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I think a lot of surgeons prefer the sleeve because it's an easier surgery to do. It seems like it's also overtaken bypass as the "gold standard" (although that wasn't true when I had my surgery since it was still relatively new then - at least as a standalone surgery). Although there are a few situations where bypass is the better option (like...GERD). I had GERD prior to surgery. My surgeon said he'd do either, but he recommended bypass as it usually improves - and often outright cures - GERD - whereas, as you know, sleeve can make it worse (although only in about 30% of cases. But I didn't want to take the risk). I'm glad he encouraged me to at least consider bypass because I didn't want to end up one of those 30%. But there are sleevers on here whose GERD never got worse, and for some, it even improved. It's really a crap shoot. anyway, yes - it's definitely a risk. I'm not sure what to tell you since this guy seems deadset against doing a bypass. And you're sort of limited by your insurance. Yikes. What a predicament. Although maybe you'll luck out and be one of the 70% who DON'T experience GERD issues (or in your case, worse GERD issues). My heart goes out to you - that's a difficult position to be in.

I use chia seeds in my protein balls. There are tons of protein ball recipes, I just pick one and add the seeds!

The surgery often changes our tastebuds & sense of smell making it difficult to tolerate certain foods, flavours & textures. I found the shakes awful - super sweet & grainy. I’d force myself to have one in the morning which I’d dilute & then had soup for the rest of the day. Bone broth is a better choice but I found them very salty so I ate cream soups. Try a plant based protein powder instead of the whey. If you struggle with whey powder you’ll likely struggle with whey based pre made shakes too. Try making your own yoghurt drink smoothie by blending Greek yoghurt with milk to a thin consistency. Add some unsweetened powdered flavours if you need. Check with your dietician &/or surgeon be sure though.

Thanks for updating us!! I am so sorry they had to change their surgery plans... My 3 week liver reduction diet didn't seem to work very well either, my surgeon said my liver had not responded the way he'd hoped it would have, but he's a pretty skilled surgeon so he was still able to do my full surgery with it. I have read about a number of people with that issue that end up having to stage their surgery though... I really hope you do well with the sleeve, maybe you won't even have to have the second part done!! I'm glad you have the option to though... The feels are strong after surgery even when everything goes perfectly, so I can imagine you were feeling it with everything that happened, plus the meds coursing through your system! I hope your pain continues to ease. Keep updating!! ❤️

Has anything changed? New medication? Lifestyle change? Has a little complacency slipped in? Not as active? You’ve been through Thanksgiving & Christmas recently could they have contributed? Go back to tracking your food & fluids to check you’re meeting goals. Go back to how you were eating before you reached your lowest weight in regards to portion sizes, calories, macros, etc. Protein first, then vegetables & finally only if you’re able any carbs you’re allowed. Check in with your dietician to ensure you’re not missing something. Remember not everyone reaches their goal. The average weightloss at the three year mark is 65% of the weight you would need to lose to put you in a healthier range. You’ve got this.

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

Hi all I had surgery on Aug 28 I went from 197 to now 173 which going down even 1 pound is better than going up. My goal is 160 which means I have 13 lbs to go. I have been sticking with my dietician’s initial recommendation- basically no white carbs. I was a potato head. Now if I want something with potatoes I use sweet potatoes instead. I quit rice and I was never a big bread eater. For the most part I stick with protein first and veggies. I continue to monitor sugar intake - the added sugar in food products- at home I have used Splenda for a couple years now. I don’t really snack I just eat my meals. My issue has been that I’m not hungry. My weight dropped then stalled and it wasn’t until I began to take in more protein that the pounds started coming off again. If you haven’t already I would suggest reaching out to your dietitian to reevaluate your diet and get some helpful new insights. Always be kind to yourself and give yourself grace. Celebrate every oz and inch that comes off.

