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You’re right, I took the question re: bathroom issues with the sleeve only. In the beginning, the urge to go is generally stronger and the need for a bathroom is quick. As time goes on, most of us can hold it quite a bit longer. On a road trip, rest stops are usually every hour or so, so as time goes on you will most likely be able to wait unless you ate something very fatty or with sugar/simple carbs. Then all bets are off, which is why I pretty much only eat that at home. You are definitely going to need to deal with “going” in a public bathroom. I use this (see below). I spray upwards in my stall as I begin to “go” and then spray a couple of more times as I’m finishing. orange only

I'm currently 3 weeks post-op from gastric sleeve surgery and am struggling BIG time with the diet. The pureed foods aren't doing it for me as the texture is not right...Has anyone else struggled with this? If so, please let me know what worked for you...I've always resorted to food when I'm feeling low and now I can't...I have snacked on no-no foods already and I'm petrified of returning old habits. I've gained 2-3 pounds in the last week and that's incredibly discouraging. I know it could possibly be water retention as my intake hasn't been a full 64oz per day. I know I'm not getting enough protein as well...I'm ready to resort back to a full liquid diet in hopes to lose weight over the next couple weeks...any suggestions would be incredibly helpful!

Your feelings are valid @Nan CC, surgery is stressful and the idea that we have done so much for so little loss in the beginning is discouraging and depressing!! I have some thoughts to share about your experiences... 1. That hunger you are experiencing is normal. It doesn't go away for everyone. I woke up in the recovery room ravenous which pissed me off because all they kept saying is I wouldn't be hungry! And I ended up more hungry than I'd been in years!! The first two months I was hungry all the time. True hunger. I think it is because the body is panicking and trying to figure out what is going on. Plus we've been lied to, that growling sound is often not hunger, but just our system digesting and moving air and fluid through our system. After surgery our internal digestive process sounds louder to us for some reason. Maybe because we are paying more attention?? I don't know. But I had true hunger constantly. One thing that will help this is a PPI (proton pump inhibitor). Our tiny tummies are still making enough acid for a normal tummy and that can irritate it as it heals. That gnawing hunger can often come from this and gets worse at night... 2. No, you aren't supposed to automatically feel full with 1/4 cup of food. A lot do, but not all by any means. The reason for this primarily is because all the nerves that communicate fullness to us were cut during surgery. It takes at least 3 full months for those to heal enough to accurately communicate again. The 1/4 cup portion size is to keep you from inadvertently overeating and stressing your healing stomach. At about 8-10 weeks you may notice you can eat more, that's because the internal swelling has gone down. By then you should be able to start gauging your fullness signals. They are often different post op and can look like sneezing, a congested or runny nose, hiccups, pressure in your breastbone, nausea, etc... By 3-4 months out you may be eating more like 1/3 to 1/2 cup of food at a time. Not everyone progresses that way, some have high restriction all the time and have to stick to smaller portions. But the key here is to start building that relationship of listening with your body and learning that the feeling of hunger does not mean you are starving. If you are eating 1/4 cup of food 5-6 times a day, you are getting enough nutrients for your stage in the process. As @AmberFLmentioned, I suggested Millie's sipping broths (you can get a sample pack of all the flavors on Amazon) they help a LOT when you want something, the warmth and savoriness can really soothe the extreme hunger until it balances out on its own. 3. Stalls are normal and can happen early and often. I lost about 15 lbs in the first 3 weeks and then proceeded to stall for 6 weeks and gain and lose the same 4 lbs!! I was horrified and really worried my surgery wasn't going to work. I lose weight VERY slowly, my body is resistant to losing, and I have diabetes and such like you, which I think makes losing hard too. This stall was normal, even though it didn't feel normal. DS patients are known for losing dramatic amounts of weight and my surgery weight was 307, there was no good reason for the stall. But my body needed to take a break and recalibrate and heal, so it did. Finally after those 6 weeks I SLOWLY started losing again. Then at the beginning of February the weight loss finally started to pick up! A lot of people lose a ton at the beginning, I didn't. Apparently my body needed 3 months before it felt safe to start dropping weight steadily... All you can do is get good movement, good sleep (sleep is crucial to weight loss), good hydration, eat every few hours, and stay off the scale for a bit...it will break when it is ready to. 4. Hunger does eventually return to normal, or whatever is normal for you... I'm almost 4 months out and mine is back to what is normal for me. I still have to eat every 3 hours, if I don't I feel drained and irritable and my weight loss slows... I drink plenty of fluids during the day, it helped with the hunger. I feel my fullness signals clearly now, I think all that healing is finally done. I just have to eat slow enough to allow those signals to get to my brain (it takes longer than you think!). Broths, milk, coffee, tea, flavored waters, all these will ease hunger pangs, but the best cure is time and learning to heal your relationship with your hunger so you can feel it and not feel stressed about it. The great thing about eating every 3 hours is the next meal is around the corner, so I can drink something and tell my system to wait until mealtime. This helps heal the insulin resistance too by allowing your body to go through the full insulin response cycle post meal. I'm sorry this feels so hard. I hope your stall breaks soon! And I hope it helps to know you are not alone. ❤️

