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So I went with the SADI and I am two weeks post op now. I did have loose movements for three days but only the one in the morning and since then I have been constipated or normal but back and forth. It’s weird because everyone warned me about diarrhea and that hasn’t happened yet. Does it wait until you are on more normal foods maybe?

Its a tough ask to ask people who are very overweight to eat like a sparrow. We all feared this part. I thought it was bitterly cruel doing 3 weeks of milk and vegetables. I was so over this diet I ran into the operating theatre. The only thing that kept me on the straight and narrow was the fact that if my liver was still fatty, the surgery would stop and I would wake up with out the surgery. It has happened to a few people on here and they were heart broken. We are with you and if you want to vent, somewhere in the world, is a person on here ready to listen

I'm an old VSG Vet, had my surgery in 2014. Initially lost a successful amount of weight. had some serious 'life' events- change of job, change to night shift, loss of parent, went to grad school and graduated, went to a second grad program, changed career path, etc. I was told in 2017 I had a serious metabolic issue with my liver and that helped me really get focused, went to keto and lost all the regain I had plus much more, resulting in 100lb total loss. Since then, though, I've regained probably 50-60 lbs. I still feel some restriction which is great. Long time issue has been GERD, it was severe PRE surgery but my quite renowned surgeon assured me that with the weight loss, the GERD would subside. It did. But with the weight gain over last 2 yrs, it's back and BAD. I have EGD and colonoscopy coming up in a few weeks to assess the damage. I'm very scared due to the ongoing severe nature of the symptoms I'm having. I'm a healthcare provider so I know all of the 'things' that could present. Because of all this, I'm heavily considering a revision. I have been on PPI for over 20 years. While my magnesium is fine, my bones are already having a lot of issues AND I'm scared to death of the brain effects. What should I consider with revision, same doctor, different doctor, etc? Also I know that weight loss can be slower, but what type of rate of weight loss can be expected? Lastly, what kind of time off from my career can I hope for? I took 6 solid weeks with my VSG and it helped get my brain, behaviors etc really corrected before going back into the workplace.

It probably depends a lot on what your normal diet looks like. If, for example, you normally drink protein shakes and want to continue having those, then you could take protein powder that you mix with water or milk. Honestly though, if this is just a week or two, why worry about it? I'd say go have fun and eat whatever you want on the cruise. If when you get back home you find your weight has creeped up, just reduce your intake a bit for a while until you get back to your current weight (assuming you like being at your current weight).

some variation of oxy. unlike when i had wls, i finished the entire 2 week prescription (omg i needed it). i didn't even fill the Rx after wls!

1kg a month is perfect right now. Instead of thinking in terms of a specific number you should be losing, think in terms of a percentage of your overall weight. This has an advantage in that the actual number to shoot for drops as your weight goes down. The ideal amount for most people would be one to two percent per month (and certainly no more than three percent). This is right where you're at. Believe it or not, slower is actually better here. The faster your weight loss, the more likely you are to be causing your body to decide you're starving to death. When this happens, your body starts doing things that slow down your metabolism to try to keep you from dying. Of course we know intellectually that we're not actually dying, but your body's metabolic regulation system doesn't know that. It's an amazing system, but it was designed before we had almost instant access to unlimited amounts of highly palatable foods. Thanks for clarifying on the new goal. 65kg sounds like a good goal for now and there's nothing wrong with adjusting up or down even more as you get closer to that. Regarding diet, calories and macros, I'd obviously tell you to defer to your dietitian, though I will say I'm very surprised by the recommendation to lower your protein. When dieting, there are literally hundreds of studies that show the advantages of eating more protein. You should know that overall, I personally am not a huge fan of tracking calories. I know that some people here seem to do so effectively, but for me it just does not work. As I mentioned, most of us aren't very good at actually tracking calorie intake accurately. Even more important to me, none of us have any way at all to know how many calories we are actually burning in a day so tracking intake is only showing you one side of the energy balance equation. Plus, energy expenditure can be highly variable day to day, so even if you did somehow know the exact amount you burned today, it's not going to be the same in one month or one year from now. With all that said, if tracking is working for you, don't change it. Do keep in mind that you may have to reduce calories as you continue to lose since the biggest contributor to metabolism day-to-day is body size. Regarding exercise, I'm going to recommend you stop thinking of exercise as part of your weight loss goal. It simply doesn't work. I don't say this lightly, nor to discourage you, simply to state fact. We have a huge amount of evidence now to show that our bodies tend to slow down in other ways in response to exercise. This is something called the constrained energy model. On a practical level, exercise is still critically important for your overall health. In addition, we do have a lot of data that shows people that have lost a lot of weight are better able to maintain the loss if they exercise on average 1 hour or more per day. In short, do it because you'll feel better, because you'll live longer, AND because once you reach goal, you'll have a much easier time keeping the weight off. I think I can speak for most of us here on this board that we have experienced the exact mental anguish you're feeling. It's normal to worry and let doubt creep in, so know that you are not alone, Mental health is not my area of expertise, so my advice will always be please seek help from a mental health professional if you think you need it.

