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I am 1 week 9 days out. When I first came home, I felt so hungry several times. I was thinking, this is my life now. I'm always going to have a growly stomach. But then I read somewhere that our stomach still needs to learn our new signals for hunger. Also, we have head hunger. Our brain has to learn the new signals as well. So, I am keeping the prescribed diet until my body can learn to communicate. In addition, some of those hunger signals could be thirst signals. So, making sure I drink enough water does help.

The simple answer is yes. Just getting a small stomach does not cure your brain. It is hard wired to feast whenever there is a glut of food and unfortunately that is what is all around us these days. I waited 30 years for this surgery so this is me - I allow myself 1500 calories a day. I religiously track them I could easily eat around my sleeve, I love chocolate and dont have any will power. If I open a bar then I eat it. So I buy the packs of tiny 25gram bars. I have increased my activity. I walk everywhere. I shop better for quality protein rich foods and menu plan, You may find when your new stomach has healed, about 6 - 12 weeks out, you will hopefully feel your restriction kick in. You should feel the full signals. Certain foods fill me longer than other. I physically can not eat or drink for two hours after eating meat. Mince it and I can go again after an hour. Its a massive learning curve.

You have NOT failed. Please stop catastrophizing. You are only 7 weeks post op. Super duper early. There are literally more options now than ever before to aid you on this journey. Tell your team you are struggling and need help. It’s very likely you need more than just the sleeve and white knuckled willpower but what that looks like is ultimately up to you. You’ve come this far already, so you know you’re committed enough to make lifestyle changes. Please keep going. ❤️

i use the weight i was on my first day of my 2 week pre-op diet (235 lbs which happened to be my highest weight recorded). p.s. my weight when i had my very first consultation 2 years prior to that was lower...i think it was like 220 or something. there is a statistic where you can input your weight on day of surgery, but it's just not included in the summary under your name in the side bar.... @Alex Brecher...maybe we can include "weight on surgery day" in the side bar info?

Breakfast, lunch and dinner today. Breakfast- wheat toast with laughing cow cheese, strawberries and a protein coffee. Lunch- a mini raspberry danish. I actually made 2 dozen last night. Baked a dozen and the other dozen are in a freezer bag ready to bake when I have surgery in a couple weeks. There’s leftover jam in the fridge for toast/french toast later this week. (That’s what I get for using all 36oz fresh raspberries I’ve bought the past week!) Dinner- I picked up some vegan chicken on clearance so we had that in rice bowls. I ended up eating about 3/4c fluffed rice, a total of 1 cup cucumbers, about 1/2 cup carrots, and little less than 1/2 cup of the stir fried “chicken” with onions, epis, and garlic in it and 1/2tbsp of sesame seeds. I didn’t eat the seaweed and the grandbaby ate what I didn’t. Also had a protein fiber bar as a snack. Might have another protein shake before bed but honestly, I’m not hungry.

I see my surgeon next week I'm seeing my GP next week so will get a referral to a dermatologist. I see my surgeon next week too so will be again bringing it up. Previous to surgeries, my allergic reactions were hayfever not hives. I've cut everything and gone back to simple diet with no spices etc and soap/fragrance free everything.

I'm going to preface this by saying I am not a doctor and definitely in no position to give healthcare advice, but the most recent studies seem to indicate that very occasional ibuprofen use after a bypass does not significantly increase your risk of ulcers. Not all doctors are up on the research and some just don't want to change their advice on the off chance a patient has an issue, but some doctors will outright say that if you take an ibuprofen or two for a really bad headache or that one time you have an unusual pain, it's fine. You just don't want to exceed maybe once in a week or a few times in a month. The study I read looked at outcomes for thousands of bypass and sleeve patients in Denmark who had been prescribed daily NSAIDs for less than 30 days or more than 30 days, and then looked at how many developed ulcers. Only the bypass patients who took them for more than 30 days had an incidence rate higher than the general population.

I went back a little over a week after. I work remote and in person. You will be on pain meds for awhile, so you might not be great at work on those.

GLP-1's have been put back on the shortage lists? The pharmacies have been adding other compounds for quite awhile which is how I originally started on Ozempic. The articles I've read though as of a few weeks ago stated since glp's were being removed from the shortage lists compounding would no longer be allowed, which is why I was asking.

If you have in person support groups you may also be able to find an exercise buddy. I met a lady the other night at mine and we exchanged numbers so we can walk together if I can handle the heat. She does 5 miles a day so I won’t be able to do the whole time witb her right away but hopefully she won’t mind backtracking a bit or I can just turn back alone until I can get caught up to her distance wise. I plan to see what I actually can do to start on my own so I don’t kill myself trying to keep up with her though but wheni had the sleeve I never did exercise or go to support meetings and this time I’m three weeks out and already ordered my walking shoes. The support groups really do work.

