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Personally I would think cheese only once a day (if even) and no need for both chicken and fish on the same plate/meal in those portion sizes anyway for twice a day. I would think the size of the chicken breast alone would be sufficient with just some veg and a carb. Having the same for lunch and dinner of that style plate is just repeating too much of things that are not necessarily doing you any good. Also maybe vary it a bit with possibly a high protein yogurt and some fruit for breakfast? Chicken or fish, maybe with some green beans or cauliflower and no eggs other than at breakfast? If this is how your plates are looking - size and mix of food I think maybe you should reach out to a local dietician to go on a reset, back to the basics for a while if you can stomach it. Also, don't always listen to what others tell you about how you look - you didn't do the operation for them, you did it for you and you need to be happy with yourself.
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It's easy to forget that "weight" and "fat" are not the same thing. You can burn fat and go up in weight, and it's normal for daily weight to fluctuate by several pounds. You've been really lucky so far that the scale has gone down consistently, but you're getting to the 6-month mark and that's when the surgery's fat burning effect starts to slow (not stop, but slow). In the past, you were burning enough fat quickly so that even if you went up in weight from water or the food in your digestive track, you wouldn't see it on the scale. Now, though, you might only lose a small amount of fat in a week, so you could see the scale become a little more erratic. It's totally normal and you aren't gaining fat. It's also very common to hit a stall around 6 months post op as your body recalibrates. You'll probably see slower weight loss once it breaks, but you'll still see the scale go down for many more months. And if I just base it on my own experience, you will experience this type of thing the closer you get to a number that feels important to you because the universe is like that. The moment I dropped below 200 lbs, which was such a psychological milestone for me, my weight bounced back up and it took another 10 days to get back into the 190s again. My third month post-op, I stalled and only lost a total of 3.8 pounds. The following month was my best month so far for weight loss. So don't read too much into a little wobble on the scale if your habits have been reasonable. If it takes 3500 extra calories to gain one pound, unless you can identify some really bad choices that would have led to a 14,000 calorie surplus this past week, it's not anything you're doing. Just keep following your plan and ignore the scale.
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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!
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Oh @ShoppGirl, this is why I was so so glad I never had to count carbs. I was just told keep carbs low and I still generally do (usually keep to two serves a day). I go by complex carbs are always better than simple carbs and low processed carbs cover highly processed ones so whole & multi grains wherever possible. And I ignore the carbs in fruit & vegetables - too many other good things in those. My thinking was those old food pyramids separated fruit & vegetables from ‘carbs’ so that was good enough for me. Have you spoke to your dietician about this conundrum? They may be your best source of guidance around this.
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Is there a standard guideline?
NovelTee replied to NovelTee's topic in Gastric Sleeve Surgery Forums
Thanks for this! I fully intend to follow the guidance, it was just a curiosity as to how they determine their guidance. I just think it's really interesting to basically still be on full liquid to week three post-surgery. Maybe yours is tailored and mine is just sort of a set rubric? The food guidance I have isn't tailored to me––it's a PDF that's given to every bariatric patient in our medical group. My assigned nutritionist shared with me that her department always receives random updates to the diet directly from the bariatric department when the issue the new PDFs (we went through two updates while I was waiting for my surgery to be scheduled. When I have update calls with my nutritionist, she just asks me if I'm getting in my fluids and proteins and following the PDF for guidance on what I'm allowed to have. Either way, really interesting! Hope your surgery goes smoothly!! -
If its not diabetes/glucose related, it could be an allergy or intolerance to certain foods. If your body mistakes it for something attacking it, it will cause inflammation in various places, and can put you in a mildly sedated state while it thinks its fighting for survival. You may want to track what you eat for a week or so, and jot down which meals made you feel more sleepy than others. Look for patterns, and check for common food intolerances online to see if there's any overlap. For some people, it could be stuff like sugar, wheat, red meat, nuts, flours, soy, gluten, food dyes/coloring, shellfish, other seafood eggs, dairy, or corn. You may also want to look into elimination diets where you cut a category of food out of your diet for a couple weeks, to see if it goes away, and slowly add them back in (1 item per week) to see if the symptoms return. Good luck in figuring it out!
