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Generally surgeons will tell you to hold off on alcohol consumption for 6months to a year. I'm 10 months post op and haven't touched alcohol since long before my surgery (haven't had alcohol in about two years).

This thread has been really helpful. Last week I was given the green light to have surgery on 4th January. It was my first visit to the surgeon! I have one week of the liquid and steamed veg right over the Christmas and New Year period which doesn't really bother me. Last December I gave up alcohol, if I can do that I can do anything! Last night at my husbands Christmas party I met a lady who had the gastrectomy in May this year. She gave me some good advice on the liquid pre op period. The Optifast puddings keep you satisfied longer and it was recommended by her bariatric dietician. That and Powerade Zero (we are in Australia so not sure what the US equivalent is).

I definitely reduced my alcohol intake during weight loss phase (maybe 5 or so the entire time, and not even full servings).

Hi All, Im new to the group, I have my surgery planned for the 12th jan 2021. So excited but nervous! Anyone who has had the op have you all given up alcohol?

SMOKING: I started smoking again on vacation last sept after being smoke free for 11 YEARS. I said it would just be on vacation, which led to just finish this pack I brought home with me, to just while its warm outside, to basically smoking as if I never stopped all these years. Slippery slope indeed. I made 2-3 attempts to quit during the past year+ but if I'm honest, I haven't tried so very hard. Am still smoking. DRINKING: On paper, apparently I am an "excessive drinker" now. I was a "social drinker" pre-wls, maybe 3-4 drinks a MONTH, max. This slowing started increasing since last summer, to where I was drinking maybe 2-3 drinks a WEEK by Christmas. Always when I was out, or at a party. Now (especially since pandemic started) I drink pretty much everyday, and at home. According to literature, "excessive drinking" in women is when 7 or more drinks are consumed in a week. Yep, that's me. On paper, based on what I've been reading, I just barely fit the criteria of being a High Functioning Alcoholic. Barely, but I do fit. Am still drinking. OBSESSION PREOCCUPATION with food: This one I don't consider to be too damaging, but it is a little eyebrow-raising. I think about food probably 1/2 of my waking hours. The things I find I spend ALOT of time on and/or get actual pleasure from: spending time looking at food pics, organizing the pics and Urls based on interest, planning and shopping for meals, cooking/baking, plating food, taking pics of the finished product, watching people eat it, smelling it, reading an ENTIRE menu to the last detail often multiple times, ordering off said menu, having Food Network on TV as my background noise. Actually EATING the food is very low on the enjoyment priority scale. Sure I'll eat/taste something if I deem it "worthy", but more often than not, I'd rather do any number of the former things instead. Am still preoccupied with food.

OK, trying to be honest AND hold myself accountable... First Thanksgiving post WLS- I feel like a WLS Pilgrim! So I started the weekend with a 52lb loss since surgery ... YAY! And then.... yeah... then... I gave myself "permission" to indulge - OOOOPS - That was a slippery slope. Now it's Saturday morning and thankfully (it works for me..), I'm a slave to the scale. Up 3.3 lbs in just two days of indulging. I kept telling myself that I wasn't eating and drinking too much (because lets be real.. we CAN'T eat much at one sitting - but we can damn sure graze..) so I ignored the obvious - I WAS EATING AND DRINKING TOO MUCH. Some harsh realities morning: 1. I'm just NOT good at moderation (hence the reason I NEEDED this surgery). 2. I need to learn to give myself "permission" to succeed rather than to FAIL. 3. Holidays will always be food focused at my house (I'm the cook), but I need to find better options for me. 4. Once the meal is over, the food needs to be put away to avoid grazing (but damn was that ham and cheese slider yummy!)... 5. Alcohol - I've just got to say "NO" - Socializing with family on holidays all day around my house generally involves lots of wine and laughter - I need to find a better substitute than Gatorade Zero because somehow it just isn't the same (suggestions welcome!). All in all - I wouldn't trade the time with family for anything. I enjoyed cooking, drinking, laughing, and eating BUT I need to find a way to do that AND keep on track during this journey. Beating myself up a little, but unlike previous WL attempts, I'm determined to make this a success and I'm back to basics now. I hope everyone had a fantastic holiday!