Hi guys, I've been very up and down with my emotions on this journey I have taken only 6 weeks ago. I am struggling mentally with intrusive food thoughts and I am coming to terms with just how serious a problem I had around food and still do, its early days. I know many of you have been through the same struggles emotionally. I was just looking for your experiences to reassure me that I'm not alone in this and that things will get better. I don't regret having the sleeve because I am feeling so much better health wise, I'm just struggling! I don't eat or crave junk food anymore, I just miss eating and my mind is telling me I'm hungry when I know I'm not! Thank you for hearing me out again! x

I didn’t do the bath or swim yet. I believe it was 6 weeks they said the outside was fully healed (double check on that though because there are different types of closure techniques that may heal slower). My team cleared us for anything but weights at 6 weeks but I noticed that some of the stuff that focuses on the core area in Yoga pulled so I just didn’t do that for a couple weeks (I needed the rest in between anyways 🤣). Tried again this morning in fact and it didn’t pull. I will be 10 weeks out tomorrow. I didn’t realize that I was that far out actually. Probably would’ve tried last week. Anyways, just with anything new, start slow and if you feel it in your tummy, stop!! That’s what I did.

I actually got below my goal weight around 7–8 months post-op—down to about 161–163 lbs—and stayed there until I got my boobs done (lol). I had the surgery just before hitting my 1-year post-op mark, and honestly, I wouldn’t change that decision for anything. I know people often say to wait until your weight stabilizes, but my plastic surgeon only required that I’d maintained my weight for at least 6 months, which I had at that point. Right now, I’m sitting on the higher end of my weight, around 170–173 lbs, but I’m also lifting a lot more, so some of that is definitely muscle (and the implants, of course). I still fit into size 4 pants and S-M tops, so I’m trying not to stress about that number. (Easier said than done) I work out consistently, with a mix of heavy lifting and cardio. Eventually, I’d love to get a 360 body lift, but one thing at a time, plastics are pricey! Even if I could afford it right now, I’d still want to wait at least another year. I had to take seven weeks off lifting weight after my surgery, so I’m focused on rebuilding and seeing how much I can tighten up on my own before committing to the next step. You're doing amazing! keep it up!

I think trying to compare yourself to others to determine what's "normal" is a losing game. Plenty of people struggle with various things like fluid intake or nausea early on, but lots of others (like me), had very few issues at all. There really is no normal here. Regarding weight loss, it's only been a week. I'm quite sure you've actually lost some fat in the last week, but you are probably hanging onto some water weight after the surgery. That's quite common. I would suggest that you keep in mind that you're "playing the long game" here. Daily or even weekly variation in your weight are not things to be concerned over. It would be physiologically impossible for someone to eat 600 calories a day and not lose fat. It probably takes more calories than that just to keep your brain alive (much less the rest of you), every single day. If I can give you one piece of advice, try not to stress the process because stress can derail your success really quickly. People sometimes don't realize this, but stress can have a bigger impact on weight loss success than just about anything else. Stress will suppress your metabolism and also cause you to retain fluid, thus even further masking weight loss. I know it's hard, but trust your doctor, trust the process, and follow your post-op diet. It will work, as long as you do what you're supposed to do.

