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I have my revision sleeve to RNY as well on 1/22 and took me full 3 weeks to feel better. How are you feeling now? I loss 8.5/9 lbs after 1 week of surgery, week 2 and 3 I hit the plateau. Finally broke the plateau yesterday. So starting my week 4 and loss addition 1.5 lb. Total of 10 lbs or so.

4 weeks?? I honestly haven't heard of that. When I started, my bmi was higher than yours and I had to do 2 weeks. I feel like 4 weeks is a bit excessive. Did you ask why you have to have no food for a month? I know every surgeon's office is different, but that really seems excessive to me. What does the dietician say?

I did not get a very detailed plan, and my program advances quickly so that in theory you can have no restrictions at 4 weeks. For me, that has been way too fast. I have found the Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner very helpful. Now that my own program says I can have anything, I'm appreciating his stages (which vary from the typical phases you see in most programs).

@ccast49 It does get better, It will get better, and I know you're probably sick of hearing it ... but walk walk as much as you can ... it will help. Be kind to yourself too. And a hot water bottle really is your friend, the first week I slept sandwiched between 2 with one in my front and one at the small of my back.

Great advice from the others. I’ll add track what you are eating now, how much, what & how often. It can help identify where you’re veering off course. It can also help to note your emotions or why you may be eating when you do. (Why do I want this snack? Am I bored, angry, sad, happy, frustrated, etc.) Then start making changes. Make one or two changes every two weeks or so. For example, cut back on portion sizes & up your fluids, then reduce how often you eat (drop a snack) & meet your protein goal, then try switching up your ingredients & cooking styles, etc. It’s easier to adopt & adapt to one or two small changes at a time than making huge changes all at once. Also find a therapist who can support you as you work through your relationship with food. If you didn’t see someone before your surgery, your team should be able to recommend someone who deals with bariatric patients & disordered eating.

Hiya! I think you and I are around the same post op. I had my surgery 1/24, the macros and calories are all over the place. The main thing is to get at least 80g of protein, and 64oz of water/liquids. My plan says 60-80g of Protein, Less than 130g of Carbs, Max 40g of Fat. 3-6months is about 800 cal/day, I have not followed that to a T. I have been at about 1000 calories a day, My carbs I keep less than 50g, Fat is usually under 20g. I work out 5days a week. If your losing then I am sure your going great!

This situation is a catch 22 because no one knows exactly what the insurance requirements are and no one will tell us. The dieticians job is to help you lose weight, period. Whether that’s in your best interest or not is where it gets tricky. On one hand If you are in a supervised weight loss program (the six month requirement by a lot of insurances) they are trying to see if you can lose the weight on your own before they approve it. So in theory if you lose too much they could deem you not a good candidate for surgery. On the other hand, every pound you lose the heathy way should make you that much more fit for the operation (not if you malnourished though). Plus, if you really can lose it without surgery obviously not putting your body through surgery would be ideal. if the dieticians way is something you have never tried before and when you try it you feel like you can do it, losing weight without surgery is obviously preferred. BUT, just because the insurance company sees progress and decides that you should be able to lose it based on the trend doesn’t mean they are right (they are not doctors and should not be making these decisions IMO). I know myself I have probably lost 1000 pounds in my life but that’s because I have always lost a few and gained them back but never got near a healthy weight. Whether you have tried everything, including the dieticians way, only you know. I had sleeve three years ago and my high weight was 235 and I’m taller than you. So I was lower BMI as well. On surgery day I was 220ish and I was fine but I did not start losing until my pre op diet began. During my 6 month supervised diet I did follow the diet they set out for me to the best of my ability BUT the cheat days basically offset my progress so I didn’t really lose anything. Now I am considering revision and there is not any weight requirements as far as I know but I started at like 245 this time anyways so I’m not as afraid to lose a little. I asked him what I should do and he said to keep my Carbs below 40 for now (I am most likely having the SADI so carbs are gonna be most important post surgery). Well I am losing but less than a pound a week so no one is raising any eyebrows at my loss. Anyways If I was in your position I would reduce my calories by like 100 at a time and see how I felt after a week adjusting to that. (Mayne you can get to 1200 with the dieticians help and maybe you decide that you want to try it once the dieticians way before you decide). On days like you four hour swim I would ask the doctor their opinion because 1200 calories does not seem enough for that level of activity. I think if it was me, I would stick to eating healthy choices for now. Try out new, healthy recipes and get used to the food you will need to eat post surgery. I would try to get to the 1200 because they are the dietician but portion wise I would cut my calories slowly to get there and see how my body reacted at each stage. (Just be honest with yourself about whether you really need or just want the calories) if I was really losing more than ever before and it seemed like something I could sustain, I would then re-evaluate whether I should be jumping into major surgery just yet. But if I decided that i couldn’t do it on my own and for sure wanted surgery i would talk to my doctor about how much they would like to see me lose to be fit for surgery.

