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Pre-Op Diet The pre-op diet has a few purposes. The critical one is to shrink your liver so it’s not blocking your surgeon’s view of your insides during surgery. That makes your operation easier and safer. The pre-op diet also helps you lose weight. That may be surprising since you’re expecting to start your weight loss after surgery, but it’s actually a good idea to start losing weight beforehand. In fact, the more you lose before surgery, the safer surgery will be, and the better you’ll feel afterwards. Different surgeons suggest different pre-op diets. The diet has about 1,000 calories. It could depend on lean proteins and other nutrient-rich foods, or it could be a liquid diet with protein shakes. Or, it could be a combination of the two, with each day including two protein shakes as meal replacements plus one meal with vegetables and protein. The pre-op diet can last from a few days to several weeks or even months. In general, the longer you’re on it, the better. You’ll lose more weight, shrink your liver more, and gain confidence that you’ll be able to continue a strict eating program long-term after surgery. Get in Shape Why exercise before surgery? One reason is that, like with a good diet, it can make surgery safer. In this case, it’s because exercising can strengthen your heart, lungs, and blood vessels. Of course, exercise also burns calories and can help you lose a little extra weight before surgery. Another reason to get in shape before surgery is because it will make recovery easier. Many weight loss surgery patients find that walking around the house and then the neighborhood is their best tool for fighting post-op pain. If you’re used to being active before surgery, you’ll have an easier time walking after surgery. You don’t need to go crazy on your pre-op exercise regimen. If you’re not used to exercising, start small. As long as your doctor approves you to be active, just find a few minutes each day to walk at a comfortable pace. Clean and Stock the Kitchen Fact: you can’t eat food that’s not there. So, clean out your kitchen. Get rid of sugary desserts, starchy snacks, and fatty meats and cheeses. Anything you know you shouldn’t be eating shouldn’t be in your kitchen. Get rid of it before surgery because for weeks after surgery, you won’t be physically able to carry out heavy trash bags filled with forbidden foods. Once your kitchen is cleaned out, stock it up! At least get the protein shakes and powders you’ll need for weeks or more after surgery. Consider getting some flavored water in case you’re unable to tolerate water post-op. You can also stock up on non-perishable staples, such as canned chicken and tuna, frozen fruit and vegetables, and instant oatmeal packets. Take Your Nutritional Supplements You know you’ll be taking nutritional supplements post-op. If you have the sleeve or bypass, you’ll be taking them for life. With the band, you’ll need supplements for months, years, or life. Did you know you shouldn’t wait until after surgery to start taking your supplements? At a minimum, take a multivitamin beginning when you start your pre-op diet. Even if you’re eating a balanced diet, the supplement helps make sure your body has the nutrients it needs to heal your surgery wound. Also, it’s an insurance policy so that if you have trouble eating and swallowing supplements for a few weeks after surgery, your body will still have a good store of nutrients in reserve. Practice Your Healthy Eating Habits Consider the pre-op period practice for the post-op diet. That includes eating slowly, measuring portions, and choosing nutrient-dense instead of processed, high-calorie foods. Also consider making exercise a habit now, so it’s easier to get back to it after surgery. You cannot guarantee an easy surgery, but you can certainly do a few things to improve your chances. Use these tips to take control of your pre-op prep as soon as you’re ready to lose weight and get healthy!

Good Afternoon, This is my firs posting so excuse me if I am a little rusty at this. I had my Gastric Bypass on March 19, and my Surgeon said to drink the Clear Liquids for the next 2 weeks. I go to him tomorrow for follow-up. Yesterday my Nutritionist said I should start today with "Stage 3/4" eating solid foods. My Surgeon had told me before my surgery that I would do the following: 2 weeks before surgery - clear liquids 2 weeks after surgery - clear liquids up to 3 months after surgery - thicker liquids after 3 months - introduce solid foods Now both my Surgeon and Nutritionist have conflicting statements. My Nutritionist states Phases. Does anyone know what phases you consume what? I thought It was - Phase 1 - clear liquid, Phase 2 - thicker liquid, Phase 3 - soft solid foods, Phase 4 - easier to digest full solid foods. Any clarification would be Greatly Appreciated. Yes I will be asking my Surgeon tomorrow also. Thanks, Terri

