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I still add protein to my meals because I have a hard time getting 80grams in 800 calories (I'm a picky eater with food texture issues). Protein drinks don't do a lot for me - leaving me still hungry, so I add protein to most things if it won't alter the taste.

Sounds like I am actually a lot better off than I thought I was. As most of you probably know I am on my LSD now which is two shakes and then a low carb dinner of 3oz lean meat, 1 cup of cooked veggies, and 1 cup berries or melon. Well, I do not feel stuffed to the brim, but I am satisfied after just the meat and veggies. I end up having the berries later as a snack which cuts out one of the snacks I am allowed for the day so win-win. . What worried me was that this diet was written for someone with normal anatomy and I was getting closer than I thought I should to finishing it. That and some of the plates I’ve seen posted on here by veterans seem to be such tiny portions compared to my 8” plate full. I felt that my restriction was way-way less than anyone else with a sleeve. I worried that even if I was keeping it to healthier choices and some was being malabsorbed that the portion size would still get me in trouble if I don’t eat lean meat and veggies forever. i do realize that it’s more about what the foods are than how much I eat but I would like to add in some other options eventually (for maintenance at least). . I am fighting against a pretty complex scenario too. Not only am I asking for this surgery to help with obesity but I also have Bipolar Disorder. I have been on meds and doing okay but the meds are not a cure. I still have episodes and during those periods things like healthy food choices are…well…out the window. I try not to keep unhealthy options in the house but I have things i am allowed in moderation and my husband has some bad foods that he eats as well. On top of that I cannot go off of the meds that make me gain. Long story short, I really do need the most aggressive surgery I can get to give me the best chance at this. it sounds like my stomach is pretty normal for someone that is over a year out though. Some of the doctors redo the sleeve when during a revision which sounds ideal but mine does not. He says I that’s not worth the risks involved. Obviously I don’t want to risk more side effects, complications and lifestyle changes to get the SADI if I’m not going to get anything more out of it than I would a bypass which would also be more likely to resolve my mild gerd. I just wish there was more data to go on. I guess what it boils down to is having to trust my doctors judgement. Past experience witb doctors just make that SO difficult for me. Thank you all for sharing your experiences with the sleeve and the bypass.🩷 This does help me a great deal. Now I know that I actually am where he should expect me to be in terms of capacity. At least I know he did have all the correct information when he said the SADI was my best option.

So by 8 months post op with the sleeve, I started having complications. But before that, I was able to eat a cup to a cup and a half of food, depending on what it was. Now a year out from my revision to bypass, I have 2 cups of protein cereal, or 1 small piece of steak and 1/4 cup of cheesy peas. Or I can have a can of soup. I can have 2 chicken drum sticks and 1/4 cup of veggies. It's not so much HOW MUCH you eat as it is WHAT you eat. I'm careful with what I eat, I still log and track everything, and I avoid sugar (or go with no sugar added if it's unavoidable) and rarely use salt (but use Himalayan salt if I REALLY need it). It's about how often you eat and what you're eating. I don't graze. I eat 3 meals and 2 snacks. I don't drink alcohol (empty calories and carbs), I don't drink soda (again, empty calories and carbs and frankly, don't like the taste anymore), and I made sure to find alternatives to things I use to eat a lot that are healthier but still yummy. I don't feel like I'm deprived because it all tastes good.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

I've always eaten well even at my highest weight. I eat the exact same just much smaller portions and I know now that the type food I was eating was never the problem but how I much of it I ate - because I always complained that I wasn't able to lose weight although I always worked out and ate well 🤷‍♂️ - . My meals are balanced and I always prioritize protein and have veggies with my meals, but I do have a couple of bites of not so good things (cake, cookies, ice cream) and I limit myself to a couple of bites, I am trying to enforce the taste everything but eat less rather than find alternatives to everything. With that being said, I do try to substitute things that don't affect the way I savor my meals (protein toast for normal toast, low carb tortillas for regular tortillas and so on, it's because I can't taste the difference). I also love eating out, albeit hidden calories and all. I do indulge in sugar free chocolate almonds though and chocolate protein balls because I like the way they taste. I make paleo cookies and higher protein desserts like chia seed pudding protein banana bread but I still limit myself on how much of that I eat.

