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If all you're having for breakfast is a protein cold brew, that won't stick with you for long. I have a smoothie in the mornings and it packs a good nutritional punch. I recall even from before surgery that a smoothie would keep me going until lunch. My new go-to, after some trial and error, is 150g frozen fruit, 30g baby spinach, 1tsp each of hemp seed, chia, flax, and raw sunflower seeds, 100g drained and rinsed canned beans (cannellini, white beans, black beans, chickpeas will all work), plus 2 scoops unflavored protein (20g), a scoop of beetroot powder and a scoop of Benefiber. I fill with as much water as my 20oz blender cup will hold. I add a squeeze of the bottled grated ginger to kind of mask the bean flavor, and I blend the heck out of it with a Vitamix so it's really smooth. It's about 360 calories, 30g protein, and has 16g fiber (11 from ingredients, 5 from Benefiber). It takes me about 45 minutes to drink it at 9 weeks post-op.

Hello All, I am very new to the group and have not had my surgery yet but am scheduled for June 13th and I am excited to start losing weight exponentially even though I already have while on weight loss meds and starting a gym regimen while in the pre-op stages. My question for you all is if anyone traveled abroad within their first year post op? I am planning on going to Peru in Dec-Jan for two weeks and while I realize I will still have minimal portion sizes I feel I can make it work due to the wide variety of delicious/nutritious foods in the region that dont necessarily have to be carb-loaded. If anyone has experience with traveling to South America/Peru specifically your input would be much appreciated! I am hopeful that by that time I will be able to swim, walk and overall be active around touristy areas with ease but please let me know if there is anything else I should be aware of or try to pack before my travels to ensure I meet all of my nutritional needs.

Using my day of surgery weight, the calculator suggests I'll be 195lbs at 3 months. I'm 204.4 today, but assuming this blasted week-long stall breaks soon, it seems likely I'll be somewhere around there in another 26 days. It tells me to expect 178lbs at 3 months and 158lbs at a year, with a low of 151lbs at 18 months. I would be pleased as punch with that if it happens! That would be exactly 100lbs down from my highest weight, which seems unreal.

Mine was just last year so I remember and have access to it on MyChart. They did CBC, Comprehensive Metabolic Panel, Vit D, A1C, Thyroid (TSH), Folate, and Ferritin. They pull all of those numbers as they need to be able to have comparative information to monitor after surgery and of course to address any issues prior to surgery. I just had my one year post op labs done this week and happy to know everything is on point.

it's been over nine years for me, but I think they did test for certain vitamins because I remember I was deficient in vitamin (as are MANY people), so they had me on prescription vitamin D for a couple of weeks to bring my levels back up to normal.

We’ve all been where you are now. Loss of hunger & appetite is a benefit of the surgery (though there are some who don’t lose their’s) but it can be confusing & difficult to work with it. Aim for three ‘meals’ a day and eat what you can. Don’t force yourself to eat more even if that means you don’t eat all your portion. You’ll get used to leftovers in your fridge you’ll finish at your next meal or the next day. I only drank two ‘meals’ a day during liquids. I diluted everything and just sipped, sipped, sipped until it was finished - usually a couple of hours hence the two meals. Probably the most challenging part is understanding the difference between real hunger & head hunger especially as many of us were driven by our heads when it came to eating not real hunger. Head hunger isn’t affected by the surgery so it can be a real struggle to manage as it seems almost stronger. Generally, if you’re craving a specific food, flavour or texture that’s head hunger (a craving). If you’re hungry out of boredom, emotions (like stress & worries after the surgery), habit (always snacked by watching tv or after dinner, etc.) that’s also head hunger. If head hunger is making itself known try distracting yourself: read, craft, do a puzzle, ring a friend, go for a walk, sip water, a cup of tea, or similar. It takes about 8 weeks for you to be healed after the surgery and this includes your nerves which carry the messages to tell you you’re hungry, had enough or are full. So for a while those messages may not get through or may get through differently and the signals may be different. Like some sneeze, or their nose runs when they’ve eaten enough. Believe me, when your hunger does come back you’ll wish for the days you didn’t have it. All the best. PS - Yes they pump you full of lots of fluids so the scales can show an increase after surgery. You’ll pee it out over a few days.