Does anyone have vitamin suggestions? I am 5 weeks out from surgery. I used bariatric fusion soft chews and the bar is so high now cause it is honestly like candy. I thought of subscribing to it and getting 4 packs at a time but it isn't the best pricing, although if needed I will do it for sure. I initially got them for the first month so I wasn't dealing with massive tablets right away. This week I implemented tablets again and OMG I regret it immediately. I had the WORST nausea since getting this procedure. I was so close to vomiting, my heart was accelerating, and I was shaking. I took it with yogurt in the morning. I haven't had anything happen to me when it comes to my stomach even the first few days after surgery. I am avoiding tablets and capsules for now. My doctor also told me to not use gummies due to the sugar. I am open to gummies if they are sugar free. I would like to eventually buy in bulk but wanted to explore my options before I commit to the soft chews. Does anyone also have suggestions for calcium citrate? Those tablets are even worse! I used caltrate chewables but was reminded it was the wrong one! Let me know what you think folks!

Good evening I am 4 nights away from my gastric sleeve surgery. I am most nervous about the 3 weeks of liquids after surgery. I’m worried that I may get dehydrated or that I won’t get enough protein in while I’m recovering. I know everyone says use a timer but I still feel like I am going to need to rest during the day time from the anesthesia. 1. How do I keep up with the fluids and get in enough sleep/rest? 2. How do people tolerate liquids for so long without feeling like they are starving? 3. Provide 1 inspirational phrase or a positive statement

Hi @Allie727- I had my procedure done in January at Mayo Clinic in Minnesota. From what I’ve read online, compared to what they recommend for post-procedure guidelines, they recommend a pretty strict diet. Did the clinic provide you with how much food to consumer at each phase, along with how many calories? Here’s what they had me follow: - Weeks 1-4: Liquid diet (protein shakes + regular Gatorade). 60-80g protein, 64 oz liquids, less than 1,000 cals a day. I was probably only consuming 400-500 a day. - Weeks 5 & 6: Pureed foods (no more Gatorade). 60-80g protein, 64 oz liquids, 600-700 cals a day. A meal should be 2-3 ounces of food. - Weeks 7-10: Soft foods. 60-80g protein, 64 oz liquids, 700-900 cals a day. A meal should be 1/2 cup to 3/4 cup. I just started a regular diet/regular food today, 3/24. 60-80g protein, 64 oz liquids, under 1,200 cals (but I have a call with the dietitian in a week to see if that’s correct. A meal should be 1 cup to 1.5 cups. Like you, protein and water has never been an issue. I’ve never really felt restricted. I definitely feel full after I eat, but not sick-full at after eating. They also recommend you take at least 30 mins to eat. I found that if I finish my food quicker than that, I’ll get a stomach ache. I felt bloated earlier on post-procedure, but that slowly goes away. 6 weeks out, I had lost about 34 lbs at that point, but everyone is different!! Hope this helps!

Hi! I had vsg 8.15 and have lost 24 lbs. This am I seem to be up 3 lbs. Not off course. Still eating pureed. Cals are between 6 and 700. I meet protein daily but water is tough. I usually get 52 ounces vs 64. I eat 3 meals daily plus 1 snack of string cheese. I still have some muscle discomfort in tummy area but find I'm emotional a lot. Dr is happy w progress but I'm super upset with stall or gain when I'm not even eating or drinking off program. Any thoughts?

After a year I have problems sometimes where the food just will not go down or if it does it is uncomfrotable. Beef burgers seem to be my main issue, no matter how small a bite I take or chew it, I have realised that about 70% of the time they don't agree with me. I have made chicken dishes and one night able to eat without an issue and the following day having another portion it immediately comes back up or if it goes down it does so uncomfortably. Last time with the burger was when I was out for dinner with a work colleague a couple of weeks ago and he got so worried about me as he said I literally went sickly white and looked like I needed to either vomit or pass out. I just took deep breaths for a few minutes and it (and the feeling) eventually passed but I think I will avoid burgers when out of the house for a while anyway.

