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Yea. She can prep some things for you. At first you will be on all liquids and once you get to puree you will be eating tiny portions. By the time you get to regular food you will have dropped a significant amount of weight and may be surprised at how much better you feel. I have a tremendous amount of energy now. I haven’t exercised in 20 years but now I’m walking daily, doing yoga twice a week and just tried a cardio/strength class today that I think I’m going to keep doing as well. I started at a lower BMI than you so you may not be doing rigorous exercise right away but you will be able to do more than you can now for sure and each day you will be able to do a little more and more. You can always supplement with protein shakes anytime too. Sometimes if I’m on the run I will have a shake for lunch even though I’m back to regular foods and I have one mixed with coffee every morning (that’s pretty good by the way if you like iced coffee I make mine with decaf). Perhaps you and your wife can cook together once you’re physically able and while you’re learning. I did that with my husband for a while before he got too busy with work and it was actually kinda fun. Anyways, I’m really excited for you on this journey. This surgery is life changing. It takes a great deal of work and commitment but it’s well worth it.

yeah I'm glad my program at least lets us have lean mean and no fatty meat, I'm also doing the no sugar Jello which is actually ok lol, but after surgery comes the 2-week full liquid diet i heard bone broth is actually good but have yet to try it

Yes. 5-6 Protein shakes and clear liquids. Sugar free jello, sugar free popsicles and low sodium broth(which is disgusting). That is it! I think it is ridiculous. I am trying my best, but it is not easy. I would love to have just a bite of anything!! They said I could have 1 bite of protein, but I know I won't be able to stop at 1 bite. Especially after not eating food for a week now.

That’s probably not a bad thing to have a bit of a break in between your first and second session. It feels pretty incredible when you’re done, doesn’t it? I started with walking and then I added yoga twice a week and today was my first cardio/ strength class. I thought I was in trouble when the teacher says so are you guys warmed up yet and I was already tired. Thankfully we didn’t do too much more cardio before we changed to the strength stuff. My legs are tired but I’m not limping or anything. It’s great when you find a workout that pushes you some but not so bad that you hurt yourself. I never thought I would ever enjoy exercise like I do now. I just feel so incredible when I am done. I love it.

I did the small meals throughout the day too. Mine is every three hours but I have alarms set to remind me or I would never remember because I don’t feel hungry either. Speaking of jerky. Chomps brand makes a turkey jerky that is pepperoni flavored that’s really good. That and cheese sticks are super convenient for on the go. Ooh and the yogurt drinks if you can find one that relatively clean. I did find one but it’s pricey so I started making my own. It’s really easy just Greek yogurt, milk and fruit in a blender. i use a container of non fat plain greek yogurt, 1/4 cup berries and 1/2 cup of almond milk. I just drink it out of the nutra bullet cup if I’m home but I also wash and reuse the containers from the ones I purchased to take on the go. They are $4 each in the store for the ones without added garbage and I always have fruit and almond milk on hand that usually goes to the waste anyways so I just have to buy the yogurt which is a lot cheaper than 4 bucks each.

First time posting here! Surgery date is 10/22. I'm currently doing my 2 week liquid diet and struggling. I miss eating good tasting food. I'm not a sweets person and these sweet protein shakes are tough to drink. And I can only handle so much broth. Highest Weight: 395 Starting Weight: 261 Goal Weight: 180 I'm terrified I will be the person that doesn't lose any weight. I haven't told too many people about having surgery for this reason. I know my love for food is what got me to this point in the first place, but what I would give to have a plate of delicious nachos right now!

There is another thread about this called reactive hypoglycemia which apparently is not all that uncommon post weight loss surgery. Actually may be why my teams standard is to have us eat every three hours. I’ve never gone longer than that so I wouldn’t know if I had it. Maybe I should try it while I’m at home instead of it happening when I’m out having fun on vacation or something. Definitely try eating more often a little something. It’s also possible that it’s diabetes related so personally, I would go ahead and schedule an appointment with my family doctor and then just cancel it if eating more often helps. That’s just me because my doctor is kind of hard to get into.

It *could* be hypoglycemia. To prevent that, you're supposed to eat something about every three hours. Preferably a protein if it's WLS-related. Even a thing of yogurt is fine.

