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Sure! It was a lot of work, but so worth it. When is your surgery? We used this recipe for the bone broth. She used oxtail and knuckle bones, but we didn't roast them first. She said she didn't like the smell that comes from doing that. We also used the instant pot and it took about 4 hours instead of 24. We strained it and discarded all of the vegetables and meat and strained it through cheese cloth, then put it in the fridge overnight. The next day it was like jello and I skimmed all of the fat off and portioned out the remainder into 1oz portions using these 2oz condiment cups, but ice cube trays could work. These make a LOT through. I used about 32 for each flavor and gave the rest to my friend. She is actually going to do the post-op broth/shake thing with me to kick start her weight loss (she isn't having surgery). The chicken broth was pretty much a whole chicken with a hodge-podge of veggies (onions, leeks, carrots, celery, turnips, parsnips) thrown into a big stock pot. She had a couple of bay leaves in there and other seasonings (but not salt). She didn't use a recipe for this, but instead kept it as basic as possible. We let that simmer (with lid off, never boiling) until the chicken could be stuck through easily with a fork and the vegetables were soft. It took a little longer and could probably also be done in an instant pot, but we were doing so much we did it on the stovetop. We refrigerated this overnight as well when it was done. The next day we took the chicken out and shred it to use later, separated the veggies out. We divided this into thirds putting two smaller pots of the broth on the stove. In one pan she put mexican seasonings (I didn't see exactly what though) and in another asian seasonings. I saw star anise and a cinnamon stick, and the rest were spices that she brought from her home in France...so no idea there, but again, think asian inspired. We let those simmer for a while to take up the flavors. After everything was cooled and strained through cheesecloth one last time, I separated them into 1oz portions. All have been frozen. Sorry I can't be more specific on the chicken broth, its basically throw what you have in there to cook, and then add other seasonings for slightly different flavors and variety. They all turned out so good! I am attaching pictures of my 'bariatric' shelf in my freezer. Yes, I am aware of the irony of my little broths being in a Drumstick box! 🤣 I took the picture before I put my protein water pops in to freeze. I used these little zip sleeves (they come with a funnel) and this protein water. I did find a strawberry-watermelon flavor at costco last time I was there, but won't hold my breath they will be there the next time I go. My nutritionist said they are fine to have, they just don't count as a protein replacement because shakes are 8oz and these are 16.9oz so less likley to be able to drink them all at once like a shake. I figure, whenever I get some protein in, I will take it. I hope all of that helps!

Sooo i need some help! My preop is July 27 surgery date is august 25th. My Bariatric coordinator keeps telling me that if I’m over my original weight my insurance will deny me. She keeps saying Aetna is strict but i don’t have Aetna i have Medicaid but it’s called Aetna better health Maryland. I even called my insurance company and they said weight gain is not something that will deny me that’s not something they look at. Help please!

I came across this article while researching if menopause would still screw me after WLS that you might find interesting. Weight loss impacts our genes. https://www.mymenopausemag.com/stay-well/bariatric-surgery-telomeres/

I weighed myself on Sunday--137 lbs. My lowest weight after the sleeve was 132 and I'd really like not to go below that with the bypass. I have been trying to get the chewable bariatric vitamins down (BariSlim with 45mg iron) but they just seem to irritate my intestines and they make my poop orange, which is weird to see. The nutritionist at the hospital suggested Flintstones but Amazon reviews say the formula has changed and there isn't enough iron, even at a double dose. I have almost a full bottle of Costco Mature Multi vitamins that I was taking before the bypass and tolerated well and I can cut the tablets in half to make them easier to swallow. I'm thinking if I take 2x the dose, and supplement with the Feosol iron and the sublingual B12 I was taking with the sleeve, that should be adequate supplementation. I have to contact my endocrinologist about calcium, my levels were high last December and he cut the dosage to 500mg/day. No reflux, no dumping (but haven't challenged myself) no regurgitation. Walking a mile a day. Sometimes have to take a nap in the afternoon but not always.

I've gone through several "phases" of vitamin use in the 2+ years since sleeved. In my first few months, many vitamins gave me really severe nausea after taking it. I didn't vomit, thank goodness but I sure felt like crap. At various points, I've taken the bariatric versions but find I feel and do fine with the regular ones. I've also taken the expensive "organic" and "all-natural" ones. I really don't notice a big difference other than the hole in my wallet. My "go-to" is Women's One-A-Day. I get the giant one from Costco and it lasts me quite a while. As I approach menopause, I will probably change over to a 50+ or silver version, but other than that, I have no plans to change. *I also take calcium citrate +3, a hair/skin/nails formula. No issues.

