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Definitely not in liquids. All you might be able to do is try a peanut butter flavour powder & add it to your shakes. I wasn’t allowed peanut butter until maintenance. Though it has protein it’s not a lot & it’s high fat (even the natural ones) & often high in added sugar. I enjoy a teaspoonful as one of my snack options now but my fat intake is low & sugar is very low so I can get away with it. Check with your team/dietician as to when you can add it & how much you can have.
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November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Wow, you look great @Char V!! You have obviously exceeded his expectations of your weight loss!! Yeah, I grew up pretty poor and finishing the food on my plate was a huge thing. My parents were excellent at food guilt and money guilt. But I've put a lot of hard work into letting that go because it just wasn't a healthy mindset for me... My fridge is full of leftovers like most bariatric patients, and we actually eat most of the leftovers (my partner too has weight issues and is diabetic). I try to order things that can be leftover and still taste decent. But every once in a while I set that aside and just get what I want, even if it won't be finished. My mindful eating coach challenged me to do that to teach myself that eating more than what I need is just as much a waste as throwing it in the trash... None of us can avoid food waste. It is fine to try and mitigate it as best we can while at home, if that is what our values dictate. But when eating out I need to sometimes practice leaving food on my plate and being okay with that... It was hard, but I'm working on it!! Still, I would be unpleasant if someone opted to point out my "wastefulness". 😂 Traveling all around AU working is definitely stressful on the body AND the diet! I recently opted not to go on a business trip with my partner because I didn't want to deal with attempting to eat for a week out of my hotel room without a fridge. Even I have limits regarding food wastage. LOL If we were driving there and I had a fridge it would be different, when we travelled for the holidays when I was 2 months out I was fine. I got a lunchbox that fit a fair number of shakes and protein snacks, cheese and such, and made sure to carry protein snacks wherever I went. But this gets considerably harder if you are flying around to places...so I decided to stay home with the cats. LOL Are you flying to various places or driving?? Sydney is such a lovely city, I really enjoyed my week there. Though it wouldn't be as much fun in a moonboot!! -
Post-Surgery Life Internationally
ChunkCat replied to kat2536's topic in POST-Operation Weight Loss Surgery Q&A
I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care. -
I need advice! Thinking of doing gastric sleeve
ChunkCat replied to CeeLo-96's topic in Gastric Sleeve Surgery Forums
I had the Duodenal Switch, which is different than the most common two surgeries being discussed here. I picked it because I had type 2 diabetes, high blood pressure, high cholesterol and triglycerides, sleep apnea, etc... I also picked it because I knew a purely restrictive surgery wouldn't work for me. Portion has never been my issue. Pre-op I was eating about 1000-1200 calories a day, for about 10 years, and did nothing but steadily gain weight. My surgeon said it was obvious I have a metabolic disorder, so I needed a metabolically strong surgery. I also didn't want to risk gaining weight back and the DS has the lowest rate of regain. But as a trade off it can cause more vitamin and protein deficiencies if not managed well and the diet is a bit different than the others post op because of our malabsorption. However, diabetes was my biggest concern and the DS puts about 95% of T2 cases in remission, and most stay that way. Post op my blood sugar dropped to 82 within 24 hours of surgery and my high blood pressure normalized, so they took me off of my diabetes meds and blood pressure meds. I'm 3 months out and my a1c is 4.8 without medication!! My blood pressure continues to be normal without meds. My cholesterol and triglycerides are also normal without medication, which hasn't happened in decades! All this to say---consult with a surgeon who offers ALL the surgeries if you can find one in your area. Talk to them about your reasons for wanting bariatric surgery and consider your options carefully. The sleeve surgery is amazing for a number of people, but it isn't right for everyone. The bypass is a fantastic surgery for certain patients, but again, it isn't for everyone. And the DS is a powerful surgery, but it definitely has a specific patient profile. All are great surgeries, but not all of them will be the best surgery for you. Only you and your surgeon can decide that. And don't be afraid to get a second opinion. I went to two surgeons before deciding on one (though both recommended the same surgery). I needed that extra reassurance I was picking the right surgeon and the right surgery. I'm so glad I did this surgery, I just wish it had been an option available to me when I was younger.❤️ -
I blended Low sodium can soups and drank my isopure protein water.
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Need some infos about macros
NickelChip replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
I've been told my eventual goal will be 3 meals per day, 20-25g protein per meal, which is equal to 3-4 oz cooked meat (palm size/deck of cards). After protein, I should prioritize non-starchy vegetables, followed by fruit, followed by starchy veg and grains, which are limited to 1/2 c portion. My program avoids giving specific macros because everyone is different and also I think to get away from dieting mentality. I was told to space meals 4-6 hours apart and avoid snacking (this is for after the early stages when you need to eat more frequently). Basically, when your appetite starts to return, stick with the limits of 20-25g protein and 1/2 c starch/grain, and eat as much non-starchy veg and fruit as you like until you feel satisfied (instead of taking bigger meat and starch portions as we might be tempted to do). Oh, and choose low-fat or non-fat options when available and stay away from added sugar. They're okay with stevia and sucralose but frown on sugar alcohols. -
October 2023 surgery buddies
walterblock1 replied to Shotputqueen's topic in PRE-Operation Weight Loss Surgery Q&A
Had the same date I’m down about 87 lbs I’m food intake is very low I just eat protein chicken and fish everything else upsets my stomach can’t eat a lot can only eat like a wing drumstick n I’m full other then then that’s everything is going well -
Generally I've never seen peanut butter on the approved list, but I did check on powdered peanut butter and was told I could add it to my protein shakes in the full liquid phase. The difference is the powdered (PB2 or similar) is significantly lower in fat than real peanut butter.
