Search the Community

I didn't really get a chance to do this because my surgery date changed and I had to immediately start the pre-op diet. So the only thing I had was 2 slices of a really, really good pizza and a few wings. Oh, and a mixed drink! And that was it... I've found post op that I can still eat a lot of what I loved before with modifications. I can have pho, but without the rice noodles, the sweet little lady at our local shop makes it with veggies for me! I can have korean bbq (which is my favorite meal) but we order ala carte now instead of all-you-can-eat and have leftovers for days. I can have thai curries but I get them to go and put them on heart of palm noodles and have several meals of it. I can't have the carbs I used to have and some days I miss them, but not for too long. I do miss a pastry with my coffee, but I'm working on finding a few decent keto cookie recipes and I recently made keto banana nut chocolate chip muffins that were wicked good and scratched that itch... My partner loves to eat out so I've found a variety of ways to adapt what I get, how to optimize for things that will be good as leftovers, or how to get a smaller portion or leave off what I can't eat... Enjoy your katsu curry!! I do kind of miss that with a steaming bowl of rice... Mmmm...

I don’t tell a lot of people either. Just stick to the facts like many others: saw a dietician, did a lot of research, changed the way I ate & had my doctor’s support. If they ask what diet (still get asked occasionally) I say keto to kick start (was my pre surgery diet so true too) but then no diet just made changes that are good for me. I don’t tell them I exercised because I didn’t & anyone who knows me would know I was lying if I said I did. LOL! I agree with @GreenTealael. The quick turn about to redirect them to themselves or a new topic is a good tactic:

it really depends on what ur goals are... rapid weight loss? sustained weight loss? maintenance? muscle building? fat loss? carb reduction? fats loading? anyway...i used the following calculator to determine my optimal macros based on a modified keto diet (kinda like Atkins II, sorta). it worked for me until it didn't...the macros i was aiming to maintain was really not sustainable (for me) in the long run. im 5+years post op now and don't look at macros anymore (haven't done so since year 2)...now i just keep an eye on total calories (no matter how they are comprised). i've been able to maintain below goal weight this entire time just on maintaining a caloric limit alone....but thats just me...ymmv. but anyway, here is the calculator: https://www.ruled.me/keto-calculator/ good luck! ❤️

No there is no norm or standard plan for before or after surgery. Much like there is no standard for how you will recover, how much weight you’ll lose, what ‘fun’ side effects you’ll experience, etc. There’s just generalisations & averages. There will be similarities across plans & differences. Like in the pre surgery eating plan. Some don’t have any. Some do three shakes a day while others do two shakes & one meal. Me I had to do keto. Same with the post surgery stages. Differences can be around how long each stage is or even what foods you can or can’t have at each stage. For example potatoes are allowed on many plans but were a big no in my plan. I do know my surgeon adjusts his plan depending on the individual patient & their specific needs & situation. My friend who saw him was on the 2 shakes one meal plan. Her friend, also same surgeon was all shakes. Our ages, starting weight & general health were different. It’s why we say it’s always best to follow the plan you were given and if you are having difficulties to contact your team to see if & how you can tweak it to better suit you & your needs & experiences.

Hi I am 3 months out and I am experiencing hair loss, but honestly, even people that do Keto or Code Red where you basically only eat protein (btw hard on the kidneys) lose hair, so I think it's unavoidable. Things will get much easier once you can eat actual food (you'll learn by trial and error what works for you.)

Adding my info! 1. Pre op weight, BMI or measurements 249-250 lbs BMI of 44 2. Surgery type VSG in 2017 then RNY in 2019 3. Lowest post op weight, BMI or measurements and when it occurred 150lbs BMI 27 around 1 year post op 4. Maintenance weight, BMI or measurements and when it occurred 155 lbs BMI 27 around 18 months post op 5. Bounces (up or down) in weight, BMI or measurements and when they occurred I can bounce up and down 5-10 lbs depending on the season but my lowest was a 20 lb drop during an E.Coli infection 6. Methods used to maintain and what has/has not worked What works for me: Weighing daily/weekly, spot checking calories, low cal/keto substitutes, 90% disciplined eating and 10% debauchery. What does not work for me: gym membership as motivation, unsustainable diets and GLP-1 meds (as of now) 7. How your life has changed (losing vs maintaining perspective) During the losing phase I was very rigid almost never went off plan, now everything I want can be worked into my plan and I’m more relaxed. 8. Words of wisdom/cautionary tales/stories of beating the odds Cautionary tale: Don’t suffer in silence with reflux, push for answers and relief. Absolutely never compare yourself to anyone else. Don’t guilt spiral after a little weight gain, try to correct it as soon as you notice. A small gain is very likely in our population after reaching your absolute lowest weight. I remember when I first joined there was a some chatter about being absolutely perfect or you’ll gain it all back and it made me really anxious. Don’t be afraid to ask for help and other tools from your team. We are not quite the same as the never obese population so our bodies may play by different rules. Word of wisdom: Document your journey if you can. I don’t really remember what it was like to be in my obese body anymore, I only vaguely remember feeling bigger. Have other goals apart from losing weight. Once the newness of WLS wears off you may want to continue the momentum of achievement. If you want plastics (and there are no obstacles beside fear) definitely go for it. The recovery can be tough but it completed the journey for me and others I know.

