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Surgery complete! It was on the 12th. I’m not going to lie -it really hurts. The first day or two was pretty rough. Besides my stomach hurting my throat was so angry from the tube. I’m going to blame that on my snoring… I find that every day I’m feeling much better than the last. From the start of my liquid diet a week before to now I’m down 12 lbs. that makes me very very happy. Definitely the most productive weight loss I’ve ever had. Im 6 days post-op and feeling pretty good- I get a twinge of pain when I use my stomachs muscles like laying down or sitting up but just a twinge like a 2/10. Now I’m ready to get going- I want to get the weight off and keep it off.

Hi Joe, I am almost 8 weeks post surgery. While I can't speak for everyone, I did not experience this. Yes, you have to chew your food well (if it needs chewing), but it is not as onerous as it seems. Sure, the first time I had solid food I made sure that it was well chewed and I ate it slowly to make sure it was not going to present a problem. I've done that with every new food I've tried. But it has NEVER taken me 10-15 minutes to eat 2 tablespoons of food. In fact, I have to make sure I don't eat too fast! It is like drinking water after surgery... at first you struggle to take a sip at a time. Then you notice you are taking bigger sips and then a large swallow. I can drink 8 oz of water in a couple of swallows now. I know that thought of the changes this surgery may bring to your life can be scary, but does it really matter if when you are past the initial stages of the process it takes you 15 minutes longer to eat your dinner than it did prior to surgery? That you can't get your money's worth at an all you can eat buffet? If you look at the surveys of people who have had WLS, their most common regret is that they didn't have the surgery sooner. BTW - I'd always been a "healthy" fat person until I wasn't. I can't count the number of times I lost a little weight only to gain it back; Weight Watchers should have been giving me frequent flyer rates. Today, I went under 300 lbs. for the first time in 19 years and I'm 35 lbs away from being a weight I haven't seen since 1984. Yeah... I'm good with it all!

The purpose of this diet is to shrink your liver. The liver is in the path of surgery. Following the diet will use up the glycogen that is stored in your liver. Glycogen is the storage form of carbohydrates. Depleting your liver’s glycogen stores shrinks the liver, which can decrease complications during and after surgery That being said, 4 weeks of nothing but meal replacement shakes is a tough row to hoe. I agree with the broth suggestion. You may also want to ask your doctor if you can have non-starch veggies - at least for the first two weeks. I had to do 2 weeks of a full liquid diet; it does get easier the closer you get to surgery - because you are ALMOST there! And as you get closer to the date and you are losing weight and your clothes are getting looser and you feel better, it is even more incentive. Hang in there!

Hi Summer! Thank you for the hugs, I really appreciate it. Thank you for the reassurance, I will obviously keep trying my best, and know that it will end in 25 days. Thank you for sharing your experience, I think you're right. It feels a bit resentful towards the people around you. I hate that most people don't go through this. I hate that my partner can eat what he wants and gain nothing. I hate the fact I have to do this for 4 weeks. But it will help in the long run of course. It's crazy that you lost 15 pounds from the diet though! Those are some fantastic tips, thank you so much! Do you just have the sugar-free jellies when you just need a cheeky pick me up? I will see how I get on this week and then contact them for advice if I'm really struggling still. Thank you 🙂

Will do, thank you! I'll start it today. I can't have anything else in my diet. Just my three shakes (to which I add skimmed milk). Everything else adds calories and they said it's a complete meal replacement shake diet only, so unfortunately I can't have anything else 😞 Do you think things would still be okay if I ate maybe broth and soup but went on just shakes for the last two weeks? I just don't know.

Hi Kirsten, Big hugs. We all think the pre op diet is the toughest part of the whole process. It will get easier. Once you are past 5 days the hunger just evaporates. You have it tough but just tell yourself it will be worth it. No lie it is. Your life will change. I had to do 3 weeks and oh boy did I want to take revenge on the surgeon. There were times that I hated him. I paid and I still had to go through this, how could he ! The only thing that kept me in line was the threat of waking up after surgery to find they could not do it. I had no shakes but had milk instead. I could also have non carb veg. My daily calories would be the same as you. I lost 15 pounds. You can try making lollies with the sugar free squash. It gives you a different mouth feel. Some people on here have successfully frozen their shakes, so they are like ice cream. Try the sugar free jellies if you need a safe cheat Ring your team if you struggle after a week. They might let you eat something else.

