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2oz is equivalent to 1/4 cup of purée. My plan was 1/4 - 1/3 cup (2-3ozs), three times a day from purée so pretty much like your plan. Honestly I couldn’t eat any more than that but I was a no hunger & no appetite person. Sometime around purées I added a high protein yoghurt or yoghurt drink as a snack to boost my protein intake. But check with your dietician, maybe you can add a high protein yoghurt as a snack too. If you are experiencing real hunger. Never hurts to ask.

Like others above, check with your team. I was to aim for 20 macros of protein for each of three meals. I couldn’t do it but that was the goal. I ended up 20 for breakfast, 10 lunch, 10 around 3pm, 10 around 5ish, and 10 in the evening one hour before bed. In my efforts to curb nighttime snacking habits, I started then (and still maintain now) 50% or more of my daily food should be consumed by lunchtime. It makes me go to sleep earlier and wake up refreshed, and mostly banished the nighttime munchies. Obviously this won’t work for everyone. I was never a morning person, nor a breakfast eater before surgery. You’re doing great, keep up the good work!

Hi all! Me again! Wednesday I am 3 weeks post op! I think I have the food down and just trying to figure out when I can do more than just walk my dog lol

My 3 weeks post op meal now is 5 oz in total, but most of the time I have to stop and go back to it to finish. It includes 3oz of protein, 1oz of vegetable and 1 oz of starch. All need to be mushy or moist. Bake salmon, cream of wheat and broccoli puree with onion and sour cream. It was delicious! Portion control is going to be very important now. I believe I can still eat the food I used to eat, but it will have to be post ob portion. I told myself “ I guess I can go to very nice fancy restaurants now and be full with just their appetizer.” 😂 lol My before meals

Wow 3 weeks post op and only 2oz? I would contact your clinic and see if they have any recommended plan. Did they tell you how many meals a day? For my program they told me to have 3 meals a day. I use my shakes as snacks. My meals at 3 weeks post op is 5oz tho. 3oz pf protein, 1oz puree vegetable and 1oz of starch. I can’t finish all, but I would stop and go back to it.

Woohoo I hope I passed the stall stage for real! Ive been stuck at 241 lbs up and down for 2 weeks and it went down to 239.6 this morning. I am counting small victories. From 240s to now in the 230s! My surgery weight was 250.4lbs. So after 3 weeks 11lbs down. Yayyy This week I can add mashed or puree vegetables and grains like cream of wheat and grits. Sharing some image of my progress. Also the salmon, broccoli puree and cream of wheat was delicious as my lunch! Good source of protein too. My nutritionist advice for each meal now is 3oz of protein, 1 oz of vegetables and 1 oz of starch. Always try to eat the protein first. My daily calorie intake is between 600-800 including the protein shakes. I am drinking 1 1/2 bottle of shakes. I fell 2 shakes to be too much for me, and 1 1/2 is just right. Protein intake is about 85-100grams. I will ask on my next visit to find out if I really need that much of protein since they told me my daily goal should be 65-75 grams initially.

I'm currently almost 3 weeks post op and am on 2 oz servings of purees, but I don't know how many per day. I find that I'm not very hungry during the day but by around 7pm, I am hungry. By that time I've already had a "breakfast" puree and a "lunch" puree and will have "dinner" but after that, I am just hungry. Continuing to meet my fluid goals with water and Jello don't really do anything to help. I feel like I need more substance but I am unsure how many servings of 2 oz purees in a day I should be consuming.

I agree with @Arabesque, track your food and see what you're eating, how much, and how often. The further out we get from our surgeries, the easier it is to slowly get off track. Our stomachs stretch out a little and we notice we can eat more, so we do. Definitely reach out to your dietician and see if you guys can come up with a way to get back on track. It's normal to have the weight loss slow drastically as time goes on, but if you aren't where you want to be yet, there's ways to fix it. But definitely start tracking your food and liquid intake, reach out to your dietician, and make sure you're moving your body. Even if you don't do full workouts, make sure you're moving every day. Park at the far end of a parking lot, take stairs instead of the elevator, take a walk a few times per week...anything to get your body moving.

