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I was consuming something other than water every 2-3 hours as per my dietician's instructions.... I didn't really think about calories, I focused on my protein goals, water goals, and "eating" frequently. I still eat every 2-3 hours, so about 5-6 times a day. It sounds like you are progressing nicely!! Lucky you! I was on strict liquids for 2 weeks post op. Sounds like you get more things. I suggest broth or tea when that head hunger kicks in. Or a sugar free popsicle. I'd check with the guidelines your dietician gave you, often they want hydration focused on the most for the first few weeks, with protein goals a close second. Calories usually come in (if they come in at all) once you are on soft foods. But every practice is different!
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Hello, well I am doing a bit better, I was able to get my central feeding tube out in November. I'm stilling struggling with most foods, but i'm slowly getting there.. I can do about 400 or less calories a day, i get about half my protein and water goals daily. Doc said i was doing ok.. I have to take a hand full of stomach meds 3-4 times a day or help my stomach push the food though and ones so i don't throw up. said thing is, my weigh isn't dropping like i thought it would. but hopefully down the road it will change. I happy to hear that you're doing well. Keep up the good work.
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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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OK - firstly, you are doing absolutely fine. Anyone who has lost 60lbs in 5.5 months is WINNING! We all stray from the path a little at times! You have already identified where you strayed - carbs. So from tomorrow, get back to your surgeon's plan. I suspect it will be protein first, veg second, carbs last (by a long way). Stick to that. I have a sleeve and I was still losing miniscule amounts of weight almost 2 years out. You have loads of time to get to where you want to be. I wish you luck!
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Almost a week since wls and can barely handle liquids 😭
ChunkCat replied to Ashley Santana's topic in POST-Operation Weight Loss Surgery Q&A
I agree with the others, contact your surgeon and let them know. It isn't unusual to have intolerances to protein shakes early on. I couldn't stomach them for the first several weeks. I could get in my fluids though, with diligence, but they had to either be very cold or very warm, my stomach didn't like anything in between, and even with fluids I would get this intense twisting pain with every swallow, like my stomach was trying to cartwheel inside me! But after the two week mark this started to ease. I was able to water down protein water and get it in. Then I was able to thin out protein shakes with milk and get them in. I was still nauseated daily until the 8 week mark, but meds helped with that. My surgeon said this whole track wasn't unusual, I was one of those rare patients that got the side effect of stomach spasms post surgery and they usually calm down after a few weeks. He was right! By weeks 3-4 I could drink most things without pain, as long as I kept sipping rather than trying to gulp. I'm 3 months out and still can't gulp... But this is definitely a situation where you want your surgeon's office aware of how you are feeling so they can send you in for fluid infusions if you start to show signs of dehydration. Dehydration is the number 1 complication of bariatric surgery in the early weeks, plenty of people end up with hydration infusions until the swelling goes down in their tummies enough they can get their water in. -
NEW GLP-1 Program at BariatricPal!
Alex Brecher replied to Alex Brecher's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Frequently Asked Questions About BariatricPal's GLP-1 Weight Loss Program How does BariatricPal's Weight Loss Program work? BariatricPal offers a comprehensive and convenient solution for weight loss through our telehealth platform. Our process is designed to be straightforward yet thorough, ensuring you receive personalized care tailored to your needs. Here’s how you can start your journey towards a healthier lifestyle with us in three easy steps: Complete the Eligibility Quiz: First, take our eligibility quiz. Telehealth Appointment: You'll have a telehealth consultation with your new healthcare provider to discuss your health and treatment options. Medication Delivery: If it's medically appropriate, you'll receive your medication directly from our mail-order pharmacy provider every 30, 60, or 90 days, depending on your provider's decision. We aim to foster a long-term relationship between you and your provider, offering ongoing care tailored to your needs. The BariatricPal GLP-1 Weight Loss Program is crafted for those seeking a sustainable, long-term solution to weight management. Is the program confidential? Absolutely. Your privacy is paramount to us. Only our medical team and prescribers can access your medical data and order history. For more details on how we protect your information, please refer to our Privacy Policy. Do I need a prescription? No pre-existing prescription is required. If you're eligible for treatment following your consultation, our medical team will issue you a private prescription. This streamlines the process, allowing you to focus on your health and progress without the hassle. How much does the BariatricPal Medical Weight Loss Program cost? We offer a customized prescription plan designed specifically for you, guided by our experienced doctors. The first month costs $247, including your medical telehealth consultation, a month's supply of weight loss medication (GLP1-s), and shipping directly to your home. For subsequent months, the cost is $297. How often will I receive a shipment? Your medication will be shipped promptly after our doctors review your progress and renew your prescription. Shipments are scheduled every 30 days to ensure you consistently have your medication on hand. Please allow 7-10 business days after your consultation for your order to arrive. -
I'm 10 weeks post op and I did eat a fry, just one, and I liked it a lot. I've also eaten a small piece of pizza crust and my body doesn't tolerate gluten. Both times I was ok, but I'm afraid to try any more than that. Which is just the way it should be I think. I've had times when I felt voracious, ate more than usual, felt bad about it, then realized I just ate 1/10th of what I would eat previously. It's ok. For those times that I may not find anything to eat and I'm out and about, I keep roasted soynuts (The only bean comes in .9 oz packets, fits in any purse and is very satisfying) or protein bars with me. Just saying, I haven't learned all this from the surgery, I've been on very restricted diets for a long time due to GI issues, where it was unlikely I would find something I could eat outside my house. Clearly I wasn't restricting the quantities, just the specifics.
