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Congratulations on your surgery and great progress. You are over the worst. The liquid and puree foods go through your new tummy really quickly. Are you remembering the no drink rules? Your tummies nerve endings have been severed and your full signals are missing. I would sneeze when full. So as they say on here just because you can eat it does not mean you should. When your new tummy stitch line has healed and you begin on real foods your restriction will kick in and oh boy will you know about it. Its like a long lost friend coming back but now it has rules of its own. Over eat at your peril, it feels awful for hours. This is what we mean when we say bariatric surgery is not an easy option.

Yeah, the dietician was a prick to mention your weight in relation to other patients. You were not unusually heavy and it is just plain unprofessional. I hope you have a word with the surgeon about it at some point, people need feedback on how their staff are carrying out their jobs. I'm sorry it is so hard to obtain this surgery in the UK, you should have been given ample support and encouragement on your journey, not criticism. As was said above, you may need the support of a dietician post op and going to one who was condescending to you pre-op is not a recipe for success post-op. You may want to seek out your own dietician for support. One you can feel free to fire at will. LOL I find dieticians assume by default we are all idiots about food, especially healthy food. And they tend to fixate on weird things, like pasta alternatives that are "just like the real thing!" that they have probably never eaten themselves. Or cottage cheese!! OMG I do not want to eat a bowl full of cottage cheese!! I think they should have to go through a 3 month staged bariatric diet, including an all liquids portion, so they have some lived experience and can be a little more human with their patients... Although I will say I've actually run into a few dieticians that have had bariatric surgery and while they don't say the stupid weight things anymore, they do still have a lot of biases from their training (like no protein supplements because they aren't "real food"). Your weight story is not unusual, as others have said there is more and more research pointing to obesity being a very complex disease and far from a moral failing or issue of willpower. There are a lot of stigmas around weight and weight loss surgery and unfortunately the medical community is a willing participant in much of that misinformation. I'd advise you to find a therapist or a mindful eating coach who can support you in changing your food choices early on, so by the time your hunger comes back your new habits are firmly in place and something you can rely on. I wish you so much luck on your journey!! You are doing great!

Your surgeon is a bit off in his ratios. Weight loss rate is different for each surgery and for each person. I think the 3 month mark for most surgeries is closer to 30% though, not 50%. I've never heard that for 3 months, only for 6 months. Have you run your stats through this calculator? https://www.facs.org/quality-programs/accreditation-and-verification/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program/riskbenefit-calculator/ That is the calculator many bariatric surgeons use to calculate their patient's trajectories. I feel like I'm behind because at about 3 months out I'm only down 40 lbs or so since surgery, but 53 lbs since my highest weight. So I used that calculator, starting with my highest weight, since that is what the surgeon would have used. Turns out I am right on the mark, as their PA told me a few weeks ago! Everyone around me is losing faster, but that doesn't matter. For my body and my health conditions I am apparently right on track. I found that really reassuring. Keep in mind that site only tells you what it expects you to lose in the first year. I thought malabsorbative surgeries like the DS or Bypass can keep losing up until the 18 month mark, though it is much slower loss at that point? I know DS patients can even lose up to the 2 year mark, though again, it is much slower. You usually lose the last 20%-25% much slower because the body is closer to its set point. I had a 6 week stall that started when I added solid food in. I kept gaining and losing the same few lbs. But someone told me to check my measurements, since usually when the scale stalls, our measurements go down. Sure enough, I was losing inches!! So I REALLY advocate people measure once a month and record it, the Baritastic app can even track it for you. It is really reassuring to see those inches lost when the scale has been acting like a d**k for weeks. LOL How are you doing now??

Bariatric surgery of any type is a DQ for military service in the US. However I've heard around that there may be waivers for VSG in particular. Has anyone (or does anyone know of anybody) been able to successfully enlist in any of the branches?

What does your bariatric team say? We both had surgery in August and according to my team I should be at max 800 calories a day, 50 carbs max a day and 80 grams of protein. 1200 calories a day sounds closer to a maintenance amount... On average on maintenance a person should get from 1200 - 1800 per day. I'd check with your surgeon/dietician and see what they say since each surgeon has their own plan, but if you're putting weight on and sticking to the diet..they need to know. Good luck I hope this helps. I'd add more exercise and less carbs and calories..but I'm not a medical doctor.