I'm not sure what she actually meant by that, but I know I take certain comments differently now that I'm normal size than I did when I weighed almost 400 lbs. If I was eating dessert now and some friend or relative called me a "piggy" (that is, if they said it in a joking manner), I would have just assumed they were teasing me was because I was eating dessert. Before my surgery, I most definitely would have assumed they were referring to my weight. I also remember my mother-in-law teasing my 20-something niece once when we were having pizza for someone's birthday. My niece was wearing some new outfit or something - can't remember - and when she grabbed her third piece of pizza, my mother-in-law jokingly said "you'd better watch it or those pants aren't going to fit" (or something to that effect). She said it in a joking manner and I knew she wasn't referring to Sarah's weight, but Sarah is obese so at the same time, I knew exactly how she (Sarah) would have taken it - and she did. My mother-in-law has never been obese, so she wouldn't have understood how that comment was taken. When I explained it to her afterward (when the party was over and it was just me and her and my husband), she felt terrible about it. I knew she did because she brought it up several times over the course of the next week or so (she also apologized profusely to Sarah)

4 weeks, 3 days Sorry for the delay in posting. The first week after I got home I slept a lot, night and day. Eating and drinking enough is hard when you sleep so much, so I haven't been meeting my goal of 64oz fluid and 100gm of protein, but I've been getting at least 48oz fluid and at least 60-80gm of protein. My protein oatmeal with extra protein added and my Pure Protein Bars with 19-21gm of protein is a huge chunk of that. 3 weeks in, after sleeping most of the day my body decided it was done with that, and since I'd just slept all day, it chose to stay awake at night. I've been trying to get my sleep pattern under control, but when I went to bed at 10:30 I awoke at 1:24am refreshed from my nap and last night I went to bed just after midnight and woke up at 4am and wasn't able to get back to sleep. I think this time I'll be able to stay awake all day though, so I'm hoping to sleep through the night tonight. I've still been having a hard time with my diet goals since I am trying to sleep at night. If I didn't have the luxury of working at home on my own schedule, I might not be having such a hard time sleeping because I'd be forced to a regular schedule. My husband has had his reservations, but has been supportive through all this because I promised I'd take care of myself. When I feel bad for being gone so long and now sleeping on the couch instead of snuggling with him, he tells me that I've just had surgery and I'm healing, sleep when my body tells me to sleep, and if the couch is more comfortable than sleeping reclined in bed, sleep there. At least I'm spending a few hours snuggling with him at night now. A couple days after retuning home I took my surgical tape off and discovered that I'd pulled a couple stitches. Remember those painful sneezes? I'm pretty sure that's when it happened. I have mighty, full body sneezes that sometimes makes my arm go numb and always said I'll probably die because I sneezed while driving. The wound didn't reopen. There was no bleeding or seeping, there were just larger scabs and one had a tacky feel. The scar in that area in front is going to be uglier than the nice thin scar in the back. This isn't the surgeons fault and nothing would have been different if I'd been there for a follow-up and he took the tape off. I'm waiting for the last scab to fall off before I start using the scar gel and massaging the scar. I have been concerned about the puffy area just above the scar across the front. I told myself it's probably just inflammation. They tell you not to judge the way you look because you won't see the final results for 6 months to a year, but it's hard. When you look at before and after pictures, the after pictures are long enough after for the inflammation to be gone. I went to a friend's commitment ceremony 2 days ago and another friend there had a lower body lift and BBL here in the states with one of the best surgeons (they have more money than me). She had her surgery 10 days after mine and she has that too, so I feel better. To summarize how I felt moving around week by week: Week 1 was difficult getting in and out of bed and it was painful. Week 2 I had the roll and push method down pat so it was