I feel it's time to tell me story as best I can and hopefully it will give the new comers some hope and take away their worries or anxiety about surgery. Okay I have a very dysfunctional childhood and I think maybe subconsciously I turned to movies and food as a way to cope until alcohol came along but all those things combined made me gain weight massively in my teen years. As a child I was tiny but after my father passed and my stepfather came in the picture; he was a tyrant; life changed dramatically. Anyway fast forward to the end of high school I had reached over 250lbs and by 21 I was 320lbs and my weight fluctuated over the years between 300-320 until I finally found a way to get bariatric surgery.. I always believed surgery was for the rich people and I was never rich... But I found out randomly that health insurance would cover most of surgery and I'd never had health insurance before because here in Australia we have an amazing Medicare system that covers pretty much everything to do with doctors and hospitals except for elective surgery like bariatrics; unless you're like super morbidly obese and even then it can take 3 years and numerous hurdles.... So I researched and researched for months and months and spoke to multiple surgeons offices until I found the perfect surgeon; I needed to get health insurance first then do the waiting period which I used to save up the gap and that gap covered absolutely everything from first meeting until surgery and hospital was covered. I met the surgeon and his doctor and got information and told them I wanted ROUX EN Y BYPASS; and we all agreed that was the best decision as I had bad type 2 diabetes and it would only get worse. I weighed in at 322 there and then and I just wished and hoped the surgery would help me to get down to at least 200 maybe 190; I just wanted to be healthy and happy and of course to look better and feel better in myself. Anyway from first consultation until the surgery day was about 4 months had a few meetings with surgeon and he does a very direct approach no need for all the tests and stuff just my medical history and some blood tests and a big discussion was about it and he was ready to go. I was advised to do at least 2-3 weeks low carbs/protein shake diet before surgery and to try lose at least 10lbs; but I literally woke up one morning 2 months before surgery and decided there and then to kick start my journey and started on protein shakes and I actually found a brand and flavor that I actually loved. It tasted just like chocolate milkshake even though I only used water to mix it up i tried a few different brands but they were either too bland or no taste at all I like flavor and I like a little sweetness in my shakes... And I've been using the same shakes in bulk powder form for months without any issues at all... So I started on shakes and they literally filled me up and I was determined to show the surgeon I meant business. i was amazed how quickly the weight came off because I was ONLY on shakes Max 600cal preop; I dropped so much water weight it was amazing. By surgery day I had already dropped from 322 to 257lbs and the surgeon was so proud. i went into the hospital early without only water that morning so my sugar was actually low so they made me wait a few hours longer and I went in to surgery I think 3pm and next thing I know I was awake in ICU a few hours later and surgery was done but oh boy was it painful for me; I'm not sure why but I was in pain for like 2 days luckily I was given good drugs through the IV and slept most of the 2 days... By the 3rd day I started drinking a small glass of protein shake and was sipping water each day; here in Australia the surgeon is very cautious so I actually spent 6 days in hospital was fine I had my own private room and bathroom and was really well looked after.... By the 3rd day they finally took the drain out and I had a shower for the first time and a BM which was like sticky black green like a baby; oh the shower felt amazing on my poor sore belly; I think I had 5 incisions sites and a very tight bloated belly. Each day I would walk the halls of the hospital and say hello to the nurses and other times I would rest and watch TV but by like the 5th day I was feeling really good and was ready to go home but because I lived over 2hrs from the surgeon and hospital they made sure I was 110% fit and healthy; they checked my blood sugar and blood pressure multiple times a day and they said everything was fine, by the time I left the hospital they had taken me off multiple medications and it felt Great. The ride home in my mates car was a little rough but it felt Great to be home and in my own bed my big bed not the single bed in hospital... It's hard to remember everything I went through its been over 8 months since I left the hospital but I do know I was still a little sore when bending or carrying shopping bags for the first few weeks I had to be careful.... Showering was amazing my bandages on my incisions came off on their own after like 3 weeks.. I was given a guideline diet but Ive always been a strong independent personality so I just chose to do things my way; of course I was glad for the surgery and the surgeons advice but I felt is my body; my life I need to do it my way so maybe I was lucky but I didn't even think about food for months like literally I lived off shakes and yoghurt for months before I really started actual food and of course the weight kept coming off everyday it was amazing. For the first 3 months I think I was on maybe 500cal a day with next to no carbs or sugars... I didn't feel hungry at all... Shakes kept me going... Every couple of months I had to buy new clothes, I couldn't believe how much I changed one month to the next and people who hasn't seen me in a few months were shocked ever time they saw me.... i never kept it secret from anyone; I was proud of my decision to finally change my life and possibly extend my life, I was enjoying the complements and I was lucky I don't think I stalled for more than a week and I never had any complications at all except for diarrhoea BM for a while and sure I threw up a few times when trying different things or eating too quickly... i started drinking regular coffee by 3 months and my surgeon said it was fine as long as I don't get dehydrated.. I was drinking tea as well and by 6 months I actually decided to treat myself here and there with some sugar free energy drinks and it has not impacted me or my weight loss one bit. Now I'm over 8 months out I can eat most things just small portions; I've even had bread a few times just have to take it very slowly... I've had pasta a few times and even had some chocolate over Easter without any issues at all and still continued to lose weight... i will admit recently I've had some treats here and there but that was once I got in to maintenance mode... I've pretty much been in maintenance now over 2 months and pretty much sit around 165lbs but just this week I've seen 163lbs on the scales... i don't log my food much now but I do keep a mental tally of my calories and such and I do still check my weight regularly to make sure I'm doing well.. i had the RNY bypass and it was 120cm and it was amazing; I've had a blast and I've lost pretty much 50% of my original weight. FROM highest of 322 to the lowest 162.8lbs just the other day.... i felt the need to share my story everything has been positive for me. It has totally changed my life and transformed my life and the way I see myself... I'll be 36 in 3 weeks but I feel better than I have in 20 years... i want everyone to read my story and see it is possible to have the BYPASS without any issues and also my 3 months blood tests were perfect so no issues with vitamins either just have to remember to take them everyday.. The one issue I will say was my hair did get thinner and would grow slower but never fell out.... I'm sure in time it will get better I've gone from being the FAT friend to the SKINNY friend... i look and feel amazing and my BMI has gone from 43 to 22. I've dropped 159lbs or 72KGS in 10 months including my preop... From 146KG to 74KG and below every goal I thought I wanted. I don't mind because most people will bounce back 10-20lbs anyway plus when I do start to build muscle that will add a little weight because right now I'm kinda skin and bones LOL feels weird saying that about myself but its pretty good... I'm really hoping I'll meet someone soon and start a family and live a long long life 😁😁😁 So if anybody is curious about RNY BYPASS don't be afraid... Success is possible!!!! A few pics before and after

