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Hi. Has anyone else been told to skip the liquid phase and go immediately chewing soft foods? I’m finding that all I can tolerate is toast crunched into a liquid consistency, puréed ground chicken and puréed potatoes. My protein shake gave me dumping syndrome today. It’s only day 5. But I feel like I can’t manage eating. My plan tomorrow is to just do white bland puréed foods. I just don’t think I should be feeling dumping Syndrom when it isn’t necessary. I feel like I’m being asked to skip the first three weeks of healing and my body is saying it needs to go slower.

So I was reading that we are not supposed to have sugar after surgery. Are they talking pastries and stuff cause I drink the chobani complete yogurts. Are those okay? They have a like 20g of protein and they taste so good

I did stick to very soft protein and veggies at 5 weeks. I needed a lot of liquid (soup or gravy) to get it down. I loved fish, it felt a lot lighter than meat for a main meal to help with my protein goal. Tiny portions though. Also I was still relying on protein drinks to make my goal. Scrambled egg (less than one) were a godsend. I was probably consuming 400 calories per day between 4 and 6 weeks. I soon progressed to 600, maybe 2 months out? Hope this helps OP.

ok, I goofed. Last night, I was feeling very capable since Ive done so well since surgery. Well, I was too cocky apparently, bc I shouldnt have done this at 3 weeks, 2 days. I ate almost 4oz of prime rib last night. I chewed it very well. It seemed ok until it wasn’t. I was in pain and for the first time being sleeved I vomited. This a.m I wasn't the least bit hungry , felt fine otherwise, so I just had water till about noon. I could only get 2 oz of my protein oats down. Then about 2 hours later, Im struggling getting some chili down. Do you think that steak is still hanging out in my stomach? I’d appreciate your feedback.

My homemade protein shake was much better this morning than the commercial ones. I did 8oz Fairlife milk, 2 scoops Syntrax Nectar unflavored, and 2Tbsp powdered peanut butter. Smooth and easy to drink. A couple drops of vanilla would probably make it even better. This afternoon, I had 2 Tbsp (1/8 cup) of tuna salad. It took about 25 minutes to eat and was really nice. It's been about an hour and I seem to be tolerating it well. I might do refried beans with a tiny bit of melted cheddar cheese for dinner.