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Doing pretty good so far, had a stomach ache the other day. I tried to vomit, but couldn't. I think I ate something my stomach didn't agree with. Which is weird, because it wasn't very much and something I've eaten before. I've taken some of the meals I've had and blended them to see how much volume it is. I thought maybe I'm able to eat more than supposed to. But, when I blended it into a small mixer getting it to be a little thicker than applesauce, it's not as much as I thought it was. About a cup and a half. I braved eating some regular rice. Didn't have any issue with it. Though, I did feel like I stayed full longer than I have had with other food. I'm not going to push it, the riced cauliflower I get does the job when you season it just right. As far as the cold thing goes, I'm a heater. Only time I get cold is if I'm really sick with a fever. So that hasn't changed any as of yet! Hope you're doing well. -
Strongly struggling
NickelChip replied to Mrs. Ross's topic in POST-Operation Weight Loss Surgery Q&A
Every surgeon is different, but with my program, I was allowed to start soft proteins on Day 7 after a chat with the nurse to make sure I was getting my hydration in and feeling well. I had great luck with tuna salad made with low-fat mayo, yogurt (I did Oikos Triple Zero, but eventually the artificial sweetener taste turned me off them), oh, and cottage cheese was an absolute delight! I made a poached egg and it went down nicely, so then I tried a deviled eggs (yum!) and finally scrambled with a bit of cheddar. I was also allowed refried beans and ground chicken/turkey (which I made with some taco seasoning). After a week of just those items, I was allowed to slowly add in some veg, fruit, and finally grains. This is much faster than what my surgeon allows for sleeve, by the way. He explained that the healing is different between sleeve and bypass, so I was happy to be able to get back to real foods faster. My only issues with vomiting came from reheating some salmon (way too dry) and another time of eating a bit too fast without properly chewing every single bite and waiting long enough between bites. But otherwise, I'm at 4 weeks as of tomorrow and I'm pretty much able to have any types of food, including raw veg. I have a tiny cucumber, tomato, shredded carrot, and edamame "salad" with most of my lunches. As for pills, I crush or sprinkle all of mine over a couple tablespoons of applesauce. Except for vitamins and calciu, which are chewables and have been fine. -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
So I got another Steri strip off and my belly button looks funny now. My husband said he’s guessing it’s caused by some swelling I still have which is also why he thinks one of my incisions looks sort of dented in. I certainly hope so. I mean the scars I can deal with (although the belly button one is pretty thick unfortunately). I don’t plan to be wearing any bikinis anytime soon anyways but the weird belly button I don’t think I can get past. Went to my crochet/ knit group today and it was even easier than last week. I felt up to stopping by the fresh market after to just scope it out. I really thought I remembered it having more lower calorie/ low fat stuff. I mean they do have a much better variety or produce and seafood which is good and they have some convenience foods that are healthy-ish (like they have steamer bags of cut veggies that look delicious but they have butter or another sauce in them) things that look like they will be awesome for maintenance but maybe not quite yet. They do have like fresh prepared stuff that’s relatively healthy and would be a really good alternative to take out like salmon and veggie meals that are already prepared and Turkey meatballs as well as a Turkey meatloaf . The ingredients in the meatballs aren’t too bad (it prints on the sticker but she printed one for me to read ahead). It doesn’t have nutrition info though. I just really thought they had more fat free in like cheeses and all that. They do have lots of cheeses and dressings and all that just not a lot of low fat or fat free. Anyways, last week I just did the crochet group and came home and crashed because it zapped my energy. Today I did the store too and I’m not feeling exhausted.it really has gotten better day by day for me. Hopefully at this point I can just stay up and get back on track a little with my sleep schedule. That afternoon nap has been making me stay up later and later and then I want to sleep in. I am not sure if I mentioned but I ordered some Walking shoes. I am going to try to walk around the neighborhood and see if I can handle the heat as well as the activity. I think I’m going to start in the evenings since I haven’t been getting up early but hope to eventually switch it to mornings to get it done for the day. Pretty excited still for Monday. Not sure what I’m going to have with my snow crabs yet. I would normally have a potato or rice. Maybe some grilled squash with onions. Those are pretty soft. -
Cold feet b4 Surgery time sensitive.
