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Our heads are often our worst enemy. Making you crave certain foods, flavours or textures, making you want them more simply because you can’t have them, trying to convince you that this tiny portion of food simply can’t be enough for you to function, … In time you work out strategies to help you manage this but it’s not easy at first. Many of us find distraction helpful. Read, craft, check social media or this forum, ring a friend or family member, go for a walk, play a game, clean out a drawer, cupboard or pantry (get rid of the clothes that are too big & foods you can’t eat or may be tempted by), etc. Even sipping a warm/hot drink can be helpful. The change in our tastebuds & sometimes sense of smell can make it challenging to find foods you can tolerate for a while. I found the shakes disgusting (too sweet & grainy), bone broths too salty. Thank goodness for cream soups. I also diluted my shakes so I could tolerate one a day. Try making your own smoothie with yoghurt, milk, protein powder & an appropriate flavour. The change in your taste buds can have the reverse affect too & foods or flavours you didn’t like before suddenly are okay so don’t rule out something because you didn’t like it in the past. All the best.

I am a little over 6 months post op, how many calories are you eating now? I am getting about 900-1000 calories, 80g of protein, 50g of carbs. Anyone else have a starting weight at 360ish at 5'9", how much did you lose at 6 months? My surgeon doesn't offer an aftercare support team and the nutritionist (had to get a referral from my primary) that I am seeing doesn't like giving numbers. I also don't feel I can ask him as he will just refer to the paperwork he gave me at the start, which just says under 1200 calories and 60-80g of protein. I am very happy with the weight that I have lost so far, 100lbs since surgery, but it has been very slow the last 2 months or so. I still feel that I should be losing at a faster rate than I am which is only about 1-2lbs a week. Is this just an average weight loss when I weigh 263lbs at 5' 9", haven't been down to this weight in over 15 years.

Really enjoyed reading your update. This is quite the learning curve isn’t it. All this AND snowy adventures 😅. It has started snowing here in Scotland too, hopefully no power cuts for me. Distinguishing when I am actually hungry has become a bit of a thing for me too. Unfamiliar territory for sure. I am now 6 days post op and it’s been remarkably smooth for me, initially felt cheated as I fully expected to suffer and was adrift when I did not suffer beyond a few reminders now and then I had actually had surgery. No particular desire to suffer but at least I know how to cope with that… (endometriosis has dominated my life for years). Last night I spent several hours ruminating over putting back on weight I have yet to loose. 🙈. The mantra for today is one day at a time 😂. No cravings per se, I am instead having soups, protein shakes, I had a soft scrambled egg which was delicious, soft cheese, yoghurt and fromage frais. Today has been busy and I did not eat until 6pm, (1x 500ml protein shake and 800ml of water though) when I had a vague feeling of my stomach being empty. Tomorrow I was nourish myself better issues I have encountered, a favourite yoghurt is no longer a favourite, eating jelly is not for me, eating slowly is better. Best wishes to everyone. Lily2024 hope your power is back on soon xx

Interesting. That's right within the daily protein I've been told, and only 4oz short on the fluid. I'm not sure why they would want to make you feel you weren't doing well. It sounds like you're doing just fine.

I am getting 65-80 protein a day and 60oz of water a day..

I am getting 65-80 protein a day and 60oz of water a day.. I was cleared to use a straw to help with water.. I guess I need to meal plan more to get my protein in..

Today is 11 days post op and I’ve had serious cravings over the past two days. I started having a protein shake again which also helps the leg and foot cramps, then added a 4th meal a day. I also had a cup of broth in case I just needed salt. Yesterday it got so bad and I realized that I’ve been eating only yogurt and puréed cottage cheese so I got some smoked salmon and ate one ounce of it, that has set me back to rights again. Woke up feeling so much better this morning. It’s been an adventure, we live in the Midwest and lost power Friday evening, we’ve been in a hotel since Saturday. I brought my scale and a small container so I could portion out yogurt or cottage cheese but didn’t have any meat or fish. i don’t really feel hungry in my belly anymore, just a vague feeling of alarm that I need something. Most of the time I can just reassure myself but yesterday I knew it was hunger and that I needed something more substantial. The smoked salmon is very soft and I chewed it for forever, and I loved every moment of it🙂. (Note: I’ve been on purées since the day after surgery, tomorrow is my 2 week post op appointment, and I would have blitzed the salmon but I’m just making do the best I can with the snowy adventures. I also ate scrambled egg at Denny’s, I measured out 2 ounces and just fork squished the heck out of it and that went well too.)