easier to get up and down from bed and I could move around better, but when I'd first get up I'd walk more hunched over and this was when I had the really painful sneezes. It was easy to not push myself and to remember not to lift things or bend down because I could feel the pain in my stitches. I was very itchy. Week 3 I was able to move easier and could reach for things, but I could still feel it pull at the stitches, but it was more discomfort than painful so I was having to remind myself not to lift things and to not twist. This is when the itching was at its worst. Week 4 I'm getting stir crazy because I am still not supposed to drive and I promised my husband I'd take care of myself, which means following doctor's orders even if I think I'm OK to drive. Because of the mini BBL he did, I'm not supposed to drive for 4 weeks, then for 2 weeks only short distances "if I have to drive". I was moving normal, but I could still feel it pull at the stitches, but not really uncomfortable, just a pulling sensation. I still itched really bad, but it wasn't as constant. Now I don't really feel any pain except now that I'm sleeping without the pillows and my hips are on the bed, I am not sleeping on my right side because the incision is still a little tender when sleeping with weight on it there. Thankfully I can sleep on my left side and it doesn't hurt. Of course, I haven't slept more than 4 hours that way yet. I was supposed to wear the compression garment 24/7 except when showering for 4 weeks, then for 4 weeks I can sleep without it. I cheated and slept without my compression garment and drove a night early. It was really nice to snuggle with my husband without it even if it was from on top of pillows and just for a little bit because I couldn't sleep. I snuggled lying on 2 thick pillows with my hip/butt between them because of the mini BBL. After talking to my friend who had her lower body lift and BBL here, I'm rebelling a little bit. She was told she could sit on soft furniture without a pillow and sleep in bed without pillows keeping pressure off her butt. I'm still obeying my doctors orders regarding sitting because I can't find an entry on Google supporting that you can sit on soft furniture, but after talking to her I decided to sleep without the pillows under me. I have a thick Temper Pedic Memory Foam pad and REALLY want to snuggle with my hubby and sleep normally. I sleep on my side and he didn't transfer fat to my hips, that's where he took it from. As mentioned above, I can't sleep on my right because it's still tender there when sleeping on it. Of note regarding my breast lift/implants. I don't talk about them because they haven't hurt at all until recently. I get twinges now at the lower scar. I've had implants implanted, removed, and implanted again, so 3 surgeries and the scar tissue at the bottom of my breast is pretty thick and now that the incision is healed I need to start massaging it to break that scar tissue up. The first time I had implants (2006) it did hurt. I had to lean to the side to get one hand wet, then lean to the other side to get the other wet, then rinse the soap off the same way because leaning forward hurt, and it took almost a year before I didn't look like I had super pecs (they sit high when they are new). I'm assuming it didn't hurt this time and they have already settled because the skin didn't need to stretch. Maybe the signals from the incision from the lower body lift overrode anything my breasts might have wanted to tell me as well. When I hit 6 weeks and "can drive", I'm going to drive to Missouri. My Mother-In-Law has cancer of the esophagus and they need help taking care of her. I can work from home and they can't, so I volunteered. She needs help bathing and having her diaper changed, her feeding tube needs cleaned and feeding bag filled, and she and her house needs taking care of. She is on hospice, but not close enough to the end to have daily helpers, but she has a nurse stop by twice a week and a helper come twice a week for a couple hours, so I can save heavy lifting for the helper. I'm going to ask my husband to take some 4.5 week after pics so you can see what it looks like soon after the incisions heal. I'll post again at other intervals so you can see progress as the inflammation goes away and the scar heals. Other than that, I will post if I feel I have something relevant to say regarding my progress. I'll only post about my MIL as it relates to my being able to care for her due to my surgery because this isn't a cancer support forum.

