Caloric Intake

[AmberFL 746]

Hi all,

I had my surgery 1/24, the first two days I consumed 250-300 calories with only broths and Water. I could hardly choke down a sip or 2 of Protein Shakes. Today I was able to incorporate yogurt and modified liquids. My “stage 2” stats are 64oz of Water 72g of Protein, 16g carbs and 11g of fat with 502 calories.

I had two “meals” bfast was a 2oz of hot Cereal with FF fairlife milk and protien powder, then had protien shake, lunch was zero sugar chiobani yogurt, then had another Protein Shake. I really want some Soup but that’s a head hunger thing.

is this too much?

[ChunkCat 728]

I was consuming something other than Water every 2-3 hours as per my dietician's instructions.... I didn't really think about calories, I focused on my Protein goals, water goals, and "eating" frequently. I still eat every 2-3 hours, so about 5-6 times a day.

It sounds like you are progressing nicely!! Lucky you! I was on strict liquids for 2 weeks post op. Sounds like you get more things. I suggest broth or tea when that head hunger kicks in. Or a sugar free popsicle. I'd check with the guidelines your dietician gave you, often they want hydration focused on the most for the first few weeks, with protein goals a close second. Calories usually come in (if they come in at all) once you are on soft foods. But every practice is different!

Edited January 28 by ChunkCat

[AmberFL 746]

36 minutes ago, ChunkCat said:

I was consuming something other than Water every 2-3 hours as per my dietician's instructions.... I didn't really think about calories, I focused on my Protein goals, Water goals, and "eating" frequently. I still eat every 2-3 hours, so about 5-6 times a day.

It sounds like you are progressing nicely!! Lucky you! I was on strict liquids for 2 weeks post op. Sounds like you get more things. I suggest broth or tea when that head hunger kicks in. Or a sugar free popsicle. I'd check with the guidelines your dietician gave you, often they want hydration focused on the most for the first few weeks, with Protein goals a close second. Calories usually come in (if they come in at all) once you are on soft foods. But every practice is different!

My plan doesn’t talk about calories in the beginning the booklet they gave us was 60-80g of protein and 64oz of water min. Then they gave us examples of what foods to eat. My dietician told me stricked liquids for 3days and then starting to today modified but if I got sick or threw up back to Clear Liquids. I feel good but I feel like I shouldn’t lol! I should be struggling? Obviously I’m not eating what I used to. And my calories are way lower than before this program.

[NickelChip 1,211]

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 Protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream Soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake).

Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per Protein Shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it.

All of which is a longwinded way of saying you're doing fine! Congratulations!

[AmberFL 746]

38 minutes ago, NickelChip said:

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 Protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream Soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the Protein is coming from those 3 shakes (20-25g per shake).

Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per Protein Shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it.

All of which is a longwinded way of saying you're doing fine! Congratulations!

This makes me feel better! My shakes are the highest in calories for sure, I drank 2 yesterday! I see the scale moving, I’m 4days out and have lost 14lbs 😮 I haven’t been this low in weight in sheesh forever!
I read on this forum that our nerve endings that tell us we’re full is still numb so I don’t wanna over indulge or go down a slippery slope I can’t get back up from if that makes sense?

[NickelChip 1,211]

39 minutes ago, AmberFL said:

This makes me feel better! My shakes are the highest in calories for sure, I drank 2 yesterday! I see the scale moving, I’m 4days out and have lost 14lbs 😮 I haven’t been this low in weight in sheesh forever!
I read on this forum that our nerve endings that tell us we’re full is still numb so I don’t wanna over indulge or go down a slippery slope I can’t get back up from if that makes sense?

Yeah, I would just keep an eye on portion size to avoid overdoing it early on. I have a couple of favorite cookbooks out of all of the ones that I've bought (because I always overdo everything). They are: The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner (a bariatric surgeon), and Bariatric Meal Prep Made Easy by Kristin Willard (a registered dietician who specializes in bariatric nutrition). I would 100% recommend both of them and you can get them on Amazon.

I like Dr. Weiner's book because he gives you what serving size to expect at different stages post-op. For instance, there's a chickpea curry with riced cauliflower. If you're at 1-3 months post op, your suggested serving is 2 tbsp curry and 2 tbsp cauli (which is 1/4 cup total). If you are 3 months to 2 years, it's 1/4 cup of each. If you are 2 years or more, it's 1 cup curry and 1/2 cup cauli. What I like is that it normalizes the reality that you start with really small portions and naturally eat more over time. I see so many people getting so nervous because they are hungrier at 1 year than they were at 1 month, and it's like yes, that's what is supposed to happen! I wish this book had the nutrition facts spelled out for all three portion sizes, not just the largest, because my math sucks with fraction. And I wish it had more photos, although the ones it does have are very nice and the overall quality of the book is high.