I ate eggs without an issue for four years then suddenly tummy said no. Was annoying because if I went out for breakfast I’d have scrambled eggs and often made an omelet with lots of vegetables for lunch. Worse went to a new restaurant for breakfast and they do a scrambled eggs with crab - drool. Keep saying it’s been more than a year & must try eggs again but haven’t got around to it. I still have odd times too when I eat something easily one day & the next night I’m eating the exact same thing & nope not tonight & then next week it’s fine. So does it happen? Yep it does, even years out. I know there are some (not all) people here who also continue to struggle with certain foods. You’re relatively early out so it’s even more likely to happen - fussy & still sensitive tummy.

Thank you for the great information- I did get to consult with dr before— and got the v-shape as that was what dr preferred as well. I had 4lbs of skin removed from my stomach, and they lipo scuplted arms, waist and back to get the 2lbs of fat to use for the tiny bbl they were able to complete. I am 3 weeks out (as of Wednesday April 10) and am very pleased with the results so far. The back side is not super dramatic, which I am happy about. Surgery went well, although i did have to have an iron treatment because my hemoglobin dropped 4 points ..but after that i felt great. Instead of general they used an epidural and exparel- so I didn't need any major pain meds after. Just had a headache for a couple of days, so Tylenol was solution. Staying in a recovery house for a week was THE best decision for me to not push it and to make sure i could recover well— at home I’d have been doing things when i should have been resting. No real pain to speak of from anything- sore and tight might describe it best—but that eased up at the end of the week. I admittedly have a high pain tolerance, and after previous breast reduction and hysterectomy knew some of what to expect. Now, Im just working from home and living a fairly normal life. Driving, walking, etc with ease. In a few weeks, I will be cleared to start exercising- which I have never done— so slow and steady will be course of action. Ill post some pics when things settle and i don't look too Frankenstein like. Thank you all for the kind words and support! Plastics is a game changer!

I would advise you to get rid of the scale. I say this a lot and it's difficult to say it in new and interesting ways. Let's see... We don't need the scale to follow our plans. We can follow our plans to the letter and stall or even gain a pound or three, as is very common. In such a case it's easy to start considering "changing things up" to get the scale moving again. in the first several months we could completely abandon our plans and still lose weight. Looking at the scale will give many of us confirmation that we are doing well when in fact we aren't. Again, the scale is a poor guide. We should measure our success on how well we are following our plan. Are we feeling better? How is our mental attitude? Are health issues resolving? How about those clothes? Are you more active? Is it getting easier? There are all sorts of measures of success without a number on a scale. I was too large for a home scale so was only able to weigh in at monthly follow-ups. I'm confident I had stalls or even days where my weight was higher than the day before. I never actually experienced them. Every weigh in was lower than the month before. Never a temptation to "get the scale moving." You are at the beginning of this adventure. Focus on the things you can control. You can't control a number on a scale. Damn it, not new. Let's see if next time I can come up with a Hanzal and Gretel fairy tale where the witch is a scale... Good luck, Tek

@SleeveToBypass2023you do make me laugh! I’m so glad that you’re able to understand your ‘godmother’ now, I feel I have rendered a valuable service 😉 Of course, there are always the joys of accents and drawls to throw in to this mix as well, which can add even more confusion. I’m a Yorkshire girl so we do have our own way of saying things, just like you will with your Southern sayings! And I’m so glad I’m not the only bitter wife out there…yes, I love him dearly but oh, there are times when I want to smother him with a pillow when he’s asleep 😈 I remember when we’d come back from our 2 week holiday in September last year and he was bitching that he’d put a couple of pounds on, whereas I had put on over a stone (14lbs) and I honestly wanted to stab him. He is supportive though, plus he has taken time off work to take me to all my hospital appointments etc as I still can’t bend my knees enough to climb in the van to drive myself but I will get there. Hopefully I will feel more able in a few more weeks 🤞 I rescued a pair of Billabong shorts from the charity shop bag yesterday as something for me to aim for on my WLS journey. I’d last worn them when I’d lost a load of weight previously and had worn them on holiday. Even now I cannot believe that I fit in to them. I tried them this morning and I cannot even get them halfway up my thighs, never mind anywhere else! I think I need to lose an additional 100lbs or so to have any chance of getting them on but stranger things have happened I guess 🤷‍♀️ I do generally use clothing as my inspiration to aim for, so I guess these are the ultimate goal!!

