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My HH was large and had to wait an additional 6 months for all the meds to heal up the GERD sores and they kept checking for cancer. In the end I waited 8 months for healing before the double surgery of HH repair and RNY. If they had had a better picture, my surgeon said he would have separated it. The HH was up into my larynx. My recovery time seemed to be longer. I stayed in the liquid and all stages 3-4 weeks each due to the throat soreness.My surgery time total was 7 hours. And I accept that it’s not perfect. There’s still 1cm HH and some light GERD but I’m so grateful for being able to sing again. I stay on top of it with Omeprazole. I used the long wait to have surgery as a super weight loss time that RNY “locked” into place. That 73 initial loss isn’t coming back!

I’m 2 weeks post op today and smack in the middle of the purées stage. Trying to get my protein is a struggle without shakes, but working on it. Tried an Oikos Triple Zero smooth yogurt today. They are 5.2oz. Is that too much at this stage? I ate about 4oz in 30 mins, feel fine. Do any of you finish the 5oz?

I am 3 weeks out, and this is the hardest- I am so used to “washing” my mouth out with water after a meal. I think im going to have to wean myself off this habit— or maybe brush my teeth, or attempt rinse and spit situation. I just like feeling like my teeth are at least rinsed off…

Three weeks past surgery date— I was able to put a ring on that I haven’t been able to wear in 5 years. The inflammation in my joints is finally calming down! YAY!

We all go through them and yes they are frustrating! I keep trying new things, tracking, more veggies, less exercise, heavier weights. My last stall busted because I started higher iron supplements. Another stall busted because I needed more sleep. One stall busted when I went to Great Wolf lodge and had fish and went swimming. Only you can crack the code. It takes patience and weight loss is a massive head game. Just keep tracking and doing what your center says. A quarter cup of dry cheerios to snack set me back. Keep measuring and moving, you will get there. You’ve moved past the honeymoon stage and it’s hard work, but weigh loss still happens up to 2 years out!

I know stalls are normal, but man I am getting pissed at this point. I hit 7 months on March 17th, but I have been in a stall for almost 2 months. I have tried eating carbs then going back to no carbs. I tried upping the calories. I upped my exercise(and gained 2 lbs). I have no idea what else to do. So what other things have worked for people to get over a long term stall. 🤬

9 out of 12 supervised weight loss visits done sleep study done Abdominal ultrasound done H. Pylori test done nutrition class done nutrition class follow up done Now I have 3 more weigh ins and an endoscopy left to do. I'm keeping my fingers crossed that my insurance will approve this swiftly & I can get the May date I want.

It depends on how regularly you smoke, how much you smoke and for how long. It's also true it lives in fat cells so the more fat you have on your body, the longer it will take. IF your surgeon's office will drug test, you need to stop ASAP, drink lots of fluids, and get a stack of over the counter tests to find out if you're still popping positive in a couple weeks.

Do you guys have suggestions besides premiere Protein shakes. I stocked up on them then found out they make me sick as a dog 3 weeks out. I hear fairlife is a good option but don't want to find out the hard way.

Yeah I think it causing me issues. I've cut out dairy mostly anyway out of my life before surgery. Still a shake or cheese here and there but nothing wild. Now 3 weeks post op takes me over and hr I get a headache and feel like I'm gonna barf. Then the cramping. I hate it. I hear fairlife is a good alternative. What do people think? I don't wanna stock up and then find out it sucks like premiere. Also I must thank you for providing solutions I brought this concern to my team and it was it will suck but you'll get through it.

At barely two weeks out I’d try to stick more to soups, scrambled eggs, & other more puréed foods that more easily slide down & require little chewing. Look at soft & very tender slow cooked meats. You could mash up mince, sausages (or vegan alternatives), the fillings of steamed wontons or gyoza & be okay. Add any sauces or gravies available yo keep them more moist. Try a soft flaked white fish that has been poached or steamed. I’d avoid anything breaded or fried as the meat will likely be more dry. Go slowly & if in doubt don’t. Remember the staged return to eating diet is to protect your healing tummy & not strain all those sutures & staples holding it together with food that is too coarse, dry, dense or difficult to digest. Pack some shakes & pre prepared soups, grab some yoghurts from a local store, etc. as a back up. Nothing stopping you speaking with the caters at the conference to explain your situation. You don’t have to tell them you had bariatric surgery you can just say an abdominal surgery that requires a more restricted diet as you’re still healing.