Hello everyone! I see that the mid-month surgeries will be starting, some as of today! I'm am a week and a day post-op and have to say - I'm SO tired of being on a liquid diet and am absolutely counting down to this next Monday when I get to start purees. I'm telling myself I'm excited about purees, anyway - but I think I'm more looking forward to being able to have intake that isn't 'room temperature'. I've struggled to enjoy my pudding (sugar free, made with protein shake) because while cold it starts out nice and thick but as it begins to warm it gets slimy and watery I had things I wanted to respond to from the many posts I've just caught up on and by golly I'm going to try to tag multiples in this post and see if it works! *Please* forgive me if this is long; I'm a writer (unpublished but working on it - fantasy for anyone curious - so overwriting tends to be my worst tendency!) To start with, since I think this will affect pretty much everyone - I had an amazing revelation a couple of days ago that made PERFECT sense. Colace / Docusate is a stool softener, NOT a laxative! A friend of mine is a research junkie about medications (I am about almost everything BUT that) and shared a video to me of a Pharmacist talking about the absurd cost for Docusate / Colace considering what it IS. Miralax and Senna are laxatives, all Colace / Docusate does it provide lubrication to your stools so they will be easier to pass. I'm pretty irritated about this, honestly, because whileI can see the purpose of Colace/Docusate if you're severely constipated it won't actually get things 'Moving'! Literally >. I can attest to this being true because during my liquid diet the only times I had stools were when I took Senna - (obv check with your doctor/pharmacist, but seriously this helped me SO much because post-op I was again at 5 days without a stool, took some Senna, and bam.) To @AndreaJD and @Singingbarista , our Multi-care Clinic twinsies - How's it going?! This is your week!! I'm so excited for you both and hope your surgeries go great. You've both been wonderfully helpful and insightful in all the support you've offered and I'm eager to hear from you on the other side of the adventure! @AndreaJD - I just love your attitude SO much. Yes; we are certainly in a marathon for the next few months and NOT a sprint! I'm also rethinking my approach to food and looking forward to exploring new recipes. I find myself reading and re-reading my dietary instructions. I get a bit overly excited for my family's meals, savoring the smells and almost a bit resentful when they are NOT excited about the variety of foods that are available to them to eat. My fella says he wishes I'd stop vicariously trying to 'eat' through him - and I told him that's just tough, lol. I'm going to keep right on suggesting all of the available items like a waitress at a diner selling the food until I can eat a better variety myself! To @Justarwaxx and @Mandalynne- Today is your day!! I have you both in my thoughts and hope everything goes well for you! @Justarwaxx - Welcome to the forum, I'm so glad you joined us! @Mandalynne - Oh I'm SO glad to hear that my mentioning the Finch app helped someone! I'm rather ND myself (in case you couldn't tell from my rambling responses lol) and for me, Finch has been almost as life-changing as this surgery. Everything always felt overwhelming and scattered, with me constantly struggling to 'get on track' with endless efforts of organizational methods, then I would slide right back 'off track' for however long. My friend code on there is YJAMJAC79Y if you want to add my to your 'Tree Friends' lol - no offense taken if you don't! I can't believe they said only ONE day in the hospital for your surgery?! Surely they will keep you longer than THAT - it's pretty invasive! Please give us an update once you're situated and feel up to doing so! Also, I'm SO with you on enjoying the smells of food cooking! I keep looking at some blueberries and strawberries that are sitting in the fridge and literally pushing my Mom and fella to enjoy a popsicle for me, lol. I can't WAIT until I'm off this room temperature everything!! Update: I'm so sorry your surgery date was postponed! Hey there @draikaina8503 - Greetings, fellow nerd-friend! Your response about playing D+D & WoW resonated with me! I, too, am a gamer and nerd! ❤️ I have tried so many times to revisit WoW but it just is NOT the same now that I don't have all of my old friends and guildies from the 2007-2015 era around I have played WoW since 2004 on and off, and now have somewhat given up and just play Sims4. I love being able to create story and be immersed in my gaming, and always felt guilty to move into the territory of roleplaying storyline with folks when I never knew how long I'd 'stick around' on a given revisit to the game. But here you are, only *two days* away from your surgery! I hope that everything goes smoothly for you and that they aren't stingy with the pain relief. Ice packs have been SO helpful for me, as I previously stated, and making yourself get up and walk as soon as possible will help alleviate the gas pain. I had them get me a fresh ice pack each time before I went walking and would hold it pressed to my surgical area while pushing the stupid IV pole with my other hand. Remember, too, it's the act of walking and NOT the speed! You'll