Hi friends! I’m now 9 days post op. I’m in the puréed food stage and although my diet plan had this amazing sounding broccoli and cheese soup (puréed) recipe, it did not set well on my tummy. I ended up experiencing my first “dumping syndrome” last night as a result of about 3 teaspoons of that soup. I’ll say it has been a challenge to learn what my body will and will not tolerate. Just because it’s in a recipe book doesn’t always mean YOUR body can handle it. The experience I’ve had so far was that when I take a bite of something I’ll sit and let it digest a little to see how my belly feels about it. Most of the time it responds with gassy feelings, but the times where it feels PAINFUL, usually means it’s a no for me, at least for this stage. But last night the soup gave me no indication that it was going to end badly, so I had three teaspoons-to my delight as my family was eating it too-so I didn’t feel so “odd-man out” for this meal. But regardless, I’m feeling that cheeses, even smooth cheeses, for me may not be an option right now. If you’ve experienced the “dump”, what are some of the indicators you’ve had to tell you BEWARE? Also, did you feel absolutely depleted afterward? I felt like I just ran a marathon and all I wanted was rest. It was awful!

1. What was the best part of surgery for you? The jumpstart to weight loss was obviously amazing, but I was surprised how quickly my usual body pain & aches stopped bothering me. My knee problems have basically vanished, and the lower back pain I had gotten so used to living with has gotten so much better. I can breath easier when doing things that used to have me out of breath -- going up 2 flights of stairs, for example. 2. What was the worst part of surgery for you? The pre-OP shakes -- I'm lactose intolerant and have trouble with stevia, and there were no shakes my care team could find for me that didn't have one-or-both things, so I spent a good 8-9 days barely keeping anything down. The surgery itself went off without a problem, and the pain wasn't as bad as I thought -- other than the car ride home! If you get WLS, bring a pillow to clutch to you afterwards!! 3. Did you have any complications (minor or major) during or after your surgery? Nothing during, nor after -- but I'm only 10wks post-OP tomorrow. 4. How has adjusting to your new life been for you? I too am on SSRIs for long-time depression & anxiety. Most days have been awesome and cheery. Even during the initial aches and pains of recovery, just knowing that things were going to start changing for the better improved my mental state. I still have bad moments / days but once I started seeing all the improvements to my life it makes it easier to push through. It certainly helps to have a good support system -- people in my life, but also honestly this forum. TBH I was in a #$%& mood all day and feeling lethargic, but logging in here I know that everyone here understands and it just makes me feel more settled. 5. How long did it take you to feel comfortable eating food? I am currently having a ton of problems with chicken breast. I hate 'dark meat' poultry, but tried chicken thighs recently and it's not too bad but still leaves me with a heavy feeling in my stomach -- still better than the stuck feeling in my chest that the white meat gave. I feel like no matter what I put on it or how I cook it, it's just clearly a No for now. That said, for the most part everything else has gone down well as long as I eat slowly, and make choices consistent with my care team's plan / schedule. Going from puree to soft foods was probably the hardest for me physically, because it felt so different in my stomach. 6. Is there anything you can’t eat anymore that you used to enjoy? It's early on for me, but the changes in my body's hormones seems to have stopped most of my cravings. When I'm having a rough time emotionally, I still have momentary yearnings for old 'comfort foods' but honestly just the thought of some of them will turn me off within a few minutes. (For some reason if I think about fatty oils too long, I just get nauseated). And many of my old comfort foods have just updated into healthier things I can eat. Instead of my mum's Dutch mashed potatoes, I have a smaller bowl of healthier mashed potatoes (or cauliflower, or heart of palm) with a scoop of bone broth powder to up the protein. Instead of spaghetti and meatballs, I have homemade meatballs and extra sauce -- or a ricotta bake instead of lasagna. 7. What was your recovery like? Any vomiting or dumping syndrome? I've had one instance of dumping syndrome so far, and it was 100% my own fault. I knew what the culprit was immediately (white-flour leftover tortilla and more difficult chicken breast). I won't lie, I seriously wanted to die for probably an hour, and then slept the rest of the day away. It's horrid. I'm hoping that I've learned enough to take better care / caution and avoid any more instances. Other than that, recovery has been pretty smooth. All my incisions healed up without issue, the gas pain only lasted a few weeks and then there was just a strange tightness / mild soreness on one side of my body for the first 5-6 weeks. 8. How long did it take you to feel semi-normal after surgery? I want to say 2-3 weeks. Around the time I started eating puree (week 3), my energy levels started bouncing back much more rapidly -- which let me walk more easily. 9. Did you experience higher energy level post surgery? 100% yes. NGL, sometimes I feel like skipping even though it's not suitable for someone my age, LOL. I feel like I've been more efficient at work post-OP just because of the energy improvement, and physically I notice the increased stamina every time I go on an errand or for a walk with my dog. (I tire her out now!) 10. Did surgery affect your mental health? For the better. Some of it is because the energy and the physical improvements make me feel better about myself in general, but part of it is kind of a trickle-down effect. I spend more time making good, healthy choices for myself, spend more time being mindful whether it's while I'm eating, or making a grocery list, cooking, etc. It's so much time spent on self-improvement and self-care. So I have less time to worry about what other people's secret thoughts or judgments might be and take people more at face value. I have less time to waste on people that bring toxicity to my life or can't respect my boundaries. It's like this microcosm of self-care made by investing my energy in my current journey has expanded it's hooks into the rest of my life. I feel like for the first time in my life, I am actually one of my top priorities. 11. Do you regret it? Would you recommend it? I had moments of regret during dumping syndrome, for sure. But as soon as I recovered from that one bout, I was still happy I'd done the surgery. I think it definitely forces us to take ownership of our own health and making the best decisions we can towards that. I would recommend it to anyone who has struggled with weight loss and can honestly look at their life and see themselves living in this framework for the rest of their lives. By all accounts it seems to be incredibly important to keep it all up -- the vitamins and supplements, the healthy choices and portion sizes, etc. I would NOT recommend it for anyone looking for a magic pill. This takes work, will continue to take work.