Is cottage cheese the wrong texture for two weeks post op?

Do you like seafood? I mean have you tried it post surgery. I didn’t like it presurgery. Would occasionally have a little Mahi just because I knew it was good for me but never really liked it. Post surgery I usually eat seafood at least twice a week, I also have things with ground turkey such as a Mexican skillet, meatballs or turkey taco filling (I just do the meat and toppings without the taco shell or the lettuce). The lettuce would be fine of course but it just takes up valuable room. I also do things with lean beef such as chili. I will also do a “pasta” dish once a week which is either the ricotta bake which I make with a protein and veggies added, zucchini noodles with fresh basil pesto, or a low carb Italian bake that I found the recipe for online although I make mine with turkey sausage to cut the fat a bit. There are quite a few bariatric recipe sites that have some great recipes. I did like 3 weeks of all different recipes. You can also do like a white chicken chili or southwest chicken with peppers and onions. Just so your don’t have to eat just plain chicken nuggets. If you don’t love to cook the southwest chicken and the chicken chili are recipes from seasoning packets so they are fairly simple if you have a Walmart the southwest ranch is a street taco seasoning from McCormick and the white chicken chili seasoning is by McCormick as well. Those two and the McCormick tex Mex chili are three of my favorite meals that are relatively simple and the chili Freezes well so I have been doing a double batch and then use my souper cubes to freeze single servings. The chili does have healthy carbs though so of course be mindful of that. I am allowed some carbs because I’m pretty active but I still budget for them by doing pretty low carb for breakfast and lunch on days I know the plan is chili is for diner.

As from these posts you can see you ‘re not alone in being anxious about your loss of routine due to surgery or injury recovery. I can add me too. I feared if I didn’t get back into doing some form of my stretching & resistance band routines I would never get back to doing it after my hysterectomy. My innate laziness and dislike of exercise would kick in again. By day 4 I just had to do something so I started very slowly. Didn’t over extend my stretches to anywhere near what I usually did. Avoided certain things. Interestingly there are contradictions with post hysterectomy exercising. No lifting for two weeks, then 5kg, then 10 then all good ( so by 8 weeks lift anything) compared to no heavy weights (>15kg) for 6 months. No core muscle work for 3 months vs start core muscle work at one week. You can understand why I took my own path. If I felt a pull or discomfort I stopped and/or avoided that movement for a few days. I can understand having to avoid upper body work but what about lower body? Like using ankle weights like @kristieshannon suggested when you’re able to walk or get some resistance bands to do some stretches either sitting down or on the floor. Don’t use your arms. If you have circular bands use a chair to brace the band or get your husband to hold the bands. I do some where the band goes around my ankles and below my knees and I pull one leg away from the other. Try deep knee bends, squats, ankle work, pelvic thrusts with feet on a wall, etc. So you’re not doing weight baring exercises but still working your muscles. Even if it’s not your usual routine make it a new, though temporary routine. All the best.

Very frustrating but they reckon it’s normal between week 2-4

I have been keeping up with this thread and vitamin supplements can easily be confused. I can only tell you what I know. I took advice from my surgeon's team, including the nutritionist. Initially I was told to take 45 of iron, then later to take 18 due to my age and being post-menopause. I was also told that the over the counter medications for the multivitamin may not be enough as the bariatric vitamins. Bariatric vitamins are specifically made for the bariatric patient, so it follows the ASMBS standards usually, but you need to look at the "fine print" and look how many mcg, mg, IU, etc of each of the vitamins are in each of the multi-vitamins. Iron, B12, B50, B1, Calcium etc. should be based on your surgeon's recommendations. I have had the RNY Gastric Bypass 2 weeks ago, and I had options to choose from regarding my vitamins, but I followed what my surgeon's team recommended. At my 1 month appointment I am to bring my vitamins with me for the nutritionist to review, and to ensure that I am taking what I am to be taking. As for what is considered a by pass and what is not....Sleeve is not a bypass, but it is the first part of the SADI. That's all I know because a SADI patient told me this. Otherwise, I don't think it matters. I don't like to get into arguments online. I wish you well as you determine what vitamins that you should be, or not be taking.