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it. Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours! I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣 Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and protein, and later on when cleared for all foods, on adding complex carbs like veggies, beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

1. What was the best part of surgery for you? The best part is also the hardest to explain. The best way I can put it is that pre-surgery, I had a demon in my stomach. This demon demanded rich foods and thought that if one of something tasted good, then four of something would taste amazing (this made the demon a liar, but I had to obey these lies). The surgery removed the demon. I no longer feel controlled by cravings. 2. What was the worst part of surgery for you? The 48 hours prior to the surgery were miserable. I could only have water, Gatorades and black coffee. Then I had to take strong laxatives prior to the surgery, so I was defecating so much that my body was expelling food I hadn't even eaten yet. And I couldn't go to sleep because any flatulence had the potential to be ... explosive. So it's 1 am, I am starving, dehydrated, sitting on the john and I need to be at the hospital at 5:30. 3. Did you have any complications (minor or major) during or after your surgery? Nothing major. I greatly underestimated how sore my stomach would be and how long it would take for the soreness to go away. I am a stomach sleeper and it was three months before I felt comfortable sleeping on my stomach. 4. How has adjusting to your new life been for you? I love the new life. I am able to exercise (bike, jog, lift weights) like I never have, I have great energy. I can shop at pretty much any clothing store. It has allowed me to become a better version of myself. 5. How long did it take you to feel comfortable eating food? It was probably 8 months to a year before I felt like I could try any food and not have to worry about my stomach having trouble. 6. Is there anything you can’t eat anymore that you used to enjoy? Can't eat, as in, I physically cannot handle it? Nothing. But there are plenty of things that I used to love that I am uninterested in. Like I have no desire to eat a donut. Just seems like pure sugar to me. 7. What was your recovery like? Any vomiting or dumping syndrome? I did not have dumping syndrome (although some sugar alcohols hit my stomach hard). I did have some vomiting, but it was either due to eating too fast or eating a food that my stomach wasn't ready to handle yet (I had some stewed beef at like the 90 day mark and I wasn't as ready for it as I thought I was. 8. How long did it take you to feel semi-normal after surgery? I would say 90-120 days before I felt physically normal (could sleep on my stomach, could handle most foods) 9. Did you experience higher energy level post surgery? In the immediate aftermath of the surgery, no. This was my first (and so far, only) major surgery and I really underestimated how much it would sap my energy. I was walking gingerly for a while. But once I fully recovered, I have had way more energy. 10. Did surgery affect your mental health? Yes, in mostly good ways. The pre-surgery success-failure cycle of yo-yo dieting impacted my psyche way more than I realized. So this state of long-term success helped greatly (and success, both great and small, is an excellent anti-depressant). Will it cure your depression? Absolutely not. To the extent that you think your problems in life are caused by your size ("I'm single because I'm overweight" or "My weight is why they won't give the promotion" or "my weight is why my mother is passive-aggressive toward me"), the surgery will not make those problems go away. I'm very lucky and very blessed to live an amazing life and the weight-loss has only further revealed what an amazing and blessed life I have. 11. Do you regret it? Would you recommend it? I do not regret it. I make it a personal policy not to outright recommend it to anyone because everyone has their own journey. For many years, I saw bariatric surgery as a last resort, a kind of "pull in case of emergency" lever. I realized that I was 40+ yrs old with a wife and children and no diet had ever worked for me and I was only fooling myself if I thought the next one would do the trick. I had to either pull the lever or make peace with being morbidly obese for the rest of my life. I pulled the lever and I would pull it again without hesitation.