Hello everyone. Hope you are all doing well. My journey is still a bit confusing. So overall, I’m doing great. Down 65 pounds since my surgery on Oct 9th. Thing is, I was down 55 pounds after the first six weeks. And only lost 10 pounds this past six weeks. Keep hitting frequent stalls every couple weeks. Trying to keep getting my protein in. Biggest thing that puzzles me is the amount I can eat. Unless I strictly measure my portions, I’m able to eat a lot more than I feel I should be able to. For example, I can eat 10 grilled chicken nuggets in about 15 minutes. Also can drink about 10 ounces of water at a time. I had RNY surgery btw. My surgeon looked puzzled when I told him this, but then just blew it off. He told me I should be eating 4-5 bites per meal. Yeah right. More like 15-20 bites unless I strictly measure it out. But let’s face it, that’s not always possible when I work 50+ hours a week. Oh and my hair is starting to fall out. Apparently it’s normal for RNY patients around 3 months. They have assured me it will grow back later. Sure hope so. But otherwise I feel great, moving much better and no more plantar fasciitis or knee pain. How is everyone else doing?

Not food related but physical limitations? yesterday was day 6 post op and I’m not driving but I needed to get some stuff done. I was out a total of 3 hours. Sipping water along the way. Well I get home and got a little protein shake in and crashed out.i slept nearly 7 hours.woke up in a lot of discomfort, nauseous and even coughing up mucus . I guess my body told me too much too soon

They’re Creons & are a pancreatic enzyme. I take them for my protein malabsorption which began after my gall removal. I take one 25 000mg capsule 3 times a day. Started on a lower dose but it wasn’t enough. They were prescribed by the doctor who does the follow-ups for my surgeon.

The instructions I was given were 48 hours of pre-op liquid, with total fasting beginning the evening before surgery. The longer liquid diet is to promote rapid weight-loss and shrink your liver, but some surgeons don't find this necessary, or only apply it to patients over a certain BMI. The 24-48 hours of liquid-only and/or fasting prior to surgery is just to clear your digestive tract prior to operating. Also, some surgeons don't require a puree stage and go from foods like yogurt and ricotta directly to moist proteins and fully cooked veg that you are instructed to chew for 30 seconds to a minute before swallowing (essentially pureeing them with your teeth).

