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My dietician only gave me protein and carb guidelines. She told.me not to worry about calories. She has me at 100 grams of protein and 59 grams of carbs per day. I also workout everyday. Even if its as simple as walking. So I always go over the guidelines But it's not enough to say im over doing it. 100-130 is where I normally stay 50-65 carbs. Depending on what food I eat the calories range from.1200-1400. Again, calories aren't the important issue. Getting your protein and carb goals in is what you need. Along with staying hydrated. I'm 3 1/2 months post op.

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I’m a believer in slowly incorporating better eating habits & food choices back into your day. Aim to work towards how & what you were eating in those first few years after your surgery. To begin may be start tracking your food to see what may need to be adjusted. Then work on hitting those protein & fluid goals & portion sizes. After a couple of weeks change something else like reducing your snacks or change up a cooking style. Work through what ‘rules’ you have become complacent about making a change or two every couple of weeks. Making changes this way is much easier to adopt and adapt to.Also don’t think of them as ‘rules’. That sounds restrictive, inflexible and limiting. How you eat should complement your lifestyle, be sustainable & flexible. Maybe get in touch with a therapist to talk through what may be happening that may be influencing some of your food choices & habits. Maybe get in touch with a dietician too just to check your on the right track again. All the best.

Not everyone is given calorie goals. I wasn’t. There are some discussions about calories & a push to concentrate more on the quality of food you are eating. 500 calories is 500 calories regardless of wherever it’s a meal of steamed fish & vegetables or a burger & fries. However the nutrient difference is significant. However, if you would feel more comfortable with some caloric guidelines for as you progress, you have every right to ask for them. Beware though you may not be able to meet the caloric goals for a while & that’s okay. As long as you’re hitting those protein & fluid goals & slowly incorporating some vegetables you’ll be fine. I was given portion size guidelines: 1/4 - 1/3 of a cup from purée slowly increasing to a cup at 6 months slowly increasing again to be about accepted recommended portion sizes. So for example 3-4ozs of protein & a cup of vegetables which is where you likely will be around maintenance. Your advice may be different but our needs are likely different too. But it may be a starting point until you get a more definitive response from your dietician. PS Congratulations on your surgery.

As others noted, liquids typically pass through the stomach within 10 to 20 minutes and don’t risk stretching it. The stomach is designed to stretch temporarily to accommodate food without permanent change. However, consistently overeating after surgery can lead to permanent stretching. Repeatedly pushing the stomach’s limits with large meals may increase its capacity over time.

This is something that never stops. You have to watch what you eat, how much you eat, how often you eat. You have to move your body more. Prioritize protein first, then veggies, then carbs, then healthy fats. Fluid intake never stops. You have to get 64oz at least. Avoid the slider foods, avoid grazing. Cut the salt. And switch to sugar free and no sugar added sweets if you really can't stay away from them (I have never been a big sweets person. I'm not even a huge fan of chocolate). This is something I would thing your surgeon and nutritionist would have gone over with you before you had the surgery. This isn't a magic cure all. It's a tool to use to get your weight and health where it needs to be.

You have to get back to basics. Remember why you did the surgery and go from there. Are you moving your body and exercising? How much are you eating and how often? If you're having coffees, have them plain black with the ready made protein shakes added in. You always want to prioritize protein, then veggies, then carbs, then healthy fats. Fluid intake is an absolute MUST. Since caffeine dehydrates you, you need to increase your other fluids to compensate for it. Watch your grazing and slider foods, salt and sugar intake, and watch the bad carb intake (you don't have to completely eliminate them but definitely limit them).

As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem.

A bariatric therapist is absolutely worth any time and money invested. Also reach out to the nutritionist at your surgeon's office. Make sure you move your body everyday. Prioritize protein and fluids (try limiting slider foods and junk as much as possible). If you must snack (beyond the allotted ones in the diet your nutritionist gave you) make sure they are healthy but tasty. Look at the calories you're burning vs consuming. Watch your carbs and fats. Watch how much sugar and salt you consume. It's really all about getting back to basics. And there's no easy way to change your mindset, you kind of just have to really want the results more than you want to undo the progress you made. Then you have to retrain your brain.

Day 3 post-op from band removal to gastric sleeve. Yikes, this was way worse than what I thought. They took longer to get that band out-appears previous surgeon was making sure that bugger wasn't moving. 2 days of sleeping and sipping water. Can't even think about food. I hope this gets easier as the week goes by.

