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I had my gastric sleeve done in 2018, so have a few years experience. I couldn't eat anything for at least 4 weeks post op, and then it was a tiny teaspoon of mush at each meal. It took me hours to get through a protein shake of 300ml. By the time I finished the breakfast one, it was time to start the lunchtime one! And so on to dinner... 1200 calories seems huge to me at 3 weeks. I was struggling to drink enough water at that point. My tummy was so tiny. Even if I drank too much water, I would vomit, because my stomach was too small to cope. I still suffer that vomiting if I am too ambitious with my portions. I wouldn't be able to even get through 1200 cal now, unless maybe I went on a strict no carb, high protein plan. Even then it would be a struggle. High protein foods are SO filling. I love fish and seafood, but I can hardly eat 2 tbs of grilled salmon at a meal even 6 years out. I lost 90 pounds in 6 months, luckily no skin looseness... very fortunate. I have slowed my weight loss and then plateaued at 120 lbs loss. If I was you, I would go back to your protein drinks, and go from there.

I had vsg surgery on 12/19/23 I lost about 12lbs during the first week and a half but since week two hit I've been seeing the scale not move at all, my inches on my waist was going down so I was to upset. Then I had my post op visit with my surgeon and He told me that I wasn't eating enough, He said that I was losing too much weight and I had told him that the scale hasn't even moved for the past week. But he expected me to hit about 1200 calories a day where I've been eating me 400 or 500. He had said that I should add a couple of snacks in to my meals throughout the day. So three meals a day plus two snacks at least. And it's been a struggle but I've done that and I've been eating around 800 calories a day. Maybe 9:00 but now I'm gaining weight so I'm just unsure of what to do. Should I keep going at this? 800 calorie 900 trying to achieve 1200 so soon after surgery or should I just stick with my four or 500? It seems like so much food for 3 weeks post-op. Also, just so it's clear, I'm pretty much clearer to eat anything I want now just to use discretion when choosing my foods. I am hitting All of my protein and water goals. But I was before when I was getting 400 calories or 500 a day.

If you had a DS you are thought to absorb about 20% of the fat you eat, 60% of the protein you eat, and 100% of the carbs you eat. Your doctor should have explained this to you... The intestines can adapt some to the surgery over time, but most studies have shown DS patients continue to have malabsorption. That's the whole point of the surgery! In rare cases, there is a small number of patients who will lose more weight than they intend, or have excessive muscle wasting. The muscle wasting is normally due to not eating enough protein post surgery. A DS patient needs around 120 grams of protein a day, more if they workout trying to gain muscle. Are you taking your vitamins? Have you had your labs checked recently? In the case of someone who has lost more weight than they intended to with a DS, certain enzymes can be given to help them absorb more of the food they eat, or a surgical revision can be done to lengthen their common channel, giving them more length of small intestines to absorb calories from. Of the two, I'd try the enzymes first. If you gained up to 240 with the enzymes, clearly they were effective for you! So why not consider taking them on an alternating schedule, titrating the dose to slowly gain what you need, and then taper off of them and see if you can maintain?? If you want to do this with food you are probably looking at over 4,000 calories a day. That is going to be tough. You can only eat so much food in a day! DS patients usually don't count calories at all, we count macros because it is the macros that help us stay in our target range, since no one really knows exactly how many calories an individual with a DS surgery is going to absorb, we can only ballpark it. But you should be getting a LOT of protein and around 120-150 grams of fat, according to vets who have lived with this surgery for decades. To bulk, most people I know load up on carbs, which is not easy for a DS person unless you want to spend a lot of time in the bathroom, or you are lucky enough to actually tolerate a decent amount of carbs. But carbs will usually put weight on. If you want more people with DS to talk to, check the bariatricfacts.org forums. We are mostly DS people over there and most of the regular posters are vets. But be prepared, they are fans of straight talk and not everyone likes that!

I don’t know if you all have a Whole Foods out there, but out here we do and I got the box of split pea soup it was thin and I used the Mrs’s dash seasoning on it they also have butternut squash but to me it was kind of sweet.

I think you need to get back into contact with your dietician. Did you say whether you track your food & monitor your macros? Have you still be having regular blood tests as these will show if you are lacking in any nutrients & you can track & monitor any changes when comparing with your food data. This data will help your dietician to help you construct an eating plan that will meet your needs. There are tests to see if you aren’t absorbing certain nutrients. Like a stool test can identify how much fat is present & if you aren’t absorbing it effectively. I take Creons (pancreatic enzymes) three times a day to help with my protein malabsorption (curtesy of my gall removal - not a common side effect but I was just unlucky). They also help with malabsorption of fats & carbs as well as proteins. Worth a conversation with your doctor if it is discovered you’re have malabsorption issues.

