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I did not skip the liquid phase, but my program does skip purees. They emphasize adequate protein and nutrient dense, natural foods. Here is what I ate, according to the directions my doctor and dietician gave me (for comparison, not giving you medical advice, obviously!): Hospital, 1 day post op (gastric bypass): Water, Jello, Chicken broth, sugar free popsicle. These all went well and I was able to finish them at a slow pace. Home, 2-6 days post op: Protein shakes, bone broth, sugar free yogurt, applesauce, plain kefir, Fairlife skim milk in decaf tea, herbal teas. Nothing that required chewing during this stage. Spoke with nurse via phone call, who confirmed I was meeting my 60g protein and 64 oz water goals consistently. She told me to start taking my vitamins and to incorporate soft proteins as I was able and to continue to consume 60g protein from shakes in addition to food. Days 7-13, here is what I added: Tuna salad with low-fat mayo, poached eggs, deviled eggs, scrambled eggs, hard boiled eggs, refried beans with melted cheddar, baked haddock, feta cheese, ground turkey with taco seasoning, cottage cheese, pickled herring. 2-3 shakes per day to hit 60g protein total (in addition to what I got from food). Met with surgeon in office on day 13. Based on having no issues with water, protein, or any of the foods I had tried so far, and healing nicely, I was told to start incorporating non-protein foods in the following order: non-starchy veg, fruit, starches/grains. I was told I could use protein shakes as needed if the food I consumed did not equal at least 60g protein but could skip the shakes if I hit 60g. Raw veg is fine. I need to wait until 3 months post op to add beef, lamb, and pork. Starting Day 14, these are the new foods I have tried: spinach, strawberries, edamame, turkey sausage, ricotta, chicken salad, steamed broccoli, kalamata olives, smoked salmon, black beans, cucumbers, matchstick carrots, tomatoes, grapes, sliced almonds. Today is day 18 post-op, and this is my menu today: Breakfast: A smoothie made from 1oz power greens, 1 cup frozen berry blend, 8 oz Fairlife skim milk, 2 scoops Syntrax Nectar unflavored protein, 1 Tbsp hemp seeds, 4 small pieces frozen avocado. 16oz total, 36.5g protein Lunch: 1/2 cup low fat cottage cheese, 4 no sugar added peach slices, 1/2 mini cucumber, 4 grape tomatoes, 1/2 tsp balsamic vinegar. 14g protein. Ended up eating half at noon and half a few hours later because I filled up very fast. Dinner: 3 oz baked salmon with pesto, 3 pieces steamed broccoli. 18g protein. I also will have had 64oz water, 28 oz decaf tea, and 4 oz skim milk by the end of the day. I have not added in any grains at this point because I can just manage to finish a serving of protein and a few bites of veg or fruit right now. Once I get 20-25g protein at lunch and dinner instead of 15g as I'm averaging now, I'll add sweet potatoes, but I'll hold off on white potatoes and breads. I really hope this helps! I would be very mindful of getting in enough protein and fluids in this first week, with an emphasis on fluids first. But as you can see, in another few days, it's very possible to be able to tolerate a variety of protein rich soft foods.

Just got a call from the surgery center I’m having mine done at. It had to be pushed back two weeks to March 26th due to a scheduling conflict. Frustrating!!

So it takes about 6-8 hrs for food to pass from your tummy through your small intestines to your large intestines. It takes about 36hrs in total for anything you eat to fully leave your body (pooped out). I’m going to presume you’re having gastric bypass which involves surgery to your small intestines (sleeve doesn’t) so not eating for 6 hours before sort of makes sense. However, saying that every surgery I’ve had was nil by mouth from dinner the night before regardless of time of surgery. I know people who are told nothing after midnight, who get up & eat a meal at 11:30pm. I had a pelvic MRI last week & it was nothing for 6 hours before which was odd because the images the MRI took of the pelvic region of course included the large bowel which would have been full of waste which was odd to me. 🤷🏻‍♀️ Check with your surgeon. Only way to be sure.

I would totally cry, but you'll get through it, it's only a few weeks. At scheduling it was already 3 months out for me and now it's only 4 weeks. The time went by pretty quickly, I've been keeping myself occupied with crosswords, books, tv shows, music, and little projects around the house. Getting ready for Christmas can be a focus?

I had my first doctor's appointment. I AM IN THE 260'S!!!! I haven't been this small in over 6 years. I'm down 13 lbs since surgery 2.5 weeks ago and 28 lbs since January. She said she fully expects me to reach my goal of 180 within the year I'm so freaking happy

1) a (well fitting) faja...i bought mine off amazon and had my mom tailor it to fit me...i was/am on the small side and those things did not come in my size...unless i paid $300+ (CAD) for them from specialty manufacturer. 2) a cane. dont laugh! i borrowed one from my mom because omg the back pain from walking around hunched over. i have not-so-fond memories of me hobbling around costco and the mall like a little old lady: 3) scar tape. it works. 4) a firm/hard pillow to sleep on to be elevated (i slept sitting up-ish) and to help get out of bed...i just took one of the back cushions from my couch downstairs and used it for as long as i needed. 5) a stool or something to sit on in the shower. i didn't do massages, but i've heard its helpful.

