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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.

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.

Met with my nutritionist to go over the pre-op diet today (starts next Wednesday) and I am pleased to say she has okayed PB2 peanut butter powder during both pre-op and post-op liquid phases to add to my protein shakes for extra flavor and protein. I really enjoy the chocolate flavor shakes so much more with some peanut butter!

If you really dislike sweet, you can get unflavored protein powder (Syntrax, Unjury, and Isopure are all ones that could work) and blend with broth instead of water.

I’m 3 weeks and on puree but am able to have soft scrambled eggs and cottage cheese. been having a lot of pumpkin soup. making overnight oats- that then goes in the blender with some protein and a banana and some peanut butter :)

Update***** It’s been an extremely difficult process. I’m emotionally defeated😭. My hair has continued to fall out not shed but completely fall out to the point I look sickly. I have seen derm. Had a biopsy done. Basically all my hair entered the shedding phase at once. On top of that I have some hormonal issues that has resulted in female/male pattern hair loss as well. Only thing left to do is take the clippers and even then there’s not much left. My surgeon actually looked me in my eyes last week and said he was so sorry I was going through all this. It’s not a lack or protein, biotin, or any nutrient deficiencies. I’ve literally done everything right according to my surgeon. I am literally in tears every time I look in the mirror. Just wanted to voice my frustrations in a safe place.

VSG Jan 24, 2024. So far so good! My surgery was uncomplicated. Once home I didn't need any pain medication. I've been doing okay on full liquids and I'm looking forward to pureed foods (not something I ever thought I'd hear myself say) after my first follow up with my doctor on Feb 8. I was surprised to find that I experience hunger--genuine, not head hunger. I guess I thought I'd never feel hungry again. I'm dealing with it, though, by sipping something a little thicker when I feel hungry. There are some really good protein shakes in The Gastric Sleeve Bariatric Cookbook by Sarah Kent MD. Yogurt is a little too thick and doesn't sit well but I tried thinning it out with some skim milk and that helps! I'm sleeping well. The only concern I have is that I am still very sore on my left side and it doesn't seem to be getting better. Or maybe it is, but just so slowly that I am barely registering it. Is anyone else experiencing this?

I start on the 6th as well. It's 1 small meal/day, plus protein shakes (and water). I'm struggling to find ones that don't kill me with the sweetness.

I had to do 2 weeks of a very low calorie high protein diet. Its actually going ok, but I do miss eating cereal more than anything else haha. 2 days before my surgery I start liquid only, then the day before I have to stop the protein drinks at 6PM, and NPO after midnight. I have to be at the hospital at 6:30AM for a surgery time of 8:30AM!!! Im getting more excited than nervous for now. Im sure that will change once the date gets even closer.

agree with Arabesque - common during menopause. Plus you said you're on prednisone - one of the side effects of that is weight gain. So there's two culprits right there... Yes - I'd have a chat with someone to see what your options are. Weight loss is going to be a struggle, so maybe they'd be willing to do something to help with that.

Hello and congratulations, you are smack in the middle of what I would have called a crisis. Pre surgery, I would have turned to food for comfort. So big applause and back slapping for coping with life's ups and downs so well. I have GERD in a big way so have to tailor my diet to the bland side or I know about it. I am also done with protein products. Except the protein bars I forgot about. At times I don't want food and at times I am super hungry. If I was a lifelong thin person, I would eat when I was hungry and skip meals when I wasn't. Its just that I was so used to eating every meal that its a hard change now. So on average this is my daily menu. On a hungry day I might get in 1600 calories but level that out with a day of 800 calories Breakfast - A latte, yoghurt and berries Lunch - Home made soup or a picky plate of cucumber, celery, beets etc [ hell I don't know why this tastes so good ] cashew nuts or deli meat, apple, grapes or orange, cheese. This plate will often go back in the fridge and finished later. My restriction is fierce. Dinner/supper - A homemade family meal. I adapt a portion for myself. Typically made from a meat, veg and potatoes/ rice. Pasta is off my menu and my fam are not fans. This may also go back in the fridge and I will eat it later. Evening - A latte, A popsicle, watermelon etc I always carry a protein bar because when I am out and about, if I am hungry its not always easy to find my foods in a café or restaurant. A small adult plate is only just becoming a thing here.