What I like about Kristin Willard's book is it gives you 6 full-week meal plans and is meant for doing prep ahead, grab-and- go types of meals that you portion out in advance. Also, it is gorgeously illustrated with full-color photos for every single recipe. There is one weekly menu for purees, one for soft foods, and 4 for normal diet. They even include a shopping list for each weekly plan. In my opinion, (comparing to my surgeon's plan and what I see in Dr. Weiner's book) the suggested portion sizes are geared toward a patient who is 1-2 years post-op, so bear that in mind. You would probably get twice as many servings out of each recipe in the first year, and up to 4x the servings in the first few months. And of course both books are likely to have specific foods at a stage that your own program disagrees with, so you have to adjust accordingly.

I'm also going to give an honorable mention to The Easy 5-ingredient Bariatric Cookbook by Megan Wolf, a registered dietician and bariatric specialist. The book loses marks for the lack of photos but gains marks for its stage specific portion size suggestions and for all the recipes being really easy to pull-off without buying out your entire supermarket for ingredients. The author is based in Manhattan, and these are definitely recipes you could accomplish with a tiny NYC kitchen and limited cooking skills.

Honestly, if I had a friend going through WLS, I would probably give all three of these as a gift, along with a set of small (4 oz and 8-12oz) freezer safe food storage containers.

Hope that helps!

[ChunkCat 728]

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid Protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it.

Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours!

I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣

Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and protein, and later on when cleared for all foods, on adding complex carbs like veggies, Beans, and some fruit. Protein will help with the hunger, as does healthy fat and the Fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

Edited January 28 by ChunkCat

[AmberFL 746]

8 hours ago, NickelChip said:

Yeah, I would just keep an eye on portion size to avoid overdoing it early on. I have a couple of favorite cookbooks out of all of the ones that I've bought (because I always overdo everything). They are: The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner (a bariatric surgeon), and Bariatric Meal Prep Made Easy by Kristin Willard (a registered dietician who specializes in bariatric nutrition). I would 100% recommend both of them and you can get them on Amazon.

I like Dr. Weiner's book because he gives you what serving size to expect at different stages post-op. For instance, there's a chickpea curry with riced cauliflower. If you're at 1-3 months post op, your suggested serving is 2 tbsp curry and 2 tbsp cauli (which is 1/4 cup total). If you are 3 months to 2 years, it's 1/4 cup of each. If you are 2 years or more, it's 1 cup curry and 1/2 cup cauli. What I like is that it normalizes the reality that you start with really small portions and naturally eat more over time. I see so many people getting so nervous because they are hungrier at 1 year than they were at 1 month, and it's like yes, that's what is supposed to happen! I wish this book had the nutrition facts spelled out for all three portion sizes, not just the largest, because my math sucks with fraction. And I wish it had more photos, although the ones it does have are very nice and the overall quality of the book is high.

What I like about Kristin Willard's book is it gives you 6 full-week meal plans and is meant for doing prep ahead, grab-and- go types of meals that you portion out in advance. Also, it is gorgeously illustrated with full-color photos for every single recipe. There is one weekly menu for purees, one for soft foods, and 4 for normal diet. They even include a shopping list for each weekly plan. In my opinion, (comparing to my surgeon's plan and what I see in Dr. Weiner's book) the suggested portion sizes are geared toward a patient who is 1-2 years post-op, so bear that in mind. You would probably get twice as many servings out of each recipe in the first year, and up to 4x the servings in the first few months. And of course both books are likely to have specific foods at a stage that your own program disagrees with, so you have to adjust accordingly.

I'm also going to give an honorable mention to The Easy 5-ingredient Bariatric Cookbook by Megan Wolf, a registered dietician and bariatric specialist. The book loses marks for the lack of photos but gains marks for its stage specific portion size suggestions and for all the recipes being really easy to pull-off without buying out your entire supermarket for ingredients. The author is based in Manhattan, and these are definitely recipes you could accomplish with a tiny NYC kitchen and limited cooking skills.

Honestly, if I had a friend going through WLS, I would probably give all three of these as a gift, along with a set of small (4 oz and 8-12oz) freezer safe food storage containers.

Hope that helps!

Oh I like this! I may buy one of them! I am doing well with Portion Control. Even the cream broths I add Bone Broth to thin it out more, strain and only eat 2oz which is perfect. It takes about 40min to eat it. I am using my sons old baby food containers when I made his food lol I’m glad I kept them!
thank you for your input it helped a ton!

[AmberFL 746]

7 hours ago, ChunkCat said:

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid Protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it.

Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours!

I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣

Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and Protein, and later on when cleared for all foods, on adding complex carbs like veggies, Beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

I like the Baritastic App but it doesn’t allow me to do it on my computer at work. I like being able to on my PC, since I am not allowed to have my phone in our office for security reasons. So I am using MyNetDiary and I really like it and it has a scanner.

I literally am that person where I’m wondering if the surgeon did the surgery right or at all 😂 I’ve been on the forums for months so reading everyone’s story I was sure I would have terrible issues but I guess J should just appreciate that I am progressing fine and doing well. I am following the guidelines to a T on the workbook and not skewing off the types of foods so that is helping. BUT I am dreaming of having a layered dip FF refried Beans, light sour cream, cheese and guac with whole wheat chips. I know I’ll only be able to eat 2 chips and a tiny dip but it sounds delish!!