Hi all. My name is Carrielee. I am 33 years old and have been on the fence about WLS for the last few years. I have struggled with obesity since I was quite young and the weight keeps piling on. I am 5 foot 1 and just hit 325 pounds. I now have a BMI of 61.4. I have uncontrolled Hypertension on multiple meds, uncontrolled Type II Diabetes, and high cholesterol, sleep apnea, severe fatty liver disease (nearing cirrhosis), severe arthritis, IIH, angina, past history of PE. I can barely walk and have been told if I don’t lose the weight I likely won’t live to see 40. I’ve backed out of this so many times but now that I’ve surpassed the 300 pound mark I know I have to do this. I’ve ended up in the ER twice in this last week with abnormal EKGs and the idea of having a cardiac event before 40 terrifies me. I have to do this. My mom died at 50 at over 400 pounds due to multi organ failure from obesity and I am so scared the same will happen to me.

I haven't checked in in a while. I got super busy with haunt season starting and getting into the groove of working weekends. So far, everything has been going well. I haven't had any dumping, overeating, etc. I'm on regular diet now with a daily goal of 64oz of protein but I blow through that and usually hit over 100. I am still supplementing with a Fairlife either for breakfast or a snack before going to the gym. Last night was my first time eating out out (I've done Sunday breakfast but it's always an egg). We went to BJs and it's crazy how hyperaware you become of portions. In the past, we would get an app, entree, and dessert. My kids are having "sympathy pains" and have started eating smaller portions so we only got entrees. In the past, I would have gotten a burger or sandwich with fries and eaten the whole thing. I ended up getting a chicken breast dish and brought enough home to have lunch for the next two days. The weight loss has been up and down since I weigh daily right now. I won't say I've stalled because if I just looked at my Monday entries, it shows a consistent loss. This week is the first week that people have noticed and I can see a difference when I look in the mirror. I donated almost half my closet of size 18/20 items that were just too big. I'm in a size 16, almost a 14 and I went from a 2XL shirt to a large.

While I absolutely do not agree that it’s likely you will GAiN weight on 800 calories, 800 Calories can be a pretty good amount of food depending on what you eat. for example this is 757 calories and it’s 100 g of protein. breakfast: Caramel “Proffee” made from a premiere protein caramel shake with iced coffee mixed in. (It’s really good and filling with the protein btw). lunch: three eggs omelette with 2% cheese (1 ounce) and tomatoes and onion (1/2 cup). dinner: grilled chicken breast (3 ounce) and zucchini and onion (1/2 cup). snack: oikos triple zero yogurt I use the Baritastic app and I always have the same breakfast but then before I have lunch I plug in my plan and an idea for dinner to make certain it’s okay macro wise. I do pay some attention to calories but protein, added sugars and fat are more important. I also pay attention to my carbs because on some days my exercise is higher and I actually need to increase them a bit. If your dietician is not asking about your activity and your food choices and inky giving you a cookie cutter plan without real guidance I would be asking more questions. These plans need to be tailored to you specifically. if you are having a difficult time finding foods you like that meet the criteria you are definitely not alone. I had to do a ton of research and trial and error with recipes to find a couple weeks worth of meals that I enjoy and I was doing 900ish calories. I scoured the web and found low calorie recipes and also ways to cut calories from things I knew I enjoyed. Basically type “healthy” in front of anything you like and you should find ways to make a more bariatric friendly version. Some days you may need to reduce calories further by having two shakes or egg whites instead to budget for a higher calorie dinner. I don’t love to cook so I make double batches of things and freeze them in individual portions. this has been my lifesaver. For the 800 calories you may have to do a lot of lower calorie lean meat and veggie type dinners unless you cut calories during lunch. For instance instead of 3 eggs you could do five 5 whites and you could even omit the cheese if you need to cut calories further. i would imagine you could still lose on a little higher calorie budget and you have more flexibility in your menu but it may not be as fast as you would like. Either way, check out Baritastic (or another calorie tracking app). It’s very helpful to see exactly what’s in different food and to play around with these meal ideas on an app because you can add and delete and adjust the measurements to figure out how to make things work to fit your plan.