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.

I just had surgery on 1/4/24 and I am struggling. I never used to be obsessed with food and now it's all I think about. I am so sick of the Protein drinks and jello because everything tastes too sweet for me now. It feels/tastes like I am drinking sweetened condensed milk from the can. I am limited with broths I like, so that's an issue. I couldn't take it anymore, so I broke down and has refried beans yesterday (I'm not supposed to start pureed food until Tuesday). I regret having the surgery, and am resentful about not being to eat the foods I want. I have been on the liver shrinking diet 1 week before Christmas, which was awful watching everyone eat all those delicious Christmas treats, while I just watched. I think between that and the liquid diet post-surgery has broken me. I am emotional and miserable. Am I the only person to feel this way?

I’m three weeks out of surgery. I’m feeling kind of the same way technically. For my tracker I weigh twice a week on Sundays and Wednesdays. I noticed this week from Wednesday to Sunday I didn’t have the weight loss that I was kind of expecting. I’ve also started the purée stage where I’m actually eating stuff now. One of the Support groups that I’m in there is a woman there and she said that this is normal and I talked to my doctor and he said it was normal so I guess it’s normal. I know I’ve heard of the stalls that happen within the first few months. you’ll have stalls as your body adjusts to the new eating habits. Just make sure that you’re eating your protein, getting your water, taking your vitamins, and eating foods that you should be eating, such as puréed vegetables, or soft foods, or whatever that are healthy. Your body will adjust as time goes on and will all feel these kind of oh my God moments. But we got this we’ll get through this. I’m not gonna start worrying about the stalls until I’m six months out and not losing any weight by then, your body should be on the role of losing. I hope that helps.

The first year is where you will have the most success setting a new baseline weight, so avoiding excess sugar is important. I will say from personal experience, and recovering from Type 2 diabetes, if I have sugar like I did over the holidays (cookies, egg nog, cake), I would start to crave it constantly. It would take about 2-3 days of avoiding it to stop being "hangry". If I didn't make myself focus on high protein and savory foods, I would crave sugar, bread, and starch constantly. For special occasions you can have some after your restrictions are lifted, but just be aware it will temporarily make you crave more, and can get out of hand if you let it.

How much protein and liquids are you getting in?

I had both and got the bypass. I was post menopausal so I can’t say it helped with most PCOS issues. I swung the other way 2 years post op and got hyperthyroidism! So my team figured it’s a vitamin imbalance and I’m monitored more closely. (Lower vitamin D can increase thyroid levels). PPI can interfere with vitamin absorption, so does caffeine, so planning your vitamin times counts too. Talk with your team about best practices for your vitamins. I have found that I need extra iron with vitamin C at lunchtime and I can be consistent with it. That extra iron is just because my iron levels tend to be low, most people don’t have that issue. I take calcium, vitamin D and magnesium at night, B vitamins and Flintstones with iron in the morning with decaf coffee in my pea protein shake. If I stay really consistent with my water intake I can avoid PPI s for now. For me, it’s really a balance and worth the shock of being a little hyperthyroid for a month! Great luck to you both! May you have good skin, lovely hair and surprising energy you deserve!

Had my surgery on Monday. My pain only lasted a few days. Gas-X really helped for me. Not even taking Tylenol anymore. The more you move around the better. Small sips of beverages was the key for me to not overload. Not having any problems getting my required amount of liquids. Right now only doing one to one and a half protein shakes a day with a coffee cup full of strained cream soup. Hot decaf tea really helped me. My doctor told me it would be hard to get 60 plus grams of protein in the first week just to shoot for 30 to 40. I'll be on liquids and soups until next Thursday for my post-op appointment.