How big are your bites? I was advised to eat 1/4 - 1/3 cup from purées. So it took three days to eat two scrambled eggs & the same with a serve of rolled oats. Would your 3 bites be equal to about 1/4 cup? (Was 6 months before I was able to eat a bare cup of food which was what I was advised too.) Eggs can be hard at first. Many can’t tolerate them so that could be contributing. What if you had soup at night. Easy & quick to heat. I used to freeze individual serves of lots of things like soup, meat balls & gravy, etc. Popped a serve in the fridge to defrost in the morning & reheated at night. Even took them to work for lunch. Or try your shake at night ( just sip until you’re finished even if it takes an hour) or a high protein yoghurt. There is a lot of trial & error in the beginning especially while you are still healing (takes about 8 weeks to be fully healed) & your tummy can be very fussy & temperamental . Plus your taste buds &/ir sense of smell can temporarily change making some foods disgusting. It dyes get better & easier.

I took a nutrition online class at my community college 2 years after gastric bypass and I wished I had learned more sooner. Food blogs, peer support is great, but college courses hit differently. Knowledge from that class sparked a health and mental health change in me. It’s not about protein or what supplements are trendy, it’s about what your specific body is lacking and needing. I get routine labs done 2-3 times yearly, which is more than recommended. I quit seeing my bariatric surgeon and my medical doctor prescribes only what vitamins show up that are low or needing more. That changed the bariatric fatigue I’d get and I’ve never felt stronger/healthier. Getting another doctor on my care, continuing health education and following my blood work are all things I wished I done sooner.

How many people can eat a cup and a half of food once they are a ways out from sleeve? If not, how much can you eat? I am so sorry for those who are probably getting sick of watching me vascilating but I am getting so close and I am still just not sure if I am making the right decision to revise to SADI. I am so worried that the results he is promising me won’t be what I actually get since I can already eat more than most people with a sleeve. At least with the bypass he would operate on my stomach too. He had seen my sleeve during endoscopy and says it looks good. I don’t know why but I feel like I can eat more than I should and I just don’t know if that’s going to make my results less than others witb a smaller sleeve.

Is it best to track food on like my fitness pal?

I’m finding it very difficult to eat at night. I normally don’t get home from work until after 6:00pm. I’ve tried eating soft scrambled eggs, soft boiled egg, oatmeal with protein but I end up with a stomachache. I’m am taking small bites, waiting plenty of time for the food to settle and barely able to eat 1/2 of whatever I’m trying to eat. I feel hungry but after maybe 3 bites, I’m through just because of the discomfort. I know it’s barely been a month but I feel like I need my nighttime meal but it’s difficult. Any ideas or suggestions. After finding a higher protein FairLife shake, 30 grams, I do drink those during the day so I know I’m getting at least 60 G protein. What should I do differently

So in the very beginning, I drank ready made protein shakes, bone broth, protein gatorade zero, and other fluids. You do your best to get close to your protein goals, but the first 2-4 weeks it's gonna be hard and you likely won't get there. And that's ok. By weeks 6, 7, 8 and so on is really where you want to be hitting your protein goals. And it gets easier because more foods are available to you. You can always add in a shake if you really need to. But in the very beginning, fluids are the most important. If you can combine fluids and protein with the bone broth, ready made protein shakes, and protein fluids (like the gatorade I mentioned) you're well on your way.

How is everyone doing on their preperations and/ or preop diets. I am on day 6 of 16. (2 week liver shrink then 2 days liquids). It’s not awful but I am board for sure. Last night my husband left his dinner sitting on the island when he ran to the restroom and it took a great deal of restraint to not sneak a bite. I’m lucky that he has been preparing his own food though so this is not a daily thing. I can only imagine having to cook for others while on this diet would make it more challenging. Eyes on the prize I keep reminding myself. Hope everyone else is doing okay too.