I am so sorry this has happened to you. Its a rare complication that I havent seeen on here before. I have a diabetic husband who heals ridiculously slow up to me. He had a leg ulcer that took 9 months to heal. I seem to heal over night. I am not squeemish but if I was in your shoes I would ask the nurse to change my dressings more often, so that I wouldn't need to. At least until you stop weaping. The surgery has your hormones all over the place anyway so that won't help your mood. Look at it for what it is, a small inconvenience. Keep your chin up and your reward will be that hopefully, your diabetis will be gone. Take your vitamins, sleep well and eat as well as you can considering you are only 6 weeks out, it will all help the healing process x

@Kimberly740 My surgery isn’t for another week 10/21 on 2nd week of pre op diet. Not doing the perfect following of it though. Did you have problems with having a BM during the 2nd week of pre op diet? Swallowing is hard because of my hernia. Just started a couple of days ago with this difficulty. How are doing now other than wanting something more substantial?

So sorry you're going through this! This does NOT seem normal to me at all. Yes, most of us have things early on that just don't seem to sit right in our guts. For example, I could not eat eggs in any form for the longest time. I also can relate to the mental side of things. I was probably about 3 months post surgery and had a work function where they catered lunch. I knew better, but wanted to "fit in", so I decided to just eat whatever was provided. It was sandwiches so I decided to just eat the deli turkey out of the sandwich. It made me horribly nauseated to the point I had to leave work. After that, it took me almost 2 years before I tried any sort of deli meat at all. I knew it probably wouldn't actually make me sick, but the fear that it would kept me from trying it. Anyway, my point is a few changes and food aversions is quite normal. EVERYTHING making you sick is not normal. Regarding fluid intake, lots of people have a little bit of a challenge drinking at first, but it's supposed to get easier and easier as you go. That does not sound like you're experience, though? At 5 weeks in, if you're still only getting 40-48 oz that's pretty low. You mentioned that you're working with your surgeon. I'm curious what they are telling you? Have you really told them everything you explained above? I have found a lot of people (forgive me for stereotyping a bit), especially younger people are not good at advocating for themselves. Unless you really make your doctor fully understand what's going on, they may not realize just how big of an issue this is. I would also recommend talking to your dietitian and your therapist about all this if you have not already started working with those other professionals. The dietitian should have more experience dealing with these sorts of dietary issues and may be able to help you find foods that can help. I would also agree with your assessment that at least some of your issues are mental, thus talking to your therapist would be a really good idea because they may be able to teach you some ways to overcome those issues. With all that our of the way, I wanted to maybe suggest a few things for you to try to help you eat and hydrate: Your water intake seems to be on the low side as I mentioned. I would think you really should be getting closer to 64 oz a day right now. (If your program told you a different amount, go with what they told you.) Be aware that dehydration can actually cause nausea, so could be making your issues worse. IMO, you really need to double-down on drinking, even if that means you have to change your meal schedule. Also, at 5 weeks you should be able to drink several ounces at a time, thus it really should not take hours to get in another 15-20 ounces. If it does, this is yet another thing to talk to your doctor about. You could also consider adding in an electrolyte drink to help with the dehydration, but please only do that with your doctor's blessing. Consider taking a broad spectrum probiotic. I know that then becomes one more pill to take, but I do think at least some of your digestive issues are due to an out of whack gut microbiota. If you can get your gut healthy again, it should really help. You mentioned you are not exercising. At 5 weeks, you really should not be doing any strenuous exercise anyway, but you do need to be walking. I don't know your current weight or how much you're capable of doing, but if all you can do is just 5 minutes to walk to the end of the block and back, that's what you should be doing. If you can do more than 5 minutes, great, do what you can do. I would strongly encourage you to do this outside if at all possible. There are lots of benefits mentally from that exposure to nature, so please don't just walk around the house or on a treadmill. I know this feels like just one more thing to do, but how about you take some water with you and drink some while you're walking? Believe it or not, walking can reduce stress and even improve gut health. In short, don't consider this a nice to have or somehow related to weight loss. Think of it as part of your treatment plan to get past this nausea and on the path to feeling better. Food-wise, you mentioned you're okay with yogurt, but getting burned out on it. You might try flavoring it? In other words, if you're just eating plain greek yogurt to avoid the fake sugars and other ingredients, you probably can add extracts to make whatever flavor you want. I love coconut for example, but vanilla, almond, etc. would also work well. Just check the labels carefully and make sure it doesn't have weird ingredients and that it's using natural flavorings. Fairlife Milk. This is lactose free and taste just like regular milk (at least to me). It also has a lot more protein in it than regular milk, so will be a way to boost your protein intake. Best of luck. I do hope you find solutions to your issues.

