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Is there a standard guideline?
Arabesque replied to NovelTee's topic in Gastric Sleeve Surgery Forums
No there is no norm or standard plan for before or after surgery. Much like there is no standard for how you will recover, how much weight you’ll lose, what ‘fun’ side effects you’ll experience, etc. There’s just generalisations & averages. There will be similarities across plans & differences. Like in the pre surgery eating plan. Some don’t have any. Some do three shakes a day while others do two shakes & one meal. Me I had to do keto. Same with the post surgery stages. Differences can be around how long each stage is or even what foods you can or can’t have at each stage. For example potatoes are allowed on many plans but were a big no in my plan. I do know my surgeon adjusts his plan depending on the individual patient & their specific needs & situation. My friend who saw him was on the 2 shakes one meal plan. Her friend, also same surgeon was all shakes. Our ages, starting weight & general health were different. It’s why we say it’s always best to follow the plan you were given and if you are having difficulties to contact your team to see if & how you can tweak it to better suit you & your needs & experiences. -
Anyone else had a negative experience?
AMJ2598 posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi all. I had my gastric sleeve on 28th March, and very quickly realised something was wrong. I couldn't tolerate water at all, and a few days after I developed tonsillitis. It was severe and believed to be Quincy's, which thankfully after a transfer to another hospital to check for this, it wasn't. However I became really really ill - my temperature was at sepsis level, I was completely dehydrated and on an IV for everything. Tried antibiotics but that didn't really work, which then led the doctors and surgeons to believe it would either be a very nasty viral infection, or I'm being followed up to check for an auto-immune disease. I spent 4 weeks in hospital, and now that I'm home, my symptoms are (whilst better from the pain I had a couple of weeks ago) still very uncomfortable. I have a very angry and inflamed liver which is causing me pain, as well as the incisions of the port site resulting in a very large haematoma, again causing discomfort and pain. The most frustrating thing for me is, whatever caused this, has completely wiped my energy and strength. I can't open a bottle, and I struggle to walk for more than 10-15 minutes without feeling tired and fatigued. I have lost 19lbs since surgery (5 during the month in hospital, and another 14 this week), but a part of me is wondering whether it was even worth it given the ordeal it caused. I just feel very alone in terms of my procedure not being straight forward, and it would be good to hear other stories too. x -
It's always good to ask stuff like this, because I guarantee there is someone else out there with the same question who is too shy to ask! 😂 Personally, I haven't had any issues post-op. It's entirely possible that it's something in your partner's diet that's making things taste off/funky to you, or just an "off" stomach week for you. Hopefully it resolves, otherwise SleeveToBypass2023's suggestion works! Good luck!
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Sounds like you're doing well! I'm only down about 20lbs since surgery (but 35lbs if you count the 2 week liquid diet), so I hope they're pleased with your progress. And I completely agree it has not been easy! It's really been a struggle and never knowing what will be okay and what won't from day to day is very difficult. -
February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
A food diary is a good idea. I hate doing them but I've been keeping one since my preop diet and will probably continue for a few more months until I really feel like I've got a good routine and no issues with hitting all the goals. I'm feeling pretty much back to normal, no issues with food in more than a week. What kind of pain are you experiencing? -
If you don't eat, your body will think it's starving and it will hold on to every little calorie, every bit of fat, everything to protect you. That will be what causes you to gain weight, or at the very least, not lose. You have to learn to walk that fine line between eating enough to stay healthy but not too much to cause weight gain. It's a learning curve, and takes a while to figure out. But you'll get there. Just make sure you get your protein in first, then carbs (from veggies and fruits), HEALTHY fats, and enough calories. The first 2 weeks, I never had more than 600 calories per day. Weeks 3 and 4 it went up to between 800 - 900 per day. Weeks 5 and 6 I was around 1000 per day. Once I was completely cleared for all exercise, I went up to 1100 - 1200 per day on non work out days and between 1300 - 1400 per day on work out days, depending on what work out I was doing that day. You absolutely HAVE to give your body the fuel it needs to survive and thrive. The point of the surgery isn't to starve yourself into being skinny. It's a tool to teach us to make better, healthier choices and stick with them.