Write down your current health issues, struggles, anything that your weight is causing you trouble with. Then write down as each thing gets a little better during the diet. Also, definitely weigh yourself once a week and look at your entire body to remind yourself where you started, see where you're at, and envision where you want to be. Try to move your body more. I know at your current weight, it can be hard. Try to do some floor and chair exercises. Maybe ride an exercise bike. Do water exercises. Anything at all, more than you normally do, will help you so, so much. But don't try to do anything taxing since you're so low calorie. You should be able to have broth, right? I loved vegetable, chicken, and beef. Jello is also allowed on an all liquid diet. Try some of that and see if it helps. Also maybe cut some of the sweetness out of the shakes by adding a little unflavored shake mix to it. Can you add any fruit to the shakes? I noticed that if I made a shake and added frozen strawberries and blueberries (or raspberries and blackberries, depending on what I wanted) it actually cut the artificial sweet taste way down. I hope some of this helps!!

I feel the same. I was explaining to my partner that it's just liquid that doesn't even touch the sides. On top of that all the shakes are sweet, not savory, so it just feels like I'm having rubbish sweet shakes and nothing else. Sleep is the only time I feel okay because I don't feel the hunger as much. I just feel like I'm struggling on day 3 never mind another 25 days. I think maybe writing down the positives/reasons I'm doing it when I feel like I can't do it anymore or I'm tempted might be a good way to go. To remind myself. I think I'm going to weigh myself once a week to just see the scale down a little. Any weight loss is positive reinforcement. Thank you for sharing, it really helps!

I had one as a complication after sleeve surgery and it was found a month later when I collapsed at home and had to go by ambulance to hospital. The cause was suture failure. My symptoms then were weakness (could barely stand), fever, nausea with vomiting and abdominal pain. It is a rare occurrence so if you are not suffering with any of these I think you don't need to worry, you are just causing yourself unnecessary stress when you are already going through enough to deal with following surgery and coping with food planning etc. I also had other complications post surgery with pancreatitis and abdominal abscesses so basically anything that could go wrong did, I ended up spending three months in hospital over a period of four months. They closed the gastric leak by using clips and mesh via gastroscopy but that failed, twice. I now have a tube coil like thing that was inserted in order to drain fluid and hope that the hole will then have time to heal and close. The only information I was given in advance of the surgery about it was that it could happen but the surgeon did not go into detail and just said she had never had a patient have a leak, guess I am her exception if she will admit it to others in the future. No other details given to me such as cause/effect/symptoms.

I had one as a complication after sleeve surgery and it was found a month later when I collapsed at home and had to go by ambulance to hospital. The cause was suture failure. My symptoms then were weakness (could barely stand), fever, nausea with vomiting and abdominal pain. It is a rare occurrence so if you are not suffering with any of these I think you don't need to worry, you are just causing yourself unnecessary stress when you are already going through enough to deal with following surgery and coping with food planning etc. I also had other complications post surgery with pancreatitis and abdominal abscesses so basically anything that could go wrong did, I ended up spending three months in hospital over a period of four months. They closed the gastric leak by using clips and mesh via gastroscopy but that failed, twice. I now have a tube coil like thing that was inserted in order to drain fluid and hope that the hole will then have time to heal and close. The only information I was given in advance of the surgery about it was that it could happen but the surgeon did not go into detail and just said she had never had a patient have a leak, guess I am her exception if she will admit it to others in the future. No other details given to me such as cause/effect/symptoms.

I mean, you titled the post that way lol What else does LSD mean? I was over here thinking "this isn't the forum for that...how do we even help her? I better click on it and see if there's anything I can say, but I doubt it..." I'm having this internal debate with myself and you're over there talking about a 4 week pre-op diet LOL

WOW. No offense, but I'm glad I'm not in the UK. There's absolutely no way I could do 4 weeks. 2 weeks pushed me to my very limits. By the time I couldn't do it anymore and was ready to just give up, it was the day before surgery! I give you all the credit in the world. Just hearing 4 weeks would have absolutely put me off from the surgery. The fact that you're doing it is extremely admirable and impressive. We'll all definitely be here to support you and cheer you on. If you can do 4 weeks of this, you can definitely stick to the bariatric diet after.

