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It can take a week if not longer for the first BM - there's not a lot in there because you haven't eaten solid food in a while. But that first one can be a doozy, so it might not be a bad idea to start taking a stool softener - or as NickelChip suggested, maybe some Benefiber. and as ms.sss said, for many of us, constipation becomes a chronic issue. I've been taking a capful of Miralax every morning for almost nine years to keep on top of it.

Hello. I had a conversion from the gastric sleeve (2017) to the bypass on 1/8/24. I should start regular foods this week, however, I am at the pureed thin phase as once I incorporate foods with any weight or texture, such as oatmeal, scrambled eggs, finely blended chicken (not pureed), the food feels stuck in my esophagus and I am vomiting froth and mucous (not the food). Has anyone else experienced this? I have contacted my surgeon, seeing her Wednesday as she was on vacation last week, I have spoken with my dietitian and the center for weight loss and they believe that my esophagus is having spasms. Has anyone else experienced this? I have simply gone back to full liquids as I had no problems with that.

why yes, i do know! lol. i was/am one of those "diligent" trackers so i have over 5 yrs of food log data to statisticize, ha! on AVERAGE: weeks 1-2: 400 cals a WEEK...this was a weird time. week 3 to about 3 mnths: 400-500 cals A DAY. months 4-6: 600-700 cals a day month 7: 800-ish cals a day at this point made efforts to increase cals and by 9 months i was at about 1700-1800 cals a day. 2-3 years post-op was 2300+ a day cuz i was exercising heavily. today im at 1800-ish a day with moderate exercise (been at this calorie level for 2-ish yrs now)

I was also not a fan of the pureed phase so I mostly stuck with Chobani zero greek yogurt, they have some really great flavors. I ate cottage cheese with some favorite pasta sauce. Tuna with mayo and pickle juice helped, chewed very well. Adding spices to things really helped also. Hopefully this will just be a phase for right now, maybe the dissonance between the brain and the stomach? My body tells me I need fuel, my stomach doesn't want any food, and my brain wants spicy indian food. It's getting easier.

yep. i was notorious for barely eating anything. i just didn't want to honestly. and i want to be the type of person to force my self to eat if i didn't want to (personally i think that is just as an unwanted eating habit as eating out of boredom). i did also lose more that i wanted to after reaching goal (at 7 months), but it all leveled out eventually (by 1 year). and no, i did not waste away, i did not become malnourished, i did not starve to death. while i did look pretty gaunt for a few months, that too went away despite not re-gaining any substantial amount of weight. i did have to re-learn how to eat higher calorie foods (abstaining from them during weight loss phase got ingrained into me, so it took me a few months to be mentally ok eating it again, you know?) i'm 5+ years out and there are still days when i just don't want to eat, or just forget to eat altogether. i don't worry about it too much because i know there will be a day when i just wanna eat. so long as my weight stays within my acceptable range, my pants fit, my doc is not concerned and i feel great, then i'm all good. honestly i just accept that i didn't reach my goals that particular day...so long as i reach them at least like 60-70% of the time, then i consider it a success. but i'm a bit far out now...during early weight loss phase i did try a little harder by drinking protein shakes (which i don't anymore), also i never tried to forcefully increase calories during weight loss phase though, no matter what i was eating. but during maintenance i was concerned about increasing calories...see my go-to's below: stuff i ate to increase calories in the early days of maintenance when stomach real estate was on ongoing issue: - avocaods - nuts and nuts butter - full fat dairy and cheese - beef jerky - olive oil drizzled on whatever - chicharron / pork rinds --> yeah this one would raise eyebrows cuz the crazy fat content, but i loved/love it! plus it had the added bonus of being very high in protein, ha. and it really helped to bump up my calorie intake. finally, i am also a grazer...since i can't really eat alot in one sitting, i eat a little bit every hour or so. this was really an issue for me in the early years, but now my food intake capacity has increased so it doesn't feel so much like a chore as it used to. In sum, just do your best, keep up with your labs and doc appt to make sure you medically ok, and eventually the stuff that you are worrying about now will be just that thing you used to worry about. good luck! ❤️

I had zero interest in food, If I am honest, apart from my breakfast yogurt and fruit, I could easily go without food. I have little appetite. Early on I had serious nausea issues. I cooked and discarded so much food in the early days. I gave pureed foods a wide berth. Pureed meat just was not for me. My team were sympathetic and said to just do my best. At this time I found protein yogurts and they helped me along. Eggs took me 18 months to accept. Chicken took over two years for me to manage a small piece. Pasta and potatoes are still off my menu. I have just begun to eat homemade bread again and I can manage about a Tbsp of rice. Cooked salmon is seriously off my menu. Its made me ill so many times since surgery that I have a phobia. I force myself to eat meat, Cheese is a huge favourite, especially paired with fruit. TBH, My weight is stable and my labs keep coming back ok, so I am skinny and happy. You will figure it out for yourself. Don't feel pressured by others who you think are doing 'better' than you.