I suppose I'm one of the few people after reading responses to the OP's post who haven't had their past food cravings or the food they love change. I still want pizza, phad Thai and Chinese food etc. No, grilled fish doesn't suddenly appeal to me anymore than it did before surgery, in no way is grilled fish comparable to fish and chips to me. I don't suddenly find a piece of fruit better than a brownie. There are times I'd kill for a roll or a sandwich with actual bread (not keto tree bark full grain bread) and yes I become resentful. I'm being totally honest, healthy alternatives don't taste as good (to me) and trying to change food I love/loved to a "healthier" version just isn't the same and doesn't taste anything close leading me to; 1. A waste of time and energy and cost, cooking/cleaning afterwards 2. Total disappointment and yes anger. I explain this because I found myself becoming upset because I wasn't and haven't experienced the sudden love of healthier food like others here on this forum leading me to be upset with myself. So, I'm being honest about my personal experience. There are some alternatives I have found such as Yasso "ice cream" bars and Wilde chicken chips, but that's about it. Unfortunately, I find myself just not eating opposed to stuffing yet another high protein non tasty food into my mouth. To combat this I stick to a few things I do like (you should know I've had food issues my whole life, in fact I almost died as a child because I'm an extremely picky eater - food texture issues). So, this is on me. I do get the required protein or close by drinking a fairlife protein drink. I say all this because the taste for healthier food doesn't happen for everyone and I don't want you thinking it most definitely will for you then if not wondering what's wrong with you!. I've only experienced dumping one time, but for the most part I can eat what I used too, the difference is I chose not too. Being thin to me is by far better than eating something I love and enjoy. Does it take a lot of joy out of my life? Yes, celebrations/holidays just aren't the same. I'm not trying to depress you, I'm sure you have enough of that as it is, but I am being realistic. You need to determine what your real priorities are; 15 mins of eating enjoyable food or 24/7 of being thinner and healthy? It all comes down to the mentality of it. Having your head straight on what you really want. I truly hope you're one of the lucky ones as all those who've responded thus far and you find healthier alternatives you like or you just don't like your old food loves, but be aware that might not happen and start getting it straight in your head now. Thinner/healthier/longer life/decreased co-morbidities vs. 15 minutes of food enjoyment and weight gain? Lastly, If I really want something I get it, take a few bites and physically walk away from it. I throw it away before I eat more or give it to my husband.. either way I get away from it. It all comes down to choices and what's really important to you. Good luck, you got this, you've haven't gone through all this just to throw away your opportunity for a healthier thinner life. It would be a tragedy for getting a few good tasty bites in. I really hope I haven't burst your bubble after reading others more positive your tastes will change posts, I wanted you to also read there are others who aren't that lucky but still do what's right for a healthier thinner life. Its all getting the mindset down and if all you read was just the your food tastes will change posts and that never happens you'll blame yourself like I did. I hope this helps you. Some may condemn me for my less than positive post, but I've always been a realistic no rainbows flying out my backside type and I would have appreciated both sides of it right after surgery so I knew all possibilities. Lastly, don't condemn yourself if you do cheat occasionally, just up step up and eat right next time!