I had a sleeve and then a year later had to have a revision to bypass due to a LOT of complications. But I had the sleeve for 13 months before I had the revision, so here's what I can tell you. No matter what surgery you have, eventually your stomach will stretch out to a certain point. Will it go back to the size it was pre-surgery? No. But it will become a little bigger than when you first have the surgery. For example: pre-surgery, I would 6 scrambled eggs w/ cheese, 2 sausage patties, 6-8 pieces of bacon, and 2 pieces of buttered toast for breakfast. After surgery, I could eat 1-2 tablespoons of scrambled eggs. Now, I have a 2 egg omelet w/ cheese. I'm 2 years out from my initial surgery and 11 months out from my revision. For dinner, I would have an appetizer, a 12oz steak, loaded mashed potatoes (w/ butter, cheese, bacon, and sour cream), some kind of veggie, a dessert (pie or cake, depending on what was there). Right after surgery, I would have 1-2 tablespoons of hummus and avocado spread. Now I have 3oz of steak and 1/4 cup of cauliflower mash and 1/2 cup of veggies. If I want dessert, it's something with little to no sugar, or at the very least, no added sugar. So while your stomach WILL stretch a little bit (completely normal) it will not go back to its original size. Having said that, if you eat slider foods and a lot of crap, you won't see the results you're wanting. Just eating smaller portions and not making any dietary changes won't get you there. The surgery is a tool and needs to be used as such. Also, make sure you move your body. I was your size, so I know it's hard. Walking, water exercises, chair exercises, walking with ankle weights....all things that can be done at your size while you're losing. Once I lost the first 100 pounds, I was able to REALLY go ham in the gym lol I've lost 190 pounds from my initial surgery date. But I've lost 223 pounds from my highest weight (421). It hasn't been easy, but it's been absolutely worth it.

I have a sleeve and as the others have said, yes, you will be able to eat a larger portion than what you do after surgery but that’s what’s supposed to happen. It’s how we are able to consume the calories & nutrients we need to maintain our lower weight. However, the larger portion is more like what a recommended portion size is nothing like you may have eaten before surgery. You’ll be looking at about 3-4ozs of a protein & around a cup of vegetables. You’ll be able to eat a lot of the same foods & old favourites as you used to. The difference is how frequently you have them & how much you eat when you do. You may even make healthier choices around the ingredients or cooking methods. Like instead of battered or crumbed fish & chips you have grilled fish & salad or air fried or baked vegetable chips, Instead of a burger on a bun have a bun less burger or a lettuce wrapped one or just eat half of the bun. There aren’t foods I can’t eat just foods I choose not to, choose to eat small portions of or eat infrequently & I feel better for it. Your stomach is a muscle and there is the potential to stretch it again but you’d have make a concentrated effort & eat large portions, many times a day over a long period of time like you did in the first place. It’s not easy & can cause a lot of discomfort (even vomit) to force yourself to eat that volume of food. Why would you want to though? Second the advice to watch the videos of Matt Weiner & John Pilcher.

Hi, all. I am just over a month out and losing okay. I've lost 27 pounds. I'm having trouble advancing to the soft foods, in particular meats. I must have a repeat upper GI and possible endoscopy to see what could be going on. My doctor said he's worried about either an esophageal stricture at the stomach or an ulceration. Fun times. I'm sooo tired of protein shakes! I guess that shakes in some quantity will be a part of my life for a while though. I'm so glad to hear that you, Pamela and Lorna Nicole are doing well.

18 days post surgery and I'm feeling great. I'm excited to start mushies this week but not as excited as I thought I'd be. This week I added zero fat yogurt, pudding, and creamy soups to the menu, thinking I'd just be snarfing them down. Nope. Anything more than a quarter cup and I start to feel my throat seize. I'm becoming more food apathetic but I'll still add eggs and tuna. Down 40!