I should add that I'm in England, UK and I think the guidelines differ from the USA ones. I think in the UK there are brackets for each BMI and 60+ is 4 weeks. The others include 3 weeks, 2 weeks, and 1 week depending on which BMI bracket you fall into. They stated it's because the higher your BMI the more fatty your liver and harder to move during surgery (especially with a keyhole) and thus could cause the surgeon to abandon and I still get charged. I suppose it ensures that the chance of that happening is minimal as long as I stick to it. I do feel like it's harsh though. I feel like I could have gotten away with 2 weeks since I eat fairly well with my partner anyway.

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?

So happy for you! Wohoo you will reach your 13 more lbs in no time! I am doing ok myself, finally not in my week 3 stall. I’m in the last day of week 4 and loss 15 lbs post op. From 250-235. 85 more lbs to go!

Hi everyone! I have my surgery date scheduled for the 16th of March 2024. Due to a high BMI of 61 I have to do 4 weeks of the liver shrinkage diet. I started on Friday the 16th and I'm really struggling. I'm on total meal replacement shakes x 3 daily with just sugar free squash and water to drink alongside these. My total intake per day is 800 calories or less. How did you guys do it? I know I HAVE to do it, but it's so hard. I cry daily because I'm hungry and I want food. My stomach constantly growls, my stomach hurts and the shakes never feel like they satisfy any of that hunger. My partner is so supportive, he eats away from me and hides food so I don't feel any further distress and jealousy. I know why I'm doing this but I don't know how I'm expected to do this for a whole 4 weeks. Any advice or support is welcome. If anyone is doing the same atm for their March surgery please let me know, maybe we can buddy up! Thank you all ❤️ xKirstenx

I can really only share what the experience has been like for me, and the positives that have come into my life. I was in a very similar spot as you, both mentally and physically. The doubts and fear doubled, trebled, quadrupled to an infinity even as I was being rolled into the OR for surgery. I am now six months and two weeks post-op. I can pop off for a 2 mile run if I feel like it. A 10 mile hike. A long yoga session. I am signed up for getting an open-water SCUBA certification. My cholesterol is normal for the first time in my adult life. My mental health has improved. I've also enjoying seeing my physical transformation. Attaining a high level of fitness remains a strong motivation for me. But eating small portions, managing supplements, timing my water intake, and tracking food? It has gotten easier and easier. I truly wish you well on your journey, no matter which path you decide to take.

Sleeve in 2017 to revision Gastric Bypass Aug 2023 - Update Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I CANNOT eat take out! Purchased chinese for my son as he was going back to college... tried a little and was bringing it back up the rest of the night! If I eat out it has to be at a place that actually cooks food like salmon, veggies, no added anything. Food prepared at home is MUCH beter because you know what's in it. I am not doing too well with my multi because I purchased capsules that I open to put in my protein smoothies (Unjury Vanilla) which I don't take every day anymore. I just purchase the multi-vitamin patch from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum (jasmine or basati brown rice) with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more, move more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. It is good to move from "morbidly obese", to "obese", to now "overweight"...do you guys feel the same? Let me know how you all are doing!

@newbegining2024 Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I am not doing too well with my multi because I purchased capsules that I open to put in my smoothies which I don't take every day anymore. I just purchase the multi-vitamin pack from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. Let me know how you all are doing! (this will be posted in a new thread as well)

Hello I'm 2 weeks post sleeve to bypass conversion due to GERD and vertical hernia. I'm still on the liquid diet phase. I'm able to get my liquids and vitamin in. I definitely miss the restriction with the gastric sleeve. Recovery is slower and more painful this time. I'm still hurting from intubation throat pain and hernia repair. I still have pain from surgical gas trapped in my upper belly and left neck/ shoulder and . I walking 30 mins 4 x / week to move gas and wearing compression to reduce swelling. It seems the sleeve recovery was much easier.

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.

Didn’t have one but I understood if you are to experience one it usually occurs in the first few days. While you need to seek help as soon as possible if you suspect a leak, they are usually repaired fairly easily via an endoscopy. You’ll likely be on antibiotics after to ensure any infection is cleared. I have three friends who’ve had sleeve surgery too & none of them at one either. They’re pretty rare I think like 1%. And even rarer if you have one in the years post surgery. Leaks occur because of a suture/staple failure, tissue decomposition, patient health prior to surgery affecting healing like a history of smoking or high blood pressure, food choices (not following your plan), excessive activity to strain & cause trauma to the area.