I am struggling with all the same thoughts & fears, and wondering if I really need to do something so drastic to my body in order to heal my relationship with food. And after I go through this soul searching, I know that after struggling with food addiction for nearly 5 decades, and knowing myself and my shortcomings, I need to forcefully disrupt the broken feedback loop between my stomach, heart and head. I am hopeful that this surgery will provide an initial strong restriction, and later a gentle reminder as my new stomach relaxes & heals; to always approach food mindfully and not mindlessly. I agree with everyone that being "left out" of social gatherings centered around food may make us feel hollow at first, but I think we have to recognize that our culture elevates food in an unhealthy way. I personally think we need to stop using food as a tool for shared social bonding and means to achieve emotional connection with others. I know food sharing in the context of creating social bonds is central in every culture likely back to our ancestral neanderthals, but that doesn't make it right. Maybe it was appropriate when we were hunter/gatherers and food was scarce, but we don't live in that world anymore - and maybe this psychological truth is central to understanding the epidemic of obesity. For me; these deep, tacit, perverted definitions of what food represents are at the core of why my experience of food evolved into an unfillable, aching, longing hole in me to begin with. I need to get comfortable with my body being empty, and not filled with food, get comfortable with all the difficult feelings I have been using food to erase and bury; and at this point in my life; for me, this surgery makes sense. My stomach is literally a part of me that isn't serving me any more, hasn't served me since I was a kid. I need it to survive, and that's it. I want to give it what it needs to survive, and that's it. I don't want a part of my body destroying the rest of my body. And this is a complicated subject, because we know that our mind is intimately involved in this process. There are drives for sustenance & survival rooted in our hypothalamus, ventral tegmental area, vagus nerve, brainstem, etc. that we cannot overcome and should not overcome; but when they are not working properly we need to retrain them. And where I am in my journey is that it seems this retraining cannot be accomplished through any other means, after having tried them all. I sincerely hope I am correct; it would be a terrible thing for us to be wrong about. Good luck to us all as we undertake this incomprehensibly difficult and infinitely meaningful, literal remodeling of our bodies in an effort to finally achieve a lasting remodeling of our minds. Hope that all that rambling made sense! LOL! 🤣 PS: this site edits posts to create the weirdest hyperlinks. Obviously this post was not intended to link to the bariatric store. I can't edit out the automatic link above - LOL