I did not have to commit to any amount of time for my Dr but they do recommend 2 weeks because then you can usually get the drains and stitches out. I stayed 6 days at a recovery house and then another week at my moms because she lives just 30 min from the border. That second week I just sent pictures to the dr as needed for updates and then traveled once to go get my stitches and drains out before I flew home. You can travel the day after surgery if you wanted to but I would really not recommend that because I could barely move. I really had no pain and other patients of his seem to have no pain too. I was just on tylenol and nothing else for 5 days. But you are so stiff and numb its like wearing a plastic suit or something and makes doing anything so much harder. I am on several plastic surgery boards and so far basically no one is reporting any hair loss like after bariatric surgery. I have not lost any yet but it also didn't happen until 3 months after my surgery before. So I'm hoping it won't happen but its too early to say for sure.

Are you still in contact with your dietician? Might be worth a conversation with them to see if there’s something you’re missing & to get you back on track. Maybe track your food for a week or two as well if you don’t. Can be easy to get a bit complacent about portions, ingredients, etc. as time passes. You could take this data to the dietician too. Have you see your surgeon recently? PS: Can you provide a little more information: type of surgery, starting weigh, weight lost, current weight, how long you’ve been plateauing, etc. It’s very helpful when offering any advice or suggestions.

The PPI won’t cause hunger. It reduces the acid in your tummy. You’re ahead of the game if you can differentiate between head & real hunger. Yay! Those distraction activities will help when you are experiencing head hunger. If you feel hungry after you’ve eaten, that’s head hunger too. Try a warm drink instead of a shake. They’re a meal replacement not a snack. Many are advised to wait at least three or four hours between eating & only three meals a day & maybe a snack. I still have times I can feel liquids go down. It’s a bit weird at first but now it’s just one of those things like my vey noisy, rumbling, grumbling tummy. Your experience last night sounds like late stage dumping not the foamies. The foamies (frothy, thick saliva & bringing up what you ate that was stuck or too coarse or too much) occurs pretty soon after you’ve eaten the offending food. Dumping symptoms can include chills, weakness, light headedness, nausea, bloating, heart palpitations & vomiting &/or diarrhoea. Dumping usually occurs if you eat foods that are too fatty, have too much sugar. Even dairy can cause it. It occurs when these foods go through your tummy to your intestines very quickly (dumps through your system). About 40% of bypass patients can experience dumping. Once you work out what causes yours, you can avoid those foods. Some say in time they work out how much of those foods they can eat without experiencing dumping. Worth a conversation with your team to diagnose & management.

my first stall was during weeks 2 and 3 post-surgery, so it started one week after my surgery, too. Just stick to your plan and stay off the scale for a few days if it's messing with your head. As long as you stick to your plan, the still WILL break. It usually takes 1-3 weeks.

Day 5 out of 14 on the pre-op diet and I've settled into somewhat of a routine. I do a Bariatric Fusion cappuccino shake at breakfast with a 20 oz decaf tea that has 1/2 cup Fairlife milk and a scoop of collagen in it. Oikos triple zero yogurt for a mid-morning snack. Bariatric Fusion chicken soup shake for lunch. Jello for snack. 2 scoops Syntrax Nectar unflavored powder in one cup of Pacific Foods tomato basil soup for dinner. Jello for dessert. Sometimes a Good Night protein hot cocoa before bed if I'm hungry. I also take my chewable Celebrate One 45 vitamin, 3 celebrate calcium chews, 2 scoops of Benefiber, Vitagut liquid probiotic, and a liquid omega 3. Believe it or not, all of those supplements add 160 calories and 14g carb to my day! I also drink three 32oz waters with a sugar free flavor packet in each. Total average daily macros: 850 calories, 105g protein, 11g fat, 50g carb Weight loss so far: 7lbs

I haven't had a movement in 2 weeks and i take senna every night !