I am pending revision but I had sleeve 3.5 years ago. For some reason I was one who didn’t have issue with the restriction right away. I was restricted enough to know I had surgery once I got to the normal food stage but through all the earlier stages I had to make myself do what everyone else was doing because my body wasn’t telling me to. My point is I am probably not the one to advise about your sipping BUT, I think I can help with the vitamin. First of all you probably need to take it with “food” if you aren’t already. Especially if it contains a lot of iron. I had to take my multi with iron after a full protein shake. I tried taking it before I finished the shake a few of times when I got in a hurry to get out the door and it always came right back up. Maybe try half the liquid dose, twice a day, separated by a few hours. That may be a little easier on your stomach until you can “eat” a little more at once. Another possible option would be a chewable multi if you team approves it. I’m not really sure why it would cause less heartburn for you but that’s what I took and it did not give me heartburn? Also, Are you taking a PPI? I think mostly everyone is given one early out to take for a while. If not, I would ask about that at your post op appt for sure.

My thing is that this time I will FEEL like I can get anything down and never feel full because they are not touching my already sleeved and HEALED stomach and my hunger has already returned. BUT I need to follow the same protocol to protect my healing intestines. I think I will feel just as hungry as I do now and be able to stomach eating like normal but i must be good and follow the staged return to eating protocol anyways. i am sure it’s not going to be easy but of course I don’t want to hurt myself. It should be okay if I can have three shakes because I am doing two a day now on the LSD and it’s enough to sustain me so I am thinking maybe he will say I can do three shakes to keep me full plus eat those little tiny meals to go through the stages. I know it’s a little more calorie wise but I just don’t see me making it on two tablespoons of food when I still have my hunger and my stomach is not full. I really need to talk to him more about this before I leave the hospital because the normal by the book diet just isn’t going to work for me. But it definitely Sounds like maybe to play it safe I should just wait until i am closer to the next stage to have any yogurt.

Ugh, YES. Part of it is the hormonal changes (not just menstrual!), body chemistry changes, etc. I don't know if there's much we can do about this part beyond nutrition, hormone supplements if required, etc -- much like menopause and pre-menopause. Another part of it is also that for many of us, food was a coping mechanism for a long time and now we've removed that as an option. It means we have to either face the things we were trying to drown out with gravy, or find new and improved, healthy ways to cope. Instead of "What a shitty day, I deserve pie!" it's "What a shitty day, I should eat a protein bar and hit the gym to work out my frustration!" or "What a shitty day, I should actually talk to that person about their poor behaviour." On my side, I've suffered through cyclical depression throughout my life. I'd like to say it gave me a good launching point for when the post-op emotions started hitting, but it's one of those struggles that's just ... always a struggle, lol. I cope with a few CBT techniques that I've learned over the years to get through the most intense moments, and once I'm feeling less unbalanced it's easier to get into a better headspace. Be the one to reach out to someone else at least once a day. Do 20 minutes of mindful self-care -- ie give yourself a hair treatment for 20 minutes and try not to think about anything other than brushing your hair, count strokes, massaging your scalp etc. ((Side note: if you're currently in The Hair Loss phase, maybe skip this for a hand treatment? My hair is suuuuper thin right now.)) I try to re-direct myself into how to make positive changes regarding whatever it was that recently bothered me / triggered me. Not 'fix' things, but improve the situation or my reaction somehow. Sometimes it just requires a long circle of thinking until I realize I'm internalizing something that I don't need to be, or upset about something that normally wouldn't cause a reaction at all, etc. One of my biggest problems and solutions is exercise. If I'm a moody mess, I don't want to exercise. Have no motivation to get up and do it. Yet everytime I force myself to do it, I feel bloody amazing afterwards -- energetic, spirits buoyed, all that good stuff. It doesn't have to be anything major, just walking outside at a good pace can change my mood about 15 minutes in when those endorphins kick in.

Not to beat a dead horse, but as others have said, consider therapy. Look for one on your own (or see if your program has one / can refer you to one) who specifically deals with eating disorders. I haven't done had this experience Post-Op, but I've fully been there before during diets I've attempted in the past. For me, there were so many things at play: ongoing depression, feelings of low self-worth were helping me further sabotage myself. I punished myself with food, even while logically knowing better, because it was what I was used to. I hid myself behind my weight, because it became my norm and was easier than dealing with a lot of the trauma and mental health issues lurking in the shadows. It's so, so hard to break these cycles all on our own. Having someone to talk to about it -- a friend, a counselor, support from your program, or us here on the forum can make a world of difference.