Day 4 post op: Able to drink fluids, it's uncomfortable if I go too fast, as I knew, however I now know how fast is too fast for me. I'm walking on the treadmill fairly easily, slow pace, no incline, limited to 15 min at a time. I walked 5 times yesterday, only once so far today and only 5 min according to how I feel. I'm able to eat up to 2 oz at a time, so far I've had Chobani Zero nonfat greek yogurt, tuna pureed with light mayo with pickle juice, and a sugar free pudding mixed with protein powder. All of it has gone fairly well. I haven't vomited, very little nausea, and every day I'm more awake and thinking more clearly. My only issue so far has been a sketchy bladder. I guess of all things that could happen, it's pretty benign, but I had to have a catheter placed to allow my bladder to rest from being stretched too much. I think all the angry innards caused some shifting. In all likelihood it's just a temporary thing that will resolve when some of the swelling goes down. I have some nerve damage from many years ago so it isn't as far out of left field as it could be.

ok, so ever since surgery, i've developed (and maintained) this quirk where i like to order/buy a large amount of food with the intention of at least having a taste of everything, but usually don't in the end. someone usually eats what there, other times it gets tossed (it a terrible waste of food, i know ) my sister-in-law's sister half-jokingly accuses me of trying to fat everyone up around me so i look skinny (she's kind of a B, lol), and Mr. also half-jokingly worries that i have some sort of reverse-eating disorder. in any case, i realize it's probably not normal, but im ok with it for now. as i write this im thinking this is probably not the thread for this post...i feel like this has become bit of a downer! my initial intention was to post this beautiful bounty that i picked up while coat shopping yesterday: and i am pleased to report that i indeed had a small bite of everything (except the caramel daquoise - not a fan of caramel), and the fam and some company ate the rest...they will all be fat by years end! mwha-ha-haha! 🙄 clockwise from top left: cappuccino daquoise, lemon shortbread slice, roasted apple cake, salted caramel daquoise) guessing i ate maybe 150-200 cals worth.

I am turning 50 in a few months, and I've struggled with my weight most of my life. At 26, my BMI was probably around 30, but I didn't have the health issues so it was just a nuisance to me. I tried dieting and healthy eating for years, but my weight increased steadily in typical yo-yo fashion. Post-pregnancies, I spent my late 30s and early 40s in the 35-39 BMI range and started getting co-morbidities. By the time my BMI hit 40 this past year, I was aching in my feet and joints, had high blood pressure and cholesterol, and was prediabetic. So it's not about weight or appearance at this point but getting control of my health now, while my body can still bounce back and hopefully age more gracefully. I feel like I'm at that tipping point where if I don't act, the next decade will not end well and I will not have a good time of my senior years. This is despite all my best intentions and 7 years of actively going to a weight management doctor. All of that is to say that trying hard and knowing the right things to do rarely leads to success if you are prone to obesity. It's a disease, not a moral failing, no matter what people tell you. Unlike dieting, weight loss surgery provides lasting metabolic changes, as close to a cure as you can get. And you still will have to make all the lifestyle changes you would need to do anyway to lose weight, but they will actually work (instead of spending the next 24 years getting bigger and less healthy like I did). I have posted frequently about what a huge fan I am of Dr. Matthew Weiner's books, YouTube videos, and new podcast. Honestly, his books were life changing for me in terms of my perspective. I highly recommend starting there. He has 3 books, one is called Pound of Cure and gives great, scientifically sound information on what a healthy, set-point lowering way of eating looks like and how to get there. The second is a book that explains exactly how gastric bypass and sleeve surgeries change your metabolism and why they work (it's not just a smaller stomach and eating less!). The third is a cookbook with bariatric friendly recipes and serving sizes for different stages. These books are super fast reads. You can probably get through all three in a week (minus making all the recipes, of course!). With three months to go, my suggestion is get these books and start implementing the diet changes in a deliberate way. Start exercising in a sustainable way, working up to it little by little. See how you feel. Don't do crash diets. Don't start anything, whether food or exercise, you don't think you can basically do 90% of the time for the rest of your life, because there's no such thing as doing it for long enough to lose weight and then getting to "go back to normal." This has to become your new normal, with or without surgery. In three months, if you really aren't sure about the surgery, don't do it. It'll always be there. But know that it's an additional tool that will make the hard work you have to do either way in order to keep your health for the rest of your life more likely to stick. Without it, there's a very high (but not impossible) chance you will not be able to keep your weight in a healthy range.