I dont know what weight you are so its really guess work. I did a 3 week pre op diet and with 2 months post surgery weight loss, I dropped 40 pounds. If you do the same and bought your outfit, maybe your clothes would not fit. I really had a struggle with food after surgery. At 2 months I was just about getting the hang of it. I would not have eaten regular food. Soup, milk, yogurts and cheese were my staples at that time. If I had to go to a function I would pack myself a emergency pack, just in case. I had massive drops in energy and needed lots of little meals to pick me up. I still carry protein bars and a drink.

I have yet to get a surgery date, I'm hoping for January. It's interesting how different some doctors are and what they require. My Dr. wants me to do a 2 week liquid diet before surgery. Also, I've been using Premier Protein. It has the most Protein @30grams of most other protein replacements.

The most likely way I can think to lose 8 lbs in 18 days would be to stick with a very low calorie diet of protein shakes and steamed or raw vegetables from now until after your appointment. Not the easiest thing to do with the holidays, and not a very healthy way of eating, though.

I think many of us have our own places where we self-sabotage. For me, going into this surgery, I knew consistency was going to be a challenge because I have ADHD and my brain really struggles with routine, even though routine helps my life flow better... The biggest thing I've done to help myself is to not allow things into the house that I'm not supposed to be eating. I put them all in a basket and put them in my partner's office. Out of sight, out of mind. LOL To support me, they keep the snacking in their office, thank the gods. The other thing I did was educate myself on what will happen to my body if I consistently fail my protein, vitamin, and hydration goals. Some other surgeries can get around this, but DS patients cannot. It is a very unyielding surgery. When I was younger I had a friend who had an old school bypass and was non-compliant with the dietary advice and vitamins. She'd sit there and chat while eating M&Ms, breathe through the dumping symptoms, and keep on eating them. Her hair was falling out and brittle, her skin was dry, she'd get heart palpitations with the slightest bit of exertion because her calcium was off. I can't even imagine what was happening to the strength of her bones... I don't say this to scare you, I say this to illustrate what can happen long term when we can't get our habits under control. I know for her, she just had the surgery. She had no aftercare. No psych care. No mindfulness coach. No dietician. No one supporting her through these difficult changes and helping her understand what was happening to her body when she was making less than stellar choices. Every time I'm tempted to ignore my vitamins or skip a meal I think of her and march my ass to the fridge and eat some cheese. 😂 You have a good list of things to help course correct. I've seen you post before, I know you are trying. Where is your support system to help you achieve your goals? If you have no one local, where and how can you cultivate them? I find when it is hard for me to act in my best interest, that's the time when I most need my support system to kick in and give me a helping hand...or a kick in the ass. Instead of focusing on what you need to NOT do, how can you frame those things as a list of supportive things you can add to counter those behaviors? It is so easy with our dieting history to get into a restrictive mindset, but I've been working with a mindfulness coach who has been encouraging me to be additive instead of subtractive and that helps a lot with the mind game that surgery is! So instead of fussing at myself for missing my 3rd snack of the day, I've instead added a morning protein cocoa made with Fairlife milk, Genepro protein, collagen, and a hot cocoa mix. It packs almost 30 grams of protein in one go and soothes my queasy early morning tummy. Plus by front loading it in my day, I increase the chance of having time for that post dinner snack! And yes, dehydration and lack of protein will make you snack and feel hungry... Try a snack/meal with protein and fat.

I know people who have a protein shake in the morning (mostly because they're not "breakfast eaters", but they can handle a shake). I see no problem with that. In fact, I remember one of the dietitians at our clinic telling us that if we can't stomach breakfast, just having a protein shake then is fine. So you're good!

The plan is there for a reason - to protect all those staples & sutures holding your digestive system together & support your recovery. Remember too that a lot of nerves are cut during the surgery so messages & signals just aren’t getting through or aren’t getting through clearly so you may not know if you are hindering your recovery or doing damage or not yet. As I often say, all because you can (or think you can) doesn’t mean you should. Plans do differ but it’s always best to follow the plan you have been given. If you’re struggling with the plan then discuss with your team what options or alternatives are available to you.

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.)

