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Wow four weeks! I thought the three I did sucked, I feel for you. Just keep telling yourself one more hour, one more day towards getting the healthy thinner body you want, need and deserve! My husband did the same thing for me..lol still does. Just remember you CAN do this, its just a small blip on your new journey and the results will be worth it. I added no sodium clear broth packets to my fatty liver reduction diet which helped, it was "hot soup" with flavor and 5 calories and was helping with water intake. Could have as much as I wanted and it wasn't plain water or another protein drink! https://www.amazon.com/Hormel-Chicken-Bouillon-Sodium-Packets/dp/B0077DMWO0/ref=sr_1_5_pp?crid=2OTVXLTYW0OD9&dib=eyJ2IjoiMSJ9.lQfKYERXvAhUropfp5TcloiXDN09ZoegzxDIPbqvPsdG2SFel1Y2bZSDa-edU5IODMVLcTFZN7J_gN1J76UWRJ5alR_86je9RVJ7FT5B8fLCIu-Gu7R1P9CR4QwfZLXQSmYDC2T6w1YEIitQSLjlj6dtcWr9e9jsWqXzvU0vEStk6z7EO14TcHw9L8V52hbuymxrnf7R0fRn-6u0Hfi7Zg6T2nbJ6hPrQT4cjccBJc3kbDGnNXGQ3wuSN1klYubiT2jVe3qUR5qmQ2XYpBGvIOL9iJQXcem-L96snZm7jSE._KgKbU2PA1ogwJ3vncdpxEFEDsXdAL0MfVmhXtWkCx8&dib_tag=se&keywords=kosher+chicken+bouillon&qid=1708370322&sprefix=Kosher+chicken+%2Caps%2C260&sr=8-5

As @ChunkCat said you should be fine in any city which is likely where you’ll be while studying. These surgeries are performed just about everywhere these days. Find a good general practitioner (PCP) & then they should be able to refer you if you need/want. The PCP will be able to request & monitor your blood work & ensure you’re not missing out on any thing or your levels aren’t dropping too low or getting too high. They could refer you to a good dietician as well. Actual follow ups with your surgeon differ. I saw mine for the first few months & then his colleague took over & I still see her almost 5 years later. I saw him again two years later when he took my fall out though. Some never see their surgeon again unless there is an issue or a concern. You don’t need special bariatric food or vitamins after surgery. Just good, healthy, nutrient dense food the more natural & low processed the better. Some surgeons recommend specific brands for the pre & post surgery liquid stages but generally any high protein shake (pre made or powder) will work. (My cynical side says they likely have a marketing deal with that shake company.) I only had shakes for 2 weeks post surgery & I bought Atkins cause it was easily accessible at my grocery store - lol! Just check the sugar content (real & artificial) & protein content & calories. Same with vitamins, look for quality brands & check how much of each vitamin they contain so you’re not double dosing. Your blood work will help inform what vitamin supplements you actually need. All the best.

Apparently they called the first week of the pre surgery shake diet hell week at my surgeon’s office. There’s a lot of withdrawal symptoms associated with it (sugar, carbs, caffeine). Your cravings go crazy - you always want more the things you can’t have. Your emotions are all over the place which often makes you want to comfort yourself with food. On & on. Round & round. I was vey relieved I was placed on keto for the pre surgery diet. I had done the shake diet before. Two shakes & one small portion meal of steamed vegetables & plain cooked protein. Did it for 8 weeks & then again for 6 weeks a couple of years later as another diet I was trying. It ain’t easy even with one meal. Check with your dietician regarding swapping out a shake for a broth/soup. Some companies do offer them as well as shakes but they’re still going to be low calorie & go through you quickly being liquids. You’ve got this. You can do it.

That's been me this weekend! My surgery is Feb 21 and I start a two week liquid diet on Feb 7. On Friday, I had pizza delivered for myself and the kids because I thought hey, this is the last time for a long time that I'll have a pizza night. And then my mom came over yesterday and it was like...pick up tacos from the taqueria on the corner? Yes, please! Won't be having tacos for a while... I've been pretty dedicated to healthy eating since this summer, lots of green smoothies and healthy salads, but I think a few indulgences are only natural when staring down 4+ weeks of little more than protein shakes and broth.