Great job on everything so far!! I applaud you on your dedication to moving your body!! I also take my measurements once a month, on the 1st. I totally relate to everything you said, including the early stall! I had a stall at 2 weeks and it lasted a month. I cried at my 3 week appointment, as I had gained 6 pounds. I thought my surgeon would think I was non-compliant, even though I was only getting 3-400 calories a day. She hugged me and told me that it was literally impossible for me to be non-compliant at this stage! It was just my body freaking out at itself, and the goal over time was to add a lot more calories. I haven't been able to do much more than a little slow walking, even at nearly 4 months out and just short of 40lbs down from surgery weight. I think it has to do with sleep, about which I have huge issues. I feel like once I get better with that, I'll be able to add a lot more movement. I'm hoping that will help get me through future stalls, which I know are very likely to come and are super normal. Still doesn't make it easy! Also having trouble getting my 64+ of liquids. It's a daily struggle that I don't always meet. My surgeon chose to leave the hospital and physician's group 3 months after my surgery, because the powers that be were making decisions about the program that she felt compromised the program's (and her) integrity. She's moved to a more holistic private practice now, and even though they don't take my insurance, she offers a special rate for follow-ups to her former surgery patients. I'm totally going to go see her for my 6 month f/u and beyond, because the hospital has now ended their bariatric program, and I adore my surgeon and her holistic attitude. I feel really lucky.

One of the hardest things that I am trying to teach myself that is is not a diet! this is a lifestyle. In life we eat right 90%-95% of the time and work out 3-4x a week, and the whole purpose of this was for me to be healthy. It is scary to think of being 297lbs again because of how unhealthy and how much pain I was in. I have to reflect on my "Why". Thank you as always for your words of wisdom! ❤️

Ok. I’m two weeks out. My dr ordered diet is liquids and purée for the first four weeks. I’m so sick of broth. I’m tired of pudding. I don’t want mashed potatoes anymore. I’ve puréed green beans but I’m over it. I tried purée meat but that is a NO GO. Any ideas on good purée things I can do for the next two weeks?

I only work out 2 days per week now because I work on my feet as a medical assistant 5 days per week, but I think I'll back off those for a bit and see if that helps at all. I hadn't even thought about that, to be honest, because I was working out 5-6 days per week and had to cut back to 2, so I figured that was already a huge drop. But being on my feet all day moving and working with patients is probably enough right now.