This isn’t uncommon. Our tastebuds & sometimes sense of smell changes after surgery while we’re healing & our tummy is very sensitive. It is temporary usually about two months which is about how long it takes you to fully heal from the surgery. Unfortunately though it can make finding foods & drinks we can tolerate challenging. You may find something you easily ate yesterday you can’t face today. Don’t give up on that food. Just avoid it for a few days & then try it again. Some foods seem extra sweet or salty. Textures can be off putting too. Sometimes a food or flavour you didn’t enjoy before tastes delicious during this time. Add to that our loss of appetite &/or interest in eating & it can feel like a nightmare & you’ll never be able to eat again. In a few weeks you’ll find you are enjoying flavours, textures & foods more. If you’re lucky your loss of hunger & interest in eating will last a 6-12 months +/- which helps with your weight loss but they too will pass. Actually after they return you often wish they hadn’t & you still weren’t hungry. I embraced things tasting exceedingly sweet at this time. I gave up sweet foods - never reintroduced them. So no cakes, biscuits, desserts, lollies, flavoured carbonated drinks, etc. except on very odd special occasion. Very little added sugar (<5g a day) & avoid artificial sweeteners or sugar alternatives where I can. I ate a lot of soup, yoghurt & extra milky scrambled eggs & extra milky instant rolled oats during purée. During soft foods I ate a lot of minced meat dishes (meat balls, savoury mince bolognese, …) with sauces & slow cooked stews/casseroles. Give your self time to heal & recover & your tummy to be less fussy & sensitive. I used to say my tummy was like a petulant temper throwing 2 year old during that time.

My hunger or interest in eating didn’t really return for around a year. I found eating to a routine very helpful. In fact I still eat this way. I started doing it to establish good/better eating behaviours (been a meal skipper for most of my life in an attempt to control my weight) & also to ensure I was getting in calories & necessary nutrients. Not a food tracker either. Wasn't required to in my program. I do random checks for my own curiosity, to ensure I wasn’t slipping or getting complacent & to check new foods/ingredients or recipes. I more often checked portions. I know my calorie intake was low compared to others (barely 900 at 6 months & my goal) but at least I was eating regularly & nutritiously. I still have times I don’t feel hungry. Usually just a day or two but went through a period of a couple of months recently which saw me reduce my intake a little. Went from 4 meals & 3 or 4 snacks to 3 meals & same snacks. On the days or times I didn’t feel as hungry I chose something lighter to eat like yoghurt, soup or just ate some protein & didn’t care if I didn’t eat all my portion. Oh & I still take 30-45 minutes to eat most meals - used to take up to an hour. I’m also a meal repeater. I have favourites & there’s nothing wrong with that. Know how much I can have as a portion & the protein content. I used to eat scrambled eggs or rolled oats for breakfast. Now I just eat rolled oats. Similarity at lunch - 3 or 4 options I rotated through currently two options. Dinner is repeats too mostly because of left overs. I still cook much as I did before 😁. Eat that meal for 2 or 3 days & freeze the remaining portions for those nights I don’t feel like cooking (love my freezer & microwave - little reheat & sometimes cook vegetables - 5 mins total). I usually cook pretty simply too: protein & vegetables so I can easily check what I’m eating & getting nutritionally. I never had those signals many speak of regarding fullness. No sneezing, no runny nose, etc. Just my restriction if I went too far or if something sat more heavily than expected. It’s why I started asking myself if I really needed the next bite or just wanted it. It’s not unusual for me to put food on my fork & then put it down again to maybe eat a couple of minutes later. I remember the first time I felt hungry after surgery. I was about 7 months, had a busy day & then went to a function. Hadn’t eaten much & there’s was nothing suitable at the event. Was home & in bed when I realised I was vey restless. Something was wrong but didn’t know what. It took some time to realise I was hungry. I realised this was my real hunger signal. Didn’t want a specific food, flavour or texture. There was a logical reason I was hungry - I hadn’t really eaten for most of the day. Took another 3 months before I felt it again. One of the things I’ve learnt along the way is you have to do what works best for you. Because it works for someone else doesn’t mean it’s right for you. Whether that is tracking or not tracking your food, how many meals or snacks you have, how much activity you do, what foods you choose to eat, eat occasionally, or generally avoid, etc. Use other people’s experiences & routines as suggestions of things you could try if you’re stuck but if they’re wrong for you, try something else. So after a long way of getting to it, my two suggestions based on my experiences if you want to try them, are: Track your calorie intake & nutrients for a few days just to ensure you’re on track & not missing anything. Then only check new foods you introduce &/or do random checks. Try eating to a routine. Doesn’t have to be a full meal but at least something that is nutritionally dense & protein focused. Oh, yes stalls happen. Mine were short. A few days only. I tracked my weight daily which is how I saw when they occured.