CelticSoul replied to Joe Brown's topic in Gastric Sleeve Surgery Forums
Hi Joe, I am almost 8 weeks post surgery. While I can't speak for everyone, I did not experience this. Yes, you have to chew your food well (if it needs chewing), but it is not as onerous as it seems. Sure, the first time I had solid food I made sure that it was well chewed and I ate it slowly to make sure it was not going to present a problem. I've done that with every new food I've tried. But it has NEVER taken me 10-15 minutes to eat 2 tablespoons of food. In fact, I have to make sure I don't eat too fast! It is like drinking water after surgery... at first you struggle to take a sip at a time. Then you notice you are taking bigger sips and then a large swallow. I can drink 8 oz of water in a couple of swallows now. I know that thought of the changes this surgery may bring to your life can be scary, but does it really matter if when you are past the initial stages of the process it takes you 15 minutes longer to eat your dinner than it did prior to surgery? That you can't get your money's worth at an all you can eat buffet? If you look at the surveys of people who have had WLS, their most common regret is that they didn't have the surgery sooner. BTW - I'd always been a "healthy" fat person until I wasn't. I can't count the number of times I lost a little weight only to gain it back; Weight Watchers should have been giving me frequent flyer rates. Today, I went under 300 lbs. for the first time in 19 years and I'm 35 lbs away from being a weight I haven't seen since 1984. Yeah... I'm good with it all! -
What does your day of eating look like?
AmberFL replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
So my targets are 60-80g of Protien Less than 40g carbs and less than 15g of fat. So I think I need to re-evaluate my food choices. It’s a learning curve lol -
Suggestion Wanted Disney World Trip in April
newbegining2024 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
I am currently restricted to eat raw food, such as salad and crunchy fruit. No nuts yet. At about 3 months then I can try, but I would imagine still have to slowly add them to see how I tolerate. Which when I go to Disney I will be only about 2 and a half month. I can eat chicken and fish with no problem now. I did look at Disney app to see what they have available. Look like grill salmon is on the menu and I sure can eat some smoke turkey leg. My current stall is making my brain sending me signals to eat and making me crave for a lot of unhealthy food. I still still eating about 3oz protein 1oz veggie and 1 oz starch. But I gained 3lbs, I got to 229lbs and were so happy I’m in the 220 range which is before my pregnancy, but this morning I am now 232! I have head hunger all day long, and wants to eat so much. I broke down today and kinda cheated. I ate half a sandwich from Panera Bread… It was tuna sandwich, and some chips! I didn’t even feel sick from it and I am so scared… I am feeling so guilty and feel like such a failure. -
Hi! I was wondering if anyone who is 5+ years since surgery is still experiencing any issues? I find that when I eat certain foods, much like when I was about a year or so out, that I have a feeling of being too full and can’t keep the food down. It isnt all the time. And it isnt really if I eat too much or too fast. I still eat pretty small meals at any given time and typically just eat 6 or so very small meals. An example would be if I eat pasta, maybe 1/3 to 1/2 a cup may feel unbearable and too full and can’t keep the pasta down. It could be something random like a handful of jelly belly jelly beans. I would say it happens maybe 1 a week? Just curious if anyone else has this issue. I have done well at keeping the weight off since the surgery and have hovered around 130-140 for the past 2 years. I am fairly active 50’s, 5’5 female. Thanks!!
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I had heard about the honeymoon period at the start of it all. Didnt really think much about it at the time. But this has smacked me hard.The honey moon period is well and truly over. Reality is kicking back in. I had the RNY back in May 22. Since then I have lost 60 kg or 132 pounds. I had Covid for Christmas. I have managed depression and anxiety for decades now. In the last month my anxiety and depression have flared up something chronic and I am stuffing food into me as if I had never had the bypass. I am loathe to weigh myself and I can feel my body change again. Food addiction is real and I am terrified that I am going to regain all the weight I had lost. I dont want to be trapped in my own body again. I want my muscles to be strong. I dont want the panic attacks to dominate me again. Right now I feel distended and hopeless. Has anybody else tackled this point. I dont want to be overtaken by a Tsunami of food and shame and guilt. Who eats food off the floor? Who eats food out of a bin? I want the control back. Is it too late now that the honeymoon is over. Has anybody else tackled this time and won? Anybody? Anywhere?