Hi everyone, how are y'all getting with your post op diets, exercise and wellbeing? Here's my experience so far after getting the Gastric Sleeve procedure on 13th June 2024... Immediately after surgery It was pretty rough for me, I woke up in a lot of pain, so much so that the nurses had to give me 30mg morphine for the pain. I was in a recovery room for the first 24 hours (standard procedure for the private hospital in the UK i went through) After the initial 24hrs I was moved back to my room where I felt a lot better. Even able to eat an ice pop and a small cup of tomato soup (sipping of course) and sipping water every 5-10 mins. Week 1-2 I quickly moved onto the liquids phase, in which I must have taken in around 2-300 cals per day through protein shakes and watery soups. I must admin this phase was the hardest for me, managing the pain meds as well as trying to drink as much liquids as I could in a day. It just so happened there was an international football (soccer) tournament on in Europe in my first 2 weeks' recovery so was engrossed in that! I also started walking 1 mile per day and upping that to almost 2 miles by the end of it. My weight loss was drastic in this phase but my word I was lethargic/got tired v easily and not up for doing much. Week 3-4 Puree stage - finally I felt I was able to get some proper food in me, and a few days after starting this phase, my weight slowed right down - the dreaded (but expected) 3 week plateau kicked in. I went around a week and a bit without any weight loss, despite me sticking to the recommended diet. I am not going to sugar coat this, it was a bit disappointing standing on those scales after a week, but I knew this would happen so meh I guess. Still walking 2 miles per day during this phase and now feeling I have a lot more energy. Week 5-6 Week 5 started with me starting to lose a pound every 2 days or so, so my body seems like it has adjusted to the inro of more foods for the 'soft foods' stage. I also started back at the gym doing some cardio work on top of my walks, and oh boy I have so much more energy for it! I am now around half way through week 6 and had my first appointment with my nutritionist and he is blown away by the progress I have made/am making. He gave me further chewing tips to make sure I am not overeating as I have been sick a couple of times when I've eaten too quickly and not realised I'm full/satisfied. He is now happy for me to start introducing more fibred meats and more complex foods, like a little pasta and a little bit of rice, to test the waters. Struggles so far: Reminding myself I have a new stomach not eating what family members are eating e.g. Sunday Dinner Eating too fast resulting in vomiting Extra attention from people who have noticed a loss in weight (47lbs and counting since pre-op liver diet). Since I've been overweight most of my adult life, I carried a lot of shame internally, so its in my nature not to talk about myself/get photos taken etc Wins so far Losing a lot of weight and all the benefits that go with it. Being more present with my family. Having the energy to do everything they want to do (I have a wife and 2 kids, girl 11, boy 7) Clothes! I have dropped from XXXL to XL already. Which was a surprise when I packed to go to a 5 day getaway with my fam in week 5 Mental health - the mental benefits come as such a relief. I no longer feel down about my weight (although I know I still have a ways to go) Confidence - generally just feel I can be more myself - hopefully some here will resonate with this. be great to hear of your journey so far, so let's have it folks, we're all in this together

Morning all ( well it's the morning here)! I weight in (officially) every Friday (In truth I have issues avoiding jumping on the scales every day) I'm 5 weeks post-op today. ⁠Opération day weight 91.1kg ( 200.5 lbs - 14 stone 4 and a half) •⁠ ⁠⁠Current weight 80.9kg ( 178 lbs - 12 stone 10 and a half) •⁠ ⁠⁠Weight Lost 10.2kg or 11.19% of starting weight ( 22.5 lbs 1 stone 8 and a half ) •⁠ ⁠⁠Starting BMI 32.65 •⁠ ⁠⁠Current BMI 29.1 So my stall has well and truly broken and I think I'm on the right path!