I use ProCare Health bariatric multivitamins. It contains everything necessary as per ASMBS except calcium. So i use Celebrate calcium citrate chews or Citracal petites. ProCare is available from Bariatricpal, but i buy from Amazon with free shipping.

I tried and tried and tried all different kinds of bariatric vitamins- they made me vomit almost every single time, no matter what brand. At one point, I got tired and asked my nutritionist, and they put me on (of all things) Flintstones Complete multivitamin with iron. It works fine and my numbers have been fantastic. I take chewable fruit calcium (which I had no problem with...) and don't need vitamin d outside of the ones in the calcium (I live in the desert and try to spend time outside every day lol). But with the multivitamin, I take it along with my B50 capsule and my GERD meds, then eat breakfast 30 minutes later. I haven't vomited in months. Also make sure to take my multivitamin (because it has iron in it) at least two hours apart from my calcium, and each calcium (I take three a day for 1500) at least two hours apart so they can absorb correctly. Hang in there. I know this part sucks, but you will get through it. ❤️

I had my Gastric Sleeve surgery done May 21, 2020. I had the bariatric vitamins, iron, calcium, and vitamin d supplements I was advised to take post op. I have tried repeatedly to take the bariatric vitamins (liquid, chewable, and capsule forms) and immediately vomit ( tried with and without food) i have now resulted to taking a women's one a day and supplemental iron. I haven't had my labs redone but was curious what other experiences yall have had? Sent from my SM-N975U using BariatricPal mobile app

I recommend getting a Bariatric Bear or Moose from Teddy Tech inc. because you are going to need something to help you manage the pain and keep you company at night. Me, I have a moose with a T-shirt that says that he will help me "bear" my surgery. Be sure to do your 5x of walking in the hospital (this is how many times they wanted me up and walking) each day, do your breathing thing 10x an hour to make sure your lungs are working properly after surgery, and try to get in and document how much of the liquids you are getting in each time they bring you a tray (work on getting in as much as you can so you can go home and not stay an extra day because they will be checking your liquid intake). Do not be afraid to tell them you need anything, your IV machine needs attention (ie: thing is beeping), that you are done using the bathroom (they might monitor your urine for color and frequency). And most of all, relax because you are going to need as much rest as you can get in the hospital since they will be checking on either you or your roomate frequently.

I was sleeved at Mexico Bariatric Center, Dr Christian Rodreguez Lopez in Tijuana. It was a near perfect experience. I also have heard that weight loss can be affected by the surgeon. If I remember right it was determined by how close to the sphincter they get and how well they shape the stomach. Only time will tell for me. I am almost 6 weeks post op and down 24 pounds. No complications. I went to Mexico because there was no insurance interference and of course in the USA I did not qualify due to not being obese enough or having other pre-existing conditions. Good luck in your decision.