This is my daily routine day 3 I will sip 20ml at a time in that lil cup which has the measurements I aim to have 60ml in the hour protein water I have my multivitamin at 9am as well as my anti reflux You can’t have the calcium/vitamin D 2-3 hours past multi vitamin and it’s best to take that with food for best absorption . So 12pm bone broth (chicken yesterday was yummy) that one ouch I will split into two containers and I will sip over the course of four hours. The other half I will have at 5ish for two hours again. Whatever I can’t finish I just chuck 4pm another multivitamin And that’s it :) I stop liquids around 8-9 depending on how I feel and try and sleep

I really appreciate the response! I was asking because my blood pressure hasn't lowered and my pre-diabetes has gotten worse since losing weight. Also, I'm looking to increase brain/blood O2 saturation levels. I've done my research on beet roots (only scientific research papers/studies) and they've found significant improvements in some of the reasons I'm looking at adding it to my vitamin regimen. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425174/ (from the library of medicine) one of numerous I've read. I'm sorry about you son in laws uncle, I haven't seen any conclusive research studies on beet roots curing cancer. I was thinking the powder, only pure non GMO no additives only dehydrated then powdered put into my water would be a good option because we have to drink water anyways. Plus, with stomach size and my need for more proteins with very very low carbs (no fruit etc) due to my hypersensitivity to carbs (why they're looking at pre-diabetes hypersensitivity) it would be a good option for me. I'll take your advise and just wait for my 6 month check up next month and ask them. I just thought I'd put it out here on the forums to ask those who've actually taken it for their input! Thanks!

This is such an important thing to address. I got my date… 5 months earlier due to a cancellation. I wasn’t expecting the scheduler to call me until February, for a date in “April/May”. I’m not prepared and have been scrambling trying to get isopure, cups, protein water and shakes, soup, etc. I havent had a moment to even think about pain management. It’s not something I can predict-seems like everyone is different. Any recent post-op peeps in here have some wisdom to share regarding post op pain management-outside of the meds prescribed?

It sounds like you're doing fine. Congrats on your weight loss victories!!! Part of the reason they leaned in heavy on it was because they want you to succeed, but also to a degree, they're covering their own liability and don't want to be sued for not giving you the proper advice. I would try to increase both the best you can, but don't beat yourself up if you come up shy one day. Look for more protein-dense foods and shakes to make up the difference if you can. I like the Fairlife protein shakes that have either 30g or 42g, depending on which is available. One of those can be half your protein content for a day, plus its 11-12oz of fluids! Too little protein can cause your body to run a deficit, in which it will burn off muscle rather than fat, which is not a good thing. The more muscle you can maintain, the more fat calories your body will burn to feed them, which helps with the weight loss. The increased water intake is to keep you hydrated, but it also helps you flush out the waste from what your body is breaking down during your weight loss, preventing it from backing up in your kidneys and leading to problems. But keep up the good work! Sounds like you're getting through the "regret" phase, which I'm convinced we all go through that first month or so haha. It looks like my surgery was a week before yours, and I'm already feeling much better. Hope you are too!

Agreeing with the others, stick with the plan. The first couple months you definitely do not want to put pressure on those staples and risk a leak. That's a rough surgery compared to what you just had. Infections from that can get nasty and lead to sepsis. I struggled with overdoing it myself early on, but had to remind myself that its to prevent burst staples, and that I can give it 30-60 minutes and resume eating to give it room. I've noticed I can do 8 fl oz easily if I'm not careful before my stomach starts pushing back. As for the hunger, I'm one of the unlucky few that still has the obsessive head-hunger. It takes practice, but look for signs that your stomach and body are telling you that you are full, despite part of you saying "I have to keep eating!" It took a lifetime to train that reflex, and it won't go away overnight. I'm still fighting mine daily. I've noticed I'll feel a little pressure if I'm approaching the limit, but if I keep going, I start to get a runny nose, which is my final warning before making myself sick. My goal is to prevent it from getting to that point. One thing I did to throttle my eating speed is to get disposable mini / baby spoons and forks from amazon. They're only like 1/4 of a teaspoon so you get a smaller portion per bite, which helped me a lot! It takes longer to eat, which gives your stomach more time to send the full response to the rest of your body, since that is delayed. I've had to use the disposable ones since its mentally easier for me to walk away from the food if I throw the little cheap spoon in the trash. I'd rather use the reusable ones, but I know the limits on my discipline haha. This is just anecdotal, but as a recovering Type 2 diabetic, I have to be careful with sugar and starch hidden in foods. I've eaten some over the holidays, which tasted great, but realized it made me crave more. If I went a meal without it, I would get actually angry, and I'm sure I wasn't any fun to be around. Eating desserts over Christmas would send me into constant snack cravings for 2-3 days. I told my doctor, and he said you have to power through those couple of days, but by focussing on low carb (not necessarily keto) and prioritize protein, unsaturated fats and water, those cravings go way down. I've had to use "filler foods" to hold me over between meals. My wife says its gross, but I've been eating Fage plain greek yogurt to hold me over. Single Digit carbs and 17g of Protein per serving and its more savory rather than sweet. Mentally, I've used it as a substitute for cheese, mayo, sour cream, and other things to just pretend that its a more substantial food. That and it does seem to fill me up as long as I don't have anything sweet with it. Similar with 2% fat cottage cheese. Also, some artificial sweeteners can set off a sugar craving or insulin response, which just compounds the cravings. I'm not sure which ones do, but I know the ones in the Fairlife brand protein shakes do not set it off for me, while MuscleMilk does make me crave it. Fairlife has Monk Fruit, Stevia, and Sucralose, and don't seem to set that off for me. You may want to experiment to see which ones may bother you.