Happy Monday! I'm approaching my 4-month post-op mark at the end of this week and happy to say the long stall I had in month 3 is behind me and I'm back to losing at a good clip. I had been worried that it would be a permanent slow-down, but it wasn't. This morning, I hit 60lbs lost since my highest weight, which was almost exactly a year ago when I went back to my weight management team after a long absence and seriously discussed entering the surgical program. I'm going through a patch right now where food is just not at all appealing. Maybe it's the start of the hot summer weather, or just the fact that cooking and eating such small quantities is tedious. I don't know. But nothing sounds appealing and I get a few bites into a meal and really don't care if I finish eating it or not. No real hunger, and the head hunger from the beginning has quieted down, too. At least hydration is going well. I ordered a swimsuit online for an upcoming trip to the waterpark with my kids and tried it on yesterday, size 16 US. It fit! It even looks reasonably good! I'm finally down to a weight I legitimately haven't seen in half a lifetime, and I can finally see the difference more. In the early days, I think I still had a memory of being the weight I was before, like I never fully recognized getting bigger, so losing that weight was just bringing me in line with what I believed I had looked like all along, if that makes sense. But now, at 15 pounds less than the very lowest I had ever managed to get with nutrition and exercise alone, I find myself surprised to realize my silhouette has changed and that I'm looking smaller, or that I can easily sit in a seat at a theater or a booth at a restaurant. 6 more pounds and I will be "overweight" instead of "obese" for the first time in about 25 years! The big challenge coming up is family vacation. We're doing water parks and amusement parks, and the food choices are sure to be dismal. I have no desire to eat the junk food, so my bigger concern is really that I won't get in enough healthy foods over the week. Especially fruits and veg. It's so hard to get healthy food when you travel, and I still get enough issues with my stomach that I've bought some discreet vomit bags to keep with me in case something doesn't agree with my tummy on the road.

I had surgery on 4/8/24. I had a bypass. I am able to drink fluids with no restrictions. I'm on the puree stage. At 2 weeks out I have only lost 16 pounds. The last 3 days the scale actually went up 2 lb. I'm not going to lie. This is an uncomfortable feeling. Specially because I'm sticking with Drs orders. I do notice that even though I eat 3 ounces of food and try to keep up with my fluid intake I don't get a "full" feeling. It does not take me a long time to eat. So I'm not sure how to feel about that.

Okay pretty much what I do now LOL I run 5x a week, HIIT once a week, close min 10k steps a day, lift heavy 5x a week. Maybe I need to incorporate Pilates then. Do you feel like you need to eat more? I am closing close 1700-1800 calories a day. I tried to cut back and I was sooooo tired. My protein is above 150g a day. you look phenomenal! Your stomach is so flat, and not to be weird but are you blessed up top or did you have a breast aug? My have completely depleted. I went from a 44DD to a 36A (barely) LOL

Yay. So excited for you. That was my arrival time too. I had to wake up at 3:30 to drink Gatorade?! I think I would have been up anyways though with so much on my mind. Best of luck tomorrow.

I'm going to ask to have an ultrasound and see if they can see anything and if not, schedule another colonoscopy (just had one a year ago, not due for another 2 years). I'm going to look at what you mentioned (never heard of it) and see if I can get it here and if it helps. Also, if you've pooped 6x in the last 3 days, you could probably give your body a break for a day and if you don't go at all, take the medication again. After a hysterectomy, you want to make sure you go regularly and keep the poop soft and/or a bit runny for the first 2 weeks at least. Well, I had to be cut open, so maybe that was more for me. But I found it helped A LOT because the muscles really hurt. I imagine laparoscopic would be similar like with WLS since we needed to go easy with the pooping for a while after that, too. Definitely don't let yourself go too long without pooping, but if you're going more than twice per day, you might want to back off just a little to give your body a break and not get dehydrated.

8 weeks PO today and 14 kg down- 56 more to go- I made myself one of those goal thermometers so I can colour it in week by week- I also have a weight tracking app- but there is something nice about colouring in the thermometer.

I am two months out and each program is very different. Follow the nutritionist. I had a two week stall and you just keep doing what they tell you. My protein is 60-80 and water is 64-100. I try to get closer to 100 because that is when I see more weight come off. Everyone is different trust the process! Congrats to you!

I've never heard of phases taking that long to get through, so unless you have a very unusual case with special circumstances, I think there's been a misunderstanding. A week or two of liquids, which I assume included protein shakes, is normal. After that, some programs put you on purees and some will say soft protein food that you chew thoroughly, usually once you're doing well with this, after a week or two, but certainly by week 6 or so, you will be told to slowly introduce veg, fruit, and finally starch and grain. I had gastric bypass on Feb 21. I had one week of liquids, which included yogurt, cream soups, and thin cream of wheat. At week 2, I was allowed to have cottage cheese, tuna salad, refried beans, ground turkey, and flaky white fish. At week 3, I was allowed to start including cooked vegetables and fruits and told to slowly start incorporating other foods, but to wait until 3 months for pork and beef. I had a setback with some vomiting, so I had to go back to liquids for weeks 4 and 5, but I had my 6 week appointment today and was told I was clear to resume a normal diet (minus beef and pork) and just needed to be cautious and keep track of/eliminate anything that caused upset. I found this video very helpful, although I will point out this program's way of reintroducing foods is not quite the same as mine, (or most others).