Hi there! I have had surgery mid September last year and from a prop weight of 213lbs I have become 138lbs (as of this morning). I don't have any restrictions either and my weight loss has plateaued now. I get quite hungry often too and have had multiple stalls. Please trust the process and wait it out. You'll be fine

Just to update for anyone reading this after the fact my weight loss did slow down quite a bit. It’s been 12 more days and I have only lost three more pounds. And the last one isn’t sure it wants to really leave me 🤣 Anyways, thanks for your reassurances and I hope you are all doing well.

Congrats on how well you have been doing!! I had the gastric sleeve and would love to share my story The good: I had my surgery on January 24, 2024, and I am now almost one year post-op. I reached my goal weight about seven months after the surgery and have been maintaining it within a +/- 3-pound range. Once I started weightlifting, I noticed a significant transformation in my body, which has kept me motivated because I am starting to love what I see in the mirror. I have gone from a size 2/3X top to an XS/S top, and from size 18 pants to size 4. I never imagined my body could look and feel this good. My health has vastly improved, and I have so much energy. I am happier, and that positivity radiates from me. The bad/challenges: I still experience episodes of binge eating, although it is not as severe as it was before. However, when I'm not being mindful, I tend to grab chips and eat too many, or take mini candies and other snacks that I shouldn't have. I am aware of my actions, but for some reason, I don't seem to care in the moment. It has happened maybe two to three times, and each time, I feel really angry with myself. I recognize that this is something I need to work on, and I'm conscious of it. I understand that this will be a lifelong challenge for me, but I am actively working on it and taking it one day at a time. I tend to be hard on myself because I am so afraid of going back to my old habits. This is a second chance at life and I want to make the most of this! Everyone has their own journey. We will all face challenges and struggles, but for the most part, this is an amazing tool! Make the most of it in the first 12 to 18 months. Take advantage of the rapid weight loss, work out, and engage in activities that intimidated you when you weighed more. Take risks, because I promise you will be so happy that you did!

Did you have the same problems during your liquid and pureed phases? If not it might be worth going back a step to purees as summerseeker has suggested. I do understand that chewing food really thoroughly is basically the same thing, but it takes the guesswork and possibilities for errors out of the equation. I know I am weird but I quite enjoyed my pureed food (because it was my first non-protein drink intake for almost a month). So tasty 😍 At 2.5 weeks I was just just onto pureed food, made with a LOT of liquid, and I was eating about 40-60mls (1-2oz) of goo for a meal, depending on how much protein was in it. We are all so different. I have seen people here thrive on solids much earlier. If your surgical team are confident that it isn't a post op complication you might have room to experiment a little. At 2.5 weeks fluids are paramount - there is wiggle room with protein and other macros in most programmes. I hope it all settles really quickly for you - sounds unpleasant.

I think the way I'd put it it's best to is nail down your calories first, then depending on your goals, you can tweak your macros to better accomplish your goals. Since you're looking to drop a few more pounds and limited in terms of workouts right now, I'd probably recommend something more like this: 1600-1700 total calories a day. You could go as low as 1400 or so, but you may feel lousy if you do, so don't go that low for more than 2-3 weeks at a time. Target ~1.5 grams per kg of protein, or more. Thus ~115 grams minimum. If you are not struggling to get up to say 150 grams or so, that certainly won't hurt and may help you feel better. Fats around 70 or so should be just fine and will mean you're likely to be less hungry. You can go lower if you're comfortable doing so, but it will likely mean you're hungrier. Don't go below about 50 grams. Whatever's left over, make up for in carbs.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

Not sure if this is a win? my weight has pretty much remained the same for 1.5 months now, but the last couple of weeks my arms, abs and legs have shown a lot more definition and my pants definitely feel looser. I’m more or less the same weight In both pictures but I can tell my body composition is different. September: October:

Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.