A final update for this thread: I had my gastric bypass on Feb 21! Check in went smoothly. I changed into my hospital gown, got my IV inserted, and was given a number of medications to take before being moved to a waiting area where I got onto a gurney. The various members of the surgery team came by to introduce themselves and check on various things. Finally, the anesthesiologist came by and gave me "something to relax" via my IV port. A minute later, I was being wheeled into the hallway, and that's the last thing I remember until waking up in my hospital room. I never saw the inside of the OR, and I have no memory of the recovery area afterward, either. The surgery itself took much longer than anticipated, about 6 hours. I was fine and safe the whole time, but the surgeon ran into some issues with my small intestine and a small abdominal mass (sent to pathology and was benign) that required additional steps. Because of this, I was surprised to wake up in my hospital room and discover it was already 9pm when my surgery began at 1pm! My poor mom had been so worried because we thought it would take maybe 3 hours max. The nurses checked on me several times that night. I was able to get up to use the toilet on my own, and the only real challenge was the IV pole having to be dragged along. I was very fortunate that I ended up with no roommate. It wasn't technically a private room, but no one else was assigned to it while I was there. In the morning, my surgeon came by and explained what had happened during surgery. He was concerned because some of the stitches ended up under more pressure than he considered optimal, so he wanted me to do a swallow test before I could have anything by mouth, including water. They got me in for that and it turned out okay, so about an hour after returning to my room, I was brought a bottle of water and a cup of red sugar free jello. I have to say, it was nice to have water because my throat was dry, but I really didn't care about eating. I did because they told me to, and I know at this point I hadn't had a single thing in my belly for over 40 hours, but I just didn't care. I felt zero hunger. But I at the jello, and later they brought me a popsicle, another jello, and a chicken broth. I ate it all over the course of about an hour. It was fine, but again, I just ate it because they told me to. Because I got such a late start on fluids after surgery, they kept me an additional night, just to be sure. But on Friday morning around 9am, I was discharged. I had a protein shake when I got home and worked all day on fluids. I was tired and a little sore, but my pain had been minimal enough that I was only on Tylenol. It worked well enough that I only had a few moments of real pain, mostly when shifting position that required the use of abdominal muscles. I was fortunate to have someone staying with me for the first few nights home, and my parents kept my kids (ages 12 and 15) with them for the first week so I wouldn't have to worry about all their activities and food. It took a few days to discover what worked best for me, which ended up being hot tea (decaf and herbal) instead of flavored waters as I'd been having pre-op. For the first week, I've met my 64oz fluid and 60g protein goals most days, but as time has gone on, I've become completely turned off anything with artificial sweetener and every protein shake except Syntrax Nectar Natural, which I can still manage. I definitely wasted a lot of money on shakes I won't be drinking, but I'm glad I had them for the 2 week pre-op diet and to take the pressure off finding things to try when I got home. Yesterday, I was allowed to start soft protein foods. So far, I've had tuna salad (2 Tbsp), refried beans with a sprinkle of melted cheese (1/4 cup), and 1 poached egg. No issues with anything so far. Tonight I will be cooking some haddock with pesto for dinner. I go in for my 2 week post-op appointment with my surgeon next Tuesday and hope by then my weight will be a little lower. I lost 15 lbs on the 2 week pre-op diet, but my weight was higher by about 5lbs when I got home from the hospital thanks to the fluids and swelling, and I'm only just back to where I was the day I went to the hospital. Still, 15lbs in three weeks isn't bad. As for other incidentals, I have been taking Benefiber daily in my morning tea and it really has helped. I had the first BM (very loose and not a lot) before leaving the hospital on day 2, and have managed to go at least every other day since, and daily the last couple of days, so I'm very grateful for that. My energy levels have been decent, but it's only today that I feel like I don't need a noon nap. Going without caffeine has been a struggle, but I'm getting used to it. After all the wait, I'm so glad to have this behind me and be able to focus on a healthy future!