Hi there!! New to this forum, but just starting my 2-week pre-op with a surgery date scheduled for 10/15!! Nervous and excited all at the same time!

I had my VSG at 49.5, and then plastics just a couple weeks before I turned 51. I don’t feel like my age affected my healing. I took 3 weeks off work after each surgery, but both times felt like I could have gone back after 2. I attribute this to starting to be active as soon as I could after surgery (lightly active, no strenuous exercise). I walked a slow, gentle mile the day after my MMO surgery.

I’m really frustrated and need some help. My dietitian was sick this week when we were supposed to have our appt (not frustrated at her, people get sick). What I’m frustrated about is that my appt was on Tuesday and Wednesday was my 5 week out mark, so we were already pretty much a week behind. I want to start on soft foods and have tried a few, but I’m also nervous because usually the dietitian usually gives me a food plan and foods I should and should not eat. What did you guys start soft foods with so I can feel more confident trying a few more things until our next appt on next Tuesday? I have tried hard boiled eggs, lentil soup, and tuna/chicken from a can.

It’s how we measure total cholesterol & is measured in millimoles per litre. Healthy is considered 3.9 - 5.5. 5.5 - 6.5 is considered borderline. So I’m in the lower end of the borderline range now @GreenTealael. When it first went back to 5 I thought the same thing @catwoman7, my body just settling back into its norm. But now… Thinking it maybe the dairy I eat now which is way more than I had before surgery (before 3 or 4 serves a week now 2 or 3 a day a day). Meat is a little less. Butter is less. Cook more in air fryer or bake in the oven. May be I’m missing something, Or it could be the creons I take to aid my absorption of protein. They maybe changing my fat absorption??? Or it could be not having a gall bladder??? I seem to have more questions now.

It's been 6 weeks since I got my surgery date and started on my 12 week milk diet as set out by the doctor. But, I've made it 6 weeks. I really didn't think I would be able to. I've had cheat days and felt bad, but then shook myself off and got back on track. I'm already bored with shakes and soup and I still have another 6 weeks of the pre-op diet and then more of the same for the first month past surgery. This has been difficult and I need to remind myself it will all be worth it. And then the always hungry part of my brain/soul/subconscious tells me to give up because I won't be able to eat "normally" ever again and I should just eat a donut. So I'm trying to have a sense of humour about it.

Thank you @Shanna NYC for your kind words. I broke my stall (slightly) this morning and am feeling much better for it ... I also know that I need to work on my coping mechanisms and be kinder to myself. Up until 2019 I'd never weighed more than 115 pounds for my whole adult life ... and then I gained nearly 100 pounds in just over a year and have spent the last 3 years desperatly unhappy and going through cycles of loosing and gaining the same 20 pounds and you are right ...25lbs is more than I've lost on any of the crazy diets I've tried... So I'm on the right track! Merci Encore (as we say in French!)

Had mine sept 18th just over two weeks and I feel great minus the nausea here and there I’m learning to do better with my food choices

So tonight is night 6’of my nightly walks. Well today I was told to split it into more shorter walks so i did one around the house this morning and a little longer one tonight. It’s going well I’m up to like 8K steps so far today which is probably like 7,500 more than before. 😂 My goal is 10K a day by the end of month three. I wanted it to be month two but the nurse said I need to wait till 6 weeks to walk too fast and to increase slowly after that so it may happen before 3 month but I want to promise long and deliver short. It’s pretty funny watching my trends though on my fitness watch. I pretty much sit still except when I do exercise. I was thinking maybe every three hours when my warm goes off to take my vitamins I may start walking around the house for 5 minutes. Just because that’s better for my heart and it will increase my steps.