A few things stood out to me about your post. 1137 calories is oddly specific. Since most people can't be that accurate with their food intake, I'm curious why you used this specific number? Can you elaborate? For example, most food logging software is only accurate within about 10% plus or minus, even if you are really meticulous with weighing everything. Keep in mind as well that if you are eating very many processed foods, Manufacturers are given a pretty wide latitude in terms of the listed calories, so those aren't near as accurate is you might think. Most people drastically underestimate their overall calorie consumption by as much as 20 to 25%, even if they are logging their food. There are a number of reasons, but things like guestimating certain amounts, using "average" calorie amounts for some items, and not counting certain types of foods are common errors. In short, you may actually be eating a lot more than you think. I'm also curious how you came to the conclusion that 1137 calories per day is the proper amount for you to lose weight? It's entirely possible your Basal Metabolic Rate (BMR), is anywhere between say 900 and 1700 calories per day. While BMR is just one component of your overall calorie burn per day, it's typically the largest single component, even if you are super active. If you are only working out 3 days a week, I'd not put you into the super active category. My point is that while it's not super likely, it is possible that you are actually eating at maintenance right now. Especially if you are eating more than you think. (See points one and two.) Scales are a REALLY terrible way to track success since they don't account for variations in other tissues besides fat. Water, which is a huge component of your overall weight can fluctuate dramatically day-to-day. Ask yourself honestly, are your clothes fitting differently? There is a pretty good chance here that you have been losing fat, but made up for it by retaining water in your muscles. This is super common in people when they work out, especially when they start a new fitness routine. There's also a small possibility you are actually adding some muscle mass, especially if you are new to strength training. Muscle is much more dense than fat, so if you gain muscle and lose fat, your clothes will fit better, but you might weigh about the same. My advice is going to sound counter-intuitive, but I'd suggest adding 200-300 calories per day to your diet. Preferably lean protein. Do this for 4 weeks and then reassess where you're at. If you are really currently eating at maintenance (as you might think from weeks of no loss), then you would be expected to gain a tiny bit in the next 4 weeks. If it's as I suspect and you're actually eating too little right now, eating a little more may actually up your metabolic rate as well as change your hormone balance. This could be just the thing to kickstart some fat loss in the next 4 weeks. Best of luck whatever you decide.

I'm scheduled for gastric bypass on August 12th and I'm hoping some of you will tell me what your first week post-op was like? I'd like to know what to expect. I know the first few months will be ROUGH, but I would like more specifics.

Already on Day 6 tomorrow. I’m on medimeal shakes for almost 3 weeks my date is Jan 23rd. 10am Breakfast shake 2pm Lunch shake 4pm 2 cups of shredded green pepper/ cabbage/ cucumber/ spinach/ cauliflower and broccoli with 1 tbsp of low calorie salad dressing. 6pm Dinner Shake 10pm snack shake During this time I realized how much food runs my life. Making food for the family I’m literally drooling (tear). Not about to cheat tho!!! I didn’t come this far to stay stuck 🙏❤️

I never did puree because the idea of eating blended food was just BLECH. I went from liquids to soft, mushed foods. So I did liquids for 2 weeks, then I did soft, mushy foods for 3 weeks. I ate things like creamy soup, refried beans, mashed potatoes, avocado spread, hummus, yogurt, mashed black beans, and then the 3rd week I ate tuna, cottage cheese, SUPER steamed veggies, etc... But I only ate about 2 to 2 1/2 oz each time because there was NO WAY I could eat more.