I was definitely a deviled eggs person!! They are so easy to pack in a snack box with some cheese, deli meat, and when safe, some cucumber and cherry tomatoes! I think I did pickles until I was cleared for raw food. I did not do chicken well unless it was chicken thighs in a sauce. I ate mild thai curries, shredded pork bbq with a no-sugar sauce, salisbury steak, turkey in gravy, meatloaf, pho with no noodles, just the meat and veggies, deviled eggs, tuna, swordfish, etc... Honestly by week 8 I was cleared for most foods so I ate whatever, within reason, protein first, then a little veggies, maybe a bite of starch if I had room. Lots of whole foods, as little processed food as possible. My fat requirements are higher than most people so I was more generous with the cheese and eggs than someone else might be. I ate a fair bit of deli meat at first because it was soft and easy to eat in small portions. Poached meat would be good too.

Hello. I had my gastric sleeve surgery on the 10th of December, (9 days ago) and my stomach has been tolerating everything quite well. I’m just very sick of drinking protein shakes and can’t down them anymore. Would it be bad to start the puree stage a few days early? thanks!!

Happy birthday! I had my surgery less than a week before my birthday, so I was still on liquids for my birthday. I didn't (and really couldn't) do anything food-wise for my birthday that year. What else do you normally do to celebrate your birthday? Do your friends and family give you gifts? You can still open gifts on your birthday. Maybe instead of going out for a birthday meal, you can find another (non-food-related) activity to do with your friends and family, like a movie or show, escape room, spa day, mini golf, etc. Something to consider with respect to a birthday treat is that you might have a bad reaction to it, so think about whether you want to risk getting sick on your birthday. Maybe instead you can find a bakery that makes sugar-free cupcakes, or a health food store that sells protein brownies, or make yourself a sugar-free protein mug cake.

So today is Day 1 of my liquid diet & im able to have one sensible meal. I choose chicken & veggies but I think I overdid it. I don’t have a scale to properly measure my food but I did use a portion control plate ( double protein instead of a starch ) half plate of veggies )Did anyone else have the meal option , do you know how many calories the meal should be ?

I strongly advise you to stick with the plan your surgeon gave you regarding food. Your stomach and small intestines have been cut and sewn back together, there are a lot of sutures in there that heal best without particles of food irritating them. And believe me, you do NOT want to compromise the healing of those sutures. I know it is hard to do nothing but drink. I was on fluids only for the first two weeks, no pudding, no eggs, nothing but fluids and my stomach couldn't handle protein shakes so I lived on broth, flavored water, and eventually I could do lactose free milk. But I got through it and so will you!! As hard as the changes are to our bodies, it is the head game that will do you in. You are strong. You can do hard things!! You only get the chance to heal once, so heal as well as you possibly can! I ate sugar free popsicles and crunched on ice when I had the urge to chew. This time without food is a very short time in the scheme of things even though it feels like an eternity. Find things to do to distract you from your hunger. Head hunger is miserable but you have to see this through because if you don't get control of the head hunger now it will drive you to eat around your surgery once you add food back in. The surgeon had me taking pills by mouth the day after surgery. It was a struggle but I understood it wasn't harming my stomach to take them, just go slow, one at a time, and give space between each one. But only take what they told you to take. You don't want to add anything extra that could irritate those healing sutures. ❤️

It appears I'm also experiencing a 3 week stall. At 2 weeks post op (surgery 1/24/24) I had lost 10 lbs. It's now 3 weeks post op and I'm still the same weight. I sure hope this stall doesn't last a month! I have been discouraged a bit, I think, because any time I've tried to lose weight in the past it has been agonizingly slow and not permanent. I had hoped that I'd lose faster after VSG and I found myself thinking this morning that I did this drastic and permanent thing just to have the same result I have always had - no weight loss for weeks at a time despite my best efforts. Reading about this "infamous" stall gives me a little hope, although I don't understand how I'm not losing weight when I'm consuming 500 calories a day or less, mostly protein and no fats/sugar. I appreciate the topic and the comments, and I'm hoping the stall breaks soon!

So today is Day 1 of my liquid diet & im able to have one sensible meal. I choose chicken & veggies but I think I overdid it. I don’t have a scale to properly measure my food but I did use a portion control plate ( double protein instead of a starch ) half plate of veggies )Did anyone else have the meal option , do you know how many calories the meal should be ?

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.