Focus on eating your protein first then allowed vegetables. There were times I’d eat my protein only & nothing else for a meal. Many do continue to supplement their diet with protein shakes or add protein powders to their coffee, soups, yoghurt, etc. I found the shakes awful so I found a good high protein yoghurt & yoghurt drink (you can make your own drink by blending yoghurt & milk). And as a bonus more fluid (not the yoghurt of course). Don’t worry if you don’t hit that protein goal at first or every day. It’s not easy when our portions are so small in the early stages. As long as you’re close & making an effort. Remember you are taking multivitamins too at the moment which help you get the vitamins & minerals in you need. You should be having regular blood tests which will highlight if you are low in anything. I was a low calorie person (only got to about 900 at 6 months & my goal) - wasn’t hungry & couldn't eat more. But do check with your dietician as we all have different needs & the change as we continue to lose. PS - Stalls are common & part of the process. Just keep to your plan & ride through it. It will break. They often last 1-3 weeks with the first starting around week 3+/- so you’re right on track.

What does your surgeon & dietician say? You may have reached your new set point (the weight your body is happiest at) & as @catwoman7 said it is harder to lose & maintain at a lower weight if where you are now is your set point. Remember not everyone reaches their goal weight. Generally, eating 1000 calories should result in a loss. I’m only an inch taller than you, am not really active, & can maintain at my lower weight consuming about 1400 calories. Though we are all different & our bodies have different needs. The pouch reset isn’t a physical reset but a mental reset. If you’re already following your plan re calorie intake,food choices, & meeting protein, fluid & macro goals you are doing all the right things. Mashed potatoes & scrambled eggs are in the plan for many people from the third week. What you are then only affects you then. It doesn’t affect what is happening now. I agree with @summerseeker. Give your team a call @Sammy C & see if you can negotiate moving to al, or maybe some purées. Being in liquids only for 6+ weeks seems excessive but your surgeon may have a reason for it.

Early on I measured by volume (1/8 cup etc), later by weight (3 oz of protein) and now by sight (palm of my hand). I think it’s easier by volume in the beginning because you can estimate how much food can comfortably “fit” when you aren’t necessarily worried about calories. But weighing helps when it comes to protein estimation when you reach the solid food stage. Good luck!