Menopause is the worst. It’s when I gained my weight. Went from 60 to 75kg very quickly during perimenopause. This was my usual fluctuation so I didn’t worry that much. Then entered full menopause & bam another 15kgs. I swear I gained it overnight. Several of my friends were the same - gained 10-15kgs very quickly with menopause. Couldn't really shift a kilo of it. Drop a couple & put them straight back on. I had hoped that being on HRT might balance out my hormones & help me lose some weight but nope. Struggled for a couple of years. Wasn’t happy. That’s when I decided to have my sleeve. Why don’t you try getting in contact with a bariatric surgeon to discuss your revision options like to a DS. Does your surgeon who did your RNY still practice? Have you considered whether the new GLP - 1 medications might be an option? Certainly worth a conversation with a surgeon. PS Congratulations on your long term success with your original surgery. Such an achievement.

A little back ground with me. I had gastric sleeve 10 years ago because of my over weight issue I wasn’t getting my period and I wasn’t able to get pregnant. After the sleeve I loss total of 60 lbs, and got pregnant. The first pregnancy ended in miscarriage. I was very depressed about it. So my next 2 pregnancies I made sure I eat and gave enough nutrients for my babies. Also I didn’t keep up with the weight loss after I gave birth. Now after 10 years of the surgery I regained almost all my weight. My issue with pcos such as no having period came back… didn’t have period for like 2 years. Also have other issue like cholesterol, foot pain and Gerd. I thought about having revision for almost 3 years and I took action and had gastric bypass about a week ago. I am feeling some emotional up and down…been crying for the last few days. I feel such a failure of having to have to get the revision when the doctor gave me a chance. My surgery also didn’t go perfect. I was under the anesthesia for over 4-5 hours, (I didn’t get an exact time from the doctor when I came out from surgery. Family was inform about the equipment issue and didn’t see me untill the afternoon) because one of the equipment broke and the medical team had to wait for the replacement. I went into surgery 7am and woke up 4pm. when I woke up they had me take a walk and tried drinking sips of water. I vomited right back with 2 big chunks of clogged blood. And I tried drinking again but kept vomiting dark brown color liquid out, like old blood. ( sorry if it’s too much description) it was quite a lot of it even I didn’t drink so much water. The nurse informed the doctor and they said it’s normal and they did just literally cut my stomach. So some amount of blood is normal, but because I was under the anesthesia for so long maybe I am feeling sick from it. So they told me not to drink anything for the first day and started me on liquid the next day. The next day I was fine and went home. I felt horrible the first day and the pain in my stomach is there everywhere probably gas. The feeling after the revision surgery is completely different than how I felt the first time. I am aware it’s a bigger operation, but I just didn’t expect it to be like that. When I return home my stomach pain was still there, but eventually it did get better, but after a few days my whole stomach was so itchy, I thought the incisions were healing and that why I am feeling this way. The next day all my incisions were swollen red. BTW I had 6 big incision and 2 small needle punctures. When it got swollen, red and itchy it was at night and I waited another day and called my doctor asap in the morning. They told me I am having an allergic reaction to the dermabond. I am just feeling itchy, my incisions are raised and lumpy, it’s been over a week and I lose only 5 lbs. ( comparing to other people who loss 10-20lbs, i think to myself why am I not loss it?) and when I look at scars from the mirror I just broke down and cried. Thinking what did I do to myself…. I know I should stop being so bitter, and stop complaining. But I just feel like such a failure because I failed the first surgery, and I put myself in this journey again and things are not going so great… there are the positive side that I should look at, but I just can’t help it. *note- goal weight 150lbs pre op weight 273lbs started liquid diet 258lbs I had a stall during liquid diet for 1 week. Most people loss 10-15 lbs during liquid diet. I loss 8lbs. I followed everything my nutritionist told me and had 1 lean protein 3oz and 3 oz vegetable for lunch for 2 weeks. i w so hungry that the morning of surgery the nurse told me my blood pressure was actually very low. Surgery day 250lbs 1week post op 245lbs I don’t know what type of response I am waiting to get here. Maybe I am just venting and hoping to feel better.