almost certainly feel the burps start to rise up and the relief that comes with that is as Shoppgirl said - it feels like a rainbow after a storm once the tooting and burps begin. Also; I appreciate you sharing that you're going through this as an individual with Au/ADHD; I'm on a wait list right now for testing and your mention reminded me that I need to follow up on that! As a result of my opening the different pages of this thread in different tabs I feel SO much more able to handle making a response all in one go like this! For anyone having trouble tagging you have to do the @ symbol, then start typing the name of the person you want to tag with a capitol letter. It will bring up a list at that point and the more letters you type the shorter that list of names will get - you can then tap on the right name (or click, if you're using a mouse - hope this helps!) I actually just noticed by combing through that @Pepper_No_Salt is also an 8/16 surgery ! You and @draikaina8503 are indeed surgery twins, just like you said! I bet you're starting to *really* feel it now! Or did they not get you scheduled back for the same day? I am SO glad that you got that issue corrected - I was mad on your behalf when I saw that it was cancelled! Hello and welcome, @Farhad , and congratulations on your surgery! Which one did you have, if I missed it, and how are you doing? I hope your pain is being managed well and that are having a good recovery. It sure is wild how quickly we fatigue now, isn't it? I learned around days 5-7 post-op that standing and doing anything that requires movement side to side causes me a lot more tenderness than when I slowly walk forward for the same amount of time, and couldn't for the life of me understand why. I guess it just makes a difference on how the incisions are pulled or tugged. I've got staples that I sure HOPE they take out Thursday because I'm SO tired of them pulling and feeling weird as a rough surface on my skin. To @Onemealplan - Thanks for your post and all of your great reminders that this journey will be very individualized experiences. We can see similarities but I've also definitely noticed how varied some of the doctor's orders for pre and post-op are. I was feeling jealous of @ShoppGirl for her ice chips, but then again she ALSO had a much longer pre-op diet than I did and we both were going in for a SADI surgery. My doctor ordered me to start with the vitamins as soon as I got home from the hospital, and I was here worrying about how I didn't re-start my calcium until yesterday because even though I ordered Bariatric calcium because it was STILL three big pills, so I reordered a chewable and it just got here yesterday. I will say the chewy Fusion style Calcium ones are tasty and felt like a brief reintroduction to flavor town, lol. I also appreciate what you said about the difference between physical and mental hunger - that's 100% true for me. The 'idea' of food sounding nice to me I've been treating as a craving for flavor, and I've taken to trying to sate that with different flavors of water beverages and a rare sugar free candy like a jolly rancher. I don't know if I'm supposed to allow myself those or not, but so far thankfully haven't had any negative consequences for having the occasional one. The visit to flavor town is certainly a welcome break from this shake monotony. Welcome and congratulations to you @Greekmom4! I'm taking the Prilosec as well and am right along with you, today I am 8 days post-op. Have you been experiencing nausea still? I'm not sure if it's due to my type of surgery but I've not had much nausea in a while, thankfully. Granted, I am trying super hard to alternate sipping water/sugar free Gatorade/Propel every 15 minutes and a bit of a 30g Protein shake every 15 minutes most of the time when I'm not napping - which seems I can never really do, because whenever I go to get flat or semi-flat I feel the settling in my chest of burps that will only come up if I sit upright fully and/or walk. I have been fortunate (I guess??) to be able to meet my protein goals for the past several days; the 30g Protein drinks are SUPER filling and feel a little heavy, especially felt very heavy at first. Finally - to @ShoppGirl - I was rereading and realized that of COURSE your journey was different than mine, not only because we have pre-surgery differences but also because they took out your Gallbladder as well! I'm so glad you're starting to get some relief due to the burping and such. I agree, the post-surgery bowel movement made a world of difference. See also above where I discussed learning the difference between the Colace and Senna/Miralax! You're a go-getter, that's for sure! I personally wouldn't recommend vacuuming today even though I know you're SO eager to get back to being productive. You may have already done it lol - I wouldn't be surprised! Thanks for the reminder to get up and move; I took longer writing this big response post than I should have and even though I have my ice pack in my lap I know I'm way overdue to get up and move around a bit. I enjoy you your sterile strips, I've got a total of 12 staples and they tug and pull obnoxiously, plus I can feel where my body is trying to push them out and HATE it. Thursday can't come soon enough!! Wishing you the best and so thankful for your continued interactions and support

