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Does anyone have experience getting cleared for surgery with a recent history of binge eating disorder? Or know what the official definition of remission is? My bariatric program reached out to my psychiatrist, who apparently said I'm not a candidate for WLS because of a history of BED that's in "partial remission". During our last meeting a few months ago, I was still having small binges about once a week. Since then, I binge less than once a week (a BED diagnosis requires binging at least once a week for at least 3 months) and my binges are getting smaller and smaller over time. I haven't received any notice from my bariatric program or my psychiatrist (I found this out by reading a chart note about the phone call between the two), so I'm not really sure what I should be doing. (Other than the obvious of not binging and continuing to work on my diet and exercise behaviors, like I was doing anyway.)

I would look up advice for bariatric athletes online. There's a few dietitians out there who are working with post-surgery athletes and some of them write articles and blogs, but the field is very, very new. Most bariatric dietitians are not going to have the knowledge to guide you if you are exercising seriously and most sport dietitians don't have the knowledge to work around your restrictions and different macro needs during the active weight loss phase and beyond. (And even at the intersection, most of the writing I've seen focuses on athletes after the initial weight loss period.) And I don't fault them for that entirely. Bariatric dietitians are focused on patient populations assumed to be only begrudgingly if at all active and sport dietitians are focused on patients who have no history of morbid obesity so... what can you do. Don't worry about not getting enough carbs and losing muscle though. It's protein that you need to build muscle and it a lack of protein will cause your body to break down muscle. Carbs are for immediately accessible energy during workouts and Crossfit workouts are not long enough to require any additional carbs like a marathoner might need. You will be able to work from what your body has available, which it can convert from fat (from diet or from your excess weight). I would go relatively low-carb per your program's recommendation and notice how you feel during workouts. If you're hitting the wall much earlier than you have in the past (accounting for the fact that you've just gone through major surgery and probably taken significant time off), then maybe try adding a small amount of complex carbohydrate before your workout (something like berries or oatmeal, not something high in sugar natural or otherwise) or switch around the timing of when you eat your carbs and see whether that improves your workouts. Crossfit folks generally recommend a low-carb diet anyway. Disclaimer: I'm not a dietitian, I'm just a Crossfitter who was very concerned about this at the beginning of my surgery process and did a lot of research. I haven't had surgery yet, so I can't give my personal experience.

Sounds like your plan is like mine and the short answer is no. At first you are just focused on staying hydrated. The number one reason for hospital readmission post bariatric surgery is dehydration.

I have drank 2 times since surgery. First time I had 4 shots over 5 hours and it was weird, I actually made a post about it. The first shot hit me hard and quick but then passed quick and nothing else really eventful through the night. Was kind of a waste of calories. BUT! The second time I drank I was **** faced and passed out in the bathroom by 10pm. It was crazy. I made "skinny margaritas", to keep it as you say bariatric friendly. My recipe is : 24oz cup filled with ice, half shot of pure lime juice, half shot of pure lemon juice, 2 shots of tequila and 3 splenda packets. The only sugar and calories are in the alcohol. I don't know why I got so trashed on these and not the shots though, so BE WARE when drinking.

Thank you Bariatric Guru, I hope I can inspire anyone who is having trouble coming to grips with this food habit. As we age, it is so important to take care of our excessive food intake. It just isn't worth it. One of my best recommendations it to keep busy and interested in everything around us. Volunteer where it gives you a feeling of self worth, join groups and communicate with family and friends. Keep busy and don't get the habit of laying around as you do get older. Good nutritional values will save you money in the long time.

Oh no! Which Bariatric Advantage multis did you get? I hate sweet things but the strawberry watermelon (no iron) isn't that bad. The texture is a little gritty though. I do have to take my time eating it though, I think it may take me at least 2 mins to eat one chew. I also have Bariatric Advantage Calcium Citrate, raspberry flavor, that one's actually kind of nice lol. I'm also taking Nordic Naturals vitamin D3 gummy in passion fruit, and I actually look forward to it each day. The last thing my plan has me on is a B12 spray, I'm doing the one by Garden of Life in raspberry flavor, it's okay for a medicinal liquid lol could be better, could be way worse.