I’m over 5 years post op but remember the torture the first few weeks were. I was lucky to live alone and not have to be around food. Now, I can tolerate and eat anything. What you are feeling is normal and will pass, best wishes on your journey.

How frustrating when you're already doing so much! All I can offer is my experience with my pre-op liquid diet. For the weeks, I had 3 protein shakes per day, sugar-free jello, broth, and the occasional sugar-free popsicle. Averaged around 600 calories per day and around 20 carbs or less per day. It was effective, if not pleasant. I lost about 6.8 kg in 2 weeks.

Yes, it is usually those slider foods that I can eat so much with no problem. I feel like these last 2 weeks, I have been eating more than I should, and it's just kind of scary that I can. I prepped my meal and have my water and protein shake ready for tomorrow. I just want to do a refresh. I'm so scared of weight gain, and this tool is not working for me. I know this is the "honeymoon phase," and I really want to take advantage of it, too. Thanks for answering! ❤️

This whole thing is a science! LOL I am a worker-outer? a gym rat? a gym go-er? well you know what I mean. I work out lol I lift 4 days a week, 1 day only cardio and 1 day F45. I eat anywhere from 1300-1600 calories a day. Depending on the day. One days I do not work out I eat less around 1200 cal. I am only 6.5m out and have hit my goal weight, but there are days where I get scared that I am eating too much. From what I have learned in my very short journey is that our body needs the food in order to grow our muscles, and give us energy for our workouts. Your body will balance out, you will notice your body change now too. I noticed that when I allowed myself more calories my legs and booty got thicker which I have been trying to achieve for months but it wasn't happening lol Just track everything and if you find yourself eating A LOT of not great things then you can look back and see why there is a gain. P.S I eat a "bad thing" everyday, I am not super restrictive and deprive myself. I have learned that everything in moderation in order for me to keep this as a life long thing. Tracking has really helped me stay accountable!

Hello I'm new here... 11 years ago I had gastric sleeve. Had Great success from 205 to 135 then after a horrific time in my life " DIVORCE" I went to 123 lbs. Then got divorce finally over moved to New state, have new career and put every lb back on and at this age weight for a women much harder to lose. I tried my old diet pills QYSMIA and ozempic lost 30 lbs 4 mths ( made me horribly sick) stop and put wt back immediately with diet pills kept getting sicker and sicker back on diet pills and nothing. For over 6months Gerd and reflux so bad when sleeping and anytime I was sitting or laying down. Couldnt eat many things. After several doctors endo and colonoscopy. I Went to ER with chest pain Heart burn so bad thought i was dying i was admitted for srveral days. A great Doc finally did another endo and found issue referred me to a fantastic bariatric surgeon. You name it I had it my stomach was pushed into my esophagus from hiatial hernia. So had to have surgery immediately. Revision repair of sleeve, duodenal switch, hiatal hernia. 5 hour surgery. It took a few weeks and some ups and downs. After surgery Stomach ulcer unknown Bleed, blood transfusion and 7 days in hospital I'm 3 weeks post op and on the mend. Feel Great. I definitely need a support group.

I am one week post op and an STRUGGLING to get water in. I’m not worried about food just yet, so just nibbles throughout the day, but I’m forcing water and still can not get my recommended 64. Help!!!

I found it hard the first 3 -5 days but once the internal swelling calmed down i kind of focused on feeling drinks or food going down. I’d spend 30 minutes mentally following the mouthful and trying to identify what i felt. In the end i’ve notice a sort of tension in the stomach as the first sign of being full. Then there were other random signs : hiccupping is the strangest one, and for the first week i’d get a runny nose if i’d eaten too much It’s all so new but we’ll work it out - good luck 😊

i didn't reach my water goals until about 3 weeks post op. protein goals i did not reach until sometime after 3 months..and even after that i reached protein goals maybe 80% of the time i did get headaches weeks during the low water weeks but i slept alot. water def helps with headaches...if it's particularly bad, i've read some folks on here go to doc to administer fluids. i also had a bout of orthostatic hypotension before AND after meeting my water goals (dizzy/fainty from getting up or moving too fast due to low blood pressure)...my doc told me to yep, drink more water, increase my salt intake and exercise, among other things. you are right to speak to your doc, they will advise u properly. good luck! ❤️