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I’m so scared my stomach will stretch out
Spinoza replied to sarahzinkann's topic in Gastric Bypass Surgery Forums
Ah why do we do this to ourselves? Mind games. OP you've just done the best thing you ever could to secure your ongoing long-term health. Please trust your procedure and please follow your plan. It's there for a reason. A week out (and I had a sleeve not bypass so maybe slightly different) I think you need to be pushing for your fluid goal first and protein goal second. It won't harm you, it'll only help if you can get close, I promise. After that everything will be good. Not drinking in particular seems a recipe for disaster and a readmission for fluids. -
So if any of you have read my story on here, you will know I have PCOS. I am 28 now, and I was diagnosed when I was 21. I haven't really had a regular cycle, and in the past 2 years I have probably only had 3 times where I have bled REALLY light. I wouldn't even call it a period 🤣 So now I have lost weight, in the past 2 and a bit months I have had 2 periods - proper ones! I am both elated but also now reminded of the annoyance of them 😂 Grateful to my body for functioning, but boy oh boy, the hormones?!?! I have been an absolute wreck this week - angry, depressed, sad, crying, detached, more angry. 🤦♀️ On an interesting note though, I was really struggling with my restriction - I really need to be eating more - and I noticed that whilst on my period I could eat more which was good! Anyway, just a bit of an observation from me 😂
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August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Make sure you ask your team about bubble bathes before you take them. I was told no bath or swimming for a while. I would have ti look at the paperwork but I think it was 6 or 8 weeks maybe. I love that your hubby is on board to eat the healthy foods with you, that will make it a lot more fun. Maybe you can do a blog or a thread on here with recipes if you have the time?? And your sister being so supportive is amazing. I found That I used the food processor instead of the immersion blender in the purée stage but it was super sweet of they regardless. I got a little 3 cup one. Actually splurged Quite a bit on the kitchen aide one so it wouldn’t bugg me to leave it out but bf budget doesn’t permit for that they have them far more reasonably priced. I have puréed eberything. I also found these little containers from dollar tree to be super handy to store leftovers in individual portions. They are 2.6 oz I think. 1/4c is 2oz and I am allowed 1/8 to 1/4 on puree so then take up a lot less room in fridge than all the big leftover containers and I can keep a pretty good variety that’s grab and go. They are basically little baby containers if you don’t have dollar tree I’m sure Amazon has something. I also got a couple of packs of their little desert sized paper plates for now and spoons so I don’t have to deal with as many dishes for a while. in terms of weighting it was really hard for me not to weigh everyday but what I did with the sleeve was to record my weight in my phone notes once a week so that when I got discouraged I could look back at that and see the overall downward trend. You can do it in the Baritastic app as well or on this app but doing it was than daily sort of reinforced it to my brain that little daily fluctuations didn’t matter. I’m curious to see what pill organizer you got. I have added magnesium at night now so I have five doses a day. I didn’t think they made one big enough for all these big vitamins so many times per day. Although I figure that most times I will only need to take the calcium while I’m out. Then again it couldn’t hurt to keep a couple multi vitamins with us just in case we would get stuck out unexpectedly. I do that with my rx meds and these are just as important ooh and if you like the fruit flavors chews you may like the caramel to change it up as well they are sorta like weathers original flavor but better because they are chewy. -
Taking Tablets?