I do have the glass jars I kept my sons when I was making his baby food. I used them for dressing for our salads when I packed for lunches lol so I’ve been utilizing them and only eating 2oz of any Soups.

I am getting that heavy feeling in the middle of stomach so that much be my que. I figured it was gas telling me to slow but idk how much slower I can eat! It takes me 1hr to drink a protein shake!

thank you for your wealth of knowledge it really helps!

[AmberFL 746]

7 hours ago, ChunkCat said:

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid Protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it.

Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours!

I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣

Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and Protein, and later on when cleared for all foods, on adding complex carbs like veggies, Beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

I like the Baritastic App but it doesn’t allow me to do it on my computer at work. I like being able to on my PC, since I am not allowed to have my phone in our office for security reasons. So I am using MyNetDiary and I really like it and it has a scanner.

I literally am that person where I’m wondering if the surgeon did the surgery right or at all 😂 I’ve been on the forums for months so reading everyone’s story I was sure I would have terrible issues but I guess J should just appreciate that I am progressing fine and doing well. I am following the guidelines to a T on the workbook and not skewing off the types of foods so that is helping. BUT I am dreaming of having a layered dip FF refried Beans, light sour cream, cheese and guac with whole wheat chips. I know I’ll only be able to eat 2 chips and a tiny dip but it sounds delish!!

I do have the glass jars I kept my sons when I was making his baby food. I used them for dressing for our salads when I packed for lunches lol so I’ve been utilizing them and only eating 2oz of any Soups.

I am getting that heavy feeling in the middle of stomach so that much be my que. I figured it was gas telling me to slow but idk how much slower I can eat! It takes me 1hr to drink a protein shake!

thank you for your wealth of knowledge it really helps!

[AmberFL 746]

7 hours ago, ChunkCat said:

Yeah, I got a pack of these freezer safe glass 4 oz baby food jars on Amazon and they've been really helpful with portioning!! At first I could only eat about half of one, so about 1/4 cup total. A bit less if it was solid Protein in meat form other than fish (beef, chicken, and pork sit heavier). That was it for about two months. In this third month my portion size suddenly increased to about 1/2 cup in total now! As far as meat and veggies are concerned at least. I have always been able to eat a little more of soft things like yogurt and pudding... But my PA told me that increase at 3 months is perfectly normal, and I could expect it to increase in stages throughout the first year or two, to not panic over it, hunger is natural and mine never went away from surgery, so I've really had to cultivate a healthy relationship with it.

Because those stomach nerves are still healing, I watched my portion size carefully and really paid attention to discovering new fullness cues. For me those are a runny nose, hiccups, burping, and aggressive sneezing fits! Plus this building pressure or weight in the center of my stomach. These are all normal signals for bariatric patients, but we all get our own unique combination so be on the lookout for discovering yours!

I think 2-3 shakes a day paired with things like yogurt and soft cereals seems really normal. It is great you are progressing so well! The problem with forums and support groups is we get used to seeing people post with problems and then we expect to have a slew of problems ourselves! And sometimes we do. But often times we don't... The majority of bariatric patients have no complications, progress their diets easily, and worry about eating too much and if their surgeon even did their surgery. 🤣

Your metabolism has been reset, it will handle calories a bit differently now. Just stay on the conservative end with simple carbs, as they can slow weight loss sometimes. Focus on that hydration and Protein, and later on when cleared for all foods, on adding complex carbs like veggies, Beans, and some fruit. Protein will help with the hunger, as does healthy fat and the fiber once it is safe for you to digest. My dietician told us to think more about macros than calories. So, to make sure things had less than 10 grams of sugar per serving, more than 20 grams of protein per shake, less than 10 grams of fat per serving, and keeping our total carbohydrates for the day under 50 grams in the early months...and that was their advice for all surgeries, with varying protein goals for each different one. Baritastic app has been really helpful with the tracking!

I like the Baritastic App but it doesn’t allow me to do it on my computer at work. I like being able to on my PC, since I am not allowed to have my phone in our office for security reasons. So I am using MyNetDiary and I really like it and it has a scanner.

I literally am that person where I’m wondering if the surgeon did the surgery right or at all 😂 I’ve been on the forums for months so reading everyone’s story I was sure I would have terrible issues but I guess J should just appreciate that I am progressing fine and doing well. I am following the guidelines to a T on the workbook and not skewing off the types of foods so that is helping. BUT I am dreaming of having a layered dip FF refried Beans, light sour cream, cheese and guac with whole wheat chips. I know I’ll only be able to eat 2 chips and a tiny dip but it sounds delish!!

I do have the glass jars I kept my sons when I was making his baby food. I used them for dressing for our salads when I packed for lunches lol so I’ve been utilizing them and only eating 2oz of any Soups.

I am getting that heavy feeling in the middle of stomach so that much be my que. I figured it was gas telling me to slow but idk how much slower I can eat! It takes me 1hr to drink a protein shake!

thank you for your wealth of knowledge it really helps!