@ChunkCatDANG GIRL! You look great! I'm so sorry you're struggling with POTS. That stinks, but it sounds like you've got a plan in place to help you manage until - 2025 (so ridiculous). I can't believe it's been almost 6 months already! I sometimes forget that I had it done (until I try to eat fast - LOL!). I'm down 77 pounds since my highest - 69 since the surgery. I still struggle with not being able to see the change (because I see my self every day), but occasionally I'll see a picture of me or see a reflection at a certain angle that makes me go... wait... a... minute! :) I'm down 2 jeans sizes (probably actually down 3 sizes because let's be honest, those 24s were STRETCHED to capacity! LOL!). I could get my 20s on a few weeks ago but I couldn't breathe, so there's that. I did go on a cruise week before last. That was interesting. I gave myself permission to eat whatever I wanted and I found that I'm now starting to naturally lean toward healthier/smarter choices. I only gained 2.2 pounds that week and it came off very quickly. The big news is that I've scheduled my knee surgeries!!! Getting one done in June, the other in October! I'm nervous because of the unknowns (pain after the surgery, rehab, not being able to drive, etc), but I'm more excited because I'm ready to have my life back! New body, new knees... I'm going to be unstoppable! Can't wait to hear how everyone else is doing!

How frustrating when you're already doing so much! All I can offer is my experience with my pre-op liquid diet. For the weeks, I had 3 protein shakes per day, sugar-free jello, broth, and the occasional sugar-free popsicle. Averaged around 600 calories per day and around 20 carbs or less per day. It was effective, if not pleasant. I lost about 6.8 kg in 2 weeks.

Hi everyone. I was a cash pay in Vegas for gastric sleeve. They haven’t really followed up and I keep having to ask them for more info. They seem really relaxed about everything (outpatient surgery). I asked when I can exercise and he said I can begin anything I want now and I am only three weeks out. I’m just wondering if anyone else has been told that? I see 6-8 weeks most places.

Could you find the motivation to even start with a few small steps, like finding a way to get your protein up even by way of including it in water and that way two steps covered in one? Your body needs the protein and if you are not getting enough it could be contributing to your mood/fog. So what if you haven't gone to the gym, I don't go, but I have made an effort to find a couple of fitness things I like to do. I know I could do more but hey I am doing more than I did pre-op so its a win win as far as I am concerned. I am not going to put unrealistic pressure on myself as I know I will fail, maybe that is the same for you? For the alcohol you don't say how much or often you have a drink but if you can't go cold turkey could you even cut back or opt for a lighter drink? I have a drink (or three) when out with friends, its not the end of the world but I am realistic that it will probably impact the weight loss for a few days and I restrict myself to only when out, certainly not at home as that is a bad habit that I am trying to make sure I don't bring back. Could you start writing a daily positivity list/journal of all the positives you are finding from the loss you have had so far? I started to do it to help me with the PTSD I am suffering from my surgery, I note just random things such as; was able to jog to catch bus and not be mortified / was able to get through turnstile without turning sideways / so and so told me I was looking great / sun is shining and I feel energised / had to tighten jeans belt again Small steps could help you out of the funk and get you on track as there was a reason you would have had the surgery and you don't want to get back there. It takes work but you have already made good progress but it will get harder to loose the lbs and you could end up with other health problems if you continue as you are. Does your doctor have a support team that you can reach out to? I think an honest conversation with them is needed and will help you, they can hopefully provide tools to get you in the mindset needed to continue. Don't feel ashamed to talk to them as I am sure you are not the only one how feels like you do.

Ooh, I always fall behind on that too. I've heard from so many people how important it is to practice when you're not feeling symptoms so you can kind of mentally pull it up easier when you need it -- muscle memory, but for the brain? -- but it's one of those things that I'll do for like a week and forget one day and not pick it back up. Meanwhile I know it would probably work amazingly since I've done similar things to practice getting out of night terrors (counting fingers, etc). ISTG if I don't set alarms to remind me to do certain things, they never get done.