Thank you so much for all these suggestions! Yes I feel hungry sometimes after 30-60mins of a meal. So I drink water or protein shake. I do take PPI, that could be a possibility of why I still feel hungry. Most of the time it’s my head hunger craving for certain food. Also my tummy does rumble but don’t really feel hungry. I’ve been able to tell what type of hunger I am feeling. when I drink liquid, I literally sit there and drink with small sips through out the hours….when my tummy feel full from it, I come back to it later. I can feel the liquid traveling down when I drink. Yesterday was my first day being able to reach 60oz of liquid, but at night I didn’t feel well. Had my dinner at 6pm, went to sleep 11pm. I woke up feeling something up my chest and when trying to get up, I vomited. Sorry if TMI. It’s was all slimy mucus. No food. I was shivering, chills, migraine. I vomited a few times then vomited foamy bubbles… well after that I felt so much better. In search to see what is going on with me, it seems many bariatric patients go through this, but usually right after eating if they didn’t chew well or had too much food. I have tofu last night tho. It’s soft and should be easy to break down. On the bright side, It seems I am breaking my stall. From 241.6, I am now 240.6 lbs. even it’s only a little bit I am happy, because I am on this stall since 2 weeks ago, only 1 week after surgery.

We have the same surgery date!! I'm lucky in that they don't require a full 2 weeks of the pre-op diet for me. I start on Tuesday, but no meal for dinner. Protein drinks for all 3 meals and then other stuff for snacks. Best of luck to you!!!!

Give your meds a chance to kick in. Do some therapy. Try eating some soft foods and drinking your protein for now (protein shakes, protein gatorade). What do you mean when you say your body is falling apart? How far out from surgery are you? The symptoms you're describing sound pretty normal the first few weeks out from surgery. They do get better. If you're further out, it may be because you aren't meeting your fluid and protein goals. How close are you to hitting them? What are you eating and how often? We need more information before we can offer any real advice. I will say that there isn't any doctor that will do a surgery to stretch your stomach back out, so that's out. Instead of sabotaging your surgery, let's see if we can come up with some suggestions to help you through this.

When I had my sleeve, I took 2 weeks off (desk job). When I had my revision to bypass a year later, I felt fantastic and only took a week off. I had a harder time with the sleeve than I did they bypass, but everyone is different. A week is absolutely essential, 2 weeks seems to be the average, some even take 3 weeks off. Personally, I had my doctor write a note saying I needed 2 weeks off, that way I knew I had it. I needed all of it with the sleeve, but I was able to go back after a week with the bypass so I just had my doctor write a new note saying I was cleared to go back after a week.

Nope. I've thrown up on several occasions (at least once a week). Haven't torn anything

My husband, daughter, and son all have had the flu the last few days. Horrible vomiting and diarrhea. I am so afraid of throwing up. I’m almost 3 weeks post op from RNY. If the worst happens and I do throw up will it tear open my stitches?

I agree. Take a breath & celebrate what you have achieved so far. Then, yes, get back in your surgeon/dietician's plan as you were before the holidays. Make an appointment with your surgeon & your dietician. They’ve seen it all before & shouldn’t judge especially if you’re asking for help. Do you track your food? If you don’t maybe do it for a week or so to make sure you’re not missing something. It’s easy to miss something especially if you’ve let things slide or you’ve got a bit complacent about portion sizes, etc. And you can review it with your dietician. Maybe make an appointment with a therapist too to help you reflect on what was behind your slide & help you get back on track mentally & emotionally. All the best.

I took three weeks off (desk job) but could have gone back after two. I was pretty tired the first few weeks after surgery, though...

IIRC, vitamin E can cause some issue with blood thinning. Although the amount that's in a multi may not be enough to do that. They may just mean don't take a separate E capsule - but I'd check with them. Also, before some of the surgeries I've had, I've been told to stop taking all vitamins about a week before - although I don't think I was told to do that before my bypass, though. UPDATE: I just read on realself.com that the amount of vitamin E that's in multivitamins usually isn't enough to cause problems. another update - I don't know what kind of multi you're taking, but Centrum, for example, has 13.5 grams of vitamin E. Those vitamin E specific things are usually at least 400 IUs, which I just learned is equal to 268 mg. So yea - what you're getting in a multi is a really low dose.