I had RNY rather than sleeve, but it's probably similar. I'm nine years out and can eat a "normal" amount of food, but my "normal" now is a lot different than my "normal" was when I weighed 373 lbs. Which means, no one now would guess that I had WLS. At. most they'd think I'm a "light eater", if they even notice at all. If I go to a restaurant, I'll often order an appetizer or a salad or maybe soup & salad. Or if I order an entree, I'll eat half of it and bring the rest home. If we go out for pizza, I'll have 1-2 pieces, whereas before I'd eat half a large pizza. This really is no different than most of my female friends who've never been obese. So it's "normal" eating. The way I was eating before surgery was not normal. Maybe that's what your doctor is trying to say. of course, it's possible for us to scarf up a lot more calories than that. Surgery basically restricts how much you can eat at one sitting. You will probably not be able to eat as much as you used to at one sitting. You will likely be stuffed after eating 1-2 pieces of pizza, for example. BUT...nothing but you will stop you from grazing all day. For example, you could eat 1-2 pieces of pizza at 5:00 pm, and 1-2 more at 7:00 pm, and 1-2 more at 9:00 pm - so in the end you would have eaten just as much as you did at 400 lbs. So that's why some people end up gaining a lot of their weight back - it they can't control their grazing. That's where the head work comes in. P.S. years ago when I was first contemplating surgery, the two choices were lap band or RNY (it took me ten years to finally get surgery - by then, the sleeve was on the scene, rapidly replacing the lap band). Anyway, at first I wanted the lap band because it was reversible. Some of the WLS patients I talked to said "why would you ever want it reversed? You'd gain the weight back". True. So I decided maybe that wasn't such a bad thing (although RNY technically IS reversible - it's just that it's a very complicated surgery, so they only do it in extreme situations). Anyway, I love my RNY and would never want it to be reversed, so I'm fine with the fact that it really can't be (or in my case, only in an extreme medical situation)

Ok so I saw my GP on Friday and mentioned to him that I'm getting weight loss surgery and he is ecstatic. He mentioned that the sleeve would be the best operation for me and I said that was the one my bariatric team was considering for me. After a while I started voicing my concerns about how the sleeve can't be reversed and he said that that was ok that I wouldn't want it reversed. He said at first I have so much fat that I actually don't need to eat very much (I weigh 425 pounds) and that over the years my stomach will get bigger and will be able to eventually hold a normal amount of food. Is this true? Maybe somebody who has has a gastric sleeve before can tell me if their stomach grew over thr course of time? I'm wondering if my doctor is full of it and is only telling me the things I want to hear or if he is correct. I'd like to know before I make the decision to permanently alter my body.

Have you spoken to your surgeon? I’d probably get in touch with them. Could it be a sensitivity to a particular food? Are there any commonalities in what you’re eating like dairy or gluten?

I think this is the time when you stop worrying about what you weigh and you start focusing on how you are living and how your body feels. Are you still hungry even though you just ate a meal that would've been fine for you a month ago? Maybe you need to add more veggies to fill yourself up. Do you feel weak? This could be a sign your body needs more fuel. Are you getting the exercise you need? Are you eating the foods you know provide balanced nutrition? Fix these types of things if they need fixing and let your body do what it will. You still have many months to go before your weight loss journey comes to a stop, so to speak. Ride it out and don't try to steer things too much. It may feel weird to be the weight you are now because you've never been this weight before, but let your body figure it out. You'll get used to it. And if you don't like where you land in the future, you can start eating more to gain.

I got a Ninja Creami in December and now I eat delicious, low-calorie ice cream every single day! A lot of people use protein shakes to make protein ice cream with the Creami, but I get enough protein from other food, so I focus on low-calorie. If you’re an ice cream lover, the Creami is worth its weight in gold.

was sooo hungry last night...i dont normally eat past 8pm, but i was hungry, AND i was determined to binge watch Bridgerton season 3, part 1 (spoiler alert: i did lol) so i fixed myself a plate of leftover thai food and ate it over 3 or so hours: clockwise from top: thai basil crispy pork belly, chicken massaman curry, deep fried taro tofu with chili oil sauce, coconut rice and a piece of roti. im totally guessing maybe 600 cals for the plate? imma also gonna guess i ate about 2/3 of it (i didn't like the curry so left most of that alone, and just had a taste of the rice and roti. pretty much ate all of the rest. p.s. am now waiting impatiently for june 13, when the remaining episodes of Bridgerton are released!!! i love me a period show.

Yasso bars are really good, with a little protein boost and the benefit of a single-serving portion size for control. I also love making "nice cream" using frozen fruit and a Yonana machine. So amazing! You don't even have to use bananas (I'm not a huge fan). I have done just frozen mango, blueberries, strawberries, pineapple, you name it. My kids love it too. I buy the big bags of frozen fruit and it's a huge treat all summer that I feel good about. But I have also had a few bites of real ice cream as it is now ice cream season in New England and our dairies have the most amazing choices and quality ingredients. But it's very rich, so I can only eat a small bit at a time. I don't keep ice cream in the house (store bought doesn't compare, anyway), so I have to go out for it, and I won't order my own but always share with a friend so I can just have a few bites. My feeling is you need to find a balance between health and happiness, so I don't think any food is off limits forever. You just have to be sensible and listen to your body to find the right balance.