You should definitely have access to a dietician through the surgeon's office. The problem with any of us giving you that info is that our surgeons all have different requirements. Some allow more carbs and fats, some restrict the heck out of them. Some allow higher calories, some don't. Some universal rules, though, are these: water intake: at least 64oz per day food: PROTEIN first, then veggies, then carbs. Protein, protein, protein!!! sugar: majorly reduce sugar intake (I went to sugar free and use monk fruit sweetener when I need something to taste sweet) salt: reduce the amount of salt (especially if you have high bp) and what I did was switch from normal table salt to Himalayan salt (it's healthier and has a saltier taste so you need less) I don't really want to tell you specifically how many calories, carbs, protein, and fats you can have, because as I said, that varies between surgeons. I can tell you what MY office said and what I do, but that's about it. Here's what my surgeon's office wants: Protein: 60-80g per day Carbs: 50g or less per day Fat: 50g or less per day Calories: first 6 mo - 1000 per day - after 6 mo - 1200 - 1300 per day What I personally do: Calories: non work out days - 1000 per day - workout days - 1200 - 1300 per day Protein: non workout days - 60 - 70g per day - workout days - 80 - 90g per day Carbs: non workout days - 20-25g per day - workout days - 35 - 50g per day Fat: non workout days - 20-25g per day - workout days - 35-50g per day Water: non workout days - 64oz per day - workout days - 64oz of water and 20oz of gatorade zero or Propel per day

Do you have a dietician? If so ask them for more specifics. We all need the amount of information & depth of detail that makes us feel comfortable & confident about we have to do. We have different needs (food preferences like vegetarian or vegan, food sensitivities or allergies, general health, current weight, age, mobility, etc.) which is why I suggest you get the specifics from your dietician for what will best complement your needs. Your surgeon may have requirements too. As some general advice, start tracking your food (lots of tracking apps available like My Fitness Pal). Increase your fluids to 2L/64ozs. Reduce or drop any carbonated drinks. Reduce snacking. Reduce the highly or ultra processed foods in your current diet. Increase your protein & vegetable intake - look at around 4oz protein & a good cup of vegetables for a meal. Modify some of your cooking styles like use an air fryer or bake not pan fry. Swap simple carbs for complex whole or multi grains. Reduce the number of sugary/sweet foods you eat. You don’t have to do all these things at once, unless you have a tight time frame but certainly start introducing a couple of these things each week or two until you get more definite information from your dietician. PS If you don’t have a dietician yet, ask for a referral to one from your team.

Regain is a fear I think we all carry with us. In addition to @Spinoza’s advice, make sure you restart tracking your food intake, fluids & activity too. It can be easy to let portion sizes slip, reintroduce foods that aren’t nutritionally dense & are calorie heavy, life gets busy so you drop or reduce any activity you were doing ir simply life throws challenges at you so watching what you eat gets forgotten or put in the too hard basket. Get back in touch with your team too: your dietician, therapist, etc. To talk through what’s been happening, any emotional, medical or psychological challenges you may have been facing, why you revered to old eating behaviours, better food choices etc. & look at ways you can better manage these considerations. Even meet up with your surgeon to look at what other options are available to you too.

Hi all, I am glad I’m not the only one having issues. I haven’t had steak in 16 months. A month ago I was woken by my husband as I thought his arm was a big ice juicy steak🤣 Cat you could be gaining muscle and that’s why the weight doesn’t look different on scales. But your measurements do. The surgeon also said when you go to soft diet/full diet you can have a stall. But also fluid intake plays a part. Some Guy you are doing a great job. Screw what others think. Sarcasm is the way to go. meisha tell them how much you’ve lost overall. As that is when your weight loss journey started. Some people don’t know I had the partial sleeve. But I went in for hernia repair august 2022 and ended up with the Partial sleeve cause of stomach damage. So mine was a bonus and a kick start to reality. Me……When I had my 8wk post appt we had talked about the pain I was in and not stomaching soft foods and how I might end up having gastric bypass……. Well I ended up in hospital NYE. I couldn’t drink/eat or even swallow my own saliva without excruciating pain. Turns out I had a perforation in my oesophagus and stomach with a lot of inflammation. We had to go on a drip as I was also very dehydrated. Have intravenous meds 3 times a day as I was becoming septic too. So I am back on fluids for this last week and the next two weeks. 🙄. So over fluids/liquids. I cried Christmas Day as everyone was eating turkey and prawns. but the plus side is I’ve lost 10kgs since Nov 2nd.