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@BlueParis Thanks! Yes, I see some changes in my face in the photos and when I look in the mirror, and also my arms and even my hand look thinner in the most recent picture compared to last month. I've been microwaving, which may be the problem. Steaming would probably be the way to go. I brought home a delicious chicken shawarma from the weekend, but it dried out after a minute in the microwave and caused me all sorts of trouble. I wonder if putting it in a sous vide would work. I have a fresh turkey breast that I think I will try in the slow cooker that I can then use the meat for my salads at lunch. I do well with raw baby spinach, red peppers, cucumbers, and carrots. I never thought to cook turkey in a slow cooker, but the package suggested it (along with 3 cups broth). Worth a try! I'm so glad you're feeling a bit more at peace with your progress. I envy you being in London, although I swear you can freeze there in the middle of summer. But it's one of my favorite places. I had hoped to go for my 50th birthday this spring, but with surgery, it didn't really work out, so next year! Having spent the weekend away this weekend, I don't envy you all the travel because choosing foods while on the road is very hard. I feel like every time you go into a restaurant, it's some new server staring at your hardly-eaten plate and wondering what's wrong with you. -
Gastric bypass revision from sleeve. I am doing liquid IV and trying the best I can to drink shakes and eat mush food. Not working out well. I am drinking. Still nausea. Is this the usual for a lot or am I in a bit of trouble. I was at er for urinary issue and they did scan said all looked good. Still going every ten minutes and just a little comes out. I guess it’s time to call doc. It’s a bit overwhelming. Praying for best outcome
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Can't get everything but in converting to ounces: 2.25 seafood stick 200 calories? 1.5 mozzarella 175 calories 3.7 breast 200 calories .05 pepper 30 calories 1.35 shrooms 30 calories 1.76 onion 18 calories So right there over 600 calories, 2x a day is 1200 calories. Add the eggs in and that's over 1300 calories. Depending on what your calorie needs are for a day, there is your food. I'd tend to agree with folks on getting rid of the mozzarella and seafood sticks. The chicken (or turkey, fresh fish but not salmon which is high calorie/fat) would be better. If you wanted to substitute fresh veggies that were mentioned before, that would be better as you're not getting in really any fiber or greens. As I dropped weight my caloric needs went down. I'm sure you've gotten that, but upping the calorie expenditure is another thing. If your body is used to a mile walk, walking at a faster pace or jogging or doing 1.5 or 2 miles would be next suggestion. You also don't detail what you drink. That is a huge factor. Pulling for you!
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Hey there! Would love to hear how it's going for you! Here's where I am: My highest weight was 251 back in the summer, which is when I was referred to the surgical program. I started making changes to my eating following the Pound of Cure book by Dr. Matthew Weiner and was down to 238 on Feb 7 when I started 2 week pre-op liquid diet. I was 223 the day before surgery, so 15 lbs down in two weeks. That's compared to 13 lbs in 6 months, which is crazy, but I also know that I wasn't trying to lose weight during those months so much as make healthy choices. I didn't count calories or other macros. I just made an effort to reduce processed foods and eat a pound of vegetables most days. Whereas the liquid diet was pretty much me starving for 2 weeks. But I survived! Since surgery, it's gone a bit slower, which is in part due to the fluid shifts from surgery (according to my meeting with surgeon last week). My weight this morning, 3 weeks post-op, was 217 lbs. So, 6 lbs down since surgery. I'm healing pretty well, meeting my 60g protein goal and 64 oz water goal daily. I did have one incident of foamies / vomiting two days ago that set me back a little on food tolerance, but I think I'm doing better today. I go in to see the dietician on Monday. The first week I was getting around 400 calories per day. Last week and this week have ranged between 500-700, depending on the day and what food choices I make. I haven't really experienced anything I would call hunger. As for non-scale victories, I had to pull out one of my smaller bras yesterday that I still had from about 5 years ago! I also fit into an outfit I bought last year that I wasn't able to try on at the store and discovered was too small when I got it home. But not anymore! And I'm officially off blood pressure meds! -
