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The situation is interesting. Discuss your concerns and situation with your doctor. He may be able to offer alternative options or reconsider the timing of the operation.

This is a hard one because on the one hand, it's fairly easy to advise how to change your diet and lifestyle. Here are some basic things to try: drink at least 64oz water per day remove all processed foods and sweets from your house and diet and replace with fresh fruit and nuts/seeds (this includes artificial sweetener and protein shakes if you're past 3-6 months post-op) make sure you hit your protein goal (probably 80g) with high-quality lean protein every meal, every day (meat, chicken, fish, eggs, cheese, beans) decrease or eliminate your grains/starches and always opt for whole grain when you do have it eat only at mealtimes increase your vegetable consumption increase physical activity (for example, get 10k steps per day) keep a journal that includes both a food journal and an emotions journal, and use this to see if you can find patterns or triggers in your behavior The motivation is a whole other issue. None of these changes are likely to stick if you don't have the motivation and mindset you need to do it. Personally, I found a lot of information and motivation from reading Dr. Matthew Weiner's books, A Pound of Cure, and also the one that explains how weight loss surgery really works. I also get a lot of inspiration from watching YouTube vloggers and podcasts. Here are a few of my favorites: https://www.youtube.com/@LouisesJourneyxo https://www.youtube.com/@apoundofcure https://www.youtube.com/@nicoleislosingit https://www.youtube.com/@kakisrnyjourney5376 https://www.youtube.com/@thistothatlife Finally, if you can, get friends and family involved in supporting you by checking in on your progress, going for walks with you, maybe cooking meals together. And post here for support!

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

Hi! My daughter (22 yo) and I just had the sleeve this month. Hers was 3/4 and mine was 3/11. Our healing process has been so different and while I’m moving right along, she’s had a set back with hydration and pooping. I’m curious if anyone else has had these issues and how you’ve overcome them so that I can help her. She didn’t poop for about two weeks, so under the care of our doctor, did a Fleet enema. That helped some that day but by that point, she was dehydrated. She ended up in the hospital Monday night and received fluids. Yesterday was a little better but still struggling to get in liquids (forget protein/food). This morning, she had sharp back pain again so I’ve started having her drink the four little 1 ounce cups again so that I can help her better monitor what she’s actually drinking. Also making sure she takes her Prilosec and Miralax. Added in Smooth Move tea. Heating pad on back. Encouraging her to walk but this has been hard because she feels so bad. Oh, and she’s complaining about the drinks hurting her throat going down (the stuck feeling) but the CT scan showed she’s fine. Anybody else have a setback like this? Any other suggestions? Thanks!!!!

Me! I just joined the community today but had my sleeve on March 11th. So far, so good. Protein’s getting easier but I want pasta! LOL.

Oh yes. If I’m lucky i can offload some food to others, but I live alone so it’s mostly just me myself and I. I tend to eat the same thing for dinner for almost a week. Even 1lb of ground meat is several meals. I purchased the W&P Cup silicone cubes for freezing (found them cheaper than Souper cubes). They are phenomenal. They have various sizes but I have the 6 cube tray that holds up to 1 cup each cube. I like that they have measurement lines inside so you have different options for smaller portions. I have used them for soups, chilis, stew and even “pasta” (palmini noodles). Once it’s frozen solid, I just pop them out and place them in freezer bags and label. Makes it easy to have measured out meals that can be popped in the microwave. I hate food waste, but it’s impossible to finish things fast enough. Fresh vegetables i have a love hate relationship for that very reason. I have been trying to cut and prep and freeze some things or plan my meals around what i have on hand, but even then it’s so hard. I’m about to purchase a vacuum sealer food saver to better seal freezer portions.

These tips are super helpful. Is there an app or a tracker that you are using to see how much protein you are taking in?

I'm almost 4 months post from the ds so I'm no means an expert, but I've been sensitive/intolerant to gluten for the last like 7 yrs so I can chime in about food restrictions. Having to find substitutions for food you know and love is ROUGH, more so when you're sick or recovering. I've had problems with nausea, abdominal pain, and vitamin deficiency during my recovery so my dietician is still having me focus on protein with a little soft cooked, non-starchy vegetables (I really miss eating fruit). I have ADHD so eating the same thing for more than like 2 meals is almost impossible. However, there are a lot of other people who are dealing with low carb and bariatric diets so finding suggestions and recipes isn't hard. Unfortunately that also means it takes a lot of research and trial and error to find what works for you specifically. There are a lot of different alternatives for gluten free/low carb/no sugar/etc. products available online that are a bit pricey, but might also be a good option for what you want/crave too.