Its quite normal to go off foods. I think its the Keto diet that changes the foods tastes. Two years on, I still am unable to stomach cooked salmon, mussels and lamb. Strangely enough, they were my most favourite foods pre surgery. It does get better once real foods are back on your menu, I promise. Just eat what you can now because this stage of having little appetite doesn't last for everyone. What you are doing is great

My doctor recommended 60 grams per day of protein, which seems low for my height. I probably need about 75 based on what I have read. It is all I can do to make it to 60. I feel like I am on a low fat keto diet, lol. Thank goodness for the vitamins! I still have not had any labs ordered so who knows. I received a packet from the dietitian recommending 5 small meals (1/4-1/2 cup each) each day. I have noticed that the recommendations differ vastly between different providers. I am supposed to be having regular appointments with my dietician but the appointments are always full so I have had no dietician contact post operatively. She doesn’t even respond to my emails (okay, she did once, two months after I asked a question). In some ways I am relieved that no one has noticed the weight loss, but at the same time I want it to be noticeable, too. I guess 229 looks as huge to the average observer as 289. I look forward to passing from an obese BMI into just an overweight BMI. For my height that will be at 205. Maybe it will be noticeable at that point. But you’re right, you tend to overlook changes on someone you see on a daily basis.

I am just starting Zepbound tomorrow! Ihave had a long journey. I was lapbanded in 2002. I lost 130lbs. In 2014, after not seeing any doctors for 5 years, I went to a local bariatric surgeon just for a checkup. He found my esophagus had expanded. My band was too tight and I was packing my esophagus..didn't even know..no pain. Immediately unfilled and gained 30lbs in a month..eating NOTHING! LIke almost! I was refilled after about 3-4 months and then developed an infection..and to cut to the chase..band was removed in 2018 and revised to sleeve. By then I was up 50lbs. Since then I gained another 50lbs..so the sleeve did nothing. Between covid, bad eating habits and menopause, I cannot get this weight off..I tried keto..lost a few lbs..tried intermittent fasting..lost a few more..but my body just won't move the weight down..so broke down last week and saw my new primary doctor and she prescrived Zepbound..well orginally Wegovy but that is harder to find and Costco had Zepbound. I will start this Saturday.

ChunkCat. I seen on another post where to listed out your daily food log and it was super helpful. I can’t find it now but i took a screenshot and I was just looking at it. I’m hoping my log will be somewhat similar. I am wondering about the keto muffins. You said homemade. Do you mean from a box or scratch. If scratch do you have a link to the recipe by chance?! Since my appt I have been eating lower carb and I am quickly recalling that if I don’t have carbs for a few days I don’t crave them nearly as strongly. I have since told two close friends, my husband and my aunt that apparently no i can’t have just one brownie or one slice of pizza or one piece of cake even if I have this surgery and I’m doing great and please try to remember not to tempt me because it’s hard enough on my own not to have it. I honestly think I’m addicted to carbs and I have to go cold Turkey to be able to do it. I mean I had a wrap the other day and that was okay because it was still low amount I think but if I have a lot. My body screams out for them again for several days afterwards. Maybe most of you know this or maybe I’m weird but I’m hoping that if people who love me understand this about me then maybe I will have better success this time around. Ooh and my point to telling you all that is that I would love to try your muffin recipe because I am basically doing low carb now. Lol

Would I be right in thinking your nutritionalist is recommending a keto like diet? They are big on no root vegetables & no corn, peas because of their naturally high sugar content. (Potatoes are often a no because they are considered a starch.) I regularly ate carrot & sugar snap peas. I threw frozen corn & peas into soups, mince dishes, some slow cooked dishes, omelettes, etc, I usually just microwave my vegetables with a splash of water & a dab of butter but also will stir fry & occasionally roast (especially cauliflower with a little hummus & zataar to serve). I love vegetables & enjoy them best simply with salt & pepper but don’t be afraid to try herbs & spices. The only vegetables I don’t eat is potato, sweet potato & pumpkin (they tend to sit heavily) except a very small piece (bite or two) with a roast dinner. My thoughts were & are vegetables are vegetables (except potato). They are highly nutritious (all those vitamins, minerals & fibre) so a valuable addition to our food choices. And the little we eat, especially in the first months will have minimal impact on your calorie intake & weight loss. I mean 1/4 cup peas is 30 calories if you can eat that much. Plus the ‘sweet’ vegetables are naturally sweet so they don’t count towards your sugar intake. Certainly didn’t affect my weight loss or maintenance. I say eat your vegetables, just watch portion size & what you serve or add to them. Like no honey glazed carrots, sour cream or cheese sauces at least for a while.