Got my new app on 24th! Yay another week only

Do you mean SADI? Or is SASI another newer surgery? I had a sleeve revision to SADI and they warned me that diarrhea would be an issue for the first three or so months. For me I haven’t had this issue. Some days my stool is loose but it’s only once a day. I have been eating extremely clean though so perhaps that’s part of it. I would keep a log of what you’re eating and when it is happening and get with your team. You may have developed an allergy to something. That’s not at all uncommon.

the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version)

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 am 6/ almost 7 weeks out from sleeve surgery so I have started upping my working out some; mostly intervals of walking and jogging. I know I still need to be mindful of what I’m doing and not go too crazy with running or weights. Other than feeling low energy during a workout or a little light headed after, I haven’t had any issues. So my question is: if any of you have had issues with working out, what did you feel in your body and what exercises were you doing that caused it? I want to make sure I’m not pushing too hard. Also, I’m jonesing to take a bath. When did you guys feel comfortable taking a bath or going swimming with your incisions?

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.

I have it too. Random episodes but I also experienced it before surgery. Friends used to laugh and say it was an excuse not to do any strenuous type exercise (which was when I mostly had episodes) until they witnessed me experiencing it. Freaked them out. Yes, keep little snacks on hand. Eat to a routine. (I started to do this early after surgery because of the lack of hunger and any interest in eating. I knew I had to eat to get in the nutrients my body needed. I still do 5 years out.) Have an electrolyte drink on hand if you know your day will be busy and you may miss meals. (I added a hydralyte tablet to a bottle of water when I knew I would be out or at work.) And I plan ahead in situations I know may cause an episode. For example, sometimes I pop out before breakfast to grab a few groceries. To ward off an attack I’ll have a few blueberries before I leave. My last attack was 4 weeks ago at hospital. The hospital doesn’t provide the sandwiches or cheese & crackers after you have surgery any more. That night I had an episode. It had been 24hrs since I’d eaten and when I spoke to a nurse, she informed me o had to order my own meals through an app or ring an order through. Sorry but still rather out of it from the anaesthetic, sleepy and having a hypoglycemia episode does not make downloading an app and creating passwords, etc. easy. Plus the phone & menu was out of my reach because of the IV and being plugged into those pulsing leg wrap things. Due to my woozy befuddled brain, I totally forgot I had packed a few protein bars which would have got me through. And yes, I had identified I had hypoglycemia on my admitting records.

Hello everyone. My name is Tom and I have been a lurker for years. I had my surgery 11-22-22 at 471lbs. I weigh 214, for the moment, as I continue to lose. What a powerful tool this has proven to be! I am so blessed and thankful I couldn't possibly articulate it. With that being said, I feel I could help anyone that needs it just based on my own research for years into nutrition, fasting, and the many diet plans out there. I would be happy to give my own anecdotal experiences as well through losing the 255 lbs so far. But the point of this post is for me to lean on some of the vets of duodenal switch. I am approaching maintenance phase in around 35-40 more lbs. Does anyone do low carb in maintenance? If so what does that look like? Am I right to assume for us keto is out correct? The fat would be an issue or maybe someone has tried it? My concern when asking about low carb, for me specifically, I have protected my pouch size. I can still barely eat a few ounces of meat or whatever. I could, and may consider, actively stretching it a little when I get to maintenance, but as of right now I am not sure I could sustain on just meat once I am down to maintenance. I have Bilateral knee surgeries coming starting in Jan. I have lost all this weight in the recliner due to health issues. I am lifting, once I hit 300lbs weight, hard 4 days a week. But 0 steps for the most part. That's important because my exercise will skyrocket once I am healed from the surgeries and I will need more calories eventually. Carbs and fat are obviously the most calorie dense so.. Any thoughts or advice would be appreciated!

Well you should be able to if you don’t mind cooking. I have been trying all sorts of new recipes. Trying new veggies and fruits every week, different fish and turkey meals. New ways to use chicken Ways to reduce the calories from meals I liked before. It’s easier to do while your hunger is gone so the thought is that you will have found some healthy things you do actually enjoy and have better habits if the hunger returns. It does for many people but to varying intensity. I won’t lie I would still like to have pizza and pasta, but since surgery the healthy stuff is far more enjoyable to the point that I am able to resist temptation a little easier and I have found quite a few dinners that I actually look forward to.

@pinkneymm@aol.com Another AOL account? Great, have you had it for a long time? I’ve always had mine. Anyway I’m on my 2nd week of pre op diet and having a hard time with it because I don’t know why?? I’ve lost a lb a day so far and my esophageal hernia started really acting up and it hurts to swallow anything. But other than that it’s great to already be losing weight. I can even fit into some clothes that I couldn’t before. My surgery is 10/21…really looking forward to it! Yours is not too far away! Yay!!! Best to you!

No, quite the opposite. I had my gall bladder removed about 6 weeks before my pre-op diet and my bowels had not returned to normal. Btw, my surgeon did a hernia repair when he did my sleeve. I’ll be thinking of you on the 21st!

@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?