I’m so sorry you are having issues. Hopefully it’s just the one week and you are back on track. If you are allowed caffeine, the premiere protein caffe latte was the only shake that didn’t taste extra sweet to me. Some people said they just mixed a shake with coffee to achieve this as well. Others on here have mentioned mixing the shakes with fairlife milk to thin them out a bit and I’m guessing that cuts the sweetness too. If not, I guess just stick with the soups since they are actually staying down okay. I’m glad you are not vomiting anymore and you are meeting uour hydration goals.

I personally added protein powder to everything that passed my lips the first four to six weeks! It doesn't have to be a lot, it adds up pretty quickly. I did this until I started on my Fair life elite core drinks (42grams)..just make sure to drink no more than half at each meal, anymore and our bodies can't process that much Protein in a short time (according to my surgeon and dietician).

My program has one week of liquids, soft proteins at week 2, and then if you are meeting your protein and hydration goals, you can start adding some veg and fruit starting the third week. So, I was eating things like eggs, tuna, cottage cheese, salmon, and some very well cooked veg like broccoli and green beans. I was doing fine until last week when I had several incidents of vomiting. So my doctor moved me back to liquids 5 days ago to allow healing. I'm stuck with it until my appointment a week from today and pretty much everything sounds terrible. Anything with sweetener is too sweet. I have clear protein water and I swear it tasted like perfume. I made a smoothie with frozen banana today and even that was too sweet. Protein shakes disgust me. I have one flavor I can handle. So I'm mostly doing cream soups with a scoop of unflavored protein. Everything about eating feels really disgusting right now, although I haven't had any issues with my stomach, so that's a good thing. And my hydration has been consistently good.

Ooh. PB cookie dough does sound good. Why were you set back to liquids? Have you tried the clear protein. I used the ones by premiere protein my first time around and they are pretty good. Seems like it was fruit punch or peach flavor was the options. I don’t lile peaches but the fruit punch wasn’t bad.

Glad you're doing well. I'm feeling good,maybe pushed myself a bit much yesterday so trying to not over do it today🙃 I was told you can't over do the protein, curious if others have gotten the same advice? And I asked for a belly binder, it's not typically part of the post op with my Dr. I've found it is helpful for me. Some people like the extra support it gives& others don't care for them. I don't think it plays any role in the healing process, more for comfort.

There is a brand of peanut butter powder that has flavors like cookie dough and such. I think that might be nice. And yes, the protein shake powder is way higher in protein. I feel like mixing it as a shake makes me gag, but using it as a fruit dip somehow changes how it tastes to me. I may try it with a strawberry banana shake mix I have too. Being back on liquids right now is messing with me because I've come to hate the texture of shakes. And even a more natural version made with yogurt, banana, and pb powder is making me gag today. One more week of this and then hopefully I can go back to eating soft protein and maybe a little bit of veg. I miss veg. I didn't expect to be back at square one 5 weeks post-op! As soon as I can, I'm going to have fruit dip!

I'm feeling pretty good. One of my incisions will occasionally hurt and to cough or sneeze was painful. How are you doing? For the more seasoned vets, is there such a thing as too much protein? I think I overdid it yesterday with my protein shake, bone broth and protein water. Belly binders? Are they necessary?

I supposed the OP has already worked this out since the post was 2015 but I just want to add that the surgeons do then to weight loss drugs as one of the tools in their belts post surgery now. They have quite a few in addition to phentermine nowadays too. For anyone out there experiencing weight gain please touch base with your team. I was unable to take the meds because if interactions with other meds I was on but that was definitely an option that was presented to me early on and for someone with only a fair amount of weight to lose it could help. I have taken phentermine in the past and it did reduce my appetite significantly. My problem is I wake up several times and night and eat too so once the med wore off I was hungry. For those reasons they didn’t work for me but they do work for many people.

if I’m not mistaken the PB Fit came in different flavors at one point??. I haven’t seen them in a while though. I’m wondering if that would be as good (if I can find it) since your dip sounds absolutely delish but I don’t like just chocolate shakes at all so I would have a ton of protein powder leftover. Edited to add that I realize why you do it that way now that I looked it up the PB Fit is only 6 grams of protein and the scoop of protein powder is a lot more. Ignore me. Lol

My partner does keto (very successfully) and has for years. He stays a mile away from processed foods that purport to be keto friendly. Ditching those allows for much more leeway with your carb goal. Cook everything from scratch and you will honestly never go wrong. In the immediate post WLS period it's hard to do full keto, or full any eating plan. Once you progress through the stages you can have whatever protein you like or can tolerate (and bear in mind that might change after your second procedure so don't be afraid to experiment!) plus green leafy veg/salad/mushrooms/cauli/broccoli/celeriac/whatever and smaller quantities of other veg (should not be a problem for you as all quantities are small quantities post WLS)! Cauli rice is fab with loads of meals. Sauce wise my partner eats bolognese/ragu - just no pasta. Curry - just no rice. Casseroles with no carbs and limited veg. I add the juices of meat or fish to the final protein part of the dinner and sometimes dress that up with a little cream or spice paste.