Apparently they called the first week of the pre surgery shake diet hell week at my surgeon’s office. There’s a lot of withdrawal symptoms associated with it (sugar, carbs, caffeine). Your cravings go crazy - you always want more the things you can’t have. Your emotions are all over the place which often makes you want to comfort yourself with food. On & on. Round & round. I was vey relieved I was placed on keto for the pre surgery diet. I had done the shake diet before. Two shakes & one small portion meal of steamed vegetables & plain cooked protein. Did it for 8 weeks & then again for 6 weeks a couple of years later as another diet I was trying. It ain’t easy even with one meal. Check with your dietician regarding swapping out a shake for a broth/soup. Some companies do offer them as well as shakes but they’re still going to be low calorie & go through you quickly being liquids. You’ve got this. You can do it.

Try an electrolyte powder in your water. It is common for the liquid diets to trigger "keto flu" from the lack of minerals and nutrients compared to a normal diet. I found a packet of electrolytes a day really helped keep my energy up and the muscle cramps and headaches at bay. Good luck! ❤️

Yes! Happy to share! It's this one: https://www.wholesomeyum.com/keto-banana-muffins-recipe/ I doubled the banana flavoring emulsion (I got mine from Amazon) and I added vanilla. None of the box mixes were low carb enough for me and I used to be a chef so I have a bias towards homemade things. 😂 I can empathize with the carb cravings. When I eat carbs I crave them intensely for days afterwards. There are a lot of people who make judgments about those of us who use artificial sweeteners, and though I prefer the real thing, I simply cannot have it. My body HATES carbs, it just doesn't know what to do with them and whether it's a piece of cake or a bagel, it will bloat me and I'll want 3 times as much the next meal. It is just not worth it. And now with the surgery and my designer insides, it isn't worth the gas and such either... The only exception I seem to be able to make is a small amount of very dark chocolate. I think the reason it doesn't cause the carb cravings is because my craving for the minerals in it is stronger. LOL And even with that I can't have it two days in a row without cravings kicking in stronger... I think it is perfectly reasonable to ask those close to you to support you with limitations around what they offer you. I asked the same thing of those close to me and they were happy to do so because it gave them a tangible way to help me with my goal. We don't gain weight in isolation. Food is a social thing. We ask our social circle for support around other goals like going to school or raising our children, we should be able to ask for support with this too. It increases our chances of success!! The head game will do you in every time. Having people close to you wise to that helps tremendously in my experience... As long as they don't turn into food police. 😂

Sorry if I'm repeating myself, I've lost track of which threads I've posted on. My doctor said to keep it under 10g total carbohydrates per serving, and target 50-60g total max per day. Not low enough to go into Keto, unless that's your intent, but low enough for the body to prioritize burning fat first. I know on days that I've blown past this, I'll feel more irritable a few hours later and I'll crave more bread and sugar for 2-3 days afterwards, so go lightly on it! Personally, I've had trouble with some artificial sugars causing cravings and irritability. Not everyone will have this intolerance, but pay close attention to any sugar alcohols or substitutes in ingredients and see which ones affect you. I've had luck tolerating monk fruit and stevia, but Sorbitol and Xylitol hit me as hard as normal sugar.

Were you given a diet & list of what you can & cannot drink/eat before & post surgery? If you didn’t ask for one. It’s really important to follow the plan you’re given. Surgeons can have different plans with different requirements. For example the pre surgery diet could be three protein shakes a day, or it might be 4 shakes a day. It could be two shakes & one meal of meat & vegetables (low fat, low carbs). Some even specify what brand of shakes to drink. I was on keto so lots of differences. Generally post surgery it’s protein shakes, bone broths, cream soups, consumes so protein, protein, protein. Some are allowed sugar free jello but again you should follow your surgeon’s plan. All the best.

I'm glad you are feeling better!! Learning to eat slow is definitely a challenge. I still catch myself sometimes. I get food bored too so I try to eat a variety of things. I don't usually weigh out my food, but I do portion it out/estimate the portion and log it to make sure my macros are on target. It is crucial for DS patients to get enough protein in and if you aren't tracking it you might not be getting enough. It'll eventually show in your labs, but once your protein level drops in labs it is a huge pain to get back up. So it is best to just track it... You don't have to be as exact as weighing, but a good estimation is worthwhile and will also teach you how to understand what correct bariatric portions are for you. My surgeon likes his patients to stay in ketosis for a while so I aim for 120 grams of protein, less than 50 total carbs (usually less than 40 total carbs for me to be safe), and I aim for about 100 grams of fat for good brain health. I don't eat at specific times. That's too much planning. LOL I drink a protein shake as soon as I wake up, then eat a meal about an hour later, and eat every 3 hours after that until I go to bed! I usually end up eating about 5 times a day. I ascribe to the "eat less more often" method and so does my surgeon. I discovered soon after surgery that I need to eat within 3 hours, anything past that and I start to feel exhausted and have no energy and get moody. I feel my best if I eat within 3 hours of my last meal throughout the day... Sometimes eating is a protein snack like a bag of protein chips and a few pickles. Sometimes eating is more meal-like like keto chicken tenders with steamed asparagus. But I always eat by that mark or I pay for it. I also pay for it if I don't get enough fluids in a day, so I watch that. Monitoring your food and water can feel triggering for some people due to past diet attempts. But it is important to reframe it as a caretaking behavior as much as possible, especially for DS patients because our dietary needs are so important to be on target with.