I just found this website while surfing the internet to see if I was on target for where I should be. I had my surgery on 12/18. As of yesterday, I have lost 60 pounds, which is also halfway to my goal weight. I have no idea how much I should lose by this time. The strange thing is that nobody seems to notice! I have yet to receive a comment about my weight loss and I am literally around about 100 or so of the same people every day. I found recovery from the surgery very easy. I used none of the pain medications or digestion medicines I was prescribed. I have had no reflux or nausea. My biggest issue is struggling to get in enough fluids and nutrients each day. I am usually full by the time I finish my protein, leaving no room for the veggies. Before this I ate few meat products. Now I feel like a carnivore! When will this change? Despite this I am barely meeting the protein goals. An odd thing I did not anticipate is that the health problems that should be getting better have all become considerably worse (sleep apnea, joint pain, allergies). I know this will change at some point, but it is frustrating in the meantime. The other odd thing I have noticed is that the fat is coming off in a completely different pattern than how it came on. At what point will the stubborn belly fat go away? Overall, I am super happy that I did this. I hope to get to my goal.

Temporary hair loss is very common after surgery. Your body is going through a lot is stress: the surgery, reduced food intake, weight loss, anaesthetic, hormonal flushes & changes, etc. The result is a temporary acceleration of your natural hair loss cycle. It actually can occur after child birth, periods of extreme stress, other more major surgeries, etc. The hair you are losing is dead & you were going to lose it anyway just not as quickly. You can’t stop it. Or slow it down. Some people will suggest adding additional supplements but this period of hair loss still lasts about 4 month -/+ regardless of taking the additional supplements or not. Those supplements won’t help hair that is already dead. As long as you’re taking the vitamins your team recommends & are meeting your protein & other nutritional goals, you don’t need to do anything else. Your new hair is still growing just at its usual rate & it is only this new growth that may benefit from the supplements. How much you’ll lose is very individual & you can’t predict it. You may lose more if it’s summer (when we usually shed more hair) or if you are in your 7 year hair shedding cycle (just went through mine again & was losing a lot more than usual). Try cutting off some of your length if you have longer hair. Many of us do this so the new growth reaches the length of the old growth more quickly. And shorter hair is always bouncier & looks fuller than long. I decided some temporary hair loss is a small price to pay for the benefits of your weight loss. Oh, and try not to stress too much - it only adds to the stress your body is already under which influences the hair loss. PS: You can update your weight by scrolling to near the bottom of this page. You’ll see a section titled Together we have lost… Add your current weight & click Update Your Weight. It will display the next time you start a thread or respond to a post.

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake). Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per protein shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it. All of which is a longwinded way of saying you're doing fine! Congratulations!

I am now on soft food, I meal prepped some lunches but getting my protein seems way tougher than just drinking shakes. I have the isopure lime mango mix in for 20g. I want to be able to eat food since it’s going to be more sustainable but how did you guys get it all in?

You can add unflavored protein powder to bone broth. It might even be okay with unsweetened herbal tea though I've never tried it.

I am getting 65-80 protein a day and 60oz of water a day.. I was cleared to use a straw to help with water.. I guess I need to meal plan more to get my protein in..

Thanks for responding. I'm not craving a particular food, or even necessarily "food" at all. In fact, I don't even really have an appetite just yet. I just have plain old hunger pangs and growling. I am plenty hydrated and feel I can maybe get more grams of protein in with some yogurt or pudding with added protein powder...both allowed per my doctors, so I'm not breaking any rules. It's just hard to get it all in 1 ounce at a time! I totally was not expecting to feel hungry and I'm curious if others have had the same thing happen.

Okay! That’s my booklet says too was 4-6hrs every meal. But this morning I two egg bites for 5g protein so a couple of later I made my protien shake. This makes me feel better I don’t wanna over eat but I don’t want under eat either. This is a science!

Hey I’m at the same place you are my surgery is the 8th. I too experienced tiredness. I read on another post to take b12 and it worked! I have energy and I’m not constantly tired. My diet allows me to have oatmeal so I use that as my “treat”. I’ve also realized I can strain my soup and add high concentrate bone broth 20 Grams of protein that is working. Oh also Gatorade protein drink helps me too. It is challenging but I’m not hungry as long as I eat every 2 hours n here’s to us!!

Hey I’m at the same place you are my surgery is the 8th. I too experienced tiredness. I read on another post to take b12 and it worked! I have energy and I’m not constantly tired. My diet allows me to have oatmeal so I use that as my “treat”. I’ve also realized I can strain my soup and add high concentrate bone broth 20 Grams of protein that is working. Oh also Gatorade protein drink helps me too. It is challenging but I’m not hungry as long as I eat every 2 hours n here’s to us!!

Hi everyone, I had my bypass surgery 3 months ago and I am just a bit worried about my portion size. I am currently living in UK and struggling to understand whether I am eating too much as I am the majority of the time still hungry and it is very challenging to control. I am just scared that if I continue like this, my appetite will keep increasing and based on what I have heard from other patients from different clinics who had the same operation, they do have smaller portions. One of my friend's relatives had the same surgery and he did say to me that his portion size is not more than 8g/3oz. I have been advised by the dietitian to have 3 main meals up to 150 grams/5oz each, drink plenty of water, healthy snacks and focus on the protein. The surgery was done abroad in a private clinic and this is what they suggested to do already on the 3rd week after the operation. I do use kitchen scales to keep track of the portion size. I would appreciate any advise. Thanks!

You may want to clarify pre-op vs post-op targets. I've been given two separate handouts. The lists are similar but a little bit different in terms of what is allowed. I've never personally heard of a pre-op limit on how much protein shake to drink in each sitting, but that doesn't mean your surgeon doesn't do things different. Post-op, you'll probably be lucky to get in a full 5oz early on, but that's a different story. Right now I'm on day 11 of my 14 day pre-op diet and I have been having 3 shakes per day plus sugar free liquids and popsicles. My shakes are made from powder, 2 scoops to 8oz of water. My targets were simply to get 60-80 oz of protein per day and 64 oz minimum of water. It wasn't on the handout, but when I asked my doctor, he said try to stay under 1000 calories per day. Definitely worth a quick call to your surgeon's office.