Hi everyone! New on Bariatric Pal. I had GBRNY September 4th, 2024. Almost six weeks in and lost 18.8 pounds. Slow & steady…

Yes - I have that. Or at least that is what my physician thought after I had occasional symptoms like that and they couldn't find anything else wrong with me (had the workup about four years ago). She said to eat something about every three hours - preferably a protein or something paired with a protein. It works - I rarely have those symptoms any more. P.S. any kind of protein is fine - even a thing of yogurt.

Received a call at 8.30am this morning to be told that I was discussed in last Fridays MDT meeting and was accepted for surgery 🥳🥳🥳 I was then told I would be having a ‘One Anastomosis Gastric Bypass’ - huh?? The nurse repeated herself and I was still none the wiser. She said that she would ask a specialist Bariatric nurse to call me to discuss and would send me the info out. I asked for it to be emailed, which she did. I had a read through and did some more research on the internet, just to familiarise myself with what had been suggested. It’s the mini gastric bypass. The specialist nurse rang me just after 9am and explained that it meant that my ‘pouch’ is slightly bigger then that of a Roux-en-Y bypass and there is only one connection or ‘anastomosis’ which is from the pouch to the bowel. Apparently it’s not as complex with the op taking around 1.5hours and recovery just the same as the normal bypass plus the weight loss is expected to be the same. I was recommended it because of Fibromyalgia and the chronic pain I have with RA and osteoarthritis as it would be easier for me. That made sense, thankfully! The specialist nurse said it was a relatively new procedure to the hospital which is why it wasn’t discussed in any detail at the first education session I attended a few months ago. Fair enough, I’m happy to go ahead with it. The wait is around 4-6 months - oh 😒 I was honest and said that I was concerned about losing focus while I’m waiting and gaining weight once again (we all know how easy that is) She went through everything again with me - 3 meals a day, 20/20/20, use a portion plate if I have one (I do) focus more on my protein etc. She also said that if I do begin to struggle, to contact her and they would fit me in with the dietitian to go through things with me. I felt better for her saying that. I did reiterate that I am happy to take a cancellation. She said they do get cancellations but would have to make sure that I had at least 3 weeks notice to complete the LRD. I’ll be honest and say that I’m really, really hoping that the 4-6 months is on the outside and that the surgery is sooner! I know that whatever will be will be, so just to keep on keeping on. Gym is going well, 3 visits last week and I’m hoping for 3 more this week. I’ve upped my levels and weights and I’m burning around 600-650 cals in around an hour or so workout or so my Apple Watch tells me! I can feel muscle, it just happens to be deeply buried and camouflaged with fat 😮 I tried my smaller sized gym stuff on yesterday and, while I can get it on I wouldn’t say it actually fitted, so a few more pounds to go before I would feel comfortable enough to wear it. I bought a new black trench coat from Costco at the weekend. It’s been a very, very long time since I’ve been able to fit into clothing from there so that was a nice boost. It will definitely last me a reduction of a couple of sizes too. My weight is steady at the moment but I do hope to bring it down a little bit more before I have to do the LRD. Bloods to have taken yet again on Wednesday. If my liver is off this time then they will have to think of something else. I’ve not had my weekly jabs for 7 weeks, I’ve missed my other jab for 4 weeks plus no pain relief for 4 weeks either and it’s all wearing really thin with me now. I’m finding that I’m snapping at hubby because of pain and it’s not fair. The gym is really helping my range of movement but the pain remains. We’re out for belated birthday drinks on Friday (postponed because of blood tests ) and that’s about it. I’ve decided to crack on and make a start on wrapping Christmas presents this week. Thankfully my Christmas shopping is almost finished - hurray for sales! Wishing everyone a happy week 🥰 Onwards and Downwards!

Working out real hunger from these hunger is a major learning for us all. Takes time though to work out which is which. Unfortunately you won’t get proper or true signals about hunger, fullness, etc. until you are fully healed (about 6-8 weeks) cause all of the nerves that were cut during surgery. As someone arise who really ‘ate’ two meals a day in the beginning, I too had that dizziness or wooziness, ensure up you have something before you do anything active. It will help ward if possible hypoglycemia episodes too. You may find too that your blood pressure drops which will make you dizzy, woozie or light headed, doughy in the head, find your vision narrows (lasts a couple of seconds) or at worst you may faint. Try adding an electrolyte powder to your water or take an electrolyte drink with you when you’re more active. It will give you a boost. I found it very helpful. For most people none of these things last once you are eating more regularly, eating a wider range of nutrients and are eating a little more. I’ve always had a tendency to low BP and had random episodes of hypoglycemia. Since surgery they’re more frequent. (The low BP is an every day thing now.)

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.