Yeah, the first two to three weeks will have you questioning everything about the process, but that's only due to the temporary discomfort and the idle time while resting and recovering. We all go through that phase, so you're right on track! The good thing about the sleeve, like others mentioned, is that you will eventually be able to eat all of the same things again, but now you'll have that governor in place to stop you from going overboard. Early on, just stick to the diet plan, as its more important to prevent stretching the tissue where the staples are and to prevent infections. After the first month or two, then the goal is to keep the carbs and excess calories down, as statistically you'll have the beest luck losing weight those first 6 months before it slows, and levels off around the 12-18 month mark. Its just to get that jump start on the weight loss. Each day gets easier, but it is gradual and expect the occasional "hangry" day while you adapt. You'll have days where your body will try to fight you since its used to the old foods and quantities we used to eat. It misses its snacks, but our mind and stomachs are like angry toddlers in this phase, they require some discipline. Teaching it early on makes it better on the long run, but be ready for the temper tantrums haha. I'm approaching 2 months from my surgery and I have to say the first 2 weeks were fear/regret, then that subsided in weeks 3-4, and I was more upset about "well I feel like I can eat x, y, or z again, why can't I?", then even that started to subside on Week 5. I will say to avoid excess sugar, as that will still set my cravings off. I made multiple mistakes sampling cookies and cake over the holidays, and the following 2-3 days I would be craving it constantly and getting angry about it. Forcing myself past those 2-3 days, focussing on protein and more savory foods, and the obsessive craving went away. For the gas pain, definitely find some Gas-X or similar medication from a pharmacy. That helped me a lot the first month. Also, while walking, do some arm exercises like lifting over your head, windmill stretches, etc., and that will help disperse some of the gas. That really helped to get rid of my shoulder pain from it.

Yeah it should be fine, just keep the sugar low. As long as you're hitting your daily water and protein goals, and the sugar amount is in single digits per serving, you should be fine. I've been eating Fage plain greek yogurt as my snack since it has 17g of Protein and very low carbs. I love the 5% milkfat version but the saturated fat is a tad high. I know I should have the 0% but I don't like the flavor. 2% has been my compromise.

My revision surgery (sleeve to SADI) went well on Thursday. My pain is almost non-existent, and my energy levels are good. Pacing myself getting liquids and protein in but doing fairly well with that as well. I was discharged the day after surgery and I'm home now.

yep - the others are correct. It's the added sugar that they want you to avoid (or really limit). Most of the sugar in yogurt (unless it's got added sugar in it because of the flavorings) is lactose, which is naturally occurring in milk. I eat yogurt every day and have since my surgery nine years ago. I eat very little meat, so having Greek yogurt for breakfast starts my day off with a good amount of protein.

Have you gone back to your surgeon or your dietician? Maybe they can offer some advice or alternatives (yes like medication). There may be something you are missing too. If you haven’t yet, clean out your pantry, fridge & freezer of any foods you may be drawn to (snacking). Cut out any high or ultra processed foods from your diet that may have snuck in (known to increase your hunger & decrease your satiety). Are you still meeting your protein & fluid goals? Do you still eat protein first, then vegetables & then only if you are able any whole/multi grain complex carbs? 1800 calories may still be too high for you. Remember ‘they’ usually say 1200 for a female to lose weight but that’s based on averages & not individual needs & stats (age, height, current weight, activity levels, health status & considerations, etc.). But your dietician will be able to advise you on what’s best for you. All the best.