It's pretty common. Happened to me after my sleeve and again after my revision to bypass. I was told it would likely be temporary, but so far, nothing has gone back to how it was before. Super weird. Things smell differently to me, too. And taste differently. Hate foods I use to love, actually like stuff I use to dislike. Very weird lol

I bought some extra large silicone ice cube trays (with measurements!) Anything like soups, casseroles and mashes I freeze in the tray then pop them out and put them in a large freezer bag for easier organization -- with dates and portion size scribbled on. My food tracker app also has a section for custom foods / recipes, so I can save the exact nutrition info there and add a portion whenever I eat it. But reading this, damn am I ever craving bolognese now. XD

I am 1 year post-op (exactly today!) In the months after the surgery, I have not had any significant issues with taste or food aversion. There were a couple of changes with foods that I used to love that, now, I could take them or leave them. I travel a lot for business, and when I am away from home eating in restaurants, I have started having experiences where certain foods taste like... seafood. I *hate* seafood in all forms, and always have. Meat is the most frequent problem, especially beef (except ground beef which is fine). Chicken is never a problem. I was just in China for 3 weeks, in many different cities, and everywhere I went, things were tasting fishy, especially meat. It wasn't just that something was prepared with fish sauce - I checked. Over and over and over again in city after city and restaurant after restaurant. (I have traveled to China before and loved the food; this time not so much.) But this wasn't just China - it has happened in other places as well - just not as often as in China. Now that I am back home with my normal food and normal recipes, there is no problem at all, however, at home I eat primarily chicken so maybe I would have an issue with beef tasting like seafood here too. Of course, I will discuss this with my doctor at my 1-year post-op appointment, but I am curious about other people's experiences with taste-related changes.

I'm right at 5 months, and over the past few weeks, it has become HARD. In the beginning, I was dropping weight, had zero interest in food, and was totally motivated. But since the beginning of July, I've lost a pound. Actually, I've lost and gained and lost and gained that one pound multiple times. I've started feeling hungry sometimes again, and that's triggering all sorts of bad behaviors like getting up when I'm trying to avoid work (I work from home) and looking in the cupboard for a snack, not to mention craving sweets. It's been a constant fight. Not getting that reward of watching the scale dropping all the time kind of saps the motivation, I think. And the novelty wears off and you start to realize that you're in this for the long haul and maybe you start to rebel a little. You're not alone. You say you're afraid of being judged, but you are judging yourself every time you do things you know you shouldn't do. You said it yourself. You're disgusted by what you're doing, but there's a reason you're doing it, and figuring that out is going to be the key to stopping it and changing. I feel like there is probably a voice you hear in the back of your head telling you that you can't do this. Maybe there's literally someone saying it to you in your life, but most likely it's a voice in your head from a long time ago, one that sounds like you but probably was someone else when you first heard it. For me, it's my grandmother, and to some extent my dad. Never happy, never praising. Expecting perfection and scolding "for your own good" over every little thing. Ridiculing my weight despite being overweight themselves, but also overfeeding me because that's what they knew. Food was the enemy, but also a reward from emotionally stunted caregivers who had no other way to show affection. When you can never fully meet expectations at a young age, you learn quickly that you will always fail. That may be the role you've played in your family. Maybe it's everything, or maybe just one thing, like being overweight. And when you start to succeed, it feels frightening because it challenges everything you have been taught to believe about yourself. If you're not "the fat friend", who are you? Or maybe being "the fat daughter" kept a jealous family member happy because you weren't "competition" that way. There are so many reasons we get into these patterns. But the point is, the patterns feel normal and safe. So you make sure you don't succeed and change too much or for too long. You're used to being disappointing to yourself. You can live with that. But admitting you're capable of succeeding and changing is really scary. Allowing yourself to challenge the roles other people want you to fulfill is the hardest thing you can do. At least that's my experience. As for how to change, my first suggestion is talk to your team. That's why they're there, and they know what's going on because they've seen it before. Face it head on. Nothing they say is going to be any worse than what you are saying, and doing, to yourself. If you can get set up with a therapist, even better. Second, get every source of temptation out of the house. The alcohol. The junk food. Whatever is making you stumble, get rid of it. Do your shopping online from now on, or curbside pickup because it is way easier not to give into temptation that way. You can't binge on what you don't have. But skip the gym. It's really only about 10% of your success, anyway. Focus on water, protein, and vitamins. You don't need the false guilt of the gym to make everything worse. And third, get help from people you trust who are close to you if you can. Accountability is key. If going out to eat is an issue, tell your friends or family that you need their help not letting you go out to eat. Explain why you can't be around snacks, or why you won't be ordering alcohol, and ask for their help. If you trust even one person in your life to tell what is really going on, tell them. You need another voice cheering you on instead of just your own head bringing you down. Bottom line, something about what you are doing right now feels comfortable to you. It's a pattern that you can live with, even if you hate it. Something about what you were doing when you were following the rules was making you uncomfortable. Figure out what and why. You can't change your habits until you change that voice in your head, and until you can love yourself and cheer yourself on instead of being your own worst judge. But you have to believe you're worth it and be willing to do things that scare you in order to get past this fog and get to where you want to be.