recovery from both surgeries is about the same. I've never seen any anecdotes about recovery from sleeve being easier than recovery from bypass. bypass: statistically, bypassers lose more weight, but we're talking a few lbs, and besides, those are just averages. Some sleevers lose a lot more than bypassers, and vice versa. It comes down to the individual and how committed they are to their plan. There are people on here who've been wildly successfully with both surgeries, and people who have failed both surgeries. It comes down to commitment. If you stick to the rules, you'll lose the weight. weight loss is faster with bypass, but not by that much. And they equal out after a few months. If you have a significant amount of weight to lose, you're going to have loose skin no matter how fast or slow the weight comes off and no matter which surgery you have. I don't think it makes a difference at all which surgery you have when it comes to loose skin. there is malabsorption of vitamins with the bypass, but deficiencies are rare as long as you keep on top of your vitamins (you'll have to take vitamins with the sleeve as well) (p.s. the malabsorption that Mikey mentioned - the malabsorption of calories with the bypass - that is temporary. Lasts maybe two years tops. Your system gets smart and at some point is able to suck every calorie out of whatever food you eat again. I'm talking here about malabsorption of vitamins. That is permanent, but if you keep on top of your vitamins, you're very unlikely to have problems with this) only about 30% of bypassers dump, so don't count on that happening. I, unfortunately, have no trouble at all eating sugar. I wish I did, but...no. sleeve - I'm not sure why people think this surgery is less "drastic", although many do think this. Cutting out 80% of your stomach and throwing it on the garbage doesn't seem much less radical to me than sectioning off your stomach with staples and moving your small intestine up. They're both pretty radical... stomach stretching - this actually isn't very common, from what I've read. If it happens, it's due to chronic overeating - day after day of overstuffing your stomach. Which hopefully you would not do after going through something as drastic as surgery. We all have our days, but you'd have to really work at stretching your stomach. the only things that really should be strongly considered when making a decision is if you have health issues that would make one surgery more appropriate than the other. If you have GERD, go with bypass. If you have diabetes - well, either surgery can help with that, but the bypass tends to be more effective with putting it into remission. Otherwise....??? It really comes down to personal choice. as far as your past eating disorders go, if you're still dealing with those, or are worried about those coming back, therapy is the best way to deal with that. Surgery doesn't really help with that. There are many bariatric patients who work with therapists, and there's nothing wrong with that!!

Newbie here! I am in menopause and have been for at least 5 years. I have a BMI of 42 with approximately 100 lbs to lose, which is about 78% of my excess weight. The reason why I gained this much weight is because I was in perimenopause since the age of 32 and my weight kept creeping up year after year. No diet or exercise regimen has worked and I see surgery as the only way I can lose without gaining it back and then some. I am working with a bariatric surgeon in a bariatric center of excellence in my area. She is very good at what she does, and has done 300 surgeries a year for the last 4 years, and does bariatric surgeries exclusively. After examining me and hearing my concerns she has given me the choices of Gastric bypass "Roux en Y" or Gastric sleeve and said it is up to me which I would rather do, and I'm researching this now. I do not have any GERD/acid reflux. Before I even walked into her office, I wanted the gastric sleeve because of the lower risks and not losing any nutrient absorption in my small intestine. BUT... the more research I do seems to point to menopausal women losing a much more statistically significant amount of weight with Roux en Y Gastric Bypass. I am also nervous about gaining back the weight after the initial 1 year of weight loss after surgery... surgery doesn't affect "those" hormones and I don't want to lose my 100 lbs just to have it keep creeping up and up again. Given your experiences, which surgery would you go with in my shoes? If you ruled out all of the health risks and only took into account the ability to get down to a good goal weight and stay there, is one procedure much better than the other or are they about even? Thanks in advance for your insight.

Your lack of water intake seems based more on fear than anything else. So think about this... it take 2 - 4 grams of water to mobilize 1 gram of fat (this is the real reason it is drummed into every bariatric patient to GET YOUR FLUIDS). If you DONT get enough fluid, you will severely hamper your ability to mobilize/lose adipose tissue - with the added bonus of ending up in hospital from dehydration. CHANGE your habits, that's the only thing keeping you from getting enough fluids.

Dr. Chad Carlton at Lonestar Bariatrics has to be one of if not the best bariatric surgeons in the DFW area of Texas! He is so friendly and hands-on, he truly cares about his patients. He doesn't just abandon them to figure things out after surgery, he makes sure they have everything they need every step of the way. His staff is equally as awesome, always making sure the patients are well informed and comfortable every step of the way. His dietician, Allison, is more than willing to answer and every question a patient may have. She is happy to give patients her email so they can get answers ASAP. I am so glad I went with Lonestar Bariatrics for my surgery!

They don't make anyone sign you out. But the hospital and my bariatric center stated, I would not be able to leave in a Lyft or Uber.

mine requires it and he's on the med school faculty of a major research university - so he teaches other surgeons how to do bariatric surgery. So definitely not a "bad surgeon". It's just a difference in opinion.