I'm glad you are feeling better!! Learning to eat slow is definitely a challenge. I still catch myself sometimes. I get food bored too so I try to eat a variety of things. I don't usually weigh out my food, but I do portion it out/estimate the portion and log it to make sure my macros are on target. It is crucial for DS patients to get enough protein in and if you aren't tracking it you might not be getting enough. It'll eventually show in your labs, but once your protein level drops in labs it is a huge pain to get back up. So it is best to just track it... You don't have to be as exact as weighing, but a good estimation is worthwhile and will also teach you how to understand what correct bariatric portions are for you. My surgeon likes his patients to stay in ketosis for a while so I aim for 120 grams of protein, less than 50 total carbs (usually less than 40 total carbs for me to be safe), and I aim for about 100 grams of fat for good brain health. I don't eat at specific times. That's too much planning. LOL I drink a protein shake as soon as I wake up, then eat a meal about an hour later, and eat every 3 hours after that until I go to bed! I usually end up eating about 5 times a day. I ascribe to the "eat less more often" method and so does my surgeon. I discovered soon after surgery that I need to eat within 3 hours, anything past that and I start to feel exhausted and have no energy and get moody. I feel my best if I eat within 3 hours of my last meal throughout the day... Sometimes eating is a protein snack like a bag of protein chips and a few pickles. Sometimes eating is more meal-like like keto chicken tenders with steamed asparagus. But I always eat by that mark or I pay for it. I also pay for it if I don't get enough fluids in a day, so I watch that. Monitoring your food and water can feel triggering for some people due to past diet attempts. But it is important to reframe it as a caretaking behavior as much as possible, especially for DS patients because our dietary needs are so important to be on target with.

300-500 calories a day at 6 months seems low, at least by my bariatric teams outline and booklet/plan given to me. I'm at 4 months and eating regular food at 800 per day. I'm told its right on track. Have you spoken to your doctor/dietician? Perhaps do as I was told instead of three meals a day - have 5 small meals to get you to where you need to be? Either way, I'd check with your doctor.

You look great and have made fantastic progress. You have nothing to worry about. What you want to look at are your NSVs (Non Scale Victories). Here are a few of mine: I was able to fit in normal sized chairs at doctor's offices and the movies I was finally able to properly cross my legs when sitting My clothes were getting looser and not fitting as snugly I was able to wear 18" necklaces and they didn't fir like a choker My ring size went from a 10 to a 6 I could sit at a booth in a restaurant and there is plenty of space between my stomach and the table and I wasn't squished up against it I can wear bracelets and anklets now I am no longer diabetic, no longer have painful joints, no longer have high blood pressure, and am off all the meds for those issues When the scale isn't doing what we think it should be doing, look to your NSVs. That's what REALLY tells the tale with what your body is doing. Now, having said that, you gotta get back on your bariatric diet and re-dedicate yourself to it. The trick is to not undo all the progress you made. For me PERSONALLY, I can't let things like holidays and birthdays and special occasions be an excuse to go off my diet. I know that if I do, it'll be 10x harder to get back on track. So I make sure ahead of time that I have things I can eat that are compliant with my diet and still taste really good and allow me to be included with everyone else. Just keep that in mind going forward and you should do great.

So I am 5 years and 2 months post-op RYGB. I made it beyond my goal weight of 170lb to 160lb. Technically I was as low as 145lbs because I was very sick in 2020 then again in 2022, but after getting better, I stabilized at a steady 160lb. Last July I started online streaming/socializing with people. I started snacking more because of nerves and also began drinking quite heavily because being silly tipsy in front of strangers is fun! I had NO IDEA how many calories was in alcohol. Over the course of 5 months, I gained 20lbs. Even more, I noticed that I can eat almost a "normal" plate of food the same size as my family's. I broke the rules and had started drinking fluids with my meals. I think I thought I could get away with breaking rules because I was at a stable 160lbs. Now I am FREAKING out! I hate exercise. I never did it, even with my prior weightloss. I am using a tracking app my husband's VA dietician told him to use called Fat Secret. I am trying to stick to 1600 calories, which is super hard. I feel hungry all the time now. I think I caused pouch dilation. I refuse to be heavy again. My clothes are already getting tighter than I like. I was doing research today on weight gain after years post-op. I basically am reading that I need a bariatric reset. I am going to do a 2-week "Pouch Reset Diet." It's not to make my pouch smaller, but it's to retrain my body to feel full with smaller portions again. I need to go back to the basics, and it's really hard. I also don't get DS with sweets like I used to. Don't get me wrong, I still get sick, but I noticed that my sugar tolerances have changed. It really worries me. 40% of bypass patients fail and bounce back to within 10% of their original weight pre-surgery. I will NOT be a part of that 40%. My support system at home is tricky. On one hand, my husband does support me outwardly. But he himself weighs 415lbs and isn't doing much about his weight. He watched my struggles and drustrations and outright refuses surgery for himself. He's on some stupid intermitent fasting diet, but he still eats way too large portions at meal times. My 15 y/o son is pushing 285lbs, and his only exercise is video games. For me, it's like living around all these food temptations is a struggle. It's like being an alcoholic and living at a bar. I just ordered a crap ton of protein powder so I can jump start this Pouch Reset Diet. I started to push myself on working out at least a little bit. I have a mini stair stepper and an eleptical bike. Anything is better than nothing. I am just wondering if I am alone in my struggles?

