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Good Evening All! I am almost 3 years postop from my Duodenal Switch w/ Biliopancreatic Diversion. It has been a long 3 years but it has been worth all of the effort I have put into this. I recently had to have emergency surgery to fix a wall hernia/bowel obstruction and something with my mesentery. I am scheduled for my excess skin removal on July 8th 2024. I am excited and I am proud of myself for all of this hard work. Its not easy with this surgery and anyone who has gone through it or is about to, remember one day at a time and YOU CAN DO THIS!!

If you follow your plan, you won’t put on weight. You are consuming so few calories & even when you progress to purées, soft food & then solid food, you’ll still be eating so few calories & such tiny portions, that again you won’t put on weight. Not consuming calories, not meeting your protein goals (or at least being close to it) will actually be doing you more harm. Affecting your recovery & healing, putting your body into starvation mode, being nutrient deficit, etc. These will impede your long term health & weight loss. May be get in touch with your team & ask if you could see a therapist to work through this fear of eating. You don’t want to swap one set of poor eating habits with another & create new health issues. Trust the program. It works.

Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla. For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs. For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel. Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs. Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps. It's a helluva journey and I'm thankful to be on it!

I had the Pho broth from week one, I made it myself so it was not too salty or chilli hot. It was so good I could have bathed in it. At 2 years + now, I can manage a couple of spoons of noodles at the end of the meal. I don't crave mountains of noodles now, I am used to just a few for the mouth feel.

Thank you NickelChip for these ideas. I'm also having trouble. I asked my surgeon if my sugar addiction was going to be a problem after surgery and he said "no". Since I had the sleeve, I don't get dumping syndrome when I eat sugary things. I start over every morning, every afternoon, and every evening - lol. Because of back pain, I hadn't been able to walk very often, but I've been trying to get around the neighborhood a 1-2 times a day on the days I work from home. I want to get serious with weight loss so that my pain will lessen. I know sugar is an inflammatory agent - but, sugar addiction is real. brandycsiz we can do it!

**Trigger warning: domestic abuse** My name is Georgia, I am 27, and I have been 'bigger' for my entire adult life, and a lot of my childhood too. I have PCOS (Polycystic Ovarian Syndrome) insulin resistant type, and an Underactive Thyroid, both of which cause me to put on weight quickly, retain weight, and makes losing weight extremely difficult. I can't even remember the countless amounts of fad diets I have been on, or the amount of times I have tried to lose weight, but failed again and again. When I was 18 I was going to the gym 5-6 times a week for over an hour, I was doing HIIT training and Tai Chi, and I was jogging, eating well etc, but I still only managed to lose 2 stone in a year - make it make sense! I didn't know back then that I had underlying conditions that made it hard for me to lose weight, so I internalised a lot of the guilt in not being able to get healthy, and it resulted in me putting on around 6 stone from then until now. I was also a victim of domestic abuse/violence, and a lot of the verbal abuse that I suffered was centred around my weight - constantly being told by my ex-partner that I was fat, he would pinch my thighs, tummy, arms etc, telling me he was seeing how many inches I could lose. It completely broke me, and I started binge eating in secret. He ended up leaving me, telling me that he could no longer be with me due to my weight and how it made me sexually unattractive. I think I am probably just over 20 stone now. My back hurts when I walk, I cannot look in any mirrors without feeling low, I don't feel comfortable going out in public, and I am exhausted all the time. Every time I went to my GP about something, I was always told I needed to lose weight, as if it were a miracle cure and so simple to do just by trying hard enough. It was always blamed on me not putting in enough effort - and those in the UK will know that the NHS isn't a simple thing to navigate and the waiting lists for obesity support are long and often disheartening. Around 2 years ago I was put on a waiting list for weight loss management with the NHS. I was finally accepted in September of 2023. This is a year long commitment to the weight loss management pathway (Tier 3), in which you have to lose 5% of your weight in order to then be put on to another waiting list for a referral for the actual WLS (Tier 4). I have been told that this can take a further 4-6 years. I had a harrowing thought that by the time my WLS actually came around, I'd be well into my 30s, still desperately unhappy with myself, and I would have put on even more weight and probably be immobile. I can no longer do this to myself. I deserve better. I made the decision to look into private weight loss surgery, and I had a free consultation with a recommended surgeon just before Christmas 2023. This was genuinely the first time that a medical professional sat me down and talked to me with some humanity about my weight. He told me that with my conditions (particularly the insulin resistance, and hormonal imbalance), that my metabolic rate needed an entire reset, and this was not possible to do without surgical intervention. He explained that the difficulties I have had in trying to lose weight and being unable to, are not my fault (though of course I accept responsibility that getting here in the first place is my fault), and that surgery is recommended as perhaps the only thing that will enable me to lose the weight. I have never felt so seen, and so heard. I booked in my surgery for May 2024 there and then. So, now I start my journey, and I was looking for support, and here I am. I look forward to posting on here and using this thread to update everyone once I have had my surgery! I am quite an open and honest person, so if anyone wants to reach out to talk, my inbox is open

Happy to have you!!! I have been overweight most of my life, my first diet was at 12 with Weight Watchers because mom kept telling me that If I lost 20lbs I would be so pretty (it was never about health). My dad would tell me that I would never have a boyfriend because I was fat or I would struggle with acceptance because of my weight. I did not have my first relationship until I was 20 because of my self poor image ( I was about 240lbs at this point). Ended up marrying him and he was the most emotionally, verbally, sexually, physically and mentally abusive human being. We moved across the country and that's when the abuse got worse. He would degrade me and tell me no on would want me because I was disgusting and he had to imagine other women while we were intimate. We ended up having a daughter together and she was the best thing that's ever happened to me, but after 10 long years I left with my daughter when she was 18months! When I finally left I was 325lbs. Since then It opened me to a whole new world opened up for me and my daughter. I was able to focus on just us and my health was something that I needed to control- I started working out, eating right and got down to 240lbs met the love of my life and now I have happy weight. He is the best thing that has every happened to my daughter and I. Her bio-dad is not in her life, and we ended up having a son together and I shot back up to 297lbs. After some health scares with my family I decided WLS is the way to go!! I am set to have the Sleeve on the 24th!

KortGBP- I hope things goes well with your surgery and my the Drs hands be gentle and successful tomorrow! Wendy- hey surgery date buddy!

My partner does keto (very successfully) and has for years. He stays a mile away from processed foods that purport to be keto friendly. Ditching those allows for much more leeway with your carb goal. Cook everything from scratch and you will honestly never go wrong. In the immediate post WLS period it's hard to do full keto, or full any eating plan. Once you progress through the stages you can have whatever protein you like or can tolerate (and bear in mind that might change after your second procedure so don't be afraid to experiment!) plus green leafy veg/salad/mushrooms/cauli/broccoli/celeriac/whatever and smaller quantities of other veg (should not be a problem for you as all quantities are small quantities post WLS)! Cauli rice is fab with loads of meals. Sauce wise my partner eats bolognese/ragu - just no pasta. Curry - just no rice. Casseroles with no carbs and limited veg. I add the juices of meat or fish to the final protein part of the dinner and sometimes dress that up with a little cream or spice paste.

Abdominal distention can be a sign of gynecological problems (ovarian cancer among other things). Please get it checked out asap.