Wow. I’m surprised you made it a week with the caffeine withdrawal headaches. I’m glad you didn’t have any issues from drinking it so soon post surgery. I am weaning myself off it now and I tried cutting back too fast the first day and woke up with a massive headache at 2am so bad that I downed some. I am down to my last day actually. I should be caffeine free tomorrow. 😁 and I start my preop diet the next day I THOUGHT I had more time between the two and I was going to do lower carb to sorta detox from those before preop but the office messed up and I got alot less warning. Oh well stuff happens I guess. Just trying to keep going forward. Anyways, I guess my point is that I definitely second the cutting caffeine. I did it further in advance with the sleeve and really wish I hadn’t cut it so close this time. It has been stressful thinking what if it’s too fast and I can’t get there. Especially for me being post sleeve because I can’t just take an Alieve and Tylenol doesn’t do anything for me. I can’t even imagine dealing with everything post op and having a withdrawal headache on top of it all.

I also feel like I can eat more than I should be able to. I have heard of others resetting their surgery by following the same post op liquid diet for a week and then soft foods for a few days and then normal again. I haven’t tried it but i am interested in trying it.

Sweet potato puree is still a go-to for me at 12 weeks out. Made with a small scoop of bone-broth powder and savoury herbs as a side dish or to act as a sauce for meat/pountry; or with a half scoop unflavoured protein powder with cinnamon as a sweet chilled summer dessert. Fat free / lowfat refried beans. I love it with taco seasoning as a dip for veggies or crackers, or as sauce for chicken. Add a garnish of plain greek yogurt instead of sour cream for a boost of protein. Mixes well with unflavoured protein powder / bone broth powder if you still need extra that day. Great for quesadilla with high protein wraps (or cut and toast those wraps to make your own nacho chips). Lentil puree or split pea soup. This is a great base for other soups or as a starter for curries (esp. haleem -- use extra lean ground turkey or chicken, cook some farro seperately so you can throw some in if you need a few more carbs that day -- and for a nice chew). A great thickening sauce for veg & meat casseroles.

@Justarwaxx, I echo what @ShoppGirl said. Before surgery, I listened carefully to every horror story people wanted to tell me, to make sure I was making the right choice. I even sought out stories online, because I wanted to consider all the angles. Now, however, I listen to my medical team for instructions and to you all for advice on how to make them happen. The thing is, everyone has an opinion on WLS. Everyone "knows someone who had it and... [insert experience here]." But you don't have to listen. I can drink quite a lot fairly quickly, too. I talked to the PA about it and she said that's normal and fine, as long as you're getting enough fluids. She said I may have more trouble as time goes on, because scar tissue hasn't formed yet. So I am choosing to be grateful that I am able to get my fluids in easily. I work from home and I'm kind of a homebody anyway, so I haven't talked to many people about my surgery. I haven't had many people tell me what they think I should do, but when I do, I listen politely and change the subject. You are absolutely right! Don't compare yourself to anyone else. Let yourself be happy you're drinking easily, and give yourself ALL the kudos for being on this journey. It sounds to me like you're doing perfectly. And thank you for suggesting hiding the scale. I weigh every morning and get excited to see if I've dropped, but that's a mistake and I know it. I'm going to hide my scale, too, and weigh once a week.

I'm happy today because I have lost 109 lbs from my high weight! I downloaded a coloring page from Etsy to track my weight loss, and once I hit that goal (literally on New Year's Day), I downloaded another one with my next goal. It's fun to color with crayons (and kids water colors, when I couldn't find my crayon box for a while) I keep them on my big magnetic white board. When I'm in a stall or gain a couple of pounds, I don't/can't remove any pounds, because they're already colored in. I just wait until I can color in new spaces. I recommend trying something like this, if it resonates with you!

Don’t stock up too much on protein drinks if you can help it. Your tastes may change a little post up and tastes for sweets is a common change. I suggest going to a convenience store to get a variety of flavors in singles serves or the four packs they have at Walmart. Enough to get you through a week would probably be safe. Then you can place a grocery order for pickup on your way home from your post op appt for the ones you actually do like or order them from Amazon. (Make certain they have your brand ahead of time of course). If you do get some that are too sweet post surgery don’t toss Them right away though. Once you can have caffeine they may not be so bad mixed with coffee. Either a little as creamer in a hot coffee or more mixed with iced coffee for a “proffee” If you don’t have anyone that can get them for you if your recovery takes longer Maybe buy ahead just in case but save your receipt You may also want to be sure you have something on hand for constipation if your team didn’t tell you to already.

