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If you don't already have some bariatric cookbooks, I can highly recommend these three of the several I bought: Bariatric Meal Prep Made Easy by Kristin Willard The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner The Easy 5 Ingredient Bariatric Cookbook by Megan Wolf All three have sound nutritional advice as they are written by bariatric experts, as well as some really nice recipes. They talk about portion sizes and what to aim for nutritionally as you go through the honeymoon period and into maintenance, and even give you different portions for different phases. None of the books give specific calorie goals, but that's rather standard with many programs. The focus is often for you to discover what works for you and not get sucked into a dieting mindset by counting everything so closely you drive yourself crazy. But the basics are generally to fill one half of your (small, child or luncheon sized) plate with a 3-4oz portion of lean protein and no more than a 1/2 cup serving of starch/grain, and the other half with non-starchy veg. Consume 60-80g protein. Drink at least 64 oz water. (Apologies for not having the metric measurements). Using a small plate is a really great visual cue. Check out the Portion Perfection plates, which are 8-inch melamine and printed with exactly how much of each food goes where. If you need to retrain yourself, this is an easy tool to use. They have bowls, too. (All the books and the plates can be found on Amazon in the US). Going back to liquids is extreme. I would think it would be sufficient to go back to three meals per day as described above, and either no snacks or only fruit and veg or a protein shake as a snack if truly hungry, and make sure you weigh your portions and get all your water in every day. The other thing is to look for processed foods that have crept back into your diet and get them out of your house. You can't be tempted by what isn't there. Good luck to you!
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Any tips for maintaining weight? It's not going well over here....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I thought about that. I just worry I'll start looking too skinny an sickly. That happens if my weight goes too low. Maybe I'll go 2 weeks and then weigh and see what it looks like. -
Post Gastric Bypass RNY, I had something similar. Kind of a tight, sore thickness / heavy-feeling strip down my right abdomen. It took about a week for me to feel it. My care team also said it was basically healing pains, but also nerves & pain receptors coming back online after the 'physical trauma' of surgery. Definitely keep an eye on it to see if it changes or if you get other symptoms, but it's very likely to be your insides doing their job healing. (Honestly, if I overdo stretching/twisting even today at 12 weeks, I feel it in the same area -- just a lot better now)
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I agree with @ChunkCat. And also add, yes it is difficult to hit those protein goals as you move through the first stages & you’re eating so little. On purées (cause I couldn’t stand to continue on the shakes) I ate a high protein yoghurt to boost my daily protein intake. (You can make it into a drink by blending with milk which also gives you additional protein). Don’t worry too much if you’re not hitting your protein goal every day in this time. As long as you’re close to it & getting closer you’ll be okay. It’s one of those things that gets easier as you progress. It’s likely you’ll lose some hair from around three months regardless of whether you reach your protein goals from the beginning or not. It’s your body reacting to the stress of the surgery, anaesthetic, hormonal fluctuations, etc. And it’s just an acceleration of your usual hair loss cycle. It lasts about three months. And your new hair is still growing at the same time you’re shedding just at its usual rate. It’s quite common after many major surgeries, periods of stress, child birth, menopause, etc.
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Hi Me again! So I am noticing that I am losing 1.5-2lbs a week last couple of weeks, I had surgery 1/24 for Gastric Sleeve so I am 14 weeks post op. I have lost a lot of weight fast in the beginning so I am assuming that's why its slowing down? I am incorporating a lot of exercise now including weights so maybe that's why too? I am trying to get into the mind set that I am focusing on how I feel and not so much what the scale says. Just want to make sure this is normal? Weight when I entered the bariatric program: 297lbs Surgery Day Weight: 266lbs CW: 205lbs GW: 170lbs
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Veggie advice/tips/recipies
EllieMayClampett replied to Shmmrz's topic in Pre-op Diets and Questions
Favourite salad bag of Brussel sprouts cut in half and two or three carrots cut in smaller chunks put them in a bowl and drizzle with a little olive oil, honey, salt, pepper and chilli flakes if you like spicy, and then spread out on a single layer on a sheet pan roast in a very very hot 250C (whatever that is is Fahrenheit, I’m Aussie)oven 14 mins then turn everything over and 14-17 mins on the other side. Until the Brussel sprouts are slightly charred. In a frying pan, dice 3-5 rashers of trimmed bacon diced and cook till crispy. Drain and add it to the veggies ina bowl. Squeeze over fresh lemon juice to taste and crumble over some low fat feta cheese. Extra cracked pepper. it is moreish! -
Today was my 1 month followup, 5 weeks post surgery. My dietician gave me a gold star review for my post op diet, and I graduated to Stage 4 of my program. Stage 5 should be approved in November, and that is the forever way of eating.
I had to go to a post op nutrition class as part of my appointment today. There was a young lady in there that had been eating WAY off diet, and she was not doing well... She had been eating fast food, but peeling the buns off, eating vegetables that were not well-cooked, and eating all kinds of foods that were not part of the detailed instruction that everyone in this program receives. We had SO many caveats from Day One to not try to jump ahead on the schedule for the foods that we eat. I was baffled that someone would decide to eat off program, especially so soon after surgery. She became tired of the liquids & soft foods, so she chose to eat ahead.