It’s almost like they’ve conveniently forgotten you’ve lost your pre surgical weight & are just telling you to lose more as per their set playbook. I also love how they’re telling you to lose weight but aren’t supporting & guiding you in how to do it. Where’s their pre surgical diet? Where’s the referral to a dietician?? Like @NickelChip, I would suggest the three shake a day pre surgical diet many are given. Or do two shakes & one meal of 3 or 4 ozs Protein & 1/2 cup steamed vegetables or undressed salad. All the best. So I begin my pre-op diet in just over a weeks time, but to be honest I'm just really worried it won't get rid of the weight I need. My calorie count and nutrition is already so similar to what they want me to do, and I'm still struggling. I have an appointment next week to get some pre-op tests done, presumably weight and bloods etc, and even then I'm petrified if the number is even slightly above what they need, that'll be it. Other than a straight up water and broth fast, I really am stuck on what to do! I will be on all-liquids for the pre-op diet which is fine, but it's difficult to not get hung up on the fact they've drilled into my head that I MUST hit a certain number, regardless of my loss already.

Thanks for all the replies, everyone. On the advice of my therapist and my surgeon's nurse practitioner, I stepped away from bariatric social media for a bit before my revision. The surgery went OK - it did take 6 hours, as my surgeon found a considerable amount of irregular tissue on my sleeved stomach that had to be removed and biopsied. Thankfully it turned out to be benign - probably was scar tissue from my sleeve surgery. I did have more pain and nausea immediately after surgery this time than the first time around and ended up staying a second night in the hospital until that was under control. It got much easier from there, and I only took 2 of the oxycodone they sent home with me (right before bedtime on the first two nights at home), and then minimal Tylenol for the next few days. I've been able to get all my fluids and protein in from the start. Pain is now minimal, my incisions are healing well. I'm starting to get my energy back albeit slowly. I'm now on soft foods and have tolerated each new food I've introduced without any problems, My biggest issue is constipation - I don't remember it being this bad after my sleeve. I'm using Colace, Benefiber, and Miralax. I wish I could drink coffee, that would help! 😫 My surgeon also left my pouch a little on the larger side, saying she doesn't want me to lose TOO much weight. I'm pretty disappointed about that, since I had 40-50 pounds to lose. I'm definitely already on the upper end of the amount I'm supposed to be eating at this point - 4oz. per meal (3oz. protein + 1oz. fruit/veg). I am down about 10lbs since surgery at 3 weeks post-op and just got back out of the OBSESE category. Hopefully I'll continue to lose at least something over the next few months.

The food guidelines for WLS have acidic foods which isn’t good for a GERD patient. The guidelines for GERD patients the food is bland. I can’t always do GERD eating since I need my protein and consuming yogurt, cottage cheese with other nutrients sometimes triggers my reflux. I don’t think it’s the combination of the two that’s stoping my weight loss. I may have built more muscle especially in my legs and arms but the belly muscle I’m still trying to build up.

Hi lovelies, Hope you are all well. Need your thoughts please. Had my VSG 5.5 months ago and these were my stats: Weight: 198/90 KGs Height: 168/5'5-5'6? I started at a BMI of 33, which I understand was on the lower side. Since surgery I have lost weight quite rapidly and I suspect its due to always being at a BMI of 22 my entire adulthood, I ate well, worked out and remained fit even after two pregnancies. My weight issues started 5 years back and then followed by a very bad ankle injury that affected my mobility that I reached my highest weight of 198. I understand that that where my body feels most comfortable at and its decided to take the chance to lose the pounds and run with it. My original goal was 154, and I got there very quickly then I changed my goal many times and settled on 127 which I am currently very close to. My surgeon seems to be a little apprehensive and has told me to try to slow it down and as per him it is very rare that he sees such rapid weight loss on a lower BMI patient. His original comment at 2 months was that the weight I had lost in 2 months was supposed to be my target at 6 months. Last time I saw him he asked me to up my calories to 1500 (currently at almost 800 on weekdays give or take, 600 on weekends because I apparently don't have much of an appetite on weekends). He ordered some bloodwork which I still haven't gone in for. I feel like my health is good, other than hair fall and the customary dizziness when getting up I am in fantastic health, I workout hard, I make good food choices and I prioritize my Protein. I also look great if you ask me. My fear is I am losing too much too fast, and from what I hear and see, you don't quite stop losing until at least 12 months post op, which - according to my projections and calculations - will leave me at 110/50 KGs at 12 months out. That is way too low I fear and I do not want to look like a skeleton. Also I feel I have a huge restriction and I can't eat more than a few bites at a time, drinking Water has become an aversion, I have to drink BCAA and sugar free iced tea to hydrate and tiny sips of water every hour or so. Other than that I eat very well, except I can't eat enough to maintain due to restriction. I am a little worried of my what will happen as the days pass and where I will end up. I don't want to get sick or too frail to work out and lift weights. I want to look good and feel good and I am not sure where my weight loss is heading but I am quite worried at this point. I also get comments on how I have lost half my body weight from people which is quite inaccurate lol but it's a complete shock when I meet someone who I haven't seen in some time, even my colleagues seem to think I'm looking too skinny. Sorry for typing so much, I thought it would be better if you have the full picture so its easier to respond. For anybody who's experience this, any thoughts?