I have to eat every 2-3 hours and have since I was post op, so I eat 5-6 small meals a day. I prefer this because it keeps me from mindless snacking, provides a rhythm to my day, and allows me to get in a variety of flavors and textures. I'm only 3 months post op, there is no way I'd get my daily macros in with just 3 meals a day. My stomach doesn't have that capacity and if I go past 3 hours without eating my energy crashes, I feel light headed, nauseous, shaky, and irritable. Each person's body is different, but by necessity I ascribe to the "eat less more often" method and I'm not alone in that need. My target macros are 120 grams of protein, 100 grams of fat, 40 grams of total carbs, calories don't matter because I malabsorb a good percentage of fat and a moderate percentage of protein. 8:00 am Premier Protein Vanilla Shake 9:30 am 3 tablespoons hashbrowns, 4 cherry tomatoes, 1 1/2 scrambled eggs 12:00 Ratio Coconut Keto Yogurt and 2 tablespoons Diabetic Kitchen Granola 3:00 pm Espresso with 1/2 cup Fairlife Whole Milk, Quest Spicy Sweet Chili Protein Chips 6:00 pm 1 grilled chicken thigh, no skin, 3 tablespoons green beans 9:00 pm 14 Wasabi Soy Roasted Almonds, 1 Choxo Dark Chocolate Coconut Cup Total Macros: 116 grams of Protein, 40 total grams of carbs, 78 grams of fat, 1305 calories. This is pretty typical for me. I don't always eat the protein chips, I was just in a hurry and they are one of my go-to snacks when I can't have something perishable. Normally they'd be a protein and veggie.

PROGRESS UPDATE I had my gastric sleeve surgery on December 18th, 2023. I was nervous going into the procedure as I had never had any surgical procedures before, but it went relatively smooth. I was in a lot of pain while in recovery, to the point where the team had to push oxy and fentanyl simultaneously to help with the pain. Once the team was able to help me manage the pain I was in pretty good shape. It has certainly been an adjustment but it wasn't as daunting as I was expecting it to be. Its been about 2.5 months since the surgery and I've lost almost 60 pounds; I weighed in on at the hospital at 366 and yesterday weighed in at 308. My highest weight was 475lbs so all-in-all I've lost 167lbs utilizing diet, exercise and the sleeve. I found it fairly easy to comply with the post-op diet and have moved on to solid foods. I'm not hungry often but I make sure to eat at mealtimes to continue meeting my goals. I consume, on average, between 80g and 100g of protein a day and consume less than 900 calories a day. I don't consume very many carbs as a) they tend to contain more sugars and b) they tend to make me not feel very good. I do still have a bit of a sweet tooth but that has been easy to manage with the occasional chocolate chip. I've also completely kicked sugar and have switched to monk fruit sweetener with erythritol. I also dabble with keto recipes, mainly deserts as I find that some "entree" recipes contain way too much fat for my liking. My family, friends, and coworkers notice the weight loss more than I do. I'll see it a little bit here and there but not to the extent that others do. I still see myself as that 475lb guy that struggles with his weight and his health. I know that it isn't true, but that is still how I view myself. My clothes are fitting me much looser and I think I see some weight loss in my face and neck. I still have a lot of excess fat and tissue around my midsection and especially the "love handle" region. I definitely suffer from body dysmorphia as I only ever see the overweight me. My overall goal weight is 250lbs, which is only 58 pounds away which sounds crazy. That said, I would throw a party if I reach 225lbs as that is my "best case scenario" goal. I genuinely believe I will achieve both goals but there's always that part of me that doubts it. This has been the best decision I've ever made for my health and I wish I had made this choice earlier.