The result of her skipping ahead was that she had experienced a lot of vomiting & foamies, a lot of pain, and was unable to drink any fluids. She started feeling flushed and faint in class and had to be sent to the hospital to get some IV fluids.
The discipline that one needs for bariatric surgery cannot be overstated. We have to dig deep mentally and physically to get through surgery itself, learn new things, manage medications, and really lean into that crucial change of mindset and behavior. I hope that this young lady is able to get herself together to make the most of her surgery.
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Great post. Thank you for the insight/update. So happy to hear you are doing so well. Keep up the good work.
I am still waiting for my surgery...though classes were completed 9/2022. I don't like the waiting game. But I will say that my 'surgery buddy' mentioned this site and am happy I'm hear and hope to gain support and insight for my surgery.
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BeanitoDiego reacted to this
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Thanks to the LPN at the office, who lost my testing/lab results and took over 6 weeks to let me know, even though I called to verify they got the paperwork, every week for six weeks to no avail. I am finally getting ready to be scheduled for surgery. Annoyingly, I have to get one more weigh-in due to her mistake and I can't get in to get weighed until Monday, plus my period started 10 days early and my weight is up by 2 lbs. I have struggled with weight loss that is why I am here, but never in my life, have I struggled so much to lose 5% of my original weight, until I started the bariatric program. Maybe it's the stress affecting me more than I realize. These 2 period pounds are putting me above the goal weight, even though last week I was 10 lbs below the goal weight. Honestly, I am pissed at this nurse screwing my stuff up and not informing me when I called over and over again. She has single-handedly affected my finances, my school scheduling, and my struggle to stay positive with her incompetence, not to mention she is cutting it really close to my surgery being at a time when it will be a struggle to get to the clinic that is 3 hours away up a mountain (not a hill), and the roads get super icy and snow covered. That is what is on my mind!
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Whole carbs or net carbs? How to break a stall?
Shanna NYC replied to Nyxienoodles's topic in Post-op Diets and Questions
Stalls are nearly a guarantee at some point. I wouldn't worry too much about it at this stage. Your body is just adjusting. I am currently 6 and a half months post op and had a few stalls last about a week or two and then a loss. I was the same weight for 2 weeks and then lost almost 5lbs, then stayed at that weight for 3 weeks and just lost 4lbs. Different things might affect it - could be as simple as sodium intake or not having a BM or your body just trying to adjust for the changes. Not too much you can really do to break a stall. Your body will move when it's ready. I do not specifically track carbs either, but I typically go by net carbs when I check stats. Honestly protein takes top priority and everything else just falls in line. I do track via Baritastic app so I have an idea about fat and carb intake, but I don't focus on those numbers. I am not of the mindset of all or nothing, so nothing is cut out completely, I just look for the healthiest alternatives and don't have them often because they aren't worth the precious space. A typical day lands around 50 or less net carbs. Let us know if the carb count change up helped for you. -
Monday Check-In
SleeveToBypass2023 replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Happy Monday!!! Just walked 4 miles total to our local lake and back and then work on my arms with light weights and resistance bands. I have my 6 week post op appt for my hysterectomy today and then I finally get to go back to work tomorrow!!! So excited. I've been bored out of my mind being home the last 6 weeks lol I can speak to the blood pressure getting a lot lower the more weight we lose. I use to be on blood pressure meds that kind of controlled it, and now my average bp is 105/60 lol So crazy. -
Incision area bulge after Gastric Bypass
Arabesque replied to RonHall908's topic in Gastric Bypass Surgery Forums
If I remember correctly I think it was around one or so weeks. I remember the surgeon saying the dressings would slowly work their way off (loosening around the edges) & as long as the wounds weren’t being irritated by anything like clothing & looked healed on the surface I didn’t have to cover them again. Your internal healing takes about 8 weeks. -
February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
After surgery my weight loss has been slow. At least I think it's slow compared to how much I'm eating. 750-900 calories per day. Actively walking and resistance train 6 days a week. Day of surgery I weighed 284 lbs. As of yesterday I weighed 270 lbs. This is my 5th week out from surgery. I didn't lose weight for nearly two weeks. But, 14 lbs in 5 weeks isn't bad. I expected more. -
So I am around 6 weeks post surgery I think! Seems like it has been so much longer! I have found that my restriction recently has been annoyingly high. I just have 0 interest in eating, and when I do take a bite it takes a while for me to get into it - I feel full quickly, which was something I wasn't struggling with a couple of weeks ago! I have started going back to the gym as of last week, and I am nervous but excited. Quickly realised my body is a lot weaker than it used to be 😅 I did 3 x 10 sets of squats and was walking like a cowboy for 4 days 🤣 I want to try swimming but I am nervous about wearing a swimming costume if I am honest, even though I can tell my clothes are bigger on me! Which is another thing...stuff just isn't fitting right! I was excited for this part, but I didn't think it would be annoying 😂 I can't wait to buy new stuff! Thanks for reading my useless waffle ❤️
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Most people hit a stall 2 to 3 weeks after surgery. There is also retention after surgery because of the IV. Just keep working your program and the weight will come off. Also note you started at a low weight to begin with, so it may be slower but do speak to your team if you are concern. I like this post I saw on Pinterest once, if you keep working at it you will see the results, good luck!