Hi all. I have been on bariatric pal since last June. I was scheduled for a Loop DS September but had a complication with AFib. This has been addressed and I am scheduled for Monday 1/29/24. I just wanted to say this topic for me has been most helpful. I see many posts about protein, eating often and low carbs. I think for me this is very helpful. The nutritionist I'll be working with works in the bariatric department. I expect I'll be utilizing her often. Just as an aside I have been on Atkins type diets often including the original Atkins in 1971. Great information, thank you.

Hello @ms.sss I actually really do appreciate your response. You are pretty accurate in your assessment, lol, I definitely have my moments but for the most part I tend to be pretty agreeable and sometimes that bites me. i have taken A little breather after yesterday’s meeting with my surgeons’ PA and waking up to a stranger taking their time to say I should too makes me realize I’m not just being overly anxious. Thank you!! I did make a call just now to see if the only other surgeon I would consider does this procedure and he does not So I guess the most obvious options at this point are to just go with the bypass instead or to ask ALOT of questions and pose some really uncomfortable ones about the surgein and that team that I may not like the answers too. Regardless I realize I need to slow this bus down a great deal and really think this one through. My thoughts so far are, when the surgeon sits down with me and my list of questions IF I feel better that HE has done his research and both he and I are confident he has this, then I just need to worry about the aftercare. I need to be bold and require that he gives a way to get HIM, post op if I have any urgent concerns. And I need to know who he turns to if he doesn’t know the answer. I know for my first post op appointment I will see him but maybe I can see him ever so often past that. Especially if I am feeling lost. The PA said yesterday that I may get him or the surgeon if I called with questions immediately post op and he claimed he wouldn’t just give me an answer to give me an answer but it sorta felt like what he did for a half hour with my questions. I am just going to have to go out of my comfort zone a bit and bluntly say that I don’t feel like the rest of the team is prepared to handle my care with this particular procedure. I must get the point across that the PA just can’t answer all my questions at this point and I wouldn’t feel confident in his advice about any post op questions. Or, Perhaps he could just make the PA do the research now? I mean he is practically a doctor. They know how to learn things. I just don’t think he has tried with this procedure yet. He did seem to know alot about the DS, Just not this modified version. I can ask to meet with him again after he has had a chance to prepare and see how I feel with him. My gut has gotten me this far?? As far as the dietician goes. I think I just need a list of what macros he wants me to stick to and to know what type of carbs really count and I think I can take it from there at least witb the help of this community. I also think I can shop around for a different dietician once I have the requirements If I feel like I even need one. I’m hoping that the dietician gets the exact requirements from the surgeon in preparation for our meeting in two weeks. If not I will need to ask him that when I meet with him as well. I guess the skinny about the surgeon, though is that I am going to have to pump the brakes a bit and put on my big girl panties. I need to have some awkward conversations and just mentally prepare myself that the result could be that I don’t get exactly what I thought I wanted.

Hellow, thank you for your answer. I'm not unhappy with myself; let's say my self-love is at 75%, sometimes I feel a little down but I have never hated my body or my looks. The lowest my weight has been is 200 pounds and I looked like I was weighing 180 at the time (it was 7-8 years ago). I'm lucky enough to say I dont have any health problems at all, and I dont have difficulties moving around. I can run easily at work for any code happening. I think i'm going the surgery firstly for my health. I know it is a good option. I'm just confused about if it the best for me. I'm also doing it because I know I will be gaining weight throughout the years of life. I'm young and I might not feel it now, but with time, I will have more and more health problems.