I have a total of 4 weeks preop diet. The first 3 weeks, daily, I could have 2 protein shakes, 2 low cal, low fat, low carb snacks, 3 oz of lean protein, and one cup of non starchy vegetables. Also at least 64 oz water. I lost 22 lbs. this last week I can have 5 protein shakes and at least 64 oz water. I’m on day two of that and I have been very weak, shaky, and sometimes nauseous today. Hoping for a better day tomorrow!

Hi, 👋🏽 I’m 7 days into my two week liquid diet. I’ve searched high and low for recommendations. Here’s what I’ve done so far… I found shrimp 🍤 broth, added low sodium Old Bay. It’s ALMOST like having shrimp! Skinny syrups in high protein Slim Fast flavored water packets in water and vanilla shakes sugar free jello and popsicles Sugar free hard candies, like werthers GOOD LUCK EVERYONE! if I think of any more or find a miracle way of getting through this I’ll definitely share!

I always tell people that the two weeks before surgery were much more difficult for me than anything that came after the surgery. It is a terrible period and you really do have to power through it. As far as the constipation, take fiber capsules (preferably psyllium husk) with a probiotic. Its also a good habit to get into post-surgery, as soon as you can handle it. It will keep you regular and help with digestion. Try a different brand of shakes and see it works better for you. I always preferred the Premier Protein shakes over the Equate ones. Drink an insane amount of liquid during this time. Always be chugging some kind of liquid, just to try to keep your stomach relatively full. Eat sugar free popsicles by the box.

Congrats on the surgery, and your first steps towards a healthier you! It looks like I'm a day late, but echoing what others are saying, the first day is the roughest, by far, but it eases up quickly throughout the week. Walk and do arm exercises (lifting over your head, rotating, just any movement while walking), and this will help dissipate the gas pressure you're probably experiencing right now. Try to do a little every hour, even if its just walking down the hallway and back a couple times. If your doctor allows it, take Gas-X to also help with the gas pressure. It kept feeling like it was getting stuck in my left should/chest area, and was really uncomfortable. That was my biggest complaint about the process the first couple weeks, but the walking and gas-x would buy me a couple hours of relief. Also, for the protein shakes during your liquid phase, get the Fairlife brand 30g or 42g shakes if you can find them. They taste more like chocolate milk and don't have that chemical taste that a lot of other protein shakes have (Premier protein and muscle milk). Check Sams Club and Costco for those.

Congrats on the surgery! Expect the first month to be a roller coaster of emotions, hunger, anger, and a day or two of regret. That's a rite of passage for us, where I think everyone second guesses their decision. By week 5, I finally started getting a better handle on things and I'm still very happy with my decision. 10 weeks out and I'm in better shape than I've been in decades! As others have said, you feel hungry because you are hungry. Your body is used to the previous amount of eating, and panics when it realizes you're not eating what you used to. Since you were a candidate for surgery, then your body has enough fat cell reserves to live off of that for a few weeks, which is why they have you focus only on water the first two weeks, while working in more protein to prevent you from burning muscle. However, our bodies don't understand that logic and kicks into survival mode. It only understands "food" or "no food". The first six months is critical to the process because that's when we have the best opportunity to retrain our mind and bodies to adapt. In a sense it is traumatic to our bodies, and it will fight until it understands that this new normal is safe, because that's its job, to keep you alive! Once you're back to solid foods, that's when recognizing head hunger becomes more important. Around that time (somewhere around weeks 4-6), you'll have worked up to eating enough calories to be sustaining metabolism, while still running enough of a deficit to burn fat. At that point, your body will try to tell you "hey, we're close to the old normal again, go ahead and eat more!". As my therapist reminds me, remember to listen specifically to your stomach, and not your mouth. Practice eating enough to where your stomach feels full, and not pressured from too much, but at the same time, study your habits to see if you're eating to stay busy, to deflect stress (I'm guilty of this), or just because your body thinks you should keep your stomach topped off. During that period, if you feel like your stomach is craving more, double check what nutrients you are getting. If you're deficient in vitamins or minerals, you will develop insatiable cravings, but your body can't tell you exactly what its missing. It just yells "I'm Hungry!". Check with your doctor on which supplements to add or remove, and also branch out with different styles of food as long as they fit your calories/macros. I felt like I was starving for most of last week, then I got some Korean food (sort of a bibimbap inspired kale and cabbage salad with beef) on Friday, and the cravings stopped. I'm still trying to figure out what itch that scratched, but obviously I was missing something in that! Also, be very careful with sugar, starches, breads, rice, etc. That can send you into a craving spiral that lasts 2-3 days. Some sugar alcohols like Sorbitol and Xylitol also trigger that for me, while Monk Fruit, Stevia, and Splenda don't. Everyone is different, but pay attention to those ingredients, because that can make the hunger feel worse!