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Post SADI help <3 Save me from the farts
ChunkCat replied to ParkerUsagi's topic in Duodenal Switch Surgery Forum
The gas is probably from the carbs. Especially simple carbs, though complex carbs can cause it too. DS/SADI patients have altered small intestines and those shorter lengths digest carbs differently than the full length did pre-op. Things with sugars in them, like carbs, can cause gas to build up as part of the digestion process. In addition to this, some people are sensitive to FODMAPS. That can happen with or without surgery. Onions are a huge FODMAP trigger food! Your gut may be reacting to these foods. You can try an elimination diet to see if it helps. But really, cut the carbs if you want peace. DS/SADI patients need about 90-120 grams of protein (120 grams is ideal, or whatever it takes to keep your protein levels at 7 or above) about 100-150 grams of fat depending on the surgery, and ideally we keep carbs below 50 grams during active weight loss, some go below 30 grams. But even in maintenance, we need to watch the carbs if we want to avoid gas and other digestive issues. -
Modified Duodenal Switch
ChunkCat replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
Everyone's recovery is different. I had no pain after a few weeks, other than some internal tugging of the stitches when I changed positions. But I am still on a PPI, those are wise to take for a while after surgery. My nausea eased around 2 months after surgery. I was taking meds for it every day (promethazine), twice a day. This isn't because of the DS, this is because any procedure on your stomach can cause nausea for a while. But again, for some it is brief, some it is longer. Focusing on hydration goals is important in the first few weeks because it is hydration that will keep you out of the ER with dehydration. Our bodies have enough protein stores to get us through those first few weeks. After that, protein is a slow, steady progress sort of thing. I was about 3 months out before I could hit my protein goals. I get about 120 grams a day now. But I hit my water goal from day 2, because I desperately wanted to avoid dehydration!! How are you feeling now? -
Need some infos about macros
catwoman7 replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
It depends on the surgeon. Most seem to recommend 60-80 grams of protein, but as for the rest, it varies a lot. Not many have requirements for fat. As far as carbs, some surgeons have their patients on low carb (or ultra low carb) plans, others have patients on more balanced plans. -
Need some infos about macros
Vanessa Correal posted a topic in POST-Operation Weight Loss Surgery Q&A
HI! I wanted to know what are the max/recommended amount of fat, sugar/carbs, sodium, protein, etc. we should have in our food ? Like what's the max i can have in one day or one meal/snack ? Or should I have ...? Waiting on an answer from my nutrition team but I need ya'll help meanwhile. -
Oh at 6 days out I was still on liquids OP! Didn't get to puree until 2 weeks after my sleeve. Honestly - get as close as you can to your protein goal and don't worry too much about that. At this stage what matters most is not getting dehydrated, so focus on your fluids! Hair loss will happen because that's what our bodies do when we cut calories. Not sure what, if anything, stops that. It's not nice but it does stop eventually.
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HELP
SleeveToBypass2023 replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
Protein - get it from protein Gatorade, protein shakes, bone broth, etc. You shouldn't be eating anything right now. Hair loss - it's gonna happen. How much? It varies from person to person. Nothing really stops it, and it'll end when it ends. personally, I cut my hair shorter, used thickening and volumizing shampoo and conditioner, and styled it so the middle part wasn't as visible. It's heavy shedding, not clumps coming out. Foods - once I went off liquids, I ate cottage cheese, hummus, avocado spread, refried beans, black beans, scrambled eggs, and continued with protein shakes and protein Gatorade. I never really did pureed food because that's nasty lol Everything will work out and be ok. Go slow, don't panic about the hair loss, and don't rush the eating schedule. -
I agree with @ChunkCat. And also add, yes it is difficult to hit those protein goals as you move through the first stages & you’re eating so little. On purées (cause I couldn’t stand to continue on the shakes) I ate a high protein yoghurt to boost my daily protein intake. (You can make it into a drink by blending with milk which also gives you additional protein). Don’t worry too much if you’re not hitting your protein goal every day in this time. As long as you’re close to it & getting closer you’ll be okay. It’s one of those things that gets easier as you progress. It’s likely you’ll lose some hair from around three months regardless of whether you reach your protein goals from the beginning or not. It’s your body reacting to the stress of the surgery, anaesthetic, hormonal fluctuations, etc. And it’s just an acceleration of your usual hair loss cycle. It lasts about three months. And your new hair is still growing at the same time you’re shedding just at its usual rate. It’s quite common after many major surgeries, periods of stress, child birth, menopause, etc.