If you haven't had surgery yet, you may want to join the support group "Duodenal Switch SUPPORT Group" on FB for SADI/DS patients. https://www.facebook.com/groups/1799552573392212 There are a number of patients on there who have had the RNY and done revisions to SADI or DS. Honestly, the choice is up to you and how comfortable you are with your surgeon's opinion. There are plenty of lightweights who get SADI surgeries, especially those with pre-existing conditions. But some insurance companies still consider the SADI to be experimental, so be sure yours doesn't if you decide on it. You can get vomiting with any bariatric surgery. You can get diarrhea with any surgery. And while RNY can be good for GERD patients, there are plenty of people with GERD who still end up with a SADI or DS. I'm one of those patients, I have had GERD issues for years, but I wanted a more robust surgery than the RNY and two surgeons both agreed the DS would be the better option for me because I'm diabetic. The surgery normalized my blood sugar within 24 hours, as well as my blood pressure, and my cholesterol and triglycerides are normal now. It packs a huge metabolic punch. but I do have to watch carbs and sugars or I get diarrhea. My starting weight at surgery was 307, my goal is 180/170. But I regularly see lighter starting weights in my FB support group... Surgery type is a really individual decision!

Um, your doctor should have told you that not ALL bariatric patients lose their feelings of hunger after surgery. And even when they do, hunger eventually comes back for almost everyone. Hunger is a normal body sensation! It would be nice to have a break from it, but not all of us get that. I woke up in the recovery room and was STARVING! It wasn't a vague hungry either, I would have eaten seafood in that moment and I generally hate seafood (though post op I now like fish, oddly). I felt really annoyed, especially because before surgery I had not experienced hunger in a long time. I have had some instances of head hunger post op. Like Summerseeker said, if it is a particular craving, it is most likely head hunger. If you'd eat a protein you don't even like, or plain chicken breast, it is probably genuine hunger... Either way, your digestive system isn't ready for any solids yet, so expect to feel hungry for a while. I never found increasing protein helped it. The only thing that helped was the soft food stage, and even then, it took a while to settle. Also, if you aren't on a PPI, the extra acid in our tummies can cause you to be ravenous when you aren't really hungry, it is a gnawing stomach pang sort of feeling caused by the acid irritating your new tummy.

I’m so happy to have you guys! Had my surgery 6 day ago (Lapband to sleeve to bypass)… I have vowed to do everything right this time! I’m the past , I never took the Bariatric vitamins because I just hated the taste… does anyone have a recommendation for one ? Also, how are avoiding hair loss? ☺️ u!