Chicken, Turkey & Bison ground meat is the easiest for me to eat and get enough in where I can get the protein I need. However, chicken breast is another matter. for some reason I can only eat about 2-2.5 oz of chicken breast. But I can have almost two cups of ground meat. Deli meats, I can get in about one to one and a half slices before I fill up. Greek yogurt with Pbfit2 chocolate and protein powder mixed is my go to. I can eat two cups and not feel stuffed. Weird thing is when it comes to eggs, I can eat two fried eggs easily, but two scrambled eggs and I can't finish it. Only thing I'm concerned with, is how very slow my weight loss is. I'll lose a pound or two, then go two to three weeks without losing. In fact, I weighed last week and gained a pound. I'm not sure how that's possible, but I managed it. The dietician and Doctor has assured me that's normal.

It may not be available in the dosage I need @SleeveToBypass2023. Plus I need progesterone too & the estalis patch has both. I don’t mind the twice a week. I just set a repeated reminder on my phone - Wednesday morning & Saturday night. I had an acupuncturist tell me yesterday I should get off HRT because one of my fibroids has grown recently. Two things I dislike: men giving advice about menopause & its treatment when the advice downplays the symptoms & effects and anyone who says HRT is bad for you. He even said he’d cured fibroids with acupuncture. I call BS on that one. Just think you could have had acupuncture & not surgery & a hysterectomy for your fibroids @SleeveToBypass2023. Grrr! Just fix my golfer’s elbow. Sorry, hijacked your original post @Dchonlee.

I am on the diet before surgery and they want me to lose 30 lbs, but I am not seeing the scale move. I eat between 800-1200 calories a day I only drink water and I have been exercising. I am worried and I don't understand why I am not losing anything. For the last week I have even been doing just two shakes a day for breakfast and lunch then a healthy dinner. Does anyone have any ideas?

I agree, the drinking and eating is time consuming. Take at least a week. Take what you can, you'll be glad you did. Remember its a major surgery either removing a portion of an organ or restructuring your digestive tract - either way its a serious surgery.

Excited and nervous pretty much sums up my mental state from last July when I started the surgical program to last week when I finally got the surgery!

Excited and nervous pretty much sums up my mental state from last July when I started the surgical program to last week when I finally got the surgery!

It was a long process with the NHS was about 3 years , when I got on the waiting list after meeting the surgeon, I was lucky to get a cancellation so I only waited 5 months

Hello, It’s been a week since i went through a gastric sleeve surgery and I use cannabis oils to help with other health issues, however, sometimes friends come over and i would end up vaping a little bit and now idk if its safe to vape after the surgery.

I wouldn’t trust any signals now either. Simply because many nerves were cut during the surgery, so signals either aren’t getting through, aren’t the same or maybe off. You won’t start to get these signals again until you’re fully healed (about 6-8 weeks). This is why it’s so important to follow your plan in regards to portion sizes and frequency of meals. Many do find their signals change. Well may be not change more you learn to identify and recognise what the signals really mean. Like a signal for being full (or had enough) might be sneezing, hiccups or a runny nose. We also learn to differentiate between head hunger (which usually used to drive us to eat ) and real hunger .Generally if you are craving a specific texture, flavour or food. Like many want to eat something crunchy during puree stage - that’s head hunger. Your desire for coffee is head hunger. Like @SpartanMaker said real hunger has different and unusual signals. I get restless and think something is wrong and then I realise I’m hungry. And yes, most times a grumbling tummy (hunger pangs) are just your digestive system working properly. It takes time to learn what these things mean to you. Just tread slowly and stick to your plan.

My goal weight when I first started this journey was 190lbs, I wanted to under 30BMI and felt that this goal was obtainable, I changed it to 170 since that would put me in the "healthy range". However, I feel like I am getting too small? I am wearing a size 6/8 pants from a 18/20 (NEVER IN MY ADULT LIFE HAVE I BEEN ABLE TO WEAR THAT SIZE!) Medium shirt from a 2/3xl, skivvies are Medium from a 2x, I am working out and trying to focus on toning. But Idk when I should enter Maintenance? My WLS team is so non-existent, I had one post op appt at 2 weeks and haven't heard from them since.

I did a few days before. Pics and measurements! Measurements are super important for when the scale stalls!!