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You are 6 days post op?? You should be getting the bulk of your protein from things like protein shakes, protein waters, fairlife milk, and other things like that. Your tummy is way too small and way too raw to be getting your protein from actual food yet. I know every surgeon varies and some do purees early, so I won't comment on that, but even then, you can't possibly get enough in on food alone to hit your protein goals. Some soft things to try on the puree and soft food stages: very softly scrambled or poached egg, cottage cheese, ricotta cheese, greek yogurt, sugar free pudding, sugar free jello (you can even get protein jello), some even include bean purees though I found those VERY hard on my stomach. You can also puree proteins into a soup base. I did a lot of cream soups and strained soups. I was on strict liquids the first two weeks. In soft foods you can also try things like egg salad, chicken salad made with chicken thighs because they are more moist, and tuna salad, but don't add things like onion and pickle to it yet. Too rough. ETA: Generally patients are encouraged to focus on their hydration goals for the first two weeks. This is because dehydration is the number 1 complication of bariatric surgery. Our bodies have protein stores that will last us the first few weeks after surgery. So focus on those 64 oz of water and if that is going well, then you can think about getting some protein in as a bonus!
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Food Before and After Photos
Starwarsandcupcakes replied to GreenTealael's topic in General Weight Loss Surgery Discussions
First one is day 2 post op heart surgery dinner. Are about half. The second and third are the after picture and nutrition info from dinner today (post op day 4 and a full day home). Used about 1/2 a serving of sauce to a full serving of dumplings. As you can see, I ate a half serving. Im gonna have an ensure max protein shake with my medicine and go to bed. -
Hi guys ! I had my sleeve on january 29th. So i'm on day 6 post-op. I'm on puree stage until monday. I have sooooo much trouble getting my proteins in and it worries me. I know it's normal but because i'm home, I go to bed late and wake up really late too. Usually, I wouldn,t do that because of work and school but my surgeon didn't want me to keep doing those for obvious reasons. So..... Any tips for getting my proteins ? (I'm scared of the hair loss.....) I can only eat 1/4 cup for now, it's a little easier and i'm not nauseous nor did I vomit so far. I'm kind of lucky and hopefully my luck will keep going. THank youuuuuu
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Hi , so I'm 5 days post op , I'm on the liquid stage, everything I'm eating tastes to sweet ! So I have been eating, yoghurt,protein shakes, chicken soup, I used to have such a sweet tooth before and now I really don't! My surgeon said I can have anything as long as it's smooth liquid , any ideas what i can have? Struggling here!
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Noticed side effects from VSG
Marcia91 replied to Marcia91's topic in POST-Operation Weight Loss Surgery Q&A
Thank you for your words of wisdom, I had to take Milk Of Magnesium last week but not much came out, I hoping adding more soft foods to the diet will help with something to come out. lmao I am not really meeting my protein or water goals =( I am working on it tho. -
I start 'thick liquids' today (surgery was 1/24) and can have hot oatmeal and blended soups. How much should I be eating? I can drink an 11oz protein shake in about an hour.
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Liquid diet is messing up my BM’s
Bariover54 posted a topic in PRE-Operation Weight Loss Surgery Q&A
I have to be on a liquid diet for two weeks before my bypass. I’m on day 9 and if I’m not constipated I have diarrhea! Who knew? I’m only having extra protein Slim Fast, broth, jello, water and occasionally a sugar free popsicle. I think my GI system is out of wack! -
This liquid diet is...not easy!
ChunkCat replied to Raevor85's topic in PRE-Operation Weight Loss Surgery Q&A
I had two weeks of a modified liquid diet (the shakes all day and a small, lean meat and veggie meal at night), and then another week of pure liquids, no snacks, no pudding or yogurt, just shakes! It was SUCH a marathon... Then I had 2 full weeks of strict liquids post-op, no puddings, no yogurt, and I couldn't tolerate any protein shakes or jello. But post op it was easier in a way because my body was telling me very clearly it didn't want any of those things! Pre-op the diets are a serious head game. LOL -
This liquid diet is...not easy!
newbegining2024 replied to Raevor85's topic in PRE-Operation Weight Loss Surgery Q&A
Wow, that’s really hard! I applaud all of you who can do the full 2 weeks liquid only. My two weeks liquid diet allowed me to have one small meal a day. It was lunch or dinner with 1 hand size flat lean protein and same portion for veggies. Allowing to be able to have one small meal helped a lot for me and then 2 days before surgery the last mean at lunch then next day no meal and full on liquid till surgery. -
This liquid diet is...not easy!
NickelChip replied to Raevor85's topic in PRE-Operation Weight Loss Surgery Q&A
5 more days of "regular" eating before my liquid diet starts. I'm going out to dinner tomorrow night and to a diner for breakfast over the weekend. I don't plan to go crazy with it, but I do want to have a couple nice meals to think back on over the next month of protein shakes and broth! I might split a dessert.