The lactose in the shakes can cause people to poop badly. There is something to take to help with lactose intolerance but I dont know what it would be called in the US. This might be something to ask at your meeting. There is also another preop diet to follow for those who are lactose intolerant. But that would normally be suggested by the dietician. Not sure why it wasnt suggested for you. Again another question for the meeting. I was not allowed fruit in my preop. If you have IBS you may find that certain fruits/foods may not agree with your tummy. Its all trial and error to find out what the culprits are that are affecting you. Fruit/vegies that have a high seed/fiber content were a no no for me before my RNY. Kiwi fruit, Zucchini, stone fruit, grapes etc are a bit of a problem but after you have the bypass you may find that you have the opposite problem and these fruits/vegies will help things to move along. It is all a bit of a learning curve. If you were to go an do it on your own these are issues that you would have to face anyway with having IBS so there no point is ditching the op at this stage. It is not part of their remit to even say "well if you cant handle it you may become malnourished". This statement smacks of shaming. It is their job to educate you in navigating it all. The RNY job is to make our bodies less capable of absorbing nutrients/calories from the food. This process is called malabsorption. This is the reason that you will be taking bariatric vitamins for the rest or your life. You will require blood tests on a yearly basis for the rest of your life to check that your body is being given the correct amount nutrients and head off any long term issues. Eating well and taking care of your body is something to focus on. I have been listening to the podcasts of The Bari Chronicles. You may find the Vitamin episode helpful. https://podcasters.spotify.com/pod/show/the-bari-chronicles/episodes/Multivitamins-Nutrition-For-Weight-Loss-Surgery-e2eduqv (Also available on apple podcasts. I hope it all goes well at the meeting.

Caffeine is usually restricted for the first few months in a virgin DS/SADI surgery to help prevent dehydration. You may not have this restriction put on you since you already have your sleeve and should keep food and fluids down fine post-op since they probably won't resleeve you unless yours was done wrong. Even if they put you on caffeine restriction, it is only for a little while. There is no reason to restrict it long term, it doesn't harm the digestive system. My partner loves to dine out and we don't have kids, so I've been eating out since a month after surgery. I am careful with my choices, the first thing I ate out was grilled swordfish and sauteed green beans. It was fine. I've since eaten Thai curries (mild), pho without the noodles (they put veggies instead), sashimi, fajitas with guacamole and cheese sauce (no tortillas, rice, or beans), steak (ribeye is my favorite and digests better now than it even did pre-op), wings, traditional Chinese food (nothing fried, no rice), Peruvian chicken, the list goes on and on. I try to stick to protein/veggie options. Anything I wanted to eat at a restaurant I tried to have a version of at home first to know how it would affect me. I tolerate most things pretty well, though it seems my digestive system prefers baby spinach over iceburg or romaine lettuce, but that's not a huge sacrifice. And I can't eat beans at all, but I never really tolerated them pre-op either. Also I try not to have too many cruciferous veggies at once (broccoli, cauliflower, cabbage), as they cause bloating, but I had that problem before surgery too. (I have had IBS and an inflammatory bowel disease since I was a teenager.) That said I try to make healthy choices in general whether eating out or eating at home. DS patients don't really need to restrict fat because we malabsorb so much of it (regardless of what the dieticians tell you) and SADI patients can eat a moderate amount of fat as they malabsorb a moderate amount of fat. Too much fat in one sitting can cause diarrhea, but you'd have to really make an effort to do that, and any bariatric surgery other than the sleeve can cause that issue. Coke Zero does not have sugar alcohols in it, it has Splenda, so it is fine from that perspective. Carbonation is only an issue if it bloats your sleeve. However, it can cause you to be hungry faster, or cause gas due to the air bubbles, so it isn't the best habit to have long term. But it won't piss off your intestines. I switched to unsweetened iced tea and carry Splenda or Equal packets with me! Sugar alcohols are things like erythritol, xylitol, and malitol. Allulose can also cause gastric upset depending on how tolerant you are of it. I can usually have a little of any of those, but more than a tablespoon and I'll be in the bathroom half the night. 🤣

