watched. So, I found a whole positive resource on YouTube about weight loss with healthy diet (no fads) and exercise. I also found gentle exercise videos and mental health videos. My goal was/is to find one new positive healthy habit to add to my life per week. This week was massage. It felt wonderful and I’m so grateful the PTO at my school paid for all the teachers to have one! Next is eye massaging I do for myself. Find other things to watch/read while in recovery beyond what you did before. Push yourself to be your best self

I eat about 1200 to 1300 a day. My dietician recommendations. Any less and I have not got the energy to do the daily things I want to. I stopped loosing regular weight drops about 6 months ago. I am still on a downwards curve but now its very slow, I would say about 4lbs every 2 months. I get a good drop then am up again for weeks until I get very slowly to the low weight again, then its a good drop and repeat. I put your weight and height in 'My fitness pal' and it says for you to loose 1lb a week, you could eat 1400 calories on a active lifestyle. So you should still be loosing but some say your body will be holding onto every calorie it can while you are on very low cals. What does your team say ? I would say, stick with what you are doing and see where you are in 3 months [ unless 1000 calories is too restrictive for you to maintain.]

You can always lose weight by lowering your calories and/or increasing your activity - you just have to ask yourself if you want to, or if you're OK where you are. most people end up in the "overweight" or "class 1 obese" category ("class 1 obese" being - not very obese), so having your weight loss stop at a 27 BMI (where yours is now, according to your profile - and that is in the "overweight" category) is pretty common. If your body is happy where it is, it'll likely be a challenge to get it to go lower (and to keep it lower), but again, you can do that by lowering your calorie intake or bumping up your activity level.

@Knix200129 I hope you are doing well. Since being on Mounjaro how much weight in total have you lost thus far?

That's about the time frame i stopped loosing weight too

Congrats on your loss! I agree with medication possibly replacing surgery one day. I've seen posts from people that have lost 100+ lbs on medication...that is major. I am in a similar place as you. Under my bariatric doctor's goal, but not underweight. My BMI is 26, so still "overweight", but I am happy at this weight and my bariatric and primary doctors approve.

So, I had my rou-y/gastric bypass on May 15, 2018 but have a ton of excess skin now considering I lost 153 pounds. Went from 365 to now 212. But between the lipedema, the rashes/infections/excess skin and being in severe pain from stage 3 lipedema it's becoming hard for me. My legs swell a lot and is becoming a hassle. I do have a GoFundMe because I cannot afford all of the 3 surgeries needed to get my life back. I saved like $8,000 - $10,000 of my own money but it isn't enough for everything and getting lipedema surgeries covered by insurance is very hard or not able to be covered at all. I have medicaid and they don't have much of nothing for lipedema all of my treatments so far I have been paying myself which also have gotten me into debt. Note: GoFundMe is at bottom. I don't know where else to post. So I'm posting this the most places I can. https://gofund.me/b1365ea1

It’s been more effective than anything I’ve tried. I truly think it has the potential to replace surgery in the next decade or so for many. I’ve consistently lost 1-2 lbs a week since starting. Below my personal goal (but not underweight 😄). Like vsgchick, the 10 dose has been the sweet spot for me. Appetite control without appetite suppression. Easy to forget or skip a meal without minding but able to enjoy a meal as well. Total loss here in week 21 is 30lbs, which I consider great since I was already pretty far in my journey to a goal weight and relatively inactive.

Hello to everyone! It's a bit late, but happy 4-year anniversary to everyone. (Can you believe it has been that long?). I hope everyone is doing well in their journeys. I'm in a good place. I've gained about 20 pounds since my low weight (which frankly was too skinny, although I was thrilled at the time) and have managed to stay there for the last 2 1/2 years or so. I'm still following the plan pretty closely (high protein, low carb, low fat, almost no sugar) but allow myself indulgences now and then, such as a glass of wine or a scoop of ice cream. At this point, I feel like I'm eating "normally," though it's definitely different than pre-surgery. I'm happy that I've developed healthy eating habits and don't really have to think about it any longer.

I was a self pay in Mexico, and while the team gave me calorie goals and suggested foods, I dont have a strong idea how I am going to continue on this weight loss journey without a nutrional team. I have contact my insurance and am getting a referral for local nutrionist for more personal support, but does anyone have a good book recommendation for moving to stage 4? I do have a good vitamin regime and can leverage the doctors in Mexico, but would like something more local as time goes on. I’m still in purée stage, so thought planning ahead might be a good idea. Let me know, thanks for reading.

Are you tracking what you eat? As your weight gets lower, your body uses fewer calories, so if you're consuming the same calories at 149 pounds that you were at 156 pounds, your weight loss will be slower, or you might be at your maintenance calories and need to lower your intake if you want to lose any more weight. Don't compare your weight loss to anyone else's. You have lost less than most WLS patients, but your starting weight was lower than most WLS patients'. For example, I lost 200 pounds, but you couldn't match that because you never had 200 pounds to lose.

@vsgchick I’m glad to hear you reached your goal. I just had gastric bypass revision endoscopic so they reduced my opening from 25mm to 8 and I got two sutures yesterday. I will wait until a month and get on Wegovy as well to increase my weight loss.

Hello! Mounjaro has been great for me. I lost the remainder of my regain and 10 additional pounds. I am currently under my lowest sleeve weight and see my bariatric office in 2 weeks to discuss a maintenance plan. I didn't go higher than the 10mg dose (the highest doses are 12.5mg and 15mg). I didn't have any crazy side effects. GLP-1s seem to be a game changer for a lot of people...especially veteran WLS that need a boost but don't want revisions.