It is different for everyone. I track and am 3 months out from surgery. I find it really helps to know what my macros are at the end of the day. I don't weigh my food very often because I'm really good at portions (I used to be a chef) but tracking keeps me accountable. And my surgery has a malabsorpative component so I really have to be careful I'm getting enough food. I will say though that when I researched it, most studies show that people who track their food (at least for a few months) lose more weight in general weight loss attempts and maintain that weight loss better. I don't know how that translates to bariatric surgery, they probably haven't studied it, but when you have a carb limit to stay in ketosis (not every doctor requires this but some do), or a high protein goal to reach, tracking your food can be helpful. I sometimes take a break for a day if I've been out a lot or I'm traveling or away from the internet. I figure doing it most days is good enough for me. I trust that the habits it is helping me cultivate will kick in on days I can't write things down. Plus sometimes it really surprises me how I might think I'm doing well on protein or low on carbs and then I put things in and find what I assumed was true was not in fact true. LOL
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The instructions I was given were 48 hours of pre-op liquid, with total fasting beginning the evening before surgery. The longer liquid diet is to promote rapid weight-loss and shrink your liver, but some surgeons don't find this necessary, or only apply it to patients over a certain BMI. The 24-48 hours of liquid-only and/or fasting prior to surgery is just to clear your digestive tract prior to operating. Also, some surgeons don't require a puree stage and go from foods like yogurt and ricotta directly to moist proteins and fully cooked veg that you are instructed to chew for 30 seconds to a minute before swallowing (essentially pureeing them with your teeth).
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I am 1 month post op from Gastric Sleeve and am wondering what time everyone gets started eating and drinking water? I am on the soft foods stage and getting about 50-60g of protein in a day and 64oz of water. I really want to start adding in a protein coffee but think I need to get up earlier in the day or use that as my breakfast meal. Can anyone share the meal schedules with me?
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Broilerbob I would have gone overboard with all that food. Good restraints you have Cat thanks. I am travelling to different places by car. But plane to Sydney. I was lucky to have a fridge. It took me 3 days to eat a very saucy pulled chicken korma. so the surgeon is taking me back in for surgery #6 on the 28th March. He still isn’t happy with the results and progress. I have already held off on the bread, pasta, rice, oil fried foods and carbonated drinks. But now I’m to try to have nothing carbohydrates and nothing sugary. Plus cut back on the yoghurt smoothies. It’s not leaving much for me to eat or drink. The fundoplication isn’t “flapping” like it should he said. But I told him I feel great. Just the regurgitation with everything I eat.
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Food Before and After Photos
Arabesque replied to GreenTealael's topic in General Weight Loss Surgery Discussions
I had Vietnamese last night for the first time since my surgery. I had forgotten how much I like viet food - the clean, fresh flavours. I had prawn salad which I always enjoyed. I ate 5 prawns & the very small disappointing amount of cucumber, carrot & lettuce & a little of the mint. Bought home a bowl 2/3 filled with 2 leftover prawns & all the noodles. My brother & his family eat far too much takeaway. Eating with them twice in the last two weeks is why I’ve eaten takeaway twice too which I rarely normally do. -
I'm not post surgery yet, but I will be soon. I've always been overweight since 1st grade! I've always made pretty good food choices though, just the wrong portions.I do however have the biggest sweet tooth!!!! I like to eat something sweet after almost every meal! Can anyone offer advice about how to get away from this? how were your sweet cravings after surgery? how much candy/cookies whatever, can you stomach NOW? I'm hoping my need for sweet will diminish after surgery.... advice please!
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6 Month Post-Op Update Revision Sleeve to Bypass
lauraellen80 replied to Chel1's topic in Revision Weight Loss Surgery Forums (NEW!)
Thanks for sharing your experience. I'm just over a month post-op from VSG to RNY revision and feeling kinda lost. Do you track calories and/or macros? If so, what are your daily goals? Is your pouch normal-sized for a bypass, or did your surgeon leave it larger like mine did? How much food per meal are you eating at this point?