As the weeks & months pass we slowly but surely increase our intake so I wouldn’t think the low calories we consume is truely sustained as it’s continuously increasing. And it affects our metabolism in the way you’re thinking either. The recognised benefits of weight loss surgery include resetting your body’s set point, digestive hormones & metabolism. Of course the resetting is different for everyone but there is improvement fir everyone & I so love & appreciate how it did that for me. I spent years & years eating one meal a day or skipping lunch & only eating two meals a day. That is sustained low calorie in my thinking ( years not months) & yes it did wreck my metabolism. I could barely lose anything even following those 500 calorie a day diets (talking a couple of kilograms over 6 or more weeks). Similarity to @ms.sss, in the first weeks after surgery I was eating around 200 then 300 calories. By 6 months, at my goal I was barely consuming 900. My weight finally stabilised at 18 months when I was consuming around 1300. Now at 5 years post surgery, I eat about 1600 calories yet am still the same weight I was when I stabilised. And unlike @ms.sss, I’m not what anyone would describe as active. Just do a series of exercises using residence bands & stretches at varying times through out the day. I wouldn’t burn 30 calories. BMR calculators do give you an idea of what your caloric needs might be but as @ms.sss said the results are based on averages much like BMI & the calculators that suggest how much weight you may lose after surgery are. The averages only take into account some basic factors & don’t consuder your individual needs, medical & weight loss history, genetics, activity levels, muscle density, etc., etc. Actually, have you considered doing a dexa scan just to see where you are in regards to muscle & fat density now & repeating it in the future to see your progress? Weight loss can continue for 18 months to 2 years after surgery so don’t give up yet and you won’t actually know what your caloric needs are until your weight has stabilises for some time - months or a year. PS - My surgeon & dietician also didn’t advise to count calories. I just did it randomly out of my own interest & curiosity. Quality of the food I was consuming was more important.

Just a thought whilst reading through others comments. I know you said that carbs are hard to increase, however I think that is the culprit. I work out 6days a week and I am closer to 80g of carbs and 30 ish g of fat most days. You don't have to eat bread but fruits, and veggies have carbs. I am not saying goes balls to the wall, but if your working out then 1800 cal is not cutting it. My BMR to maintain is close to 2500 calories, I eat about 1500 cal right now just because I cannot physically eat that much. I checked to see how many calories I need to gain weight and I would need to consume 3300 calories a day! I am not saying stuff yourself, but eating every 1/5-2hrs will be beneficial- add granola to your yogurt, protein bar right after working out, eat some peanut butter balls with oatmeal, maple syrup, caco nibs or chocolate chips, add cottage cheese to eggs with a handful of spinach. Beefing up your meals will help you feel better. Maybe you know all this but just my two cents

i've never used melatonin, BUT... some tips from a self-proclaimed insomniac (i.e, me! lol) i sleep very little (always have, but even less so since losing the weight). pre-surgery i averaged maybe 6 hours a night; past five years or so, its closer to 4 or 5. weirdly enough i still function perfectly fine during the day, and if anything i probably have an excess of energy (but i digress...). ANYWAY, if i had a few days in a row of very, very, little sleep, and i KNOW i need to get some sleep for some event (like early morning yoga, or need to go to the airport, or gonna have a long party day - like xmas, etc - or something) here are some things i do to ensure i don't toss and turn and stay up all night: 1) don't eat or drink anything (other than water) at least 4 hours before bed. 2) do a bit of cardio a couple hours before bed - OR - some deep stretching just before bed. 3) no screen time at least an hour before bed. 4*) sometimes a hot shower just before bed also works, but then my wet hair may annoy me. so this one is a hit or miss. Good Luck! ❤️

Hair loss is a super common concern with being post-op! and I hear you on not wanting to continue to lose hair, because it was quite distressing for me too lol. This type of hair loss, known as telogen effluvium, typically begins around 3-6 months post-op and can last for several months. Make sure you're staying well-hydrated and eating a balanced diet rich in vitamins and minerals. Iron, zinc, and other nutrients play a role in hair health. Hair loss after surgery is usually temporary. It might take a few more months before you see improvement, even after you address nutritional deficiencies. Keep up with your protein and supplement regimen, and be patient with the process. With all of that being said, it is something that you just need to ride out unfortunately. A big part of it is also because of the "delayed response" of not getting enough protein earlier on in your journey, so even though you're hitting your protein/vitamin goals now, it's still going to take a minute to kick in. It typically resolves with time and proper nutrition. Keep focusing on meeting your nutritional needs, and your hair should start to recover. Wishing you all the best on your journey!

Apparently they called the first week of the pre surgery shake diet hell week at my surgeon’s office. There’s a lot of withdrawal symptoms associated with it (sugar, carbs, caffeine). Your cravings go crazy - you always want more the things you can’t have. Your emotions are all over the place which often makes you want to comfort yourself with food. On & on. Round & round. I was vey relieved I was placed on keto for the pre surgery diet. I had done the shake diet before. Two shakes & one small portion meal of steamed vegetables & plain cooked protein. Did it for 8 weeks & then again for 6 weeks a couple of years later as another diet I was trying. It ain’t easy even with one meal. Check with your dietician regarding swapping out a shake for a broth/soup. Some companies do offer them as well as shakes but they’re still going to be low calorie & go through you quickly being liquids. You’ve got this. You can do it.