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6 Months post surgery, minimal to no weight loss
Arabesque replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
The pouch reset diet is an old wives tale. You can’t ‘reset’ your pouch. You can only reset your head & thinking. If you think you are eating more than you should, watch your portion sizes carefully & your frequency of meals. Portion control will always be something we have to take care with because as the months pass we are physically able to eat more. Our restriction eases. Our tummy, while still small softens & is more pliable. And our hunger returns. We can also learn how to eat around our smaller tummy. I was told to eat about a cup at 6 months but as your surgeon said everyone’s journey is different and you may have different needs in regard to how much, what & when you eat. Check with your dietician for the best portion size of proteins, vegetables, etc. & frequency of meals for you. Then you just have to keep to those recommendations. As I always say, all because you can (in this case eat more) doesn’t mean you should. I’m glad your surgeon is so supportive & is willing to look at other ways of helping you to lose more weight & get closer to where you want to be. -
After post op gastric sleeve - my experiences
catwoman7 replied to Raevor85's topic in POST-Operation Weight Loss Surgery Q&A
you'll lose bone mass. You lose everything when you lose that much weight - fat, muscle, and bone! But then again, you need a lot of infrastructure to hold up 300+ lbs. It just isn't needed once you lose a ton of weight. Exercise and protein will keep you from losing too much protein. Exercise (especially weight-bearing exercise like walking, dancing, strength-training) will keep you from losing too much bone mass. But losing SOME of both isn't necessarily bad, since it's not needed. hair - not everyone loses it, but most do - but it's temporary. I didn't lose enough for others to notice. In the grand scheme of things, it's a small price to pay, and at this point it's just a blip on the screen for me. -
I was 118kg back then till 27th Jan 2024. 10 days prior to my surgery, the liquid diet plan was quite challenging but managed well. I lost 5kg at Day 10... I was discharged from the hospital 26hrs later as 12hrs after surgery i started to walk with the support of my wife. Im on support of Multi-vitamins, Calcium Citrate + D3, blood thinning injection for 1 month, and Gastric medicine for 2 months. All vitamins or medications need to be crushed from solid pills to compound or powder base before consuming. This has to be for only the first 1 month of post surgery. Being just on liquid diet, plain water for the first 2 days, 3rd & 4th day took young coconut water, 5th till 7th day took sieved apple orange beetroot carrot & celery juice (200ml every 2 hourly) and by end of Week 1 post surgery, i lost another 6kg. Week 2 post surgery, continued with liquid diet by consuming protein milk shake 100ml at 8am, 10am, 12pm, 2pm, and 6pm. At 8pm and 10pm i take same sieved juices 100ml only. By end of Week 2, i lost another 6kg. However, this is my Week 3 post surgery, continued with liquid diet by consuming protein milk shake 150ml at 8am, 10am, 8pm and 10pm. At 12pm and 6pm i boiled small piece of cabbage and cauliflower, then i air-fry a small piece of chicken breast with 4 small slices of egg-tofu. Total weight of my lunch(12pm) or dinner(6pm) meal is within 80 to 100 grams only. This will be the diet for my Week 3 & 4. I weigh myself on a weekly basis. So let’s see by next week how much i lose again…😁😁😁
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I had my surgery a few days ago and generally feel good. My appetite is a little "off" which I guess is good, since I'm subsisting on a clear liquid diet and just added protein drinks per the surgeon's office. I have had difficulty sleeping for a long time; I used to attribute it to stress, but I retired several years ago and live a pretty stress-free life. I did my usual cocktail of Diazepam plus Mirtazapine which usually puts me down (the Mirtazapine is the one that usually kicks hard- I often don't want to get up and am groggy so I typically take 1/2 a 7.5 mg dose). It's ok for now because I'm not teaching the semester and can make appointments later in the morning or afternoon. But, here's the kicker: I did my usual dosing and still could not fall asleep last night. I find it hard to believe that my metabolic system has changed this quickly after surgery. Which prompts me to ask: among those of you who suffer from insomnia, what do you use that does not leave you groggy in the morning? tia Deep6 PS: dumb admin question but how do I change my avatar box to read post-op rather than pre-op now that I've just had the surgery? Thanks again!