Hi everyone 🩷 I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I lost about a 100 lbs and kept it off for about 4 years but since having a baby 2 years ago I’ve really been struggling with my weight again. TIA 🩷

I didn't know there were different sizes and no idea what % of mine is gone. After a year I can still feel the restriction, unable to eat too much and rarely hungry though I can take larger sips now. Have gulped a few times totally forgetting there isn't space 😂 Eating now is more of a habit than needing to, had to force myself today to eat some lunch as just wasn't hungry at all but managed 50g cauliflower and 30g hummus. Example of what I can manage; Breakfast is a 125g or 150g yoghurt 99% of the time or sometimes a couple of small protein or banana pancakes as a treat. Lunch is usually homemade soup (150ml) or homemade dinner leftovers or half a shop bought salad (with falafal or chicken) My dinners are again 99% of the time homemade and would still be about 150ml in liquid dishes such as soup/dhals or 4 to 5oz for a bean stew/chicken dish. A while after dinner I will then have something for dessert such as two squares of 85% dark chocolate or a yogurt or a handful of nuts. In between if I can, I try to have a snack mid morning and mid afternoon. like some cottage cheese banana bread, nuts, protein bar etc. Eating out can be super annoying now when I see lots of things on a menu I would like and then realise that in all reality all I can manage is a starter but it does mean my food and dining out bills have dropped so much and if I don't finish it I usually ask to bring it home and it does another meal or three. When I go on holidays in a couple of weeks I have booked dinners out at three Michelin restaurants that have a menu you can chose from so it means for me just one course in each and it will be a bargain compared to having to usually order the 6 or 10 courses.

@SpartanMaker is on point as usual. 😊 Many surgeons initially patients on a fairly general supplement regime to begin usually including a multi vitamin, calcium and iron. There are variations. Some may include vitamin D and/or vitamin Bs as well. However, your regular blood tests, medical history, type of surgery all will influence what supplements you’ll need before surgeon, post surgery or in the long term. Plus some surgeons have restriction on swallowing tablets in the initial weeks post surgery which will dictate how you take the supplement (gummie, patch, …). While sleeve surgery usually does not usually require long term supplementation due to malabsorption you may be someone whose body reacts in a way that means you will need specific supplements. Or it may be discovered you are lacking in a particular vitamin, or your diet is lacking in certain nutrients. Another consideration is if you also have gall removal with your surgery or after as that can result in malabsorption issues in some. For example, I had a sleeve I was required to only take a multivitamin and a Vit D/K. My pre surgical blood work and subsequent 3 monthly tests (actually I was having more as my GP was monitoring them too) showed I wasn’t lacking in anything. At around 8 months my surgeon okayed going off the vitamins. The regular blood tests did eventually historically show I had a drop in vitamin D in winter (when I hibenate and bundle up). Consequently I take a Vit D/K (as a mouth spray) in winter. My gall was removed two years post sleeve and I now have issues absorbing protein and certain medications. Yes supplements are expensive especially if you are taking a lot & taking them long term. Finding a balance between economies and quality can be a challenge. I do recommend looking for a reputable brand (ask for referrals from your doctor, dietician, pharmacist or people here like Alex Brecher) as it is an industry in which quality and standards are not defined nor monitored like with prescribed medications.

Just had the SADI 1 week ago today and I could not be happier with my choice!

Chewing for 22 times or 22 seconds is fine. But then wait at least that long between swallowing and taking the next bite. That's how you make your meal last 20-30 minutes. Very small bites, lots of chewing, and pausing between bites to let your fullness signals have a chance to catch up. It's hard to explain how small your bites will need to be after surgery to remain comfortable and not make yourself sick early on. After surgery, I bought a set of cocktail forks and demitasse spoons. They are tiny, like something you would use for a doll. For the first three months, I ate with those. My bites were the size of a pea. Picture your golf ball size meal. Mentally cut it into 20 pieces. Or literally get yourself a 3 oz meatball and actually divide it into 20 pieces. Right now, you don't have any restriction, so it will feel crazy to do this, but after surgery, you can consume one piece per minute and you will most likely feel great. Faster and you risk feeling bad, at least for the first many months. I just made the mistake of eating about 1/2 cup of raw baby carrots too quickly because I was distracted by work, and I am filled with regret. And belly pain. I feel like I've gorged myself on Thanksgiving turkey and all the trimmings and gotten it stuck halfway down my throat. I now get to reflect for the next few hours about why that was a bad idea to not slow down. It's a learning process, even well after surgery.

In dmv Kaiser has various phases post op for sleeve - they allow coffee & carbonated drinks 6 weeks post op for example protein is always prioritized but how is left to the patient

I’m really frustrated and need some help. My dietitian was sick this week when we were supposed to have our appt (not frustrated at her, people get sick). What I’m frustrated about is that my appt was on Tuesday and Wednesday was my 5 week out mark, so we were already pretty much a week behind. I want to start on soft foods and have tried a few, but I’m also nervous because usually the dietitian usually gives me a food plan and foods I should and should not eat. What did you guys start soft foods with so I can feel more confident trying a few more things until our next appt on next Tuesday? I have tried hard boiled eggs, lentil soup, and tuna/chicken from a can.