If you can find them, look for the Fairlife shakes. I drank those for my pre-op and post-op, and my surgeon was happy with the results. They have different varieties with 26g, 30g (most common), and 42g of protein and are generally 150-200 calories per bottle. These taste more like a Nesquick chocolate milk to me, and don't have that chemical taste that Premier Protein or Muscle Milk have. Check at Sams Club or Costco, if you have one nearby. They sell out fast, so you may want to check online each morning and place a pickup order for that afternoon before they're gone. My local one usually gets a pallet in weekly.

I made them using protein peanut butter and only half the amount of maple syrup so very little sugar per ball.

Thanks for the hug @summerseeker I very much appreciate the hug. Hugs are so much better than food. @catwoman7 I have tried Trulicity (same as Ozempic) some time ago. I had serious side effects and couldnt continue on it. But that doesnt mean that I cant ask my doctor about any other options. @BigZ- I do believe I need to see a psychologist/therapist. i have an appointment with a dietician tomorrow. Maybe they can point me in the right direction to the right person. @NickelChip I took your advice and weighed myself this morning. I will face 2.7 kg. So much easier to face this gain than trying to ignore a much bigger gain. I went for a walk for 30 minutes. @BigSueI will check out the podcast. I really appreciate ALL the responses. There are some really wise words in all this. @ChunkCat@Arabesque@Jeanniebug This is a journey that really doesnt end hey? I need to take care of myself in a good way. The self talk is something that I have always struggled with too. The honeymoon might be over but I determine where this marriage is headed. If it has to be a lifelong struggle then I would rather do it without all that extra padding. I am not giving up without a fight. I will be coming back to this page to pick more gems. Thankyou.

Hey everyone!! how is everyone doing? I was exactly 6 weeks post op yesterday and it was my 33rd birthday! I’ve lost 20lb since the op but 40lb since liver reducing (3 weeks of liquids) finally onto textured foods but prioritising protein and liquids still. I’m now 248lb the lowest I’ve been is 224lb in adult life so I’m excited to get past that weight! I also get married at the end of June so determined to do the best possible. after 4 years of waiting for the op, I can’t believe it’s now done!! Xxx

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

If you haven't had surgery yet, you may want to join the support group "Duodenal Switch SUPPORT Group" on FB for SADI/DS patients. https://www.facebook.com/groups/1799552573392212 There are a number of patients on there who have had the RNY and done revisions to SADI or DS. Honestly, the choice is up to you and how comfortable you are with your surgeon's opinion. There are plenty of lightweights who get SADI surgeries, especially those with pre-existing conditions. But some insurance companies still consider the SADI to be experimental, so be sure yours doesn't if you decide on it. You can get vomiting with any bariatric surgery. You can get diarrhea with any surgery. And while RNY can be good for GERD patients, there are plenty of people with GERD who still end up with a SADI or DS. I'm one of those patients, I have had GERD issues for years, but I wanted a more robust surgery than the RNY and two surgeons both agreed the DS would be the better option for me because I'm diabetic. The surgery normalized my blood sugar within 24 hours, as well as my blood pressure, and my cholesterol and triglycerides are normal now. It packs a huge metabolic punch. but I do have to watch carbs and sugars or I get diarrhea. My starting weight at surgery was 307, my goal is 180/170. But I regularly see lighter starting weights in my FB support group... Surgery type is a really individual decision!