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I had my surgery the 16th of May lost 25lbs the first week (I don’t see it yet) but Im truly struggling to get my protein in and my water. Any advise on this would be amazing! I have spoken to the dietitian and she said it’s completely normal and not to worry but I am really worried I’m not doing this right and I don’t want to fail! My dr has me on the soft diet already and I did explain my stomach doesn’t handle the protein shakes well and he even advised maybe try beans, eggs, etc. just looking for some advice or maybe others who have or are struggling too.
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I wish I had a Ninja Creami during the liquid diet
BlondePatriotInCDA replied to BigSue's topic in General Weight Loss Surgery Discussions
This sounds delicious! I decided to break down and buy one. Which model does everyone have? I recently started drinking the fairlife Elite Core protein drinks which I actually don't mind (yay for 42 protein grams each), but if I can incorporate them into a "treat" it would be all the better! Thanks for your responses in advance! 😊 -
Calories and weight loss at 6 months Post OP
summerseeker replied to wendywitch7's topic in Gastric Sleeve Surgery Forums
I have a huge restriction, lucky me. At almost 2 years, I was only on about 800 cals a day. I had to eat so many protein yogurts to get in my quota of protein. After 2 years I decided to call it a day and upped my cals to 1500. This gives me a good number of cals and as I am not a great exerciser, could do more if I wanted more food. Counting my 3 week pre op diet, I lost about 90 lbs at 6 months out -
The best option would be to contact your old bariatric team. They can set up a comprehensive diet and give you guidance on what and how to kick start your new plan. If for some reason you can't do that, look at how and what you've been eating, cut back on calories, carbs and fats. Are you going over the maintenance limits? Its the same rules as before you had surgery: less calories in than you burn off. Go back on a reduced calorie, carb fats diet.
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5 days post op, full liquid, HUNGRY!
Nan CC replied to Nan CC's topic in POST-Operation Weight Loss Surgery Q&A
Thank you....I was SO not expecting this, and I'm pissed off! I feel exactly as you felt---didn't I do this to NOT feel hungry? I think I need to follow my body's cues and try to get more protein in the form of maybe yogurt and pudding with added flavorless portein powder. I am definitely getting enough hydration because I am urinating several times a day and it is almost clear. -
Hi there! Newbie here. Been reading a lot of the threads and already feel like a lot of you are my friends when I haven't actually spoken to any of you 🤣 I had my surgery on the 17th of December 2023 and my stats were: Height: 166 Cm (around 5'5/5'6?) Weight: 90 KG (198 lbs) I didn't do the liquid diet because my surgeon doesn't believe in it. Also, my surgeon specifically said "I will be very happy if you lose 20 KG (44 lb) but it's quite unlikely".I wan't heavily overweight and I was very athletic with a lot of muscle mass. Fast forward 18 weeks post surgery I have lost around 28.4 kgs (62.48 lbs) and my surgeon's mind is kind of blown lol, he wants me to stop losing but I do not think I am done yet. I get these comments that I look "stick thin" but mostly get many compliments as there is no sagging or loose skin (due to muscle mass pre-surgery). My problem is that I have hit my first stall ever this past week where I didn't lose anything (I was losing quite rapidly) and I am low-key freaking out. I still want to lose another 7 Kgs (15.5 lbs) just to have a wriggle room if my body decides to gain a little rebound weight later. I have started some heavy lifting the past week and man I am SO SORE so I think it's due to the inflammation? I am quite sad and disappointed to have not lost any weight the past week and I need some emotional support. I eat around 800 kcals a day with 65 grams of protein - give or take- (starting the past 2 weeks as I was still on a 300/400 kcal a day prior to that). Could that be another reason? Was anyone done losing at 4 months post op? While I know my weight is currently good/slightly under what is good for my height, I really want that wriggle room and I really don't want to be done so soon. Any advise?