HI! Thank you so much!!! I started with walking around 2-3 postop, 20-30min and just built up to working out from home with light 5lbs weights. I follow Sydney Cummings or Juice and Toya work out videos. I would alternate 1 day upper body, 1 day lower body, ect...Then I would walk for 1 hour one day a week. Then I joined the gym when I was comfortable with the weights and that's when I really saw results. That was around 8-9 week post op. I cut down to 20min cardio and 30min strength training still alternating and still having 1hour walking days. Now that I am at my weight that I want to be at and not wanting to bulk up anymore just shred and tighten up my loose skin that I can possibly tighten up, I do 4 weight days 2 upper body, 2 lower body body with 30 min of cardio (usually treadmill at 12-13.5 incline and 3.3-3.7 speed) then 2 days I focus only on Cardio HIIT workouts. Now I do all my own workouts just from researching online and building my own workouts. I think they work? LOL I feel good afterwards, and my body composition is changing so I am rolling with it LOL I focus on high protein like over 100g, carbs I kept around 60g and fat around 20g. I have been fortunate where the weight came off pretty quickly, right now I am eating around 1400 cal 150g of protein 80-90g carbs and 25-30g fat. I am not actively trying to lose anymore, I want to more so maintain but I am still losing, so I am waiting till that figures itself out. LOL

Thank you, longhaul68! I read about hair loss and was hoping it was a rare side effect. It sounds like it does get better when nutrition picks up?? Did you tell everybody you had weight loss surgery? My friends know, as they are my support system. I have not told anyone at work. I told my boss I'm having surgery. I told my families (I work with kids) that I'm going to be out for 2 weeks (BTW is 2 weeks enough??). It's not that I'm ashamed of the surgery, I don't think. I'm not sure why I haven't told everyone in my life. They'll think I'm sick when I start the weight loss! What have others said to people?

Dang it! Back up to 200 today. I could see the digital scale contemplating telling me 199.8, but it decided nope. I've had days with tons of exercise. Days with no exercise. Days with over 1000 calories. Days with barely 500 calories because what I ate made me sick. None of it does anything to move the weight. I get on the scale daily because I like to see the graph as a visual. But I'd like it better if the number went down. On the bright side, my blood work all looks pretty good. A bit low in Vitamin A, zinc, and prealbumin, but so far no one has said I should change anything. @LisaCaryl I love the NSV with the jeans! What a nice surprise, even if you did get stuck wearing them to your group. I have one more week of school runs and after school activities before my kids are out for the summer. At that point, I am going to make a weekly meal plan and try out some new recipes from the bariatric cookbooks that are gathering dust because I've been too busy. I've also found a workout video to try with my pilates bar resistance band set, so that's going to happen this week, at least once.

I’m starting my pre-op diet in one week! I’ve been planning this for so long, it’s kind-of hard to believe I’m getting close. My preop diet includes two protein shakes, two snacks, and a healthy dinner daily for two weeks. There are some adjustments in the days before surgery like dropping one snack and adding in a special protein drink. I have my pre-op appointments next week and have a long list of questions, tho I really thought I’d asked them all. 😄

Meowdy, friends! 😸 I had VSG on 11/22/23 (the day before Thanksgiving here in the USA 😂, almost 5 months ago), and I have not been a very fast loser. While some people may have dropped 20 lbs in each of the first two months post-op, I'm just at almost 40 lbs down since surgery. My Physician's Assistant (we don't meet with the surgeon at all post-op in our program) said I'm definitely a "slow loser" and am about 12 lbs higher than they'd expect me to be right now. Anyone else out there only losing about 1-2 lbs per week? Anyone who was in this situation and managed to kick things up a notch? And also, anyone who was a slow loser who eventually met their weight loss goal? I've always been awesome at getting in my water, protein, and vitamins each day. My program pretty much refuses to give us macro goals other than protein, but I know I'm generally under 100g of carbs daily (sometimes much less). Protein, I'm usually at 80g+. Calories, I float around 1000 per day. Water, I get a MINIMUM of 64oz. I took a week off of exercising (elliptical and weights) when I was sick with a cold, and I actually lost the most in that week, so I laid off the exercise for a bit, worried it was slowing me down. I'm going to start back up on it, just because it's a good habit to get back into. When I do the elliptical, it's usually pretty vigorous for 30 minutes, sweating profusely and burning ~400-500 calories. I put on some very loud heavy metal and take out all my frustrations on the machine 😅 I'm worried I'm going to be stuck at this weight and that I'm "wasting" this tool and opportunity, or that maybe I chose the wrong surgery. Granted, my current weight is way better than where I was before starting the pre-op diet, and my mobility and endurance are IMMENSELY better, and my IBS-D has basically disappeared (THANK THE LORDT), but it's still not where I'd like to end up. The PA told me that sleeve patients can lose for at least 18 months post-op, so hopefully it's just a slow-but-steady race for me. I guess I could just use some encouragement or advice or anecdotes from others who were slow but successful, or if someone sees something glaringly "wrong" with what I'm doing.