This. Abstinence doesn't work for everyone. Neither does moderation. One simply has to try and find out. Depending on what you've been exposed to more mentally by your treatment team and/or fellow patients either IRL or on the web (i. e. either the abstinence or the moderation approach) you might have to muster up a big amount courage and take a leap of faith. I've seen countless people taking the moderation route who've failed during the years, doesn't matter if we're talking about eating, smoking, drinking, shopping etc. However, I've also seen countless people who swore off the bad foods or the alcohol, the cigarettes etc. and I've seen many of them relapsing hard. The approach has to fit the person. Trying the same thing over and over again is ludicrous.

I stay away from processed foods, period. The nutritional value is not great, and after a while, you really don't even want that stuff. The longer you eat healthier foods, the more your body craves healthy food, and the processed stuff just doesn't have the same appeal. Realize that processed foods are engineered to keep you coming back. They often appeal to our genetically programed survival taste preferences for sweet, salty, and fat. Food manufacturers know how to manipulate these to get your brain to release dopamine as a pleasure sensation. The release of dopamine and serotonin is the key to addiction to anything, and processed food plays to this. WLS is such a gift. We owe it to ourselves to make every bite as nutritionally dense as possible and to train our brains away from unhealthy choices. You can actually get a release of pleasure chemicals by making a choice for a healthy snack instead of a junkier one - once you train your brain to be happy with a delectable piece of fruit rather than a processed quick fix. I admit that I am always a little worried for folks who ask about going back to unhealthy choices for fear of feeling deprived. This seems like a bit of compromising justification, and is what got us in trouble in the first place. An alcoholic is destined for relapse if they think they can go back to drinking in moderation. Sobriety cannot be compromised. A food addict is playing with fire if they think they can eat addictive foods in moderation. Why even mess around with that? Why not retrain your brain to love the good stuff instead? WLS gives us the tool, but we have to relearn how to eat and how to be happy about healthy food. Personally, I made the decision that I AM NEVER GOING BACK. I am NOT going to regain after all this hard work, and I am NOT going back to the unhealthy eating habits that made me obese. For me, that means I am NOT going back to processed foods in any way, shape, or form. It's just not worth it. A beautiful honey crisp apple is so much better than a bag or bar.

In my honest opinion, if you're worried about drinking right now, you're setting yourself up for failure. Drinking alcohol is limited. And Drinking carbonated is basically forbidden. Beer inflames you. Maybe stay thinking about what light beers are out there. I gave up driving socially for 2 years because I needed to focus on losing weight. Now, I rarely even crave a glass of wine. Just my opinion. Focus on what your real goal is. Sent from my SM-N986U using BariatricPal mobile app

Erm, I think some surgeons say carbonated drinks is a no no, so it depends. I imagine when you've reached eating normal textures then you can try. Alcohol has to be limited in quantity though.

So, as I travel this road of research heading into this decision, I find myself very concerned about privacy. I’ve been adding up the pros and cons of using a local hospital versus an out of town one strictly in the name of privacy. I know a lot of folks in my local medical community, and I feel it will be nearly impossible to keep this quiet if I do it locally. And really, it probably would not take much for it to leak if I go to an out of town hospital. One piece of paper crossing the wrong reception desk and my “secret” would be out. It is frustrating to keep waffling back and forth. On one hand, I don’t want to hear judgmental comments before or after, or unwanted advice. On the other hand... am I really going to go through all of this and a big transformation and deny the fact that I got some medical intervention as support? Really, where is the shame in it, anyway? I figure, if I encounter anyone who judges my decision or brings negativity to me, I will show the them the exit door out of my life and enjoy my new health with people that matter. Wondering what others thoughts are on privacy. The stigma with weight loss services is frustrating. No one ridicules smokers for using medicine to help them quit. Or alcoholics who go into intense rehab.

Not in any particular order: Ice water Hot water (with or without lemon) Black coffee, black tea, carbonated water (i.e, Perrier) w/ or w/o zero-cal "water enhancers" (i.e., liquid, stevia-sweetened citrus flavourings), lemon/lime wedges, cucumber slices broth alcohol: mostly vodka or gin with low-sugar (if any) mixers, or dry red wine. **Note** I am 2+ years post op and very rarely drank alcohol during weight loss phase...now however, is a different story... I don't drink pop/soda, beer, milk nor juice if I can help it.