Protein water is really nice, or drinkable yogurts, Fairlife milk mixed with some decaf coffee, or something like sugar free pudding mix in a favorite flavor made with Fairlife milk. Blended cottage cheese if it's allowed (when you put it in the blender, you get rid of the chunks and it turns the consistency of a thick sour cream, so it might be okay). Oh, PB2 peanut butter powder mixed into plain yogurt is also good. The only protein shake I can stand these days is Syntrax Nectar Natural in orange flavor. It reminds me of Tang, sort of, and it looks like orange juice, so I can pretend I'm having an orange juice instead of a shake. All the rest of them are going to be going in the trash soon because after surgery I lost my taste for them completely. But basically, focus your energy on hydration. You're only a week out. If you are low on protein and barely eat anything, it'll sort itself out in the coming weeks. Try your best, but don't worry if you come up short. Your body can handle a few weeks of not getting much nutrition. If you have to choose, choose to hit your fluid goal first and don't force yourself to eat foods if you aren't feeling it. And stop with the broth. Sounds like you don't like it, and it's not required for healing. After buying a ton of really expensive bone broth, I disliked it on its own and never had it at all during the liquid phase. Now I use it to make bean soup.

Hey Yall. Very very new to this but I need some help. I had gastric sleeve surgery on May 10th. The liquid diet leading up to it, and afterwards was absolutely torture for me (I know it's really hard on everyone) but I could barely get broth down, especially post op. When I say that, I mean the idea of drinking more and more broth, no matter what kind or flavor, made me feel absolutely nauseous. And I literally gagged trying to get it down. Needless to say, I didn't get much broth down, but I tried to stay as consistent as I could with protein shakes, which also had a similar effect on me. So when today came around, I was so excited because finally I could slowly try to incorporate foods that didn't make me want to vomit when I thought about them. I started slow with just a yogurt for breakfast, taking tiny bites, with 2 minutes in between bites. That went down pretty well. For lunch, I tried an applesauce, repeating the same process as with the yogurt. Again, that went down fine. Throughout the day, I also timed taking my vitamins, so as not to push a bunch of pills down my throat at once, I was afraid of the effect it would have on my stomach. My plan for dinner was to have some tomato soup, and maybe even put in a little extra flavorless protein, because I hadn't gotten in as much protein as I should of during the day. But before I could make the soup, I started feeling disgusting. And the thought of eating anything else makes me feel nauseous. But I know if I go back to the clear liquid stage for a bit longer, I'm going to be struggling to get more broth down. I just don't know what to do. I feel like I'm completely undernourishing myself and it would be even worse if I went back to the clear liquid stage. I've talked to my nutritionist about it, and she only told me to try drinking other types of broth. Which I have. I've tried every kind you can think of. And she said if that doesn't work, to try to drink Gatorade zero to at least make sure I'm staying hydrated. I have just reached a point of such regret. I feel like I'm just going to get sick before I can get better. I'm at a point where I would rather live my life the way it was, than to feel like this for months. I know it's too late for that, but man, never let anyone tell you this is the easy way out.