Since posting this I have been searching for recipe ideas online as well. A lot if the low carb seem to be much higher In fat. I guess we have to sift through to those that focus on protein. There is a website called Delish that has a lot of pictures that are making my mouth water but it’s a paid site and doesn’t even let you see the macros without paying. Assuming they even post the macros.

Hey there, fellow Massachusetts person! Here are a few options that might work for you for protein: If you like soups such as creamy tomato, butternut bisque, etc., add a scoop or two (10-20g protein) of unflavored protein powder such as Isopure or Syntrax to the soup. Also, if you make a canned soup like cream of chicken, make it with Fairlife skim milk for even more protein. 1/2 a cup cream of chicken with 1 scoop of protein would give you about 17g protein. If you are at a stage where you can have apples, make a great protein dip by taking 1 cup Greek yogurt and adding one serving chocolate protein powder and 1 scoop powdered peanut butter and eat 1/2 cup with 1/2 an apple. This gives you around 25g protein depending what brands you are using and tastes delicious. A great source of plant-based protein is edamame, which they sell already shelled and lightly salted, ready to eat, in the produce section of Hannaford (and probably other stores, I would assume). Also, four of the cracker-sized slices of Cabot cheddar have 8g protein, and if you pair it with Triscuit thins, that's another 3g for a nice 10g snack (when you can have crackers).

Hey there, fellow Massachusetts person! Here are a few options that might work for you for protein: If you like soups such as creamy tomato, butternut bisque, etc., add a scoop or two (10-20g protein) of unflavored protein powder such as Isopure or Syntrax to the soup. Also, if you make a canned soup like cream of chicken, make it with Fairlife skim milk for even more protein. 1/2 a cup cream of chicken with 1 scoop of protein would give you about 17g protein. If you are at a stage where you can have apples, make a great protein dip by taking 1 cup Greek yogurt and adding one serving chocolate protein powder and 1 scoop powdered peanut butter and eat 1/2 cup with 1/2 an apple. This gives you around 25g protein depending what brands you are using and tastes delicious. A great source of plant-based protein is edamame, which they sell already shelled and lightly salted, ready to eat, in the produce section of Hannaford (and probably other stores, I would assume). Also, four of the cracker-sized slices of Cabot cheddar have 8g protein, and if you pair it with Triscuit thins, that's another 3g for a nice 10g snack (when you can have crackers).

Hello, I am 4 weeks post-op after vsg and I am struggling with my protein intake. I was also dehydrated 2 week pop and I been focusing on my hydration but I realized I have been slacking on Protein. Protein shakes make me extremally nauseous and does any one have any tips or ideas in how to increase my protein daily so I don't stay stuck in this stall. Thanks.

Okay. If left to my own devices I basically eat like a child. In terms of health food I really only like chicken breast and mahi fish and i don’t love either of those. I also tend to like mostly higher carb veggies and higher sugar fruits. Lucky me, right?. Anyways, the only common veggies I seem to hate are Brussels sprouts and mushrooms and I like most of the typical fruits but I still need to manage to stay low-ish with the carbs. Three years ago post sleeve I ate grilled chicken or grilled fish with a veggie every single night. Just those two proteins on the grill with a couple basic spices and veggies and it got SOOOO boring that of course I didn’t stick to it. What I need is some recipe ideas that add variety to my low carb diet so I have better luck sticking with it this time around. I am going to get a cook book once I speak with my dietician (who I just left a second message with) if there is one that’s appropriate for SADI but I just hoped others would share their favorite recipes to get me started. last night my husband made me a fajita wrap with grilled chicken, sited peppers and onion and just a bit of reduced fat cheese and a low carb wrap and I thought to myself if I had more options like that I think I can do this. I am thinking I probably need to branch out to cuisines other than my typical American, Mexican, and Italian but I may need a little nudge. I am currently looking for a Mexican recipe with caluliflower rice. And I’m wondering if cauliflower pizza is a good option for once in a while and if so is the frozen one okay. I think my store has one by California kitchen. It’s 29g of carbs so I would have to be an angel the rest of the day but is there a better option? Also, I don’t hate the zucchini noodles or the spaghetti squash but I feel like that needs a really good sauce or something to make up for what’s missing. Any suggestions for sauces?

If you're allowed, I found heating up a serving of tomato soup with unflavored protein powder was much more satisfying for my dinner than a shake. Just check that the combined calories and carbs of the soup plus the protein is roughly in line with a meal replacement shake. I used the Tomato Basil from Pacific Foods with 2 scoops of Syntrax unflavored and it was right in line with a Bariatric Fusion meal replacement shake but with a hot and savory flavor instead of sweet/cold.