SleeveToBypass2023 replied to MrsFitz's topic in General Weight Loss Surgery Discussions
I'm on HRT and I have the patch (Climera) and it's amazing. I was put on it because the patch gets in the blood stream but avoids the kidneys, liver, and GI system. As for the rest of your pills, I would say if you can cut them, do that. That's what I did after both my surgeries and it really helped. Crushing them is just nasty. I did it for a week and couldn't stand it and switched to cutting them into small pieces. I'll be super honest, I took my pills all together and never had an issue as long as they were small. There was just no way I was taking them 1 or 2 at a time. It would have taken me all day!!! -
February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I've done the same thing, not chewing enough or I've simply just took one bite too many. Chicken seems to be the only thing I can't eat much of. Two maybe 3 ounces at most. But, then I'm too full to eat any kind of veggies with it. This will be my 7th week post op. Overall I've lost 22 lbs. since the surgery, for nearly two weeks my weight didn't move. It's discouraging for sure. But it doesn't last. Even when you don't lose weight, you're probably losing inches. -
I'm having an Overstitch Procedure this week
SummerThyme replied to SummerThyme's topic in General Weight Loss Surgery Discussions
Two days out. Nausea is the worst thing. Pretty persistent. No pain whatsoever. The restriction mimics the first days of the VSG surgery. Barely sips of water today. I'll follow a clear liquid diet for 3 days, purees until 2 weeks out, and then soft foods until I can tolerate solids. Definitely wondering if I made decision. The nausea feels like I have lump in my stomach- the kind of feeling you know you'd feel better if you just gagged yourself. I did get 3 different nausea treatments, but had an allergic reaction. So Im trying benedryl (for the all over hives) and emetrol intsead. Not as effective, but its def more tolerable -
HIYA!! So, I am 11 weeks out, and I did not realize how bad my poor relationship with food, until I started to get to week 6 and I was super stressed out and just wanted to eat a burrito. I knew in my head I couldn't, so I got a salad from chipotle figured surely I can eat AT LEAST half. I threw up after 1/4 because it just was wayyyy too much food. Then once I did that I felt so pissed that I couldn't eat because I wanted to and it "helped" with my stress. That's how I used to cope, I would shove my face before I got home so my husband and kids didn't know then I would eat dinner with them still. In the beginning about where you are at, I journaled and I walked a lot. I tried to keep myself busy. My program says no caffeine for life and honestly last week I started to make iced coffees with latte premier protein and black decaf cold brew that I make at home. That has helped my energy A LOT! I have been a sloth up until maybe last week. This is allll so normal, speak to your dietician, try to distract yourself, remember your why. I have to remind myself that this surgery is not a cure all, the cravings will be there but this is an amazing tool. Its helping us become a healthier version of ourselves. You got this!!! and We are here for you and your journey!
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It may not be available in the dosage I need @SleeveToBypass2023. Plus I need progesterone too & the estalis patch has both. I don’t mind the twice a week. I just set a repeated reminder on my phone - Wednesday morning & Saturday night. I had an acupuncturist tell me yesterday I should get off HRT because one of my fibroids has grown recently. Two things I dislike: men giving advice about menopause & its treatment when the advice downplays the symptoms & effects and anyone who says HRT is bad for you. He even said he’d cured fibroids with acupuncture. I call BS on that one. Just think you could have had acupuncture & not surgery & a hysterectomy for your fibroids @SleeveToBypass2023. Grrr! Just fix my golfer’s elbow. Sorry, hijacked your original post @Dchonlee.
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What does a typical day of eating and acitivity look like to you?
AmberFL replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
NOt boring at all! I like structure! this week I haven't had that. I am making foods on the fly because its been busy this week. But I would like to try and cut back my calories somewhere. Idk where but I feel like I can cut it back somehwere lol I like your lunches! do you just make that in the crockpot? -
Plateaued - Already (7 weeks)???
SomeBigGuy replied to Cj975's topic in Gastric Bypass Surgery Forums
There's typically a couple stalls that lasts for 2-4 weeks that happens after surgery. I've heard them typically referred to to the 3rd week and 3rd month stalls when they typically start, but can happen any time. Our bodies have to recalibrate things after substantial loss, and it will hold on to fat and/or fluids until it knows its safe for it to lose more. As long as you stick to you calories, macros, and fluid requirements laid out by your doctor, the weight loss will resume. Restart your diet and track everything closely. Also go back to weighing yourself weekly instead of daily to reduce stress. Additionally, if you are working out more than you were pre surgery, keep in mind you may also be gaining some muscle weight, which offsets the number on the scale. If your clothing sizes are getting smaller, you're still on track! It is very frustrating as I just came out of one, but I did slack off on tracking my eating closely over the holidays. Even though I didn't feel like I was eating that much more, I had crept back up around 1600 calories a day by having a treat I thought I had earned. I didn't realize it was so calorically dense and was a big mistake for me. I was using it to feel better after having covid over Christmas and New Years, but it did throw me off track and made my stall worse. I'm back on the strict diet this week and its starting to drop again. -
May 2024 Surgery Buddies 😁
NJ-LV replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Sandra, Two weeks of shakes are the hardest but once you get past the surgery you will kill for that. I would not plan on staying in bed often after the surgery during the hospital stay. It is best to start walking at least once an hour. I was the only one of the 12 people who got the surgery who was up all night just walking. Hospital beds are the worst to sleep in. Best of luck in your journey. -
5 years out, tried semiglutide to restart weight loss
KarenLR75 replied to KarenLR75's topic in GLP-1 & Other Weight Loss Medications (NEW!)