I am currently almost 6 months post op for my original procedure and am writing this from my hospital bed. I am unable to tolerate oral intake of food or fluids of any kind and am being fed via a nasojejunal tube (NJT) and TPN via a peripherally inserted central catheter (PICC) My surgeon along with many others that have consulted on my case are at a complete loss for what is going on and why I can't tolerate anything. I'm reaching out to fellow people who have undergone bariatric surgery in the hopes of finding someone else with a similar experience to maybe get some opinions/answers. In order to do this I will start from the beginning and tell you all my entire story. I know it's long but I am desperate so please bear with me and read to the end. I will try to explain everything but also be as brief as possible to keep it as short as possible. I had surgery at the end of November 2023. It was a One Anastamosis Gastric Bypass or "mini" bypass. The surgery was routine and there were no issues whatsoever. I couldn't tolerate fluids and my intake was too poor to be released from hospital and progressed to vomiting every time I drank anything. Was diagnosed with a stricture and it was dilated and I finally started progressing. I was discharged from hospital finally almost 2 weeks post op (booked in for further dilatations at regular intervals to slowly stretch the stricture) and was home for less than 24hrs before it began again and my surgeon readmitted me and I underwent another dilatation. Upon getting back to my room I started violently vomiting and no amount of antiemetics would settle it. Emergency CT scan confirmed the stricture was perforated and my stomach contents were leaking into my abdominal cavity. I developed sepsis and had a nasogastric tube inserted for drainage. I underwent IV antibiotics and was later rushed to surgery to repair it, however due to the damage from the infection, it required a conversion to a Roux EN Y Gastric Bypass (RYGB) and I needed my abdomen washed out and other infected tissue removed. It took about 5 hrs. I spent a further month in hospital recovering, initially on TPN to supplement my oral intake but was wraned off as my tolerance improved and was finally discharged. At this point in time I had progressed to a pureed diet. I was by no means meeting my requirements but the benefits of being home vs hospital given everything outweighed the negatives and my surgeon planned on seeing me weekly as well as my dietician. Now here is where is starts to get weird and my real troubles began. Just over a week later I woke up one morning and had a sip of water (with a few drops of cordial to break the surface tension) however as soon as it went down I experienced a wave of nausea. It was different from before, I can't really explain the difference but I just ignored it believing it would go away (Denial as I just wanted to get on with my life and get back to work and due to the conversion surgery, my surgeon had created an extra large opening to account for my body closing the join so that it would end up a normal size.) I started experimenting with foods and fluids, different textures, consistencies, temperatures, etc. I tried absolutely everything I could think of. About a week or so later and my intake was getting progressively worse and I was once again admitted and went straight for an endoscopy (My 3rd since 1st surgery) to dilate the suspected stricture but there wasn't one. I then underwent a barrage of tests and every general and GI surgeon/specialist in my town came and consulted on my case, as well as my surgeon consulting doctors from all over. A NGT was eventually inserted and enteral nutrition (EN) started but was not tolerated and the tube was advanced into my intestines to be a NJT, which was then tolerated but the focus was on trying to get my oral intake to be adequate. I spent weeks in hospital trying different medications, getting tests and ruling out different conditions. I was discharged on EN with the NJT on 16 hour feeds at a rate of 50ml/hr which was not enough to meet my nutrition requirements but was the Max rate I could tolerate and the belief at this stage was that the nausea would go away and I'd be able to eat again. On the 8th of May I was admitted for a gastronomy tube insertion into my remnant stomach via laparoscopy as it was finally decided that this problem was not going away and by this stage I had lost 38kg (84lbs) and was severely malnourished, despite increasing my feed rate to 60ml/hr (still not enough to meet nutritional requirements) The purpose of the gastronomy tube was not only to have a more discreet way of feeding and for comfort and whatnot but because the tube is in my remnant stomach, I should be able to tolerate a much higher rate to actually meet my nutritional requirements and spend less time attached to the feeding pump. Feeds were commenced at 20ml/hr the next day but I developed severe pain and discovered feed had soaked the dressing around the tube. I was yet again rushed into surgery as the tube was leaking. Another NJT was inserted along with a PICC line and both EN and TPN were started to maximise my nutritional status while we wait for my body to heal around the tube in order for that leak to stop happening again. I've been on IV antibiotics and whatnot since as well. I developed a fluid collection in my abdomen and needed a percutaneous drainage which failed as the fluid was too thick to aspirate and a minor infection at the insertion site and it was believed that there was a fistula however luckily that was not the case. However yesterday I had a fluroscopy in which contrasted was put into the tube to see what happens and whether it's now working correctly and that caused me to violently retch as my body tried to expel the fluid from my stomach but as its not connected to my oesophagus anymore, it was unable to do so. This has now lead me to start worrying about whether whatever issue is preventing me from tolerating anything going into my pouch is affecting my remnant stomach too. I'm now facing the prospect of permanent EN and TPN for the rest of my life and I'm not even 30. So if you or anyone you know has any ideas or similar experiences or literally anything, please let me know. Even if it's just a chat because I feel so incredibly alone in this. To anyone that made it this far, I appreciate you taking the time to read this and thank you in advance for any responses. I'm happy to answer any questions you may have as well.

@SleeveToBypass2023 Thank you! I have made the decision not to weigh myself for the 4 weeks that I am on my post-op diet, just because I don't want to get fixated when my body is still learning this new way of living! I am definitely struggling to get food in at the moment! But I shall keep trying! ❤️