Tomorrow will be day 7 post op and I seem to be fine with waking around the house. It’s just getting up and down that cause me pain. That and reaching I just learned while playing cards. I have a pretty light vacuum (a cordless Dyson) and I’m wondering if I would be crazy to attempt it. Ironic because I would probably tell anyone else to let it go but it’s really bugging me. Maybe I should just ask my hubby to do it. Although I’m fairly sure after all these years that he is allergic. We don’t have traditional gender roles by any means but vacuuming has always seemed to be mine. Anyways, has anyone else done it or asked their Dr if it’s okay at a week out. My instructions just say no bending or lifting 15 pounds. It’s technically neither of those I don’t think.

Hi All, I had a sleeve revision to mini bypass 4 weeks ago. I had a brief period of relief from the acid reflux (due to GERD) but now it is back. I am taking a PPI every PM and find I wake in the middle of the night with a burning bile sensation. I chew a few tums. Also during the day, I don’t have much of an appetite (yay) but I find that if I don’t eat every 3 hours or so, the burning returns and I can taste bile. Has anyone had this? I had really hoped this revision would be the end all for this issue and I was so optimistic but now I’m almost worse off than before the surgery…….

I guess I have always done everything I have wanted because I was never overweight until 5 years ago. But the things I have noticed NOW (never noticed before WLS): - I don't need to sit as often, I can stand for long periods and don't get the urge to find a seat. - My feet don't hurt walking so much. I was traveling the past two weeks and we walked A LOT! Every time we traveled the past few years my feet would kill me, this time was a breeze. Things I started: - I took up Pilates. I have a bad foot (sports) injury that caused my weight gain so always had a fear of doing Pilates although I consistently worked out my whole life but was nervous to take up Pilates for some reason. Now my two Pilates classes are literally the highlight of my week. - I look forward to weddings and gatherings where I avoided them like the plague and they used to cause me social anxiety and made me feel so down about my body. - Changing my wardrobe LOL, I am shopping like nobody's business. I am buying stuff I never would've bought the past few years. Lingerie, crop tops, shorts, short dresses, workout gear. You name it! - Weighing myself regularly. Was never a weigher even at my fittest and slimmest, and that's probably was what caused all the weight gain because I refused to face reality. Things I see myself doing in the future: - Probably getting some lip filler LOL. - Having my third child (maybe? I put it off because I was overweight and I couldn't fathom gaining more weight) - Getting my foot surgery (although it feels much better so I will need to reassess).

i know quite a few people who are/were on it. those currently on it, lost anywhere from 10-70 lbs. those who are no longer in it, gained back anywhere from none to all the weight back. though the majority of the no-longer-users kept of "most" of their weight losses off. so still a decent net loss in the end (so far). i myself experimented with ozepmpic last year...my mom is diabetic and i asked if i could try her stash because she takes less than ½ of the lowest dose as she says its too strong (so she had lots of surplus omg)...she's lost maybe 30-40 lbs (my stepdad is also diabetic with his own ozempic rx, and he lost closer to 70 lbs) anyway...i took the lowest dosage for 4 weeks at 120lbs thinking i could lose 5lbs tops...i ended up losing 8 or 9 lbs i think. i stopped after the 4th week and pretty much went back to pre-ozempic weight-ISH within a couple months. (i am 119.1 lbs this morning). so yeah, just like wls and everything else in life, individual losses and experiences depends on the person. now while this was an interesting experiment, it was FREE. if i had to pay for it, i'd pass. for me, at least, its not worth it..but for someone with more weight to lose, and who has the means and the inclination, and the access...why not? good luck! ❤️