For surgery on the NHS, it has to be shown that the patient is fully aware that the surgery is only a tool and that the patient has realistic expectations of life post-surgery. We have to show and understand that we are prepared to put in all the necessary work (daily vitamins and regular blood tests, to adhere to the rules of eating both immediately after surgery while we heal and then the lifelong commitment required to maintain their losses) I’m glad that my NHS Trust has hoops to jump through if I’m honest, as it inspires confidence for me. Would I love surgery now? Of course! I’m I mentally prepared for it? No, I don’t think I am. The past couple of weeks have shown me that I do respond to emotional situations by trying to soothe myself with food. Will I be able to do that post-op? Very, very doubtful as I would be worried about undoing both the surgery and the psychological readiness I know I need to undergo said surgery. I do read some posts on various forums that do give cause for concern as a pre-op patient, just as Tek identified above. I’m in no position to advise but it is comforting that the more experienced posters do their utmost to give advice and guide the user in contacting their surgeon, doctor etc or to re-read the advice they should have been given 🙂

I had my first doctor's appointment. I AM IN THE 260'S!!!! I haven't been this small in over 6 years. I'm down 13 lbs since surgery 2.5 weeks ago and 28 lbs since January. She said she fully expects me to reach my goal of 180 within the year I'm so freaking happy

I am so glad that there is a community to help with this. I'm slated for VSG surgery on Monday. Not necessarily nervous about the surgery itself, but what could happen after. And while I sit here in this pretty anxious state, I have a question: I've lost 21 pounds on my pre-op diet. Will I lose more after surgery or will I stall? I just feel like I'm going to stall after the surgery, and maybe this isn't a lot to lose pre-op. I'm just worried that I'll be one of the people that won't lose anymore after surgery.

So...I'm struggling with how to answer this because I want to give you helpful information, but I still have questions. I guess I'll jump right in and see how it goes. 1) You started off at a lower weight to begin with, so your body is likely at the point now where it's at it's healthiest. As of right now, you're 5'5" and 136 pounds with a bmi of 22. You're exactly where you should be. If you lose 15 more pounds, you'll weight 121 pounds and have a bmi of 20. On paper, that's still healthy. But my concern is you're becoming addicted to losing the weight and even though you're exactly where you should be (and could even gain 10 pounds and still be where you should to be) you'll panic and possibly go about things in an unhealthy way to drop those pounds. 2) Were there other reasons besides your weight that led you to getting the surgery? Did you have any comorbidities such as high blood pressure, diabetes, cholesterol, etc? You didn't mention that. My fear is, if you only wanted to drop weight and your bmi was 33 to begin with, and now you're wanting to continue to drop even though you're being told you look "stick thin" (and you're in the healthy range now but still want to go lower), that this might have more to do with the number on the scale than getting healthy. 3) Stalls are normal, and happen all the time. The fact that you haven't had one until 4 months out is actually kind of surprising. They do break on their own, but honestly, you may lose little weight going forward (and what you DO lose will likely come off slowly) since you're already well within the healthy and normal range and your body feels it's happy at its new set point. 4) Your body likely thinks it's in starvation mode, based on how you're working out and lifting and what you're eating. The harder the workouts, the more calories you need. Prioritize protein first above all else, then veggies, then carbs and healthy fats. But you definitely need to increase your calorie intake. This isn't necessarily advice for dropping more weight (although that tends to happen when things like this go on) but for healthy purposes. If your body thinks it's starving, it'll hold on to every single calorie and bit of fat. And it'll eat away at muscle before fat just to make sure you survive. So my suggestion is to increase your calories. I don't do heavy lifting, but I DO do weight training, and on those days, I go up to 1400 calories. Core and strength training, I go up to 1300 calories. Cardio I go up to 1200 calories. Non work out days I eat around 1000 calories. 5) You didn't mention what surgery you had, but I'm assuming it's the sleeve. If I may ask, what made you choose having surgery versus doing anything else for weight loss? Have you tried changing your eating habits before, did you try medication, or did you go right to surgery? How have you changed the way you eat, and what you eat, since the surgery? How much fluid are you taking in every day? How much protein and carbs are you taking in each day? Are you taking your vitamins every day? How many days per week are you working out (should give yourself 2 days off ideally, but for sure at least 1).