The blood thinner shot does sting the first few times it's injected. It also leaves some pretty good bruising in the area of the injections. I did have some itching, but it wasn't abnormal. I was supposed to be on a 2 week post op liquid diet as well. But I was having issues with constipation, in part because of fiber not being in my diet. Even with taking Mirilax daily. So, they said I could start the puree'/soft food. I did eggs for a couple days with well mixed fat free refried beans for the fiber. Then I've been adding steamed carrots, broccoli (no stems) and a small amount of sweet potato. I'm not having an issue now. About 1 to 1 1/4 measuring cup full of food is all I can handle. To get my protein, I've been mixing Premier protein powder with a 1/2 cup of Chobani plain zero sugar yogurt.

I was on this forum ages ago but when I was thinking about you all and tried to log back in I could not remember my old user ID so I created a new one. I even tried searching for key words I remember taking about for a meetup in the Boston area. I gave up and created a new account. I had my RnY in November 2015. I had the most amazing and pain free recovery. I had my old clip on Fitbit on the day of surgery. It was taking them a while to get me a bed out of recovery and I was bored. I managed to walk five miles that day just in laps around the nurses' station. The nurses didn't believe me but I was able to show them! I went home the next day and had no reactions to meds or food. The hardest part was having my mom stay with me for a few days and wanting to help when I was really fine on my own. What hurt her was she could not use her love language of food on me. I kept most of the weight off until COVID. Working from home and not being accountable to pants with buttons for two years took its toll. With normal weight creep, a bad knee injury in 2020 that led to a lack of exercise, and then COVID too, I gained back about 40 lbs. that I am in the process of losing again with Mounjaro.

TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷‍♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?

Just really wanted to reach out because I’ve had a tough day. I was supposed to return to work today but I have a very physically demanding job. I had a rough two days with food and abdomen pain, so I decided to not return just yet. I’m feeling like I may be better suited going back to a desk job both for healing and the ability to have a more consistent schedule working the same hours each week, as I’m concerned I’ll struggle with maintaining my new routines at my current job. Particularly the time to eat and drink as often as needed. Has anyone else experienced anything similar?

Hey Bariatric family!! I’m four weeks post op and the thought of food makes me sick. Protein and water are my best friend. I have had some puréed stuff and a tiny piece of white fish. Once I eat something and put it up for “later” the thought of it disgust me. Will this go away?? Any food ideals?? Besides chili and fish?? The thought of chicken makes me want to pass out. I’m feeling good and everything is going well , just scared that this will not go away. Thanks in advance for all replies . These forums have gotten me through some of the hardest times of my life after vsg surgery.

Good morning! Glad to hear you both are doing well. I had my surgery on Thursday and came home yesterday. They found a hiatal hernia during surgery and went ahead and repaired that so I got two for one. I am doing OK as long as I keep pain meds in me. I’m not sure if the hernia causes more pain or what but, swallowing really does hurt like right in between my breasts. It took me a good half hour to get my morning pills down one at a time. I slept in the recliner last night and got more sleep than I did the whole time in the hospital! I agree about not feeling hungry. That’s kind of weird considering we haven’t had food in a long time. It’s great to have you all on the same journey with me!