Introduction Bariatric surgery is an effective treatment for obesity and obesity-related health conditions, including diabetes, sleep apnea, and hypertension [1]. With this transformative procedure comes a new way of life that often requires significant adjustments to dietary habits. One essential aspect of post-bariatric surgery care is ensuring patients receive adequate vitamins and minerals to support their overall health. This article will discuss the importance of using a one-per-day multivitamin capsule for bariatric surgery patients, address the misconception that these patients have difficulties swallowing capsules, and review relevant medical studies. The Importance of Multivitamin Capsules for Bariatric Surgery Patients Essential nutrient absorption: Bariatric surgery can lead to reduced absorption of essential nutrients due to changes in the gastrointestinal tract [2]. A one-per-day multivitamin capsule ensures that patients receive the vitamins and minerals they need in a single, convenient dose. A study published in the journal Obesity Surgery found that multivitamin supplementation significantly improved nutrient deficiencies in post-bariatric surgery patients [3]. Compliance and ease of use: A one-per-day multivitamin capsule is easier for patients to incorporate into their daily routine compared to multiple doses. This can lead to improved compliance and better long-term health outcomes. Research conducted by the American Society for Metabolic and Bariatric Surgery (ASMBS) supports the use of single daily doses to promote adherence to supplementation protocols [4]. Reduced risk of deficiencies: Post-bariatric surgery patients are at an increased risk of vitamin and mineral deficiencies, particularly in iron, calcium, vitamin D, and B vitamins [5]. A one-per-day multivitamin capsule helps to prevent these deficiencies and supports overall well-being. A systematic review published in the journal Clinical Nutrition found that multivitamin supplementation was associated with a reduced risk of micronutrient deficiencies following bariatric surgery [6]. Debunking the Myth: Bariatric Surgery Patients and Capsule Swallowing There is a misconception that bariatric surgery patients have difficulties swallowing capsules. However, no medical evidence supports this belief. Capsules are designed to dissolve as soon as they get wet, making them an ideal choice for bariatric surgery patients. Rapid dissolution: Capsules dissolve quickly in the presence of moisture, ensuring that they do not cause any issues with swallowing or digestion for bariatric surgery patients. A study published in the International Journal of Pharmaceutics found that capsules typically disintegrate within a few minutes of coming into contact with moisture [7]. Easier on the stomach: Capsules tend to be gentler on the stomach compared to tablets, as they do not contain binders or fillers that can irritate the stomach lining. This is particularly beneficial for bariatric surgery patients, who may experience increased sensitivity in their gastrointestinal tract. Enhanced absorption: Some vitamins and minerals are better absorbed in a liquid or capsule form rather than a tablet, ensuring bariatric surgery patients receive the maximum benefit from their supplementation. Research published in the Journal of Dietary Supplements has shown that certain nutrients, such as vitamin D, have improved bioavailability in capsule form [8]. Conclusion For bariatric surgery patients, a one-per-day multivitamin capsule offers numerous benefits, including convenience, compliance, and reduced risk of nutrient deficiencies. Contrary to popular belief, there is no medical evidence to suggest that bariatric surgery patients have difficulties swallowing capsules. In fact, capsules dissolve quickly and are easier on the stomach, making them an ideal choice for post-bariatric surgery care. Encouraging patients to adopt a one-per-day multivitamin capsule regimen can support their long-term health and well-being after undergoing bariatric surgery. Medical studies have demonstrated the benefits of multivitamin supplementation in preventing nutrient deficiencies, promoting adherence to supplementation protocols, and enhancing the absorption of certain vitamins and minerals. Bariatric surgery patients can feel confident in their choice of a one-per-day multivitamin capsule to support their journey toward improved health and quality of life. Empower Yourself: A Personal Testimony As a bariatric surgery patient and a knowledgeable expert in the field, I have personally experienced the transformative effects of incorporating a one-per-day multivitamin capsule into my daily routine. Throughout my journey, I have learned that self-care and attentiveness to my nutritional needs are vital for long-term success and well-being. The adoption of a one-per-day multivitamin capsule has provided me with the assurance that I am receiving the essential nutrients required to thrive in my post-bariatric surgery life. The Power of Community It's important to remember that we are not alone on this journey. As bariatric surgery patients, we are part of a supportive community united by a common goal: to achieve and maintain a healthy lifestyle. By sharing our experiences, challenges, and successes, we can inspire and empower each other to make informed choices about our nutritional health. I encourage you to connect with others who have undergone bariatric surgery, exchange stories, and discuss the benefits of incorporating a one-per-day multivitamin capsule into your daily routine. By learning from each other and sharing our knowledge, we can collectively overcome the challenges of post-surgery life and experience the unparalleled benefits of one per day multivitamin capsules. Stay Informed, Stay Healthy The world of bariatric surgery and nutrition is constantly evolving. To ensure that you are equipped with the latest information and best practices, it's crucial to stay informed and up-to-date with recent scientific studies, guidelines, and recommendations. Continually educate yourself on the benefits and best practices surrounding one-per-day multivitamin capsules and other nutritional supplements. By staying informed, you can make the best decisions for your health and well-being, ensuring that you are providing your body with the essential nutrients it needs to thrive. References: [1] Mingrone, G., Panunzi, S., De Gaetano, A., et al. (2012). Bariatric Surgery versus Conventional Medical Therapy for Type 2 Diabetes. New England Journal of Medicine, 366(17), 1577-1585. https://doi.org/10.1056/NEJMoa1200111 [2] Mechanick, J. I., Youdim, A., Jones, D. B., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient—2013 Update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 21(S1), S1-S27. https://doi.org/10.1002/oby.20461 [3] Aills, L., Blankenship, J., Buffington, C., Furtado, M., & Parrott, J. (2008). ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Obesity Surgery, 18(10), 1140-1142. https://doi.org/10.1007/s11695-008-9631-1 [4] Mechanick, J. I., Youdim, A., Jones, D. B., et al. (2013). Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient —2013 Update: Cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity, 21(S1), S1-S27. https://doi.org/10.1002/oby.20461 [5] Parrott, J., Frank, L., Rabena, R., Craggs-Dino, L., Isom, K. A., & Greiman, L. (2017). American Society for Metabolic and Bariatric Surgery Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient 2016 Update: Micronutrients. Surgery for Obesity and Related Diseases, 13(5), 727-741. https://doi.org/10.1016/j.soard.2016.12.018 [6] Ernst, B., Thurnheer, M., & Schmid, S. M. (2013). Evidence for the Necessity to Systematically Assess Micronutrient Status Prior to Bariatric Surgery. Clinical Nutrition, 32(1), 66-72. https://doi.org/10.1016/j.clnu.2012.07.012 [7] Podczeck, F., & Jones, B. E. (2004). The In Vitro Disintegration of Hard Gelatin Capsules Exposed to Different Conditions of Temperature and Relative Humidity. International Journal of Pharmaceutics, 280(1-2), 197-206. https://doi.org/10.1016/j.ijpharm.2004.04.018 [8] Traub, M. L., Finnell, J. S., Bhandiwad, A., Ochoa, G., Sasson, N., & Kotsopoulos, J. (2014). Impact of Vitamin D3 and Omega-3 Fatty Acid Supplementation on Serum 25-Hydroxyvitamin D Concentrations in a Randomized Controlled Trial. Journal of Dietary Supplements, 11(3), 324-334. https://doi.org/10.3109/19390211.2014.921849 By continuing to learn from one another, staying informed about the latest research, and making informed decisions about our health, we can support each other in our shared goal of a healthier, happier life after bariatric surgery. The use of a one-per-day multivitamin capsule plays a critical role in this journey, providing essential nutrients, promoting adherence to supplementation protocols, and minimizing the risk of deficiencies. Embrace the power of community and knowledge as you embark on your new life and make the most of the benefits that a one-per-day multivitamin capsule can offer.