Thank you so much for all these suggestions! Yes I feel hungry sometimes after 30-60mins of a meal. So I drink water or protein shake. I do take PPI, that could be a possibility of why I still feel hungry. Most of the time it’s my head hunger craving for certain food. Also my tummy does rumble but don’t really feel hungry. I’ve been able to tell what type of hunger I am feeling. when I drink liquid, I literally sit there and drink with small sips through out the hours….when my tummy feel full from it, I come back to it later. I can feel the liquid traveling down when I drink. Yesterday was my first day being able to reach 60oz of liquid, but at night I didn’t feel well. Had my dinner at 6pm, went to sleep 11pm. I woke up feeling something up my chest and when trying to get up, I vomited. Sorry if TMI. It’s was all slimy mucus. No food. I was shivering, chills, migraine. I vomited a few times then vomited foamy bubbles… well after that I felt so much better. In search to see what is going on with me, it seems many bariatric patients go through this, but usually right after eating if they didn’t chew well or had too much food. I have tofu last night tho. It’s soft and should be easy to break down. On the bright side, It seems I am breaking my stall. From 241.6, I am now 240.6 lbs. even it’s only a little bit I am happy, because I am on this stall since 2 weeks ago, only 1 week after surgery.

There is a lot of conflicting information out there so I'm not going to argue. Even different surgeons say different things. I will say that all bariatric surgeries altogether have a high chance of reversing diabetes. I have not heard of anyone that still has type two diabetes after the sleeve unless they regained their weight. Maybe the 'punishing' term rang bad to you, but what I meant was consequences for carb dumping and overeating are usually more severe for DS and Bypass patients. So maybe punishing was not the correct term. I'm sorry you saw it as being negative for those with bypass/switch but that was not my intention. But I do view throwing up, foaming at the mouth, dumping, and general malaise as punishing. No one enters into these surgeries to feel that way but keeping bad habits does result in this outcome and I wouldn't call it a reward. It is a definitely and incentive for many not to eat badly. I have even read on here and seen in other places where people felt they need something really restrictive to keep their diet in check. It happens with sleeves (not the foaming bit) too but you can usually get away with more. This is why the success rate with sleeve patients are slightly less. Also you don't have to defend your choice in surgery to me or explain it. I am not saying any surgery is better or worse than the other. All surgery comes with risks and downsides. The original poster asked for the NEGATIVES and the positives for the different surgeries and I just told her what my surgeon, research, patients of all three surgeries have said, and some other bariatric surgeons I follow. Also I never said sleeve patients couldn't suffer from vitamin deficiencies. I said it is more common (easier) with switch and bypass, which it is. Sleeve is not a malabsorption surgery. Vitamin deficiency also occurs in non-bariatric patients. A lot of people are suffering from vitamin d deficiency right now who have never had surgery. I can point you to a bariatric surgeon who doesn't even believe that sleeve patients need as high as potency and 'bariatric vitamins' like bypass and switch patients but they set the standard and the industry is going with it. Also, weightloss is more rapid for switch and bypass generally which is why gallbladder problems is more common but as always it doesn't HAVE to occur. Which I never indicated this was a one shoe fits all for anybody. It's a risk. At the end of the day everyone must make their own decision on what is right for them. Be it sleeve, switch, or bypass. I commend anyone taking charge of their life and going through this difficult process to come out the other side happier and healthier.

I am so glad they recommended you for revision!! It is sad that a lot of insurance companies have a "one bariatric surgery per lifetime" clause, or will cover revisions but make it near impossible to qualify for them. The sleeve surgery is the first stage in a classic DS surgery, it should always be up for revision to a DS/SADI if the results from it aren't lasting! I had a modified traditional DS done on November 1st. I'm so happy I did it. My diabetes and high blood pressure went into immediate remission. My weight loss has been slower than I'd like, but that isn't unusual for a DS because we lose for a lot longer than other surgeries (if we are lucky!). Your sidebar says you are pre-op, you should adjust it so it shows you post-op! How are you feeling?? I've heard the recovery from revision from sleeve to SIPS is not too bad since they don't normally touch your sleeve again unless it was improperly done the first time. Do they still have you on a strict post-op diet progression? I look forward to seeing how your weight loss goes, revision patients to this surgery usually do well! It just goes a little slower than before. ❤️

I'm surprised they didn't give you a sleep study. The Bariatric clinic where I'm going requires it before moving on through the process for bariatric surgery. If you're not having any sleep issues now, you probably didn't need it. Glad to hear you're hitting the Fluid and Protein goals. Good luck on your journey.