Hi please bare with me I’ll try to explain my best! so I have Medicare as my primary insurance and state medicaid as my secondary insurance. Typically I don’t get a bill bc the state insurance picks up what Medicare doesn’t pay. Well my surgery is approved by Medicare but the Medicaid is saying they won’t approve it bc they require 1 year free from alcohol/ drugs as I use marijuana for pain management that violates there rules. Typically I follow Medicares rules as they are the primary n the medicaid They would cover the part A Deductible and the leftover copayment 20% etc. I feel like the medicaid denial is based on if they were they primary which they are not. So I basically have no idea of I’ll have a huge bill or not. has anyone been through something similar?

start tracking your intake, increasing water intake, eliminating caffeine, sweets and alcohol, start meal prep research and invest in any needed tools, try a variety of protein shakes and powders, research recipes and phases....the more you do to prepare the easier the transition will be after surgery. I personally invested in glass meal prep containers, measuring cups, shaker bottle, personal blender, 1/4-1/2 c storage containers. I also had a variety of premade shakes available, protein broths and soups, hot chocolate and chai tea (from BP store), and a vanilla, chocolate and unflavored protein powder for adding to food to supplement protein. Also, get in the routine of being active everyday if you are not already. Hope this helps and good luck!

"Schnitzel" sandwich. Had a little glass of white wine before. First alcohol since our last vacation in September. Meh, it hit strong, lol. Yes, my 24 h shift was hell...

Being prepared by doing lots of research is a good move. If you haven’t yet, look at your current diet & start making small changes. You could cut back on your portion sizes, reduce your caffeine, alcohol & sugar intake or reduce how many carbs you’re eating. Look for healthier food choices & cooking methods. Add some exercise into your daily routine if you don’t now. Introducing some of these changes will make it easier in the long term. You could start thinking about why you’re eating - habit, boredom, emotions or actual real hunger. What do you crave - sugar, salt/savoury, caffeine, carbs, ... This is part of the head work we all have to do. Start making new habits now. Even if your approval is delayed, the changes will be of benefit to you. Good luck. I hope you hear positive news soon.

Hi all, I'm about a month and a half from my bypass surgery and I'm struggling to be good on my food. My partner is an alcoholic and decided to go off his mental health meds a couple weeks ago without consulting his therapist or me. I've managed to get him to start them again a couple days ago, but it's been rough. Additionally, my special needs 6 year old has been home from his special needs "school"/ therapy center over insurance issues that won't resolve until at least the 30th. His being out of school coincided with my partner starting a new job, so suddenly he's not home with us and my son has been acting out a bit. To top it all off, my chronic pain has been flaring up and I have no medication to treat it. I use heating pads etc. but it's debilitating. My PC thinks it's fibromyalgia and I've been referred to a pain specialist but they won't be calling me to schedule for another 2 weeks. Meanwhile I can barely get out of bed and when I do it's excruciating. So my question is: what do you do for stress relief that doesn't involve exercise or alone time? I have a therapist I talk to once a week and I'm on mental health medication already.

I’m brand new to the game but I’ve been having some thoughts about my long term plans around some foods. For me this whole process has really made me look at the way I treat food and how I act around certain foods. I have parents with alcohol addiction, but I never made the connection between that and my chronic overeating until recently. I have addictive tendencies, and there are certain things that will cause me to spiral out of control. Long term, I’m not sure I can ever reintroduce candy. I binge on candy like nothing else on this planet. Chips and crackers, I have a lesser but real problem with. Does this mean I will never eat anything sweet or salty ever again? Doubtful. But I’m not sure I can ever bring home a bag of gummy bears or sit in bed with a bag of salt and vinegar potato chips again, nor do I need to. This wasn’t bringing me the happiness I thought it was.

And I forgot to say...read anything you think will help! The Favorite Grocery Products thread is amazing and Food Before and After will give you great ideas on what to eat and how much people are eating. I have started shopping at Trader Joe's and Aldi looking for the best products I can get (for the cheapest price). I have a board on Pinterest for Low Carb Meals and Gastric Sleeve ideas. Most people on here are so kind and want to help! But the search functions is your friend! Stalls, Headaches, Coffee, Alcohol...whatever you want to know...I have typed in my surgeon's name so many times!