@Kmgaustin I also wonder the same thing. But, if you cant take it with water... have you ever tried with a small amount of pudding or yogurt to take your medicine? I used to have to do that because I couldn't swallow pills. Seems like it might help if you needed to take them with a meal and it gets the pills down. I wonder since I take Abilify and it helps to absorb Abilify when taken with food and fat. So Yogurt or protein pudding might help take it. Just a thought. I'll be looking for updates on this topic.

A good way to remember the difference is to ask yourself "Is this processed? If so, how much?" For instance, white flour is a simple carb, it has had the fiber and such stripped from it, which causes the carbohydrate in it to hit the system faster and spike blood sugar rapidly. Stone ground whole wheat flour is more of a complex carb, because it has the fiber intact along with all the nutrients that come with it and spikes the blood sugar less rapidly because of that fiber slowing the release. Eating it with protein and fat will slow the spike of blood sugar even further. Potato chips? Simple carb--they are white, starchy, and fried. A baked sweet potato? Technically a complex carb, though it does have a lot of sugar in it. Still, much better choice nutritionally than potato chips! Most fruits and vegetables are complex carbs, as their fiber and nutrients are intact. But some can be higher in sugar than others, so it is good to be mindful of their glycemic load as well. Whole grains like quinoa or brown rice and beans are complex carbs, though due to their high carb content they are best eaten in moderation. Most white, starchy, processed things you buy in boxes or bags are simple carbs. Cakes, cookies, white rice, sugar, semolina pasta, ice cream, all simple carbs. Most SADI and DS patients have issues with simple carbs causing gas, or large amounts of complex carbs. So, a big slice of cake may cause gas. A large fruit salad could also cause gas. Their sugar sources are different, but the digestive system sees sugar as sugar and reacts in kind. Apples in chicken salad? Probably fine once you are far enough out to digest fruit. A wedge of watermelon with a bunless hamburger? Also fine once you are far enough out to digest fruit. A few bites of cake or fruit salad? That may also be fine if you are able to practice restraint! Personally, at 6 months out, I have never had any issues with onions like I used to. But I cannot eat beans in any form, not even pureed on the soft food diet, they immediately went through me and caused gas! I can eat small amounts of a cooked fruit, like blueberry muffins, or frozen blueberries microwaved and stirred into yogurt. But I cannot yet eat fresh/frozen fruit. The nutritionist suspects it is because berries are really fiber dense. This is likely to change in the next year. But that first 18 months is prime weight loss time and prime weight loss is boosted by being in ketosis, which means I have to keep my fruit portions small anyways for now. Once I'm at maintenance I'll worry about adding fruit and complex carbs in. Right now I focus on protein, then low starch veggies, then a bit of starch if I have room, like a bite or two of potatoes (I'm Irish, I can't cut them out forever), or a few bites of quinoa.