So I eat 4200 calories a day. Long story short. 456 pounds at age 19 had DS 39 now and I weigh 178 pounds I've been working out 3x a week for two years. Lifting weights. At first I lost muscle, because I was eating 2200 calories most days maybe 60 grams of protein. I now I eat 4200 a day and get 250 grams of protein easy but even with gaining muscle I don't gain weight on the scale yet. I've gained in the past but once I started lifting weights I stopped. I just stay at 178ish.. my doctor wants me to take enzymes but I want to be able to gain weight with food... It's annoying to me I can't even gain a pound. I'm slowly raising calories 200 at a time. I wait a month then I'll raise it again but does anyone know how many calories I probably need and can anyone tell me for sure how many calories I absorb and how much fat, carbs, protein I absorb? My doctor says he can't tell me because everyone is different but... I need answers. I find myself scared every day I'll lose weight.. it's crazy to me im eating so much but my doctor's kinda not cool.. so I don't trust him last time I took enzymes I ended up getting up to 240 pounds on accident and the idea of gaining that much weight scares me.. I prefer to do it normally I just wonder what the calorie number is need. What works for you

Eat what you enjoy the taste of. That goes for all food not just cheese. I eat cottage cheese because I like it. I eat tasty cheddars because they have a little kick. No point in eating anything that you cant taste. I have shaved parmesan. Our food is restricted. Enjoy the things you can eat.

Good that you caught it early. Maybe check back in with your dietician and get some support there. Try changing what you are eating around. Throw in new foods/recipes and snacks. Our bodies get very efficient with the same old foods and learn to make the most of the energy that we put it and out. Change the type of exercise that you are doing.

Yeah, while I work for myself so don't have to deal with coverage or time-off approval, I was somewhat grateful February was the option the doctor gave me. I had already rearranged a lot to accommodate the December date, and when that fell through, it left me scrambling. Turns out the week in February they gave me is pretty ideal, so I'm glad about that, even if the countdown is killing me. Between now and then, my main focus is on getting back to healthy foods after the holidays and developing a better schedule for meals and exercise that will help me be a bit more regular about both.

I eat all kinds of cheese at least once a day. A ounce piece of blue cheese and a chopped apple or grapes are my very fav right now for my last snack/ small meal of the day. I only eat full fat foods with the exception of full skimmed milk. I have used the skimmed milk so long I find full fat milk too rich.

I have been in other support groups and people say that a slow or even a stall is normal in the first couple months because your body is adjusting. When you start eating healthy foods and more intake your body will start burning again. The weight will start again. The slower weight loss is actually better for your recover is my understanding. I am 10 days out and down 15 pounds. I’m not in any hurry and as long as I’m still losing I will just follow my plan and keep going. keep us posted!

Reading a lot about tiredness and fatigue, is anyone feeling the other way at night? I’m struggling to sleep! I feel tired but ever since the op I have not got to sleep easily, have tried walking further in the day, reading etc but doesn’t seem to help!! (I’m 3 weeks post op on Tuesday) Feeling really positive otherwise though, the weight is coming down and the pureed stage doesn’t seem to be bothering me so much!! Just need to keep up with protein water to ensure I’m getting enough in, as only manage a few mouthfuls of the pureed food! Xx

Mmmm Cheese. Good. I ate low fat Jarlsberg from solid foods but I did revert back to full fat after a few weeks cause it tasted nicer. And would sprinkle Parmesan on my bolognese & in my omelettes. Close to goal I would eat Brie, Camembert, a soft blue if out socialising where there were snacks but not a meal, A couple of pieces were ample. Full fat is so much yummier but it’s all about how much you eat each time & what else you’re eating. Saw something recently about there being something in cheese that makes it addictive. I can’t recall what because I don’t care - it’s an addiction I’m willing to indulge.