Personally, I'm don't care about "bariatric friendly" when I drink. Alcohol is not on my plan which is another reason I'm not looking at how it will impact my weight. My first consideration is not to drink often. Anything not on my plan I don't do often. Just my plan for off plan adventures. Next, I dump on sugar so I must be careful to I avoid fruit juices and sugared mixers such as cola. Amazingly enough, dumping takes the pleasure out of just about anything. Be sure whatever you do works for you. Do test run's at home because the effects of alcohol often hits GB patients quicker and harder than normal and also passes quicker, which could be precarious in public. Good luck, Tek

Hey guys, so I am 10 months post-Op and I used to be a social drinker. I do wanna introduce alcohol socially only during dates and other outings. Ofc I know I'll have to be cautious and what not and that I will be, so question is what alcoholic drinks are more favorable for bariatric patients? Form your experience, which ones did you try incorporating? Something that's low sugar and less calories? Red wine, white wine?

Hi. New here too. First post and everything. Sad I'm only finding this now but glad to be here. 2 weeks from today is the big day! Getting very excited. I started the liquid diet a little early because I am stubborn and I wanted to trick myself into thinking it's all my idea. HAHA First day or 2 was brutal... it's getting easier (besides the headache). Best of luck to the Bariatric Pal class of Sept 2022!

What vitamins are yall taking? I bought the bariatric advantage multi ea chewables but they smell horrible. I hope they taste better than they smell.

Thank you and Congratulations to you! I’m so glad we have a quality Bariatric clinic here on the Peninsula. I attended one of the online group meetings and plan to attend more. I just scheduled my surgery date yesterday for October 10🙌🏼.

Celebrating my 11th year anniversary of my RNY. Age 78, height 5/8, 299 lbs. Lowest weight was 165 (ideal) but the COVID "home bound" situation has caused some gain that I need to work on . Age now is almost 84 and some health issues are adding to water retention that has add to my weight. My story is that I gained weight after having 2 sons, starting two businesses created stress and a lot of responsibility fell to me. Diabetes became a big issue and while I reached 299 lbs.... diabetes was a big concern. My decision to have Bariatric surgery was guided by the fear of how diabetes was not under control. I was very fortunate to live near Indiana University Med Center which we use on a regular basis. IU has a great weight loss center with excellent nutritional department, and surgeons that operate in the best hospitals. At my age, the cost was taken care of by my Medicare benefit. The Dr that was assigned to me was the director of the IU Bariatric Dept. The Center gives out excellent information for the rules and reasons to prepare for surgery. My April start was to be the start to lose 35 lbs in 3 months but due to summer vacations, etc. it was 5 months to surgery. In that time I lost 55 lbs and had the option to continue on my own. I seriously considered that but since I had, initially, needed help with my diabetes, I elected to have the surgery. I'm very happy that I did. The increase of energy was unexpected. The diabetes meds and insulin was eliminated and hasn't returned, largely due to the fact that I no longer like the rich cream and sugar loaded junk. The small quantities that I can eat are a constant reminder that I need to fill up on good nutritional choices. Calories naturally come up to Breakfast: approx. 350 and consists of a tortilla with one mushroom, one small egg, diced onion, 1/2 slice of crisp bacon, and a sprinkle of cheese. Lunch (2 pm) is veggie soup or salad, dinner is served about 8 pm and is a minimum amount of food. Portion limits are always followed as are the eating rules....small bites!. A big help is that we no longer have a pantry full of bad snacks. Sugared drinks and juice is no longer in the house. Another help is we are the only two in the house now. It is much easier if you don't have to prepare additional meals for extra family members. Keeping busy is a key to not thinking so much about food. I'm a designer and building a line of paper and textile designs for personal use and interior decor. It is a business that I've had for 50 years and thought I was through but I guess not.

Nice to meet you! I felt surprisingly mild/good after surgery! I was in quite a bit of pain when I went home - especially that leftmost incision. 😱 I'm a week out from surgery tomorrow and I'm feeling a lot better. 😊 I think I made the right decision to have rny bariatric surgery!