After googling I guess this may be a difficult questions since it’s so specific to the patient but Does anyone remember what labs they ordered for preop? Was it just the normal CBC? Or was it all the vitamins and extra stuff. I have to go back to my PCP again tomorrow morning because they couldn’t find a vein when they tried on Tuesday and as I sit here I’m thinking that probably in another couple weeks I am going to have to go through all this again. If I had thought of it earlier I would’ve called but I have to be there at 8 am and if possible I will ask them to add whatever the surgeon will likely require.

I found it hard the first 3 -5 days but once the internal swelling calmed down i kind of focused on feeling drinks or food going down. I’d spend 30 minutes mentally following the mouthful and trying to identify what i felt. In the end i’ve notice a sort of tension in the stomach as the first sign of being full. Then there were other random signs : hiccupping is the strangest one, and for the first week i’d get a runny nose if i’d eaten too much It’s all so new but we’ll work it out - good luck 😊

Greetings. My name is Jacki, 41 years old from Norther California and I am new around these parts. Here is what my weight is looking like. First visit with surgeon after referal sent over, 11/28/23 I was 373 pounds. 4/19/2024 was 353 after my doctor told me to lose 20 pounds before my next appointment. My scale at home lied to me by like 5 pounds so we will go with the office scale. I left that appointment on the 19th with a surgery date of May 9th, 2024. Nervous and excited is an understatement. I start my 2 week pre-op diet tomorrow 4/25 and it is gonna suck because my birthday is 4/27 but I know this is the best birthday gift I can give myself. This is like the last piece of my puzzle of taking over my life and figuring out who I am and who I want to be. Anyways, I look forward to getting to know all of you guys. Have a great day.

Week 3 Post Op Sw: 155kg / 341 lbs Stats to date: - 11.6kg / 25.5 lbs I hit 3 full weeks post op yesterday and met with my surgeon + nutritionist So far so good, nut is happy with the progress i’ve made and have given the ok to move to solid food no restrictions. We looked at my hydration levels, all are good thank god because this particular subject is one of my biggest worries ! She gave me some ideas to up my protein but told me it’s quite normal to not be getting protein in yet and that month 2 is generally when you can build on that. We talked a lot about actually going up in food quantities. She told me that i should be eating 150g meals from month 1-3 then around 200 g from 3-6 months and ending up at 300g meals (standard portion size) from 6-12 months. She explained how to start adding quantity : adding one more spoonful per week. She and my surgeon are both pretty against weighing food they want me to start eyeballing as they both say the goal is to be able to live a normal life and be able to visually know one’s serving. Not sure how i feel about that and the whole upping the quantities thing is scary right now … we’ll see. My surgeon is completely happy and has provided my estimated weightloss curve. He estimates per his calculations a loss of around 60kg in 12 months - fingers crossed. He also gave me the ok to got back to work earlier than he had anticipated - but with a warning that i need to take particular care in having my daily vitamins because work means being more active and more fatigue. He did however not clear me for any physical activity on top of work. I work in an airport so i walk a LOT daily and he doesn’t want me to add more activity on top of my above average daily steps. I’ll be back in his office at month 3 now so early july ! I am officially stalled and have been for around 5 days so far weight wise which is expected and i’ve decided to just put the scale away and check back one week from now. I have survived my first ever restaurant with my boyfriend - and it went great ! I ate very slowly and was able to adapt my portion and my meal (steamed salmon and 1 baby potato) Incidentally we had a little conversation about his exclamations of « is that all you’re having are you sure, are you really sure » and i realised it’s strange for him to be seeing me eating so little and he has this kind of guilt about going all out and eating big portions. It made me feel ssooo good to get back into « normal » life, even at work i packed a snack box of individually portioned snacks (16g cheese slices, 30g watermelon, 30g strawberries and then a lunch of tuna salad and 3 crackers). It was so much easier than i thought to actually get into a real life normal routine - i love it !