Nerves & feeling anxious before surgery isn’t unusual. You are doing something that requires many changes to you physically, psychologically & emotionally. And you don’t have any experience with any of it. I didn’t have any co morbidities at all before my surgery but I knew they would be in my future simply because I was obese. Being generally in good health bedside surgery puts you in a stronger place for your surgery & recovery so a plus. The very small portions are only in the beginning during the staged return to eating. As you progress you are able to eat more until you are eating what is a recommended & appropriate serving size. Not those large servings that are two, three or more times we been acclimatised to think of as normal but the portion size we should be eating. Doesn’t mean you won’t ever eat your favourite foods ever again either. In time you work out how much you can eat of that food & how often. Or you may make changes to the ingredients or the cooking method to make it a healthier & more nutritious choice. We talk about having to do the head work while we are losing. This is the most important step. Working out the why, what, when you eat & changing your relationship with food. Reflecting on what drives you to eat & the food choices you make so you can mange those cravings & work out a way of eating for the future that is sustainable, doesn’t restrict or limit you & allows you to enjoy your life as you want. This is the difference between the surgery and every other diet I’ve been on (& I was almost 54 when I had the surgery & had been on a lot of diets). I’ve never been able to lose weight & maintain it for any length of time like I have after the surgery. Yes, I work on it every day but it doesn’t mean I don’t or can’t enjoy my life or miss out on anything. A lot of it is routine & I look at it as not being on a continuous diet (so many negative connotations) but this is just my way of eating. Like how people who have food allergies or may be vegan or vegetarian eat & the food choices they make. Ensure you have access to a supportive therapist you can call on if needed & a helpful dietician who listens. This isn’t something you can really do completely on your own. Best decision I ever made. All the best whatever you choose to do.

A small NSV today, and this is just from the pre-op diet. I bought a dress last winter that I had wanted to wear on my birthday because I was going to NYC and going out to dinner. I bought it at a store where I wasn't able to try it on, and when I got it home, it was so tight that every single button gaped ridiculously. But I was optimistic, so I kept it. It's been a year. I pulled it out today and tried it on, and now only one button right at the largest part of my bust has a slight gap. Another 5-10 pounds and I will be able to wear it with no issues. And since my birthday is 4 weeks away, I think I know what I'll be wearing!

Hi Joe! My surgery is in 4 days. I am 5'6" and at my highest weight, I was 250 pounds, which gave me a BMI of 40.3. Since starting the nutrition program and pre-op liquid diet, I am down to 228 pounds, so a BMI of 36.8. I have high blood pressure, prediabetes, and high cholesterol. Like you, I've dieted countless times. In fact, I was enrolled in the nonsurgical program at my hospital for 7 years, starting when I was 42. I found it relatively easy to lose up to about 15% of my total body weight, around 40 lbs, by counting calories, exercising religiously, and not letting my guard down for a minute. After that, I would stall. Then the weight would creep back up. My doctor would prescribe meds (including Wegovy for a while, but it's too expensive for longterm use for me), and I'd lose 10 pounds. Then I would stall, followed by regain. Or the nutritionist would suggest a new approach, and I would lose a few pounds again, followed by regain. A little more each time. After 7 years of trying, I was back to my highest weight ever. I feel like I wasted a whole lot of time with nothing to show for it. And now I'm nearly 50. My blood pressure, blood sugar, and cholesterol all have gotten worse. My feet hurt. My joints ache. I feel older than I am, and I don't want to be old before my time. I know from reading the latest studies in weight loss science that my chance of long term success in reaching and maintaining a healthy weight without the metabolic reset of bariatric surgery is around 5%. I'm fortunate because I've seen my brother go through sleeve surgery 15 years ago. He lost a huge amount of weight (about half his body weight) and though he has regained a fair amount of that, it's nowhere near where he used to be. His appetite is now what I would call the smaller side of normal. Nobody looks at him having dinner and would guess he had surgery. So I know that the most drastic parts of this (like a liquid diet!) are phases you have to get through to get somewhere better. I feel nervous, too. I've never had surgery. I worry about complications. I'm hardly ever sick, so I sometimes think what if I'm trading decent health for problems? But realistically, problems are in my future. I've seen it in countless family members. The writing is on the wall. And the surgery is very safe. So for me, the risk is worth it. I've tried on my own long enough to know it isn't going to happen for me without this. And a BMI of 40 might not be as big as some people, but it's big enough to rob me of good health in my future. I really hope this helps at least give you some things to think about to help you make your decision. Wishing you all the best!