August 7th isn't too far away! You're close to the preop diet. I started mine a few days ago and it's testing me, but I knew it would. If I were a smaller person, I don't think it would be such an issue. If I weren't having appetite issues even before the diet, things would be easier, too. What's helped has been sipping on broth or slurping on sugar free Jell-O all day. I go slow with those so it feels like I'm eating/taking in more than I am. I'm only nervous about one thing: the gas pains immediately after surgery. I've never had surgery before, so I am not sure what to expect. I want to have a realistic expectation of pain before experiencing it. I know I will handle it better that way. Luckily, I have a few family members who have had laparoscopic procedures before and we willing to be honest about the experience. I've been avoiding stories online of others' experiences of that moment, because we all have different pain thresholds and it's too easy to go down the rabbit hole of scary stories. Especially with AI/algorithms thinking we want to see the worst of the worst. I want to share why I made my decision to have the SADI-S vs a sleeve or bypass. While I cannot speak to what things will be like after surgery, I am confident I'm making the correct decision for myself. I'm in my 30s with no kids, but would like some. I have been struggling with my weight ballooning up and down for the last 20 years. At my heaviest, I was over 320 pounds. I hit that as I made the decision for surgery. I didn't know what surgery I wanted, so I started doing research into the best bariatric surgeons in my state. I read through their websites and looked at reviews for the surgeons through my insurance provider, google, yelp, and other such websites. Then I asked a few friends in the medical field which doctors they would want doing surgery on them. All of that narrowed my list down significantly. I ultimately went on gut instinct and don't regret it at all. My surgeon is amazing. Her teams is extremely supportive. Here's some information she gave me on my options: -- Gastric Bypass: She does not recommend the procedure to any patient. It has more points for potential surgery complications and, in her medical opinion, the highest chance for weight regain. -- Sleeve: potential to lose 70% of excess weight. Less than 1% chance for complications. -- SIPS/SADI-S: potential to lose 80% of excess weight. Less than 1% chance of surgical complications. I want to have children, and she advised that the SIPS/SADI-S (there really needs to be a better name for this) is the best choice to allow me to get pregnant a year or so post-op (depending on how I'm doing) and reenter weight loss when appropriate post-birth. I will have to work very closely with my weight loss team throughout the entire pregnancy, but it really feels like a bonus to have more support. My surgeon's office also recommends patients to very talented specialists for all surgery clearances. They all treated me like they were part of a huge team dedicated to helping me get through surgery clearance. It was amazing. I was given a packet with all the possible issues I might encounter post-op, what can be done if they happen, and how to avoid them in the first place. When I read through it spelled out in black and white, it's easy to see what my life would need to be to avoid a horrible experience. The most embarrassing ones are noted as being most common with gastric bypass than sleeve or DS. Most of these complications can be avoided by chewing well, not drinking during meals, and not overeating. One of my doctors said I am going back to being a baby again, digestively. I will need to reteach my body how to process what I eat and not be afraid to push back milestones if I'm not ready to start the next leg of the journey. I'm definitely anxious. The unknown is always scary. I'm confident at the same time because of the team I'm working with. And because of the support I have at home. I know I'm extremely lucky to have the surgeon and support I do. It's definitely a burden to afford this surgery right now, but I don't believe I will feel that way in 5 or 10 years.

Hi Team! I realize that stalls are inevitable, but I am having some trouble determining if I am in a stall that I need to just wait out, or if I need to change something up. Background: I just hit 8 months post-op. Stats are in my info box. I have been sitting at 174 pounds for three weeks. I had been losing a pound or more per week at around 900 calories per day, Protein at 100G and carbs under 100 g. That is around the time I hired a personal trainer, upped my weight training (free weights now and four days a week), my steps, and my calories (1200 or so per day). The increase in calories was at the recommendation of the trainer, who also recommended increasing carbs to 138 (most days I don't get above 110). I know the level weight is not due to increase in muscle mass---too soon. So....what are your thoughts? Stick with calories or go back down to 900-1000? Thank you in advance for any reassurance or guidance. (And I emailed my surgery team three days ago...waiting to hear back).

I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care.

My original date was 1/11, but a case of RSV had me rescheduled me to February 29th. My surgeon advised the lean protein, certain low carb/low gassy vegetables and protein shakes diet, max of 900 calories per day. Also the sugar free popsicles, jellos etc. I did it before my first date was cancelled and lost 10+ pounds. Im looking forward to it.

I wasn’t required to track. I sort of did initially on random days for own curiosity. I did keep to the portion sizes I was given. I still do random checks to keep me on track & ensure I haven’t let things slide especially with new foods or recipes. I check protein, sugars, calories but don’t keep a formal record. I keep a mental tally of my daily protein intake but only because I have a protein malabsorption issue. It works for me & that is the key: finding out what works for you. If that’s tracking great. If it’s random tracking/monitoring or it’s none at all that’s great too. As long as it allows you to maintain, is manageable & not consuming you, all is good. I put on a good 2kgs/5lbs at the two year mark but didn’t know why. We worked out I wasn’t absorbing my HRT after my gall removal (why I don’t absorb protein too). Was put on a HRT patch & I slowly lost half of it over about 6 months again without changing what I ate or my activity. I’ve pretty much lost another kilo and now, nearing my 5 year mark, am pretty much what I weighed at my initial stabilised weight depending on the day. I should add I am very careful with what I eat & how much I eat. Still eat slowly. Still take small bites. Still eat to a routine most of the time around what & when I eat (I’m a clock watcher for my meals & snacks). Still very conscious of whether I am really hungry or just head hungry. Still very conscious of eating what I need not just how much or what I want to eat.