So this could be your body’s set point. The weight your body is happiest at & will continue to gravitate to this weight despite your efforts to lose more. Remember if you reduce your calories & increase your activity to lose more weight, you will have to continue to eat fewer calories & be more active than you are now to maintain the lower weight. And this isn’t sustainable as you’re already experiencing & your body will fight you the whole time. This becomes a head issue. You’ve lost about 100lbs. That’s an achievement. Plus you’ve built muscle which weighs more than fat too. Look back on how you were before there surgery - general health & status of your cop morbidities, mobility, ability to do the things you wanted to, self confidence, etc. What have you gained or regained with this weight loss. Don’t fear your appointment. Take in your tracked food intake (there could be something you’re missing) & your activity. Ask what else you can do. Ask if this is it for you? Ask what else you can do. Maybe raise whether the GLP-1medications would be of benefit. Do you see a dietician? Because of your intense weight training, you may need to be consuming more & by reducing your calories you have put your body into starvation mode. Even with all this, don’t give up yet. Many of us continued to lose well into our second year albeit very slowly like grams not kilograms a week or month (ounces not pounds). All the best.

I have a protein malabsorption issue too (mine began after my gall was removed). I was prescribed Creons. They’re pancreatic enzymes which help with absorption. Maybe ask her doctor about those. Does she have a dietician? (Way more qualified than a nutritionalist.) They could help review your mum’s diet & make suggestions on what she could be adding or pick up if she is missing something. They may be able to offer suggestions on the vitamins she is taking too (quality, quantity, other brand suggestions, etc.) Does she track all her food? If not maybe do it for a few weeks so she has it for the dietician to review. Tracking may be a lifetime behaviour so she can keep on top of the nutrients she is consuming & ensure she’s not accidentally missing something. Many continue to track in the long term to keep themselves honest & help them maintain. Wishing your mother all the best & hope you get some advice & guidance on a definitive path forward.

I had GS nine years ago. Lost a lot. During lockdown I transfer addicted to alcohol. Now I'm sober, but, transfer addicted back to food to get there and have regained over half my loss back in the last year. So, what to do? I'd appreciate thoughts from those who got revisions and how they think it has helped them. Thanks.

Wow, sounds like we are in the same boat. it is so hard to find foods that I can tolerate. As far a protein plain chicken is what I can keep down, if food it has to many spices or flavors to it, it all comes up. anything tomato based is a huge NO, red meat, nope. most veggies are a nope. I can eat a egg, but only the white, the taste of the yolk is a nope. I do mange to get about 22 grams of protein a day, most comes from shakes Only vanilla ( 1 brand) , other flavors make my nausea kick into overdrive. Most protein shakes, protein powder make me sick. I have spent 100$s of dollars trying to find something that i can tolerate. Currant my fluid intake is about 24 ounces in 24 hours. I'm still sipping so it stays down, I also am not a sleeper, I have been a insomniac since i was 18 , so 32 years of getting at best 4 hrs a night/day. Feels like every day is different, the suspence of what is going to stay down, what smell makes me sick, or if today is the day i cant drink anything, There are times I wish i never had a surgery, but I know i needed it, to try and get healthier. but this all is just so much. Thank you for your reply, nice to feel that i am not totally alone and there are others that struggle like myself. and i would love to chat!

Do you all buy any of bariatric pal foods? I’m about 3 days away from my 4 month post op. The bariatric foods hep me a lot to stick to my 60+ mg of protein a day still drink one shake a day because I get about 40mg protein in one shake. I usually drink around 4-6 pm so with my meals and snacks. I get the rest or more of protein through out. I too have sm stalls depending on if my right leg is swollen or I need to have a good bowel movement sorry TMI but I’m on pain management with chronic constipation. But I’m losing steady not as fast as first surgery but since I’m more sedentary then prior it’s expected but losing. Day of surgery was 304 now 272

I haven't lost any more weight. I've been going to the gym and even got a walking pad for Christmas that I use but it's just not coming off. I lift weights at the gym 2 to 3 times a week an hour at a time and do at least 2 miles 2 times a week while I'm at home. The last three weeks I cut my calories way down which sucks with how much I work out. For example I did an hour of intense weight lifting today and only consumed 1104 calories and 104 grams of protein. On average I'm only consuming 1300 calories and getting between 70 to 100 grams of protein. My food through the day consists of small meals or protein shakes from 6 am to 6 pm. Like a protein shake for breakfast, one after the gym on my lunch, some low cal soup, jerky, piece kf fruit, etc For dinner (around 7 pm) I have a majority of my calories, usually baked chicken strips or shrimp, etc with a side and then bed at 10pm.. It's just not coming off. I get I could've tried harder through the last year but man this is just tough. I can't even say I've gone down in clothes sizes any more. I just don't know. I do have a one year post op appointment on Tuesday and I'm terrified and ashamed that I have virtually nothing to show for it. What am I missing?