Oh that is absolutely normal and actually still a great loss streak! The weight loss path is not a straight path down. It will slow and even stall as your body is adjusting. Weight training can add to it, but honestly your body will adjust throughout. And yes the smaller you get, the slower it gets. I lost about 30lbs in the first month and a half (including the pre-op diet) and yet it's taken me nearly 4 months to lose 12lbs. You are still early on since surgery and have done fantastic. We started about the same weight. We are in this for life so keep doing what you're doing and let everything else speak for itself - the way you feel, take pictures and measurements. The scale is just one factor.

From what I've been reading and a video from Dr. John Pilcher I recently watched, it's definitely normal. You usually lose the most in your first 3 months, around 1/2 the weight you're going to lose. After doing some poking around to clarify, it seems that number is calculated using your day of surgery weight. Between 3 and 6 months, you continue losing at 1-2 lbs a week, and this slows to maybe just a few pounds per month between 6 months and a year. So, let's say you lost 50lbs in the first 3 months, it's going to take you 9 months to lose the other 50lbs, but you most likely will lose it as long as you keep doing the right things.

Hi Me again! So I am noticing that I am losing 1.5-2lbs a week last couple of weeks, I had surgery 1/24 for Gastric Sleeve so I am 14 weeks post op. I have lost a lot of weight fast in the beginning so I am assuming that's why its slowing down? I am incorporating a lot of exercise now including weights so maybe that's why too? I am trying to get into the mind set that I am focusing on how I feel and not so much what the scale says. Just want to make sure this is normal? Weight when I entered the bariatric program: 297lbs Surgery Day Weight: 266lbs CW: 205lbs GW: 170lbs

No, but I did cut back on the amount of seeds (too much fat) and put drained and rinsed white beans this morning. It's definitely a work in progress to figure out what to eat. The bean taste was subtle so I think I will get used to it, and I may add some ginger to cover it. Frustrated to be on day 6 of a stall. My doctor told me I needed to increase my activity level, so I've been going on an hourlong walk and hitting 10k steps or more every day for the past...yep, precisely 6 days. Wondering if there's a correlation, like the extra activity made my body temporarily panic. I'm just trying to ignore it and carry on. The good news is I've had a lot fewer issues with stomach sensitivity this week, so I'm feeling brave enough to try some new recipes and incorporate more veggies.

nah, i get it, i'm a numbers gal myself, and i LIVE for tracking and data and spreadsheets! ok,so if i were to respond to this specific statement then, my surgeon made his calculations with my weight when i first got accepted into the program...which was 2+ YEARS BEFORE my actual surgery (long story, but i backed out twice before i finally went through it). granted, for ME, it didn't really make a difference because i was the same weight on my acceptance date in 2016, as i was 2 weeks prior to my surgery date in 2018. but im sure many others could not say the same if they were to use the same barometer. long story short, "excess weight" is arbitrary, and the calculations are different depending on who you ask. your best measure of success and progress in the endeavour of weight loss is yourself. is your weight loss graph trending down? yes? then YAY! again, you are doing great...but you don't need me (or anyone else) to validate that, you can see it yourself in your numbers and hard work ❤️ .

hiya! 1-2 lbs loss per week is NOT a slow loser at all. its actually quite common/average. you are doing great

So. Much. Fluid. Seriously, my hands were so puffy that all my wrinkles disappeared (spoiler: they came back). I was also in for 2 nights and that IV was going non-stop. It took a little over a week for me to return to my day of surgery weight. Totally normal. They really should warn you, though.

Skin doesn’t actually weigh that much. My surgeon did not weigh the skin removed. I had a abdominoplasty, arm lift, and breast lift with implants. You’ll actually probably weigh a bit more in the few days post op due to all the fluid they give you. One week post op I was about 4 lbs below my pre-op weight, but also wasn’t eating much in that post op period.

My program is counting from the preop appt weight, 3 weeks before surgery, I had already lost 25 lbs at that point.

I'm almost 9 weeks post-op and trying to figure out if I'm on track. I started my 2 week diet at 239 and was 223 the day before surgery. Since surgery, I am down to 204. (So much slower since surgery!) Here's where it gets tricky. If my goal weight is 155 lbs and I use my starting weight from the day I began my 2 week diet, I had an 84lb weight loss goal and am currently at around 41% of excess weight lost. But if I use my day of surgery weight, I had a 68lb goal and am at only 28% lost. This feels like a big difference. I've seen some sources say count your weight loss during the immediate pre-op diet, and others say no, don't count it. Are there any actual rules, or is everyone just making this stuff up as they go?