You are a powerhouse. Well done. What are you putting in your 2oz food containers? I’ve got 2wks of protein drinks, soups etc but not even thought about soft diet yet. Have you re-started driving? I’ve been advised no driving for 3wks which is going to be very difficult. How has anyone else managed?

You are a powerhouse. Well done. What are you putting in your 2oz food containers? I’ve got 2wks of protein drinks, soups etc but not even thought about soft diet yet. Have you re-started driving? I’ve been advised no driving for 3wks which is going to be very difficult. How has anyone else managed?

I dont eat the same foods everyday. Everyday is different. I get sick of foods faster. I've been trying to get foods with higher protein in them, like 15 plus grams of protein like Greek yogurt and cottage cheese. Haven't been drinking much water lately which is really bad. But yeah. I do like to write down what I eat in a day, I don't like logging with an app tho. I have a note book ready that I am gonna start doing tonight or tomorrow. I dont remember if I updated my stats on here or not, but I'm going to be 11 months post rny on the 21st. And I'm down 111.5 pounds. I had lapband in 2009, gallbladder removed in 2010, lapband revision in 2013 and 2 days later, it was removed due to an abscess...they poked a hole in my stomach during the revision. Before ryn I had gained 81.4 pounds in the 9 to 10 years after lapband removal. 2015 I did weight watchers and I tracked everything. It helped a lot

Hey everyone 👋😊 I hope you all are doing well. I had my surgery on December, 13th, 2024. I went in expecting the gastric bypass but woke up with the gastric sleeve due to my liver still being a bit too big. This news has sent me into a spiral of emotions as I wanted the option to reverse the surgery if needed and now I can't, and because I battle GERD so I did not want the sleeve for this reason as I heard it can make it worse. I already battle IBS before this, but now it seems almost everything I have triggers it. So I am finding less and less things I can have. Even fairlife shakes sets it off. I'm now on the pureed stage and so far everything I've tried has also set it off. The good news is I've lost 39 pounds. So that has made me happy. Trying to see the positives. To be honest I have been miserable. I hope things get better.

Sorry you guys are dealing with this! Are either of you on a PPI (proton pump inhibitor), this could be something like omeprazole. Typically the over the counter dose isn't high enough, so it is best prescribed by your doctor. Some people end up taking it twice a day. Omeprazole never worked for me, I take pantoprazole in the morning and Dexilant in the evening. Both are prescription. Bariatric patients typically need a PPI after surgery to protect their stomach from acid and help the sutures heal. Our new tummies are still producing the amount of acid we produced for our whole stomach, which is obviously too much acid for a little tummy. This can cause pain, nausea, vomiting, a feeling of not being able to swallow because acid is washing into the esophagus and irritating it. It can also cause that classic heartburn feeling... If you aren't on one, tell your doctor you want one. If you are on one, it's possible it isn't working, you may need a higher dose or a different medication (some people metabolize omeprazole too quickly). In addition to this, it takes a while for our new tummies to heal the nerves that were cut and our fullness cues and stomach sensations can be different than they were before. Fullness may feel completely different and very uncomfortable. After I eat I feel pressure at about the middle of my stomach and a feeling of heaviness sitting there. It is my signal not to eat anymore. If I persist, I'll start hiccuping and sneezing aggressively, and sometimes vomit. I am very careful not to get to that point. But I can eat a normal bariatric sleeve portion for 3 months out... Sometimes heavy proteins like meat sit very heavily in new stomachs for the first year. It isn't unusual to not tolerate beef or chicken breast. Proteins should be moist (like chicken thigh in a sauce), with small bites and very thorough chewing. You'll probably eat a smaller portion of them than you would yogurt or eggs. Fish and other seafood are the easiest meat proteins for us to digest because they are lighter and softer, so try that if beef and chicken are too heavy. If after a few weeks on a PPI you are still not able to at least advance to moist fish without pain or vomiting, I'd be requesting an endoscopy or other imaging to ensure there isn't a stomach stricture or scarring getting in the way of you eating. Strictures aren't super common in sleeves but they do happen.