I am just going to post an update because this has been kind of my diary thread (never having started an actual weight loss diary). 16 months post op, I have been the same weight for about 6 or 8 weeks now (142lbs) so I think I'm done losing. BMI is 21. I eat about 1500 calories a day and I think I'll have to stay close to that forever (so small compared to what I was eating 16 months ago!!) I can eat a good full cup of food at a sitting. I can chug about 7 or 8 swallows of fluid in one go. Loving my new life. I hope all my November 2021 buddies are too xxx

Sleeved 2/27, and having similar food experience. I can manage most foods, just in much smaller portions. Like 2-3 chicken nuggets. it’s a good thing, but takes getting used to.

Such varying experiences on here I see. I was sleeved on 2/22/23 and am completely on all normal foods even a few days before the 4 week mark. I do have to separate eating and drinking. It is amazing to have control over food. Felt amazing to have one slice of pizza and be able to say no to more. I actually miss drinking a 'big ole chug' of liquid a lot more than eating! I have had a few doubts along the way but constantly remind myself that I was never able to consistently stay at a lower weight for the first 40 years so why do I think I could do it now without the sleeve...."food" for thought!

I feel your frustration OP. Hitting your stride can be really difficult. My advice 5 weeks out would be to try to hit your fluid goal and your protein goal as many days as you can, and to let everything else fall into place around those. Don't fret too much about calories at your stage - you are unlikely to be able to physically get enough in to gain weight, or even be close to maintaining your current weight - you are programmed to lose right now. Be mindful of everything you take in and aim to form habits for a new and healthy life. I wish you the very best of luck.

700 would be the very minimum to aim for. 300 is way too low. Your body needs fuel. You may find it easier to to have a combination of fluids and and soft foods until you can see the dietician. There is no one size fits all. Just do the best you can. At five weeks you are still healing and finding your way. I found that baked beans or soft scrambled eggs (including the yolks) was a tasty way to get my protein in. Warmed tomato juice and added my own protein powder. Stalls will happen along the way. Do yourself a favor and stay off the scales.

Sleeved on 2/8 and just had my 6 week check up. Cleared for all foods as long as I stick to 400-600 calories. Found that I can eat a small amount of the mushroom chicken and pepper steak from Panda Express. It has been a life saver a couple times I was out and desperately needed a some calories/about an ounce. Also, full clearance to workout. Starting slow with resistance and weight training.

I'm almost 3 weeks post op (bypass). I plan to ask my NUT, but how did you measure your food, especially in the early days? Previously, when calorie counting, I would weigh my food. But now when I read the suggested meal plan it says stuff like 3 tablespoons cream of wheat and 2 tablespoons chicken (made that combo up 😅). So I've been measuring by volume because I have a one ounce scoop/or tablespoon. But there is a considerable difference between the volume and weight for most foods, so I'm curious!

Wow - that is a ton for just two weeks. Hang in there, and I hope the gas pains have already gone away.

Good luck to you. Are you on a pre-op diet? I'm scheduled for the sleeve 3 days after you (on April 6) in the U.S. (New York). On day 4 of the pre-op liquid diet, except ended up getting the stomach flu on the first day and am slowly starting to try to consume anything other than broth and water.

I see you are in WA, who did your surgery? I'm with Multicare Tacoma, surgery in 3 days.