I'm also in the "what to do for the birthday Struggle Club! My surgery is 7th of October and my birthday is tomorrow 25th July. My dr put me on a 12 week milk diet (1.5litres of milk with semi-skimmed milk and 1 salty drink a day) to quickly lose weight before my surgery. So I don't want to jeopardise that and have my usual slices of cake from my favourite bakery. It's also my friend's wedding on Saturday. I can't avoid the wedding are ask people to do something that isn't food related. But I can control my birthday and avoid temptation. I made the decision to go out and get my nails done and go to a comedy club instead! I'm not much of a drinker so the club won't be a temptation and I can't eat while getting my nails done! Next year, I'll be thinner and probably more in the mood to celebrate anyway.

So it takes about 6-8 hrs for food to pass from your tummy through your small intestines to your large intestines. It takes about 36hrs in total for anything you eat to fully leave your body (pooped out). I’m going to presume you’re having gastric bypass which involves surgery to your small intestines (sleeve doesn’t) so not eating for 6 hours before sort of makes sense. However, saying that every surgery I’ve had was nil by mouth from dinner the night before regardless of time of surgery. I know people who are told nothing after midnight, who get up & eat a meal at 11:30pm. I had a pelvic MRI last week & it was nothing for 6 hours before which was odd because the images the MRI took of the pelvic region of course included the large bowel which would have been full of waste which was odd to me. 🤷🏻‍♀️ Check with your surgeon. Only way to be sure.

Had this happen to me quite often. A year ago I picked up a brand new pair of Jennifer Lopez jeans size 16 at a rummage sale, thinking I'll put away for a future time. Got home and curiously tried them on and they fit!! Buttoned.. zipped up and comfortable to wear. Fast forward to now, I bought a new pair of Old Navy shorts size 8 in Goodwill, In my mind I doubted they would fit but did. Amazing feeling and it's been many many years since I wore a size 8. Oh and today I put on a XX boho style shirt and wore it as a dress. 😎 I remember thinking this same thing but it was usually weight loss after any food centered holiday. That's never happened to me ..eva. Glamping at the lake every weekend doesn't seem to have much effect on my weight loss either. I'm very thankful.

I believe in my heart I may be the only one doing this to myself...or even able to muster up the courage to talk publicly about it. I'm not getting my protein in. I'm not getting my water in. I haven't been taking my vitamins. I haven't been to the gym in over 2 weeks. I eat what I want, to the point of making myself puke with intolerable food. I gave up. I drink alcohol. I'm lazy. NO i'm not looking for pity, i'm genuinely curious to know if anyone else is or has been in my shoes.. I'm almost 5 months post-op, down 40+ pounds. Losing 1-2lbs per week SOMEHOW. If you've been here, how did you get out of this fog? I'm petrified to address this with my doctor in fear of being judged. I'm in the closet with all this. Scared/anxious i'll just regain my weight over the next year. I feel im in concrete and have ABSOLUTELY NO motivation to change habits very disappointed in myself. Disgusted really. Recently went to a gathering and seen myself in pictures and I am way bigger than i thought i was. im just all over the crazy table!

I had no pre-surgery diet plan to to follow but did have to 'check-in' to the hospital the night before so they actually cut off my food at 8pm that night and then I was only allowed water until midnight. They also had me take a small amount of a sugar free isotonic drink at about 6am on the day of my op (8am), don't know why.