I don't know where my other post went - I swore I typed one up earlier. Oh well - Here we go again! So, I'm at 3 weeks out exactly today from my SADI (Sleeve + Intestinal shortening) surgery and I'm definitely starting to feel less pulling and pinching with movements. I'm beginning week two of my puree diet, and I feel like it's going pretty well. During the Protein shake / liquid post diet for two weeks I did deal with constipation. It's still leveling out, but as I eat more 'regular' food (Even as a puree) that seems to be lifting a bit. I did still take some milk of magnesia yesterday out of caution because I hadn't 'gone' in two days, and didn't want to worry about it worsening. I'd say the hardest part for me continues to be the 'No drinking 30 mins before/after meals' but I use the Baritastic app to set a timer. I also use the timer to make sure my 'meals' take at least 30 minutes. Want to make sure I don't rush and end up feeling poorly afterward. Things that have worked well for me during my puree stage include egg drop soup, chicken/tuna salad made with puree chicken or tuna, light mayo, and sometimes a bit of relish, and for added protein a boiled egg or two, with or without the yolks per preference. (Dill relish is healthier than sweet relish). I did allow myself 2-3 saltines with those, usually about 3.5 oz of the tuna or chicken salad makes me feel sated. Other recipes that have worked include the ricotta bake and unstuffed cabbage rolls, pureed low fat/0 sugar yogurt or cottage cheese with Genepro powder and cooked, strained strawberries or blueberries (I added a bit of 0% Milk to make it more of a smoothie), Riccotta pureed with either a bit of fruit or avocado, small serving of oatmeal pureed with fruit (test yourself with an ounce or two less than you normally eat for oatmeal because it sits heavy and often swells - add some zero or skim milk to make it thinner if needed. Other recipes include homemade no-noodle chicken soup of sorts with rotisserie chicken, chicken broth, and pureed carrots w/a little bit of onion powder or diced onion. I also made a homemade 'philly cheese steak' filling of sorts with some sautéed bell peppers and a bit of diced onion, some roast beef lunch meat, and cream cheese. Others speak highly of pureed refried beans with a bit of seasoning to taste more like taco meat, adding either a bit of mild salsa or a combination of onion powder and perhaps a bit of cumin. That's a personal choice, and definitely suggest going slow with your seasoning due to possible heartburn. You could add a bit of shredded low-fat/skim mozzarella or even low fat sour cream to round it out. Today I made 'chicken pot pie w/no crust' which was basically just cooked carrots and finely diced celery and onions with finely diced rotisserie chicken with a can each of 98% fat free cream of celery and 98% fat free cream of chicken. I haven't had any yet because I'm a little unsure about the celery, even cooked, but pureed and in a small serving I'm sure it would treat me fine. The Ricotta Bake I made was super simple and I know there are a lot of variations to the recipe online. I made my own marinara sauce by peeling about 5 smallish tomatoes, dicing them, and simmering them with a little less than equal parts water, Italian seasoning, and a bit of diced onion. The ricotta mixture was easy; just used 8oz ricotta cheese, 1 egg, 1/2 cup of grated parmesan (I used the shaker but fresh is better) and 1/4 cup shredded mozzarella cheese. I put a layer of half the mix on the bottom of a buttered baking dish, topped it with 1/2 lb cooked and seasoned ground beef, then put the rest of the mixture on top. Poured about 3/4 of the homemade marinara over it then covered the dish with aluminum foil and baked at 400 degrees for about 20 minutes. It's basically a no-noodle lasagna. The Unstuffed Cabbage Rolls I made were equally easy - I used a rotary grinder (Works SO well, bought on Amazon for around twenty bucks) to grate half a head of lettuce. Instead of canned diced tomatoes I once I again peeled about 5 small/medium tomatoes and diced them, adding to the skillet along with maybe 1/8 cup diced onion and another 1/2 lb of the ground beef. For seasoning the recipe I used just had me add a packet of Italian Dressing Seasoning mix. The family enjoyed it and after pureeing the ground beef a bit I found it fine to eat, although slowly and very well chewed (same with the ground beef in my ricotta bake). Both it and the Ricotta bake probably make about eight 1/3 cup servings with about 22g of Protein each. I want to respond more to folks - @Pepper_No_Salt I hate that you're dealing with so much nausea! I absolutely second talking to your care team about that. There are some nausea pills that dissolve under the tongue and work more quickly for me than the Zofran, they'd probably be willing to call you in some. Things that made me feel queasy were taking meds or vitamins before my meal had hit bottom, drinking too quickly, not walking around after I ate, and taking calcium and my multivitamin with iron too close to my Calcium. Not sure if any of that helps - I am also taking Prilosec for heartburn in the mornings and they had me add Magnesium Citrate at bedtime to help with constipation. Sometimes when I'm due to pass gas or have a bowel movement working its way through my system I'd start to feel a little icky and not really nauseous but more anxiety / feelings of fullness. I found that for whatever reason putting an ice pack on my chest or low back helped. I hope you find some relief! Oh, I also found that as soon as my thirty minutes post-meal is up it helps me to sip on REALLY cold water or Gatorade zero, especially if I do it while standing and moving around a little bit. I equate it to the need to get the burps out after eating, just like I had to do post-surgery. @ShoppGirl - Thanks for all of your support and input. I continue to read your posts and while I'm low energy on responding right now I hope the details of my recipe for the unstuffed cabbage bake is helpful! @draikaina8503 - Congratulations on your walk! I still wear out quickly even at three weeks out, but I knew the first month or two would be a slog and do feel my energy is rebounding. @Onemealplan - Sounds like you're doing great and I hope you enjoy the heck out of your vacation! I second what you said to @ShoppGirl about trying the crab, and hope the meals you do get to taste on vacation treat you well. I think her advice to just explain you're recovery from stomach surgery should more than reassure any staff concerned about your small portions. @AndreaJD I'm so glad your sister has been supportive! My 'chosen' brother and best friend has likewise done the same. He's been on a Keto journey for about two years with great results and I worried at first that he would think I was taking the 'easy way out' and now that he's heard more he's been great in reassuring me that he does NOT think that is the case at all, and in fact believes I chose a great option for myself that moves things along quicker but certainly with a lot of sacrifice and hard work. I also completely agree with you on the 'mind hunger' vs 'body hunger'. I'm lucky that I do feel a bit of pressure in my chest that I now identify as a feeling of 'fullness' as opposed to anxiety and I'm less worried about my protein goals now that I have the Genepro protein powder. I love that it isn't gritty when I mix it in with things as long as I mix it with something room temperature FIRST. That's on the instructions, actually, as is the fact that for your macros to count it as like 30-ish grams of protein per scoop rather than the 'weight' listed in Nutrition facts of 11g/scoop. Just wanted to make sur eI mentioned that! Oh - in regards to weighing - I get on the scale every day or so to kind of 'reinforce' what I'm doing, but remember that sometimes you see more from your measuring tape at the waist, hips, etc than the scale will show. Also head's up, a lot of folks plateau for a handful of days around week three and it will happen on and off moving forward, so don't be discouraged by that! @RRenaeL23 - I hope these recipes and suggestions for your puree diet work well! I'm still finding myself comfortable eating no more than about 3-4 oz at a meal, and certainly am following the no drinking 30 mins before/after meals. It's absolutely easier for me to do if I make sure my meal is on the moist side, even if it means adding a little extra water. It's better to add protein powder (Can't speak highly enough of the unflavored Genepro) to hit your protein goal than to overeat to make it, that's for sure! I'm always eager for my 30 minutes to be up so I can sip on icy cold water or Gatorade Zero. @Meme Campbell - Best of luck to you on your surgery tomorrow! Don't hesitate to ask for ice packs and pain relief and take advantage of the pain relief to get some walking in, especially the first couple of days. The pain lessons as you walk because it works the gas out. I also strongly suggest sipping your shakes / water / propel sitting as upright as is possible and not laying back until about ten minutes has passed or you've burped a few times! Keep us updated! Most of us in this thread have already had our surgeries but if you read through the first 3-7 pages you'll get a pretty good idea of what to expect if you don't already feel prepared. It's a bit of a process but the pain WILL start to lessen in the coming weeks! Don't be surprised when you get tired super quickly and be gentle on your body. Across the board surgeons seem to agree that your #1 priority fresh out of surgery will be walking as tolerated, focusing on your hydration, and getting as much protein as you comfortably can. Don't let yourself go more than three days without a bowel movement - Milk of Magnesia works wonders for that. I let myself go 5 days post surgery and that was a somewhat painful and unpleasant process to reverse. Colace makes your bowel movements 'smoother' but is NOT a laxative. If you deal with heartburn talk to your team - they put me on Prilosec for now. We're rooting for you! Sorry for anyone I missed; not sure what happened to my other post. Wishing you all the best in surgeries and recoveries!