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Plateaued - Already (7 weeks)???
SomeBigGuy replied to Cj975's topic in Gastric Bypass Surgery Forums
That does sound like the basis for the diet I'm on. They told me to work on getting 64oz of water per day as top priority, then around 60-80g of protein next. Next it was to prioritize some unsaturated fats (fish, poultry, and lower carb veggie protein options). From there, they told me to keep carbs under 10g per serving, and under 55g total for the day (not quite as low as keto). Then try to keep saturated fats low where possible. I'm a 6'1" male, so they had me try to target 800-1000 calories per day during the weight loss phase, and work toward 1200 after about 6 months. You may want to check with your doctor or nutritionist to see if they have a recommended range to target. I learned the hard way while I was sick with Covid over the holidays that its really easy for excess calories to be hiding in small things. But overall, just keep up with what you are doing. There will be a stall within the first couple months, and a second stall a couple months after that, so just mentally prepare for it. Both will last 2-4 weeks and will likely have a slight regain in the middle of it. It doesn't take much fluid retention to make the number on the scale go back up. Remember that a 16oz bottle of water is literally 1lb. It's not fat, so it doesn't count. if you're drinking a half gallon / 2L of water a day, that's 4 lbs sitting there, but it doesn't count as "fat weight". It is jarring to see a 4lb fluctuation on the scale, but you're not losing progress, it's just water that your body isn't done processing yet. Think of the weight loss more like stair steps rather than a straight line. You can push through it! -
I Want To See Before & After Pics! (Cont'd)
LilMissDiva Irene posted a topic in Weight Loss Surgery Success Stories
Creating a new thread because the other one has gotten really long. So, here are my before and currents to keep the topic moving. Current as of last week:- 2,687 replies
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Lab band to sleeve to Bypass on Monday —scared
BQT posted a topic in General Weight Loss Surgery Discussions
Hello all! I’m scared for my surgery on Monday because I have had grade 4 EE , hernia & weight stall etc. I’m very nervous this time around because… the odds / number of procedures. Has anyone else ,here, had so many revisions? 😔😔😔 any words of encouragement or advice? THANK YOU! -
I would second the idea of trying warm liquids - I found it much easier to hit my fluid targets this way. Have you thought about VLCD-type soups? They are high protein (because they're intended to contain a whole day's requirement in 3 servings). Alternatively greek yoghurt/skyr or protein yoghurts? One tub of the latter has 20g protein and I could usually manage one in two or three sittings at your stage. I also quite enjoyed the pureed food phase, although there's no way I would have come anywhere close to my protein goals on the volume I could manage a month post op. There are so many things to juggle with your new stomach. The first few weeks can be difficult, and we worry about everything at the start. I think you'll relax into it and be absolutely fine. Keep trying your best and asking for advice - there are so many people here with loads of experience to share.
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Weight loss plateau so early?
KathyLev replied to Ssedmak's topic in POST-Operation Weight Loss Surgery Q&A
You should be a doctor ,NickelChip ! LOL You explained that so clearly and easy to understand . That's something everyone should keep in mind when those darn stalls strike . Thanks for looking that up for us -
Bouncing weight loss for past week??
NickelChip replied to CuteAsDuck's topic in Gastric Bypass Surgery Forums
The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy! -
HELP! FELL OFF THE WAGON
AmberFL replied to trishaaustin2001's topic in Gastric Sleeve Surgery Forums
how has the week been? -
Vaping after Surgery
Jalapeño replied to Stars3825's topic in POST-Operation Weight Loss Surgery Q&A
I'm 3 weeks post op. I'm vaping but nicotine free. Do not have any nicotine post surgery because it will slow down your healing. -
August 2023 Surgery Buddies!
BlondePatriotInCDA replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
Anyone else at 5 months noticing the weight loss is slowing down? In the last 3 months (my scale averages it out) I've lost 20.4lbs. From December to today 3.8lbs - less than a pound a week!! I'm not happy. I do exactly as I was told: 1. No more than 800 calories 2. No more than 50 carbs 3. Low calories, low low sugar, low low fat 4. Drink the equivalent of Lake Superior every day 5. I'm always active, stairs, dog walks, cleaning, treadmill, Occulus, etc etc... 6. Take all my vitamins I didn't go through surgery, liquid diets, being hungry all the time (including now) to have weight loss come to a screeching snails pace this soon after surgery! Is there such a thing as a complete slow down/stall 3-4 month post op for several months? I worry because everyone says its "normal" to slow down at 6 months..but this started at 4, what will happen at 6? -
Mexican was my first restaurant after DS surgery. I was only twe and a half weeks out. I ate the beef and cheese from a taco and refried beans. I had enough beans left for 3 more meals at home. It was perfect!
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March 2024 Surgery Buddies!
JoSwan replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone! Had mine March 28th :) I hit week two tomorrow!