It took about 2 to 4 weeks worth of injections for the true total benefits to settle in and when it did, it was so FREEING. I still absolutely am delighted I had gastric bypass. I also could not afford to pay $1000 a month. I found a local 'wellness' clinic here in Fort Worth where I pay roughly $300 a MONTH for weekly injections. I skipped their package of B12 and Semiglutide as I'm already on an inhalable B-12 supplement. Definitely shop around. I do worry about it causing long term complications (unsure what those are at this point outside of blurbs I've read) but I'm also not wanting this to be something I end up needing to do every week past this 6 to 9 month window. They have other clients that after they got where they wanted, they tapered off completely or come in for monthly or bi monthly injections only. I'd like to taper completely. I have gone a month with no injections after i started and while I had a slight hunger increase, the food chatter was so dang muted. I actually ended up reducing my dosage as I got to a point where I was not eating enough which is ALSO NOT my goal. My protein intake plummeted simply because I was not taking in enough calories. Luckily the place I work with is conservative with dosing and they have multiple patients that had bariatric surgery years ago and they are always ready to discuss 'what is the least amount of semiglutide that you need to be sudcessful'. -
Don't want to jinx myself , but ......
ChunkCat replied to KathyLev's topic in Gastric Bypass Surgery Forums
OMG I'm so excited for you I teared up when I read your post!! I know how hard it has been and you've been so upbeat about it! I wonder if you were gaining muscle or maybe burning a bit too many calories with the exercise and now that you've slowed down on that your body feels it can let go of some of the weight?? My best friend loses more weight in the winter for some reason. Doesn't matter what she does, it seems to consistently come off better in the winter. Our bodies can be so mysterious sometimes... Whatever the reason is, I'm so happy the scale moved a bit towards your goal!! And I'm really glad you stayed consistent all summer, they say that's the best way to break a stall, even though it is so hard to keep the faith. I bet your body composition has changed a lot over the last 8 months even if the scale wasn't moving for a chunk of that time. Your experience is so encouraging because it shows that sometimes the scale can move months after you've thought it was done for good! You aren't the first person I've seen have a stall that has lasted for months instead of weeks... -
So i had my surgery last month. I am self pay as insurance will not cover. I paid around $18-19K. I had to pay before i could have the surgery. A couple weeks after surgery i notice there was a claim from the hospital on my insurance for that same surgery for around $40K. Which they denied since its not covered. I called the hospital to find out what the heck is going on. So i gave them my receipts showing i paid the Surgeons fee, Surgeon assistant fee, Anesthesiologist fee, Hospital facility fee, complication coverage fee, Pathology, psychological exam, and nutritional evaluation. all coming out to about $19K. So they told me they would figure out what happened and why my they did my insurance instead of self pay. Today i get a email from the hospital that they switched me to self pay and that i am owed a refund of over $3,000 which was odd because i am not owed anything. So i called and they checked and checked and said they gave me a discount since I paid cash lol. So i was like... ARE YOU SURE... Because once i get this money i am paying off my credit cards and you wont be getting that money back... and they checked and said i am good. So i should be getting some moolah back here in the next couple days lol. So thanks for that mistake haha.
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Almost 3 weeks PO and gaining?