On Black Friday, I bought a Ninja Creami for my family. The Creami allows you to make your own ice cream pints. You make your liquid mix, place in it one of their plastic pints and freeze it for at least 24 hours. You put the pint in the machine, spin it for a few cycles and you get ice cream. Here is why it is great for bariatric patients: you can make delicious, high protein, low sugar ice cream. Not an exaggeration. For my first ice cream, I mixed a 16 oz Premier Protein 30g chocolate shake, a packet of Chocolate Toffee keto chow, 1 tsp of MCT oil and 4 tbs of 2% milk. I had to put that mixture into a blender to get it all mixed because it was pretty thick. But then I poured it into a plastic pint and froze it. When it was done, it tasted just like a creamy chocolate ice cream and had the following nutritional profile (per MyFitnessPal) 356 calories 9.2g of fat 5.5g of net carbs 4.4g of sugar 57.7g of protein 109% of my calcium 34% of my iron 2,135mg of potassium 27.5% of Vitamin A 26% of Vitamin C (By way of comparison, a pint of Blue Bell vanilla has 640 calories, 32g of fat, 68g of sugar and 16g of protein). The Creami is not cheap (Normally $170, bought it for $125 on Black Friday). But if you can afford it and you like ice cream, I highly recommend it. You can use protein shakes, protein powders, Greek yogurt and a ton of other bariatric-friendly ingredients to make something that tastes like ice cream that you can eat guilt free.