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Something feels off
summerseeker replied to MLC3409's topic in POST-Operation Weight Loss Surgery Q&A
Congratulations on your surgery and great progress. You are over the worst. The liquid and puree foods go through your new tummy really quickly. Are you remembering the no drink rules? Your tummies nerve endings have been severed and your full signals are missing. I would sneeze when full. So as they say on here just because you can eat it does not mean you should. When your new tummy stitch line has healed and you begin on real foods your restriction will kick in and oh boy will you know about it. Its like a long lost friend coming back but now it has rules of its own. Over eat at your peril, it feels awful for hours. This is what we mean when we say bariatric surgery is not an easy option. -
There are some good dieticians & there are some … well… lousy ones. Is there any way you could find another dietician? Telling you to go to back to shakes is a bad suggestion like @summerseeker said. They should have gone through what you’ve been eating & make suggestions from there. The goal is to be eating real food not highly processed synthesised shakes loaded with artificial sweeteners & such. Stalls are frustrating. No way aground that but they are an important part of your weight loss when your body takes stock of your new needs & adjusts digestive hormones, etc. Best advice is to stick to your plan. Don’t make changes & stress your body more. The stall will break when your body is ready. Good advice from @summerseeker too about going back to the basics of protein first, then vegetables & then low processed complex multi/ whole grain carbs if you can eat more. Make cause you’re hitting your protein & fluid goals. Calories are a bit of a touchy issue at the moment in the medical world. Some are anti some are pro. A lot is around a calorie is a calorie regardless of what the food source is versus nutrient value. Plus, caloric needs differs so much person to person - age, gender, activity, metabolism, general health, hormones, etc. all affect how many you need. Personally I think if you are eating nutrient dense food, having an idea of calories can help you stay on track & guide you if you’re sliding.
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Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it. Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours! I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣 Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and protein, and later on when cleared for all foods, on adding complex carbs like veggies, beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!
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Dehydration, Back Pain, and #2 Issues
Vegmama posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi! My daughter (22 yo) and I just had the sleeve this month. Hers was 3/4 and mine was 3/11. Our healing process has been so different and while I’m moving right along, she’s had a set back with hydration and pooping. I’m curious if anyone else has had these issues and how you’ve overcome them so that I can help her. She didn’t poop for about two weeks, so under the care of our doctor, did a Fleet enema. That helped some that day but by that point, she was dehydrated. She ended up in the hospital Monday night and received fluids. Yesterday was a little better but still struggling to get in liquids (forget protein/food). This morning, she had sharp back pain again so I’ve started having her drink the four little 1 ounce cups again so that I can help her better monitor what she’s actually drinking. Also making sure she takes her Prilosec and Miralax. Added in Smooth Move tea. Heating pad on back. Encouraging her to walk but this has been hard because she feels so bad. Oh, and she’s complaining about the drinks hurting her throat going down (the stuck feeling) but the CT scan showed she’s fine. Anybody else have a setback like this? Any other suggestions? Thanks!!!! -
Food Before and After Photos
newbegining2024 replied to GreenTealael's topic in General Weight Loss Surgery Discussions
My 3 weeks post op meal now is 5 oz in total, but most of the time I have to stop and go back to it to finish. It includes 3oz of protein, 1oz of vegetable and 1 oz of starch. All need to be mushy or moist. Bake salmon, cream of wheat and broccoli puree with onion and sour cream. It was delicious! Portion control is going to be very important now. I believe I can still eat the food I used to eat, but it will have to be post ob portion. I told myself “ I guess I can go to very nice fancy restaurants now and be full with just their appetizer.” 😂 lol My before meals -
What does your day of eating look like?
Arabesque replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
It seems okay but it might be best to sit down with your dietician. Were you given any targets? I wasn’t given any other targets than 60g protein & 2L fluids & a nebulous low fat, low sugar, low carbs & given no calorie guidance. Others are given very detailed macros they’re to meet & there are differences in those too. But then we are different & have different needs & our surgeon & dieticians have different requirements. Oh & don’t worry you won’t gain weight eating less than 700 calories. -
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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Calories & Macros on Lifetime/Maintenance Diet???
Hope4NewMe replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
My Dr was different and said to work towards eating 1 cup by 6 months and up to a cup and a half per meal with 3 meals per day at maintenance. While in the losing phase I found out that if I was under 800 calories per day I would stall and if I went over 1200 I would stop losing. So for me personally I had to sit pretty strictly right around 1000 calories per day. I was told to have the protein goal at 60-80 and they did not want me limiting carbs too much and said to aim for 100 per day. They felt that a low carb lifestyle was not something that they saw people able to maintain so they want people to practice eating a sustainable diet and still able to lose. So many different ways to do things that its very confusing. I hope you are able to find something that works for you, good luck!