I am preop and was just reading through the folder my surgeon's office has given me. There's a section called keeping the weight off where they talk about portions after you've gotten past the honeymoon period. They say that a meal should be 3-4 oz of lean protein with 20-25g protein, 1/2 cup of whole grain or starchy vegetables, and then half of the plate is leafy/non-starchy veg and fruit. The most important part for me was where they said: Sometimes portion sizes increase over time. If you feel you are able to eat more at meals, increase the portion of non-starchy vegetables. I would start there, because I think the tendency as appetite increases is to grab a bigger plate and increase everything proportionally. So now you may be eating 5-6 oz protein and 3/4 to 1 cup of starch or grain. And maybe adding in more sauces, more fats, a piece of bread, some alcohol, juice, some sweet treats, a daily snack. My surgeon's plan emphasizes keeping to 3 meals per day without snacking once you're past the first few weeks where you need to supplement with protein shakes just to meet minimum protein goals. But if you can regularly get 20-25g protein at a meal, plus 1/2 cup starch or grain and some veg/fruit, you don't need to eat more than 3 times per day, 4-6 hours apart. This is something that isn't always made clear. When I started this journey, I was certain that gastric bypass would mean having to eat lots of small meals all throughout the day, which is exactly what I'm being told not to do! But you do need to get at least 64oz of water or more all the time, and you can add as much veg and fruit as you need to feel full. I think that is where I would start in your position. Go back to measuring your meals, setting timers to remind you when your meal times are if you need to, eating only food you prepare yourself and/or know exactly what's in it. Check your cupboards for temptations and get rid of them. Pay attention to the urges you have to do something that isn't part of your plan, because that's probably going to show you the problem areas and help you figure out how to change. And most of all, give yourself a little bit of grace, because this isn't easy (no matter what people try to say). Take care of yourself. Get enough sleep. Get fresh air and exercise. Be kind to yourself.

I only ever eat full fat everything and that's since day one post op. I am so done with the mega processed low fat diet 'food' forever I hope. That stuff made me obese in the first place. I would rather have an ounce of regular cheese than a shedload of pretend cheese. Fat as part of a balanced diet is what helps me feel full/satiated and stops me eating for hours afterwards. So, to answer your question - I eat ALL kinds of cheese, just slowly and in moderation!

Oh no way are you too far gone at this early stage OP! If you can re-read your surgeon's rules and stick to them then you will be absolutely fine. I think there's an in-between stage for all of us when we *can* eat things that aren't on our programme but we know we shouldn't. It's because our healing stomachs don't perceive the solids or carbs or whatever and don't warn us to stop because they can't. When they heal up properly about 8 weeks after surgery you won't be able to eat more than your programme allows. Until then I would advise you to stick to the letter of the law. Carbs have little or no place in your food at the minute, you have plenty of time to reintroduce them over the next year or two. Soup - yes! Allowed protein - yes! (I say eggs all ways). There are loads of tasty things you'll be permitted and so much time to eat the others. Welcome to your new life x

I'd suggest kindly saying to them "I appreciate your worries about how I will change, change is scary! But what I need from you right now is your support, it will really help me succeed going forward and I know we will find many more ways to have fun together!" I went to see my family for the holidays. The road trip down and back was hard but I packed all my protein goodies (shakes, meat sticks, protein bars, protein chips) and the trip was a breeze from a post-surgery perspective. We went out to a pizza and beer place when we got there and yes, everyone else got pizza, except my sister and I, who got wings! Everyone else had cider, I had unsweetened tea. Everyone worried if I'd have something to eat or drink but it wasn't an issue in the end, and the best part of the meal was not the food, it was the conversation and laughter! I haven't lost that capacity post surgery! There is a thread around here where I wrote about my first post surgery experience eating out, I'll go find the link for you, it might be worth the read. https://www.bariatricpal.com/topic/444708-sick-after-eating/?do=findComment&comment=5014658 Last week I ate out with friends post Christmas so we could exchange gifts. I'm 2 months out. I had a red thai curry, no rice, and fried tofu. It was delicious and again, the best part of the meal was visiting with them and exchanging gifts! I didn't miss anything in the meal and they didn't try to push me to have anything that wasn't good for me. I really value how much support I've gotten since I've let people know about the surgery. Not everyone is supportive, of course, but they don't matter. The majority support me and celebrate all my wins and that is what I needed from them!

I will definitely being reaching out to you if I need encouragement! I have been thinking about the "after life" of this surgery and how it will look like. I am so proud of you having a positive experience with still enjoying all the things you can enjoy even if its smaller amounts or having to tweak what you eat. This makes me excited! Me and my SO have 3 kids and been together 4 years so I totally get the shoveling food down to get it done. LOL