The BariatricPal Store carries a huge selection of Bariatric friendly Calcium at https://store.bariatricpal.com/collections/calcium

Hi Gang. 200-pound Meow here. STILL. Honestly it's becoming a joke. I step on the scale and it jumps above and then below and then stops on exactly 200. I think this is day 6. ((eyeroll). So I'm holding at a solid 17 pound loss on post day 30. Ah well. Waiting for that swoosh people talk about. Hope it's several at once. I'm only eating 600 calories a day and getting at least 200 calories exercise a day according to my tracker so it can't stay here much longer. EAT THAT FAT. THERE'S PLENTY ON THE THIGHS, BABY. BURN IT! Oh yay! Bariatric nightmares!! Dream Dumping! Lol. So good to hear you're eating and feeling pretty good, Groovy. Nice to hear about the fruit. I've been stealing that banana since week 2 and have had no trouble. I think it's clear sugar isn't going to make me dump and frankly I'm relieved. I am also taking the vitamin without iron and plan to continue that until the bloodwork says I'm in need. It's hard enough to poop regularly. My daughter had a dance competition this week and today I chased her around for a few hours in a big convention center carrying a big bag. It's the first "outing" I've had besides a quick trip to the grocery store or errand and I was surprised how weak I felt. Gonna need to try and push myself more, I think. And figure out what I'm missing if I can't because I'm 47 years old and 200 pounds and I should be able to do what was asked of me today without issue. Time to start kicking the exercise up, maybe. What's everyone else doing? ONWARD BYPASSERS!

Hi all, Not sure if this is in the right place, but I had questions about how you all paid/are paying for surgery? I've been looking at self-pay options, financing, and CareCredit. After waffling back and forth for the last year, I have decided I do want to pursue surgery. My insurance will not cover it. So, I am looking at all my options. I'm still a little wary, only because I also am set to being graduate school in the next year and I am afraid of blowing up my finances. I'm just looking for stories of how you all made it work when it was not covered by insurance. Covid is also making it difficult. I had considered traveling to Mexico, but it doesn't look like that is going to work. I don't know that I feel good about traveling like that. Then, someone mentioned Blossom Bariatrics in Las Vegas for a lower priced, good, self-pay option. Anyway, any input would be appreciated. I want this. I just am not quite sure how I'll make it happen. Thanks in advance!

Hopefully, Monday's test will come back negative. I'm also an introvert, rarely going out, if I can help it. Visiting the Bariatric Clinic feels like socializing.

Is there a specific reason why you suspect HWA? For example, have you recently had lab tests that indicate low ferritin levels? Iron deficiency, including HWA, is common after bariatric surgery. Any doctor or surgeon can order lab tests for you: a standard bariatric post-op iron panel would typically include serum ferritin levels, serum iron, transferrin saturation, total iron binding capacity, mean corpuscular hemoglobin, and hemoglobin level. There is also a specific test for HWA that you can request called HFE (hyperferritinemia panel). Since you’re possibly symptomatic, perhaps some of these tests would be covered by your health insurance, if you have it? It's best to have blood work done prior to starting any new oral iron supplementation, in order to get an accurate base reading. The symptoms you've described aren't limited to iron deficiency anemia, and there can be many other causes of these symptoms (as well as a number of other conditions aside from bariatric surgery that can cause HWA), so please insist on having this investigated. Would it be possible to discuss your symptoms and be tested by your regular physician, your old WLS clinic, or a local bariatric clinic in your area? I hope you're able to get this resolved quickly, and that you feel much better soon.

I know every surgeon has different stages for you to progress through post surgery but at one month out I was only just commencing soft foods (think mushy, flaky foods without a bite). Prawns would have been too hard a food to eat & difficult for my sleeve to tolerate. Remember you are still healing. Give yourself time to heal & learn your sleeve’s likes & dislikes. Listen carefully to your body. It will tell you what it can tolerate, when & how much. There may be foods you will never be able to eat again without suffering discomfort or unpleasant side effects. I don’t have cheese often - fat content - is too high - but I do have the odd small cube to up my protein intake if I’m low as recommended by my dietician when I was close to my goal. Also it’s not uncommon for bariatric patients to develop a lactose intolerance. So tread carefully introducing any dairy back into your diet. My sleeve becomes very noisy when I have certain dairy foods as it struggles to digest it. Good luck with your journey. Best decision I made.