Oh yes the hunger returns. It was around a year for me too. Think you’ll find developing a better eating routine helpful with more complete meals. Ensure you’re including some vegetables or other food group with every meal. Will help ensure you’re meeting all your nutritional goals too. Maybe find a dietician to help with meal planning & menu ideas. They’re way more qualified than a nutritionalist. I know it’s easy to grab a few nuts & jerky for a meal but each are really just snacks. And I’ll put my hand up, I was guilty of grabbing a chicken tender I’d pre cooked from the freezer & reheating it for lunch while I was losing. It’s likely why you feeling hungry after you’ve eaten. Differentiating between head & real hunger is an important learning. Are you craving a specific food, flavour or texture? That’s head hunger. If you’ve eaten recently it’s head hunger. If you do something to distract yourself (go for a walk, water your plants, read, phone a friend, craft, check social media) & the hunger decreases it as head hunger. If you have a warm drink (like tea) & the hunger decreases again it’s head hunger. If your tummy is rumbling (hunger pangs) that’s usually head hunger too. Real hunger feels vey different to me. I feel restless like something is wrong. Don’t crave or want anything specifically. Takes a while to realise I’m hungry. And there is always a logical reason why I am hungry. I reached my goal at 6 months but lost another 11kgs in the next 11/12 months. The weight loss got slower & slower until I was losing grams a week. So don’t give up yet.

I'm glad it helped!! Oh yes, I forgot to mention that, moving to soft foods will help some, purees just don't have as much solidity to them. There is a huge difference between a 1/4 cup of pureed food vs 1/4 of a solid protein, even if it is a soft protein... At 8 weeks I was cleared for most foods and I think that is part of the reason why my hunger started to ease off around then. If your PPI is omeprazole it is possible it isn't working as well as you need it to, sometimes people need something like Pantoprazole or Dexilant, so if that gnawing hunger at night continues you may want to ask your doctor about it at your next appointment! ❤️

I am a bio woman, just a big, tall one. Lol. I definitely need to eat more veggies. I am guilty of grabbing a few pieces of beef jerky, a handful of nuts, and some cheese cubes for lunch. My boyfriend calls it my "Confederate lunch". (I live in Alabama). Ha. I have tried the shiritaki noodles. They are pretty good with a little seasoning or sauce. I went through a phaze where I ate them daily with some veggie "meatballs". Then got bored. I do that with food. Get bored. I do think I may need to see an outside nutritionist. I think the one I see at my surgeon's isn't very thorough. I will try broth. I have some powdered variety left from when I first had surgery. It should still be good. Thanks for the input!!!!

OMG, I think I love you! Thank you so much for such a thoughtful and comprehensive reply. I'm taking a PPI twice a day. Maybe I need to eat 1/4 cup more often. I'm eating that much about 4 times a day and you've suggested 5-6. Your explanation about swelling and healing is super helpful. I'll try the Millie's broth. I'm about to move on to soft foods and maybe that will help, too. I'm encouraged to hear that even after stalls you can have big drops--I have been so worried that I did this and now I'm just going to lose a pound or so a month again. At that rate it will take me almost 4 years to lose the remaining 40 lbs! You can imagine why I'd be discouraged. It's good to know hunger will return to normal too. I realize I'll have to eat more frequent smaller meals. Thank you again for your supportive and reassuring post. ❤️

You could be craving fat. Beef is one of the fattier meats and a low carb bibimbap dish would have been full of fat from the oil everything is sauteed in, and the egg, and the dressing. Plus Korean food often has fermented veggies which are really good for you. I crave Korean food and Japanese food a lot. I finally realized part of the reason why is because they eat a little bit of a lot of things. Banchan and Bento boxes! *swoon* Quantity doesn't satisfy me, I hate eating one thing per meal. I need a bite or two of multiple things to feel satisfied. A little fat, a little fiber, a little carb, a lot of protein...something crunchy, something sour or pungent, something a bit sweet, something creamy. I have to hit multiple of those categories to feel satisfied in a meal. So I eat a tablespoon or two of numerous things. Then I'm satisfied and happy, even if I'm not bursting at the seams full... So you might be needing more variety and a bit more fat?