I absolutely had this, right around 4 weeks post-op from VSG. With laparoscopic VSG, there's one larger incision where they remove the stomach remnant (usually on the right side), and I know my surgeon said there's generally an internal stitch there that will dissolve over time (or pop, if you put too much pressure on it). In my case, I bent over pretty far to pick something up and felt a POP and a little pain, then it was fine. I noticed right after that my previously puckered-looking incision was now flat, so I was fairly certain it was the internal stitch popping. I asked the team about it, and they said that's exactly what it sounded like, palpated the area a bit, and had no concerns. Now, I'm not sure how this relates to RNY, but it's possible you also had an internal stitch that just finally let go. No pain following the pop is good. At 4 weeks out, your incisions should be starting to heal up pretty nicely, but it's definitely best to check with your team juuuuuust in case! Good luck!

Hi Carrielee - welcome! I had VSG surgery just about a week before my 40th birthday this past November. I had sworn in the years leading up to it that I would NEVER have any kind of WLS, but here I am! If I could have done it on my own, I would have - I needed help to improve my life, because nothing I tried on my own was working, and I tried it all. I had sleep apnea, insulin resistance, and bp that bounced back and forth between hypertensive and high-normal. I felt like I was going to die after climbing up a flight of stairs, and I was passing up good opportunities at my job because I didn't want to walk 5-10 minutes to another building and get all sweaty. I had never had surgery of any kind before (other than getting my wisdom teeth out, but it's not like I was intubated for that), so the thought of getting put under and having my innards poked at was rather intimidating. I would do it over again in a heartbeat. Like @catwoman7 said, I'd do it every year if I had to! I never needed to use my prescription pain meds post-op. I actually take the "long way" to my car at the end of my workdays now. My husband and I routinely walk to the front of our neighborhood and back, whereas previously, I hated just walking the 0.10 mile to our mailbox. My blood pressure has actually been almost LOW ever since waking up from surgery, my IBS-D has essentially disappeared (and I had days where I couldn't be too far from a restroom before), and I'm a little less sweaty. My knees feel INFINITELY better, and they're a little less noisy when I bend down. Now, you do have some health conditions that could make any surgery a little more risky (fatty liver, history of PE especially), but your doctor will review your history and will probably have you do quite a few tests and things to make sure it's safe for you to have surgery. I had some weird, random heart palpitations for darn near 20 years that were dismissed as "nothing major", but my doctor insisted that I do a 48-hour Holter monitor just to be sure. When that didn't show anything, they had me do a monitor for a whole month! They actually figured out the cause (occasional premature atrial contractions, or PACs, which apparently darn near everybody has at some point - some of us just feel them more than others), and cleared me for surgery. Ask your surgeon all the questions you can think of. I watched YouTube videos for months leading up to my surgery just to see what others' experiences were. I crawled through this forum extensively. I read the binder my program gave me over and over and over. I started following tons of WLS accounts on Insta. Do whatever you need to do to ease your mind a bit, and know that there is a large community to back you up! Trust your gut and go with what you know you need to do, be that surgery or something else. No matter what you choose, we'll be here for you.

@SandyT eee! That is so exciting! Please do let us know how you are getting on! Sounds like you have it all sorted and planned Mine starts next week! 😖

See, when I don't lose, it messes with me so much. From Feb to March 7th, I only lost 8 lbs, which messed with me so much. It triggered a binge where I just ate crappy foods for like a week until I came to my senses. But now I am terrified of the scale bc I don't want to fall into that horrible mental state again. So, for now, I am just keeping it away until next month. I do agree with everything you said and feel I can definitely lose much more if I just stay consistent and on track. I appreciate your kind words. ❤️

Yes, it is usually those slider foods that I can eat so much with no problem. I feel like these last 2 weeks, I have been eating more than I should, and it's just kind of scary that I can. I prepped my meal and have my water and protein shake ready for tomorrow. I just want to do a refresh. I'm so scared of weight gain, and this tool is not working for me. I know this is the "honeymoon phase," and I really want to take advantage of it, too. Thanks for answering! ❤️