I can actually get down on the floor now and GET UP BY MYSELF! This is still quite amazing to me. There is a ton of information about WFPB eating online. Go to You Tube and watch "The Game Changers" and "Forks over Knives." That will give you a good idea. Basically it is WHOLE, unprocessed food. That means food as close to its natural state as possible. Whole grains, not refined grains, for example. No processed sugars, no animal products (that includes dairy and eggs), no processed oils (you use avocados, nuts and seeds and nut butters instead.) LOTS and LOTS of veggies and fruit, plenty of starchy veggies, lots of legumes, whole grains, nuts and seeds, no alcohol, no soda or artificial colors/flavors/chemicals, decreased salt. Many WFPB folks also avoid gluten (wheat, rye, barley) and I am highly sensitive to it, so have already avoided that for years. I get more than enough protein, tons of fibers and phytonutrients, eat all I want, am never hungry, have tons of energy, and am NEVER sore after workouts. Amazingly, my cholesterol always hovered around 225-235, even after losing over 100 pounds. Once I went WFPB, my cholesterol dropped like a rock to 152 (80 points!!!). My triglycerides and LDL also plummeted. Even with the low total cholesterol, my HDL went up to 80. For me, it is a lifestyle that I will maintain for life. It is change, for sure, but not actually hard to do. Most of my family is making the switch as well. You don't have to go 100%, either. When you look at the areas of the world (the blue zones) where people live to be over 100 and have virtually no cardiac disease, osteoporosis, dementia, cancer, or diabetes, these are all plant based societies. Does this mean they won't eat some fish or cassowary eggs if they find them? No. But animal protein is the exception or reserved for celebrations. They don't eat meat 3 times a day like most of the western world does. I will occasionally eat an egg (my own backyard chickens) or a little wild game meat. (The more I learn about commercially raised cattle, hogs, chickens, turkeys and dairy cows, the more I cannot bring myself to eat these products.) So there you go - probably more info than you wanted. I started this about 6 months after my surgery as I learned about it and once I was able to eat the volume that is required. I had to rely a bit more on the grains and nuts to keep my calories up so I wouldn't keep losing weight. I used pea protein powder as needed to keep my protein up. I don't need that now, with the increased legumes, tofu, tempeh, and soy/oat milk and yogurt. Now I eat a lot more of the veggies and legumes, and control my weight very easily with decreasing/increasing the grains and nuts. I did gain 8 pounds of COVID weight, but have lost all of it and some extra, just by cutting back a bit on the nuts and grains. It really couldn't be easier!

Most plans advise against the use of alcohol after surgery. It's empty calories, irritates new stomach, may cause dumping syndrome. According to the instruction book I received for surgery: ----------------------------------------- Thinking about resuming your old lifestyle??? If you decide to return to pre-op behaviors of smoking cigarettes and/or drinking alcohol, you are at risk for creating bleeding ulcers - which may have to be treated by surgical intervention. ------------------------------------------ In general, I found exercise (walking) to be the best tool for relieving pain right after surgery. When you go to bed at night, I found a pillow between your legs to be helpful, especially after some of the weight comes off and it feels like your leg bone rubbing against your leg bone. The incision points can take awhile to heal. I had several small ones but the big one where most of the surgery takes place took a year to disappear.

I agree with the advice you can generally eat what you’d like once you’ve well established your maintenance. However, there are a few things you have to remember: portion control, frequency, what your system will tolerate & your danger foods. At 18months, I don’t have rice, pasta & bread. I avoid sweets (desserts, cakes, biscuits, ice cream, cream, etc.) 99.9% of the time. I don’t add sugar or artificial sweeteners to anything. I’ve reduced alcohol to probably once a month. No fast food but have had Asian takeaway three times when with friends. I call it my reduce, restrict, avoid plan. It allows me to have a little of certain foods (the odd treat) limit other foods & avoid the foods which would equate to weight gain for me or fill up my tummy too quickly. I switch up foods to healthier choices & use healthier cooking methods. As some random examples: I make chia pudding (milk, milk powder, vanilla extract & chia seeds) if I want a dessert. I use an air fryer for a crispy finish instead of frying, use non stick pans & spray olive oil. When I had the takeaway I chose either chicken & cashews (braised) or steamed pork & prawn gyoza (ate the filling only). I just don’t buy certain foods - if they’re not in my house I can’t eat them. I also deleted the home delivery apps off my phone - lol. I take my lunch to work so I’m not hitting up the food courts. It’s not easy and I work at it every day. I just hope one day I will have ‘rewired my brain’ as @AZhiker mentioned & it will be a little easier. I just don’t want to be overweight again. But in reality, it all comes down to finding what works for you. Good luck.