You're going to be really mad that I was wrong and the jalapenos were $0.50/lb 😂 SoCal is lucky to have the most competitive grocers in the country. But if you have an Aldi in your area, they're always the lowest priced in any market. Prices vary regionally for meat/produce/eggs/milk, but everything else is the same price nationally. But yeah, the cost gap between home made food and fast food is much greater when it's a family to feed and not just one person with bariatric portions. In my example it's a $.30 gap between my pulled pork meal and a Taco Bell taco. But it would be multiple times that for a family with normal size stomachs. I just did the spreadsheet and was annoyed that I saved so little for inveting so much time. 😂 So today I decided to save my labor and get a sandwich 😋

Wow, lots of new folks joining us this week. Welcome all! I'm finishing up my first week of my pre-surgery diet today. I'm on 3-4 protein drinks and 64 oz fluid per day. No meals. Honestly, it hasn't been a big deal at all. I think what's helping me is lots of variety and just staying busy to keep my thoughts off things I'm not supposed to eat. Plus, I wasn't really eating all that much before this, so the transition wasn't too drastic. My Protein sources: Premier Protein Caramel - I drink this as creamer in 2 very large cups of decaf coffee Fairlife Nutrition Plan Chocolate Homemade Bone Broth Bariatric Pal Hot Chocolate, Cream soup Variety Pack & Variety Pack Pudding Mix My Fluid Sources: Coffee Herbal Iced Tea Store Bought low-sodium Broth Millie's Sippin' Broth (these are a nice change of pace) Other: I'm allowed 1 cucumber or pickle a day (it's nice to have something to crunch) Sugar Free Jello (I don't really count this toward my fluid intake, though I could.

Welcome! First of all, great job on your weight loss. Even after the regain, you’re still down 130 pounds from where you started, which is a major accomplishment. Secondly, I’m appalled that your bariatric surgeon’s solution was a 10-day liquid diet, as if that’s a realistic long-term weight loss strategy. I do think you’re on the right track to go to a PCP and get your thyroid and vitamin deficiencies corrected. Are you tracking your eating at all? I use MyFitnessPal, but there are other apps like Baritastic that have similar features, and I think tracking your eating can really help you see where you can improve. At least for me, there’s something about seeing the numbers that makes it clear what is or isn’t worth eating.

Do you still have your gallbladder? I know that the GB can be an issue for a lot of people after bariatric surgery.

Hi J The struggle is real, I should have gone with the chocolate protein powder instead of the plain. I'm not getting in no protein, I feel pretty bad no energy. I'm going to order something from the Bariatric store.

I don't know how open you are to traveling but there's a place in San Antonio, TX that advertises the sleeve for $9,990. It's Sage Bariatric. https://www.sagebariatric.com/sleeve-surgey-9400/ They have a ton of accolades and awards and John Pilcher has some really great YouTube content. Their office was one of my top choices. The only reason I didn't choose them is because I didn't want to travel after surgery and found a wonderful surgeon closer to home.

Keto is HIGH fat, low carbs and moderate protein. Bariatric is HIGH protein, and from there depends on the surgery team. Some are low carb/sugar low fat. Others are a BALANCED low fat/low sugar diet. Mine is VERY balanced, I have never heard anyone on my team tell us we can't have carbs. Through all the classes, appointments and Nutritionists follow ups. They all say the same thing, balanced diet while making sure we get our protein first and then veggies, if you want or have "room" then have the carb. Understand this is only my opinion: I do not think it is realistic to think someone is going to stay "keto" or "extremely low carb" for the rest of their life. Isn't that how we all YO-YO? By doing extreme diets that we realistically cannot maintain long term? I have lost 100+ lbs 4 different times. (I know, ridiculous) The last time I even had skin removal surgery and still gained it back because eating chicken and broccoli every single day was not realistic! This is what convinced me to finally have WLS. I went through the classes for pre-op still hesitant to have WLS and just figured what do I have to loose by learning more about it in a formal manor. I learned that while some things we might not be able to eat, there was really not the restriction of foods like I heard by travel of words. Even on my worst days, I haven't been even able to eat more than 1200 calories. it really is the restriction of capacity that makes the HUGE difference from a diet to WLS. Eating healthy (most of the time) was never a problem for me. My problem was ALWAYS being hungry, eating 3 servings of chicken rather than 1. Eating 3/4 slices of pizza rather than a half a of slice without eating the outside crust. Again, my opinion and what works for me may not work for you or the next person. I think we all have to figure out what works for us and go from there. Everyone is so different and every bariatric team/center is just as different. I had this surgery so I can eat like a normal person and not like a 400 lb person. I am almost 6 months post op and when I eat around people, rarely does anyone notice my diet being different than their own. I think maybe 3 times someone (who doesn't know I had WLS) has commented about what I was eating. You do you girl, work with your team. Find out what works best for you and run with it! Modify it as you go if needed. We are all on the a different version of the same journey. We got this!! (Sorry for my long post, I got carried away)