Your comment about slapping stupid people made me laugh! My answer is this: If I went around slapping stupid people making stupid comments I'd be slapping people 24/7! Although, all the swinging my arms back and letting go would be good exercise and probably therapeutic Just a fair warning, I'm a major smart A** so my response is my personality... Good or bad. Just do as I do; ask to see their medical license. Explain your doctor, who has the experience, knowledge and an actual medical degree in their medical opinion feels its a necessary medical procedure, then tell them you appreciate their bedside manner, "medical expertise" and judgement! I also like to add that insurance companies don't like to pay for "the easy way out" and unnecessary procedures, they don't go around approving surgery unless its necessary! If that doesn't stop them ask them why they think its "the easy way out"? Then shoot down their preconceived stupid concepts with facts and how its the furthest from easy to lose weight. Last option, ignore them and do what you need to do for you! After all, you can lose weight and get healthy, they'll always be stupid! Lastly, it always amazes me that people question or make comments about a medically approved procedure. Do they question a vasectomy ... or a cesarean birth, how about rhinoplasty for a deviated septum to stop nasal issues...how about a root canal..after all they could take the easy way out for these procedures...

That makes sense! I meant to bring some of those cups home but I forgot. My lip was busted after surgery as well. It seems to have gone down now, so that’s good! Hopefully yours will go down soon too. Where do you put your protein powder? In your water? I’ve been struggling to get the protein and water. I’m counting down the days till I can eat puréed foods and eventually solid foods again! Coming up on the holidays, this is going to be challenging. I just try to remind myself why of why I chose this path in the first place and knowing it will get better with time. Are any of you struggling with constipation? I’ve not had a bowel movement since before the surgery (12/14) but I’m wondering if that’s normal because I really don’t have anything solid in my tummy? Should I add Miralax to my water? What are some of the liquids that you’ve found you like the most right now?

I can't see why the weight isn't falling off for you. Dang, you certainly are eating very lean and low calorie. Seems unfair. I'm clearly nobody to give advice since I ballooned to nearly 350. I only know for my body and if I hit a stall I have to eat a bigger amount for one day then back down to low calories and it seems to jolt my system into more weight loss. My sister had gastric bypass - lost 85lbs and starved herself on cabbage to get down to the 100lbs loss so she could get her knees replaced. Once replaced and she started eating a normal (for us) diet and gained the 15 lbs back but has maintained her weight for the past 3 years. Th beef gelatin has no flavor, none. I can't eat sugar free jello due to the sweeteners they put in it. Many sweeteners are inflammatory and due to my super bad knees I can't stand any inflammation of that kind. If those products don't bother you then you could do sugar free jello, add some extra unflavored beef protein and have a tasty snack. I should add some foods make me retain water - like any tomato product and any wheat or rice. I've no clue why but if I eat those my feet, ankles and lower legs swell. I've been eating mostly paleo for the past 7 years. Has the Dr given any explanation? Any advice? My dietitian keeps telling me we are losing inches not necessarily pounds. I call BS. All I know is I have 17 more pounds to lose to get new knees. After that I hope to lose another 60 so my hubby can buy me a face lift (he doesn't know it yet) SURPRISE DEAR LOL

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.

Happy birthday! Mine was two months after my surgery but I’m not a big birthday party person. Sure for the significant decades but others not so much. I usually just cook something I like & in the before years I’d buy I treat. In the after years, I still do the same except no treat (I’m a rarely have sweets person now). Can’t recall what I did for that first birthday. Probably just stuck to my plan - it was more important to me. Don't think you can’t go out though. It’s just a matter of making the best choices you can from the menu & stick to portion sizes. Appetisers are usually an okay size. And doggy bags work for leftovers. You can even share a dish with someone else. As others have said, this is about learning about making better choices. It doesn’t mean you restrict yourself for ever more. Smaller portions, considering frequency of eating certain foods, using alternative ingredients or different cooking styles. Love fish & chips try grilled or steamed fish with oven baked or air fried not deep fried fries if you do decide to try a cupcake, you may find it overly sweet & you don’t enjoy it because you’ve been avoiding sweet for a while now. Our taste buds can become super sensitive to certain flavours too like sweet (or salty) too. Of course it could be delicious. I used to make chia pudding a lot. You could try that as a birthday dessert treat. I’d add vanilla extract or paste to the milk to give a little flavour boost or a little fruit. Plus bonus of protein.