I only had to do 2 weeks of keto - I had mine in Mexico. My insurance denied me. They required BMI and THREE co-morbs 😩

That does sound like the basis for the diet I'm on. They told me to work on getting 64oz of water per day as top priority, then around 60-80g of protein next. Next it was to prioritize some unsaturated fats (fish, poultry, and lower carb veggie protein options). From there, they told me to keep carbs under 10g per serving, and under 55g total for the day (not quite as low as keto). Then try to keep saturated fats low where possible. I'm a 6'1" male, so they had me try to target 800-1000 calories per day during the weight loss phase, and work toward 1200 after about 6 months. You may want to check with your doctor or nutritionist to see if they have a recommended range to target. I learned the hard way while I was sick with Covid over the holidays that its really easy for excess calories to be hiding in small things. But overall, just keep up with what you are doing. There will be a stall within the first couple months, and a second stall a couple months after that, so just mentally prepare for it. Both will last 2-4 weeks and will likely have a slight regain in the middle of it. It doesn't take much fluid retention to make the number on the scale go back up. Remember that a 16oz bottle of water is literally 1lb. It's not fat, so it doesn't count. if you're drinking a half gallon / 2L of water a day, that's 4 lbs sitting there, but it doesn't count as "fat weight". It is jarring to see a 4lb fluctuation on the scale, but you're not losing progress, it's just water that your body isn't done processing yet. Think of the weight loss more like stair steps rather than a straight line. You can push through it!

The Week 3 stall is real! I stalled and gained 6lbs back between weeks 3 and 5, and just now lost it back in the last week. I've had several people tell me weeks 3-6 will generally have a stall and a slight regain due to your body panicking over the rapid weight loss, and readjusting its baseline, so it is part of the process. I've also been told a second stall/regain will occur around the 3-month mark, and last up to 4 weeks, so prepare yourself for that. I'm bracing for that coming up soon. Keep in mind the weight loss won't be like a straight line, more like stair steps with the occasional bump back up before dropping again. Just stick to the diet, and switch to weighting weekly to prevent obsessing over it (like I did haha). Also, several months from now, as you approach your goal weight, remember that gaining muscle through exercise will make the number on the scale go up, but that's a good thing. Muscle weights 1.5x as much as fat, so as you gain it, you will continue burning off fat, which is the "bad weight". About 1 year out, you won't worry as much about the scale, and will celebrate the wins in smaller clothing sizes, more energy, and better endurance/stamina! Regarding the caloric intake, my surgeon and team recommended I keep aiming for 800-1000 calories per day, but I am a 6'1" male, so my base caloric rate may be higher than yours. I would check back with your doctor or nutritionist to be sure, but I think 1200 is closer to the target after 1 year. Also prioritize water and protein first, followed by unsaturated fats, then try for any carbs/sweets/starches/breads and saturated fats last. My plan has me targeting less than 50g of carbohydrates per day, not low enough for keto, but enough to keep the sugar cravings and fat retention down. You may need to check your macros as well. Best of luck to you on your journey!