SomeBigGuy replied to sarahrob218's topic in Gastric Sleeve Surgery Forums
The Week 3 stall is real! I stalled and gained 6lbs back between weeks 3 and 5, and just now lost it back in the last week. I've had several people tell me weeks 3-6 will generally have a stall and a slight regain due to your body panicking over the rapid weight loss, and readjusting its baseline, so it is part of the process. I've also been told a second stall/regain will occur around the 3-month mark, and last up to 4 weeks, so prepare yourself for that. I'm bracing for that coming up soon. Keep in mind the weight loss won't be like a straight line, more like stair steps with the occasional bump back up before dropping again. Just stick to the diet, and switch to weighting weekly to prevent obsessing over it (like I did haha). Also, several months from now, as you approach your goal weight, remember that gaining muscle through exercise will make the number on the scale go up, but that's a good thing. Muscle weights 1.5x as much as fat, so as you gain it, you will continue burning off fat, which is the "bad weight". About 1 year out, you won't worry as much about the scale, and will celebrate the wins in smaller clothing sizes, more energy, and better endurance/stamina! Regarding the caloric intake, my surgeon and team recommended I keep aiming for 800-1000 calories per day, but I am a 6'1" male, so my base caloric rate may be higher than yours. I would check back with your doctor or nutritionist to be sure, but I think 1200 is closer to the target after 1 year. Also prioritize water and protein first, followed by unsaturated fats, then try for any carbs/sweets/starches/breads and saturated fats last. My plan has me targeting less than 50g of carbohydrates per day, not low enough for keto, but enough to keep the sugar cravings and fat retention down. You may need to check your macros as well. Best of luck to you on your journey! -
March 2024 Surgery Buddies!
Emeraude replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Hopped on the scale today excited to see how much I’ve lost (4weeks post op) to discover the scale reads the same as last week. I’m taking in less than 500 calories per day & meeting protein requirements. Was thankful to read from others that this plateau is common around 3weeks. Trying to stay positive but this was 🥲 -
hiya! do you have a team or doc to reach out to for guidance...you will find that calorie and macro advice will run the gamut on here, as our docs all have different recommendations! with that said, your intake will really depend you your own physiological makeup as well as if you are looking to lose more weight or maintain... at one year post, i was in maintenance, and was averaging about 1500-1600 calories with about 75g protein. i was also 5'2" and 110 lbs-ish at the time, doing about 1-2 hrs of cardio AND strength training 4-5 times a week today i am 5.5 years out and average about 2000-2200 (recently increased from 1800 because i am on an exercise kick at the moment: 1 hour of exercise 6 days a week) and weigh 118-ish on average. so the recommendation on your cals (and macros) will depend on how tall you are, how much you currently weigh, how much activity you currently participate in, and whether you are looking to lose weight or maintain.
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That first week I felt like a fish out of water, it was so surreal and jarring. Not everyone feels that way, but a good number of us do and it's hard. We're here to support you and tell you that it will get better, you will feel better, and things will feel normal again once you've adjusted. This is not forever. I'm going to my 3 month post op today, I'm able to eat and feel good most of the time (When I don't eat too fast) and able to do a fairly intense daily walk for an hour as well as the normal daily activities. I'm still a bit tired, sometimes I feel emotional when I've not gotten enough nutrition or sleep, but I've learned to see the signs and take proactive measures so it really doesn't happen all that often anymore. I really started to feel better around 8 weeks, and feel much better again at 12 weeks. Right now the best thing you can do is remind yourself that this is ground zero, all the healing is ahead of you, there's a lot to learn but you will learn it as you go.
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If you don't already have some bariatric cookbooks, I can highly recommend these three of the several I bought: Bariatric Meal Prep Made Easy by Kristin Willard The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner The Easy 5 Ingredient Bariatric Cookbook by Megan Wolf All three have sound nutritional advice as they are written by bariatric experts, as well as some really nice recipes. They talk about portion sizes and what to aim for nutritionally as you go through the honeymoon period and into maintenance, and even give you different portions for different phases. None of the books give specific calorie goals, but that's rather standard with many programs. The focus is often for you to discover what works for you and not get sucked into a dieting mindset by counting everything so closely you drive yourself crazy. But the basics are generally to fill one half of your (small, child or luncheon sized) plate with a 3-4oz portion of lean protein and no more than a 1/2 cup serving of starch/grain, and the other half with non-starchy veg. Consume 60-80g protein. Drink at least 64 oz water. (Apologies for not having the metric measurements). Using a small plate is a really great visual cue. Check out the Portion Perfection plates, which are 8-inch melamine and printed with exactly how much of each food goes where. If you need to retrain yourself, this is an easy tool to use. They have bowls, too. (All the books and the plates can be found on Amazon in the US). Going back to liquids is extreme. I would think it would be sufficient to go back to three meals per day as described above, and either no snacks or only fruit and veg or a protein shake as a snack if truly hungry, and make sure you weigh your portions and get all your water in every day. The other thing is to look for processed foods that have crept back into your diet and get them out of your house. You can't be tempted by what isn't there. Good luck to you!
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