I don't say this alot, because it seems its not the "norm" among bariatric patients...but i consider myself one of the "lucky ones", who can seem to eat whatever i feel like and am still able to maintain my weight with little to no effort (my food log is packed with "non-diet" foods...which i need to do because my restriction is still very much in effect). i too was concerned about continually losing weight to the point of death, but it turned out all right in the end (so far). not having to worry about calorie intake (based on my natural eating habits) is something i will forever be grateful for...even if it doesn't last forever. you will find yourself hard pressed to find someone who lost too much weight to the point of medical concern around here. i can think of exactly 1 member on here who self-identified as going below healthy BMI for an extended period of time (dont know what her status is now, as she has since dropped off the forums...and at the time she was at 18 or so BMI...which was at the "top-level" of underweight...) anyway, this is my long winded way of saying enjoy the ride and try not to worry (unless of course your team is worried?)...more often than not, your worry will become a non-issue when things are all said and done. if u continue to be one of the "lucky ones" who put little effort in maintaining weight and health in the long term, yay it really is a blessing and not a curse, years out. good luck! ❤️

As I stated I’m not in this for weight loss. My issues are belly fat and working hard to get rid of it since I couldn’t workout for 15 yrs because of regurgitation, vomiting and pain with my hiatal hernia. My question was only asking about GERD patients losing weight slower than regular obese patients. I don’t have any food issues and my dietitian has no worries about me. I’ve always carried good muscles in my skinny legs. I don’t compare myself to no one I just can’t believe these bariatric weight loss videos people have actually lost that much weight in 6 months as they claimed especially how huge they were. My reflux has always been horrible and I’ve been on medication for 15 years daily. Now I can only stay off for 4 days but I’ll have bad silent reflux. My GERD is unmanageable even with a strict diet. My surgeon thought since I never had GERD with my 2 older kids maybe it would subside now. This all went downhill after I had my 3rd child.

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

I agree with the others, contact your surgeon and let them know. It isn't unusual to have intolerances to protein shakes early on. I couldn't stomach them for the first several weeks. I could get in my fluids though, with diligence, but they had to either be very cold or very warm, my stomach didn't like anything in between, and even with fluids I would get this intense twisting pain with every swallow, like my stomach was trying to cartwheel inside me! But after the two week mark this started to ease. I was able to water down protein water and get it in. Then I was able to thin out protein shakes with milk and get them in. I was still nauseated daily until the 8 week mark, but meds helped with that. My surgeon said this whole track wasn't unusual, I was one of those rare patients that got the side effect of stomach spasms post surgery and they usually calm down after a few weeks. He was right! By weeks 3-4 I could drink most things without pain, as long as I kept sipping rather than trying to gulp. I'm 3 months out and still can't gulp... But this is definitely a situation where you want your surgeon's office aware of how you are feeling so they can send you in for fluid infusions if you start to show signs of dehydration. Dehydration is the number 1 complication of bariatric surgery in the early weeks, plenty of people end up with hydration infusions until the swelling goes down in their tummies enough they can get their water in.

You are 6 days post op?? You should be getting the bulk of your protein from things like protein shakes, protein waters, fairlife milk, and other things like that. Your tummy is way too small and way too raw to be getting your protein from actual food yet. I know every surgeon varies and some do purees early, so I won't comment on that, but even then, you can't possibly get enough in on food alone to hit your protein goals. Some soft things to try on the puree and soft food stages: very softly scrambled or poached egg, cottage cheese, ricotta cheese, greek yogurt, sugar free pudding, sugar free jello (you can even get protein jello), some even include bean purees though I found those VERY hard on my stomach. You can also puree proteins into a soup base. I did a lot of cream soups and strained soups. I was on strict liquids the first two weeks. In soft foods you can also try things like egg salad, chicken salad made with chicken thighs because they are more moist, and tuna salad, but don't add things like onion and pickle to it yet. Too rough. ETA: Generally patients are encouraged to focus on their hydration goals for the first two weeks. This is because dehydration is the number 1 complication of bariatric surgery. Our bodies have protein stores that will last us the first few weeks after surgery. So focus on those 64 oz of water and if that is going well, then you can think about getting some protein in as a bonus!