The BariatricPal Store carries a huge selection of Bariatric-friendly Protein drinks at https://store.bariatricpal.com/collections/protein-powders. Here are some popular options: BariatricPal Protein ONE: MultiVitamin, Calcium, Iron, Fiber & Meal Replacement from https://store.bariatricpal.com/collections/protein-powders/brand_bariatricpal Syntrax Nectar Protein Powder Sampler Variety Bag - All 17 Flavors! from https://store.bariatricpal.com/collections/protein-powders/products/syntrax-nectar-protein-powder-sampler-variety-bag-all-17-flavors GENEPRO Medical Grade Unflavored Protein Powder - 3rd Generation! from https://store.bariatricpal.com/collections/genepro/products/genepro-medical-grade-unflavored-protein-powder-3rd-generation Bariatric Advantage HPMR High Protein Meal Replacement - Available in 8 Flavors! from https://store.bariatricpal.com/collections/protein-powders/products/bariatric-advantage-high-protein-meal-replacement Protein tubs from https://store.bariatricpal.com/collections/protein-powder-tubs Protein Smoothies from https://store.bariatricpal.com/collections/smoothies Hot Protein Drinks & Soups are great alternatives to protein shakes: Hot Protein Drinks: https://store.bariatricpal.com/collections/hot-protein-drinks Hot Protein Soups: https://store.bariatricpal.com/collections/soups-bouillons-broths

I am new here, scheduled for September 19th! Started my pre-op Bariatric Advantage diet on Friday, so close!

See, what you all are saying makes sense, but my nutritionist said I will be eating the bariatric diet for the rest of my life. That's why I was so shocked that she said keto is a fad diet but the bariatric diet is ok. I love keto. My body responds well to it. I have friends that have been on it for years and are doing really well. I lost 100 pounds on it. But I couldn't keep it off no matter how strict I was with it. With the bariatric diet, I was really struggling because my body doesn't do well with low fat. Higher fat with low carbs and high protein seems to work wonders for me. I tend to stay around 70-80 fats per day, 25-35 carbs per day, 70-90g of protein per day, and 1050 - 1200 calories per day (1200 if I work out that day, less if I don't). I may need to call my nutritionist again, because if keto and the bariatric diet both aren't meant to be followed for life, I need to see why she said it would and what I'm supposed to do once I hit my maintenance weight (nowhere near that yet).

Exactly as @SpartanMaker & @i bypassedmyphatass said. Diets are for the short term not the long term. The bariatric diet is devised for a specific short term purpose. While it is restrictive in the first weeks to support your healing, it does encourage you to slowly add more nutritional sources as you progress. One of the things you’ll do as you near maintenance is work out how you want to eat for the long term. Not a ‘diet’ but a sustainable way of eating that works for you & meets the needs of your body. I find it amusing when people consider our bariatric post surgery diet is high protein. It really is just focussed on protein first. Most of us are advised to consume 60g of protein while losing. In actuality, this is less than the daily recommended amount - 1g of protein per 0.8kg for our weight at that time. (Though I was told by my dietician as a woman in her 50s I should be having 1g per 1kg of weight.) So at my surgery, when I was about 85kg I should have been eating 68g - 85g of protein. Don’t know about you but before I started this process I never ate any where near the recommended amount of protein I needed. Remember if there was a single diet that worked for everyone, no one would be obese & we’d all eat exactly the same way. Diets are too restrictive to be be sustainable. That’s why we could lose weight on a diet but could never keep it off. I don’t follow a ‘diet’ at all now. I worked out what foods provide the nutrition I need, enable me to maintain without restricting my life & keep my body happy. Like, I aim to eat 70g of protein because of my absorption issue & I avoid bread, pasta, rice & potato because they sit heavily in my tummy. You’ll work out a way of eating that works for you too. Do your own research about nutrition. Start now so as you add new foods back into your diet you are making healthier choices & to see how your body responds to them. Remember any pro diet sites (keto, Atkins, etc.) will only give you biased information about how great & wonderful that diet is. Just ensure you’re eating a range of foods to satisfy your nutritional needs. In the meantime, follow your plan & the advice of your dietician & surgeon & listen to your body.

Could be many reason why they lose their teeth. Genetics, how well someone takes care of their Teeth, keeping up with regular dentist appointments. Are they taking the right vitamins for bariatric surgery. The only east way out I ever see is not doing nothing.