Oh my. I have a clotting disorder as well and I'm on Lovenox for life since I've had clots while taking Coumadin and Xarelto. It sounds like you have developed an allergy to Lovenox itself or one of its components. Unless it could be something else, like the alcohol wipe you're using to clean the skin before you inject? In any case, not to scare you, but that's something you need to get checked out right away. An allergy can progress from giving you a rash to putting you into anaphylaxis. Not saying that's going to happen but it's a possibility. Hope you are able to get that figured out quickly! Lovenox bruises are bad enough, no one needs hives or welts on top of them!

Hi everyone, I'm 11 weeks out (this Wednesday) and still having discomfort when eating or drinking anything. The discomfort ranges from mild to moderate and sometimes, severe. It's never really "painful", just feels like I have to burp REALLY bad, even though I feel like I'm constantly burping the second I put food in my mouth, followed almost always by a stomachache within a half hour or so. My gut is always making a TON of noise too! I also feel like I'm getting conflicting info from my surgeon and his team (PA, nurse, dietician, etc.). I had a telemed visit with my surgeon about two weeks ago. He's the most laidback and easy-going of the bunch. He encouraged me to eat anything and everything I want (within reason & making healthy choices), but to be prepared for unexpected reactions. He basically said I have to "live and learn" what I can now tolerate. Of course, he also stressed small, slow-paced, well-chewed bites & portions. I even mentioned that I had a couple sips of a margarita a few weeks ago and his response was a laugh and "I bet that tasted good!" - not the scolding I expected. (BTW, that is the ONLY alcohol I've had since surgery.) I told him about the severe burping and stomachaches and he said that it will pass, but could take up to a year to totally go away. He wasn't the least bit concerned about it. For whatever reason, his PA followed up with me the next day (not sure why, as I had just talked to him) and she was way more strict, almost condescending, telling me NO pasta, NO bread, NO rice, NO sugar, NO crackers, etc. The surgeon himself said I could have those things in moderation if they agree with me and as long as I'm continuing to lose weight. I'm still eating super healthy, getting my protein and fluids in for the most part (it's hard when I know it will make me uncomfortable) and I'm still losing weight (down 31.5# since DOS, and that includes a 3-week stall). I guess I'm confused as to who to listen to - not to mention surprised that people on the same team have such conflicting guidance. Thoughts?

Hey there WLS family, Back in 2017 I had a sleeve done and then a roux-n-y conversion due to severe acid I was dealing with due to the sleeve. Since then I’ve dealt with ulcers every single year since. No matter the medications I’m on they always come back and they have left me in the hospital from just a couple of weeks to even 3-4 months on feeding tubes, and hydromorphone for the pain. Last year was probably the scariest of all the years as my ulcer began bleeding and left me have to get a transfusion only a week after being discharged and told I didn’t have any more ulcers. Due to these ulcers, I’ve been on long term disability now for two years. I’ve been sober for almost two years, which includes no coffee as well just in case as they said alcohol and foods and drinks that are acidic can make matters worse. Alas nothing has helped. The bariatric doctors I have here in Canada remind me constantly that they are the best in Canada and that there’s not a single thing they can do and I’ll just have to live like this, for the rest of my life. The nurses constantly remind me that this isn't new and the amount of people that have complications is actually pretty high (at least in our area) and that they hate seeing people come in and be dismissed. Being only 27 it scares the **** out of me, the idea of being in pain and on a daily dose of ppis (prevacid), hydromorphone (dilaudid), and sulcralfate. I’ve always wanted to have children and carry one and now I feel like I’ll never be well enough to carry my own child. I’m writing this because something in me says maybe someone has dealt with these issues, maybe your doctors came up with a better plan that allows you to live a more fulfilling life. Maybe you’re on medications that are actually helping. After begging these doctors to send me for a second opinion as they told me there’s nothing they can do to help me, it ended up taking the second opinion doctor four months to get back to me. That phone call he made sure to remind me I already saw the best of the best, and that I shouldn’t expect him to find anything or this situation with him to be the panacea. All his words. I broke down on the phone call not expecting a doctor to tell me that since I already saw those doctors, who have missed things in the past, that he will likely be of no help to me whatsoever. It’s left me depressed and defeated. If you’re someone who has dealt with this in the severe case I have and you’re doing much better or you’ve been given drugs that actually work, had procedures that actually worked, anything, please reply on this or send me a personal message. I can’t live like this anymore. No one deserves to live like this and I won’t take their “‘there’s nothing more we can do for you” as the be all end all. By no means to scare anyone but complications do happen and they should also be considered upon choosing wls.