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I'm three years post op, and I aim for about 80grams of protein a day. WLS patients need to prioritise protein, so it's just a way of life for me at this point. You just have to focus on each meal being very high in protein. I find it helpful to learn what foods are high in protein (e.g. lean chicken breast, eggs, almonds, beans, chick peas) and always have them available in your kitchen. Even now, I still supplement with protein powder/protein creamers. I will make a smoothie or stir it into my coffee. I do prioritise protein over anything else. I never, never eat a meal or snack with just empty carbs (other than some dark chocolate for a treat). There always has to be protein in each meal. It helps that I'm a bit of a carnivore though. I like the taste of carbs, but I'll have meat with only a spoon of gluten free pasta or rice. The priority is always protein. Sometimes I think of myself like a player in a video game where the objective is to score extra points by having as much protein as possible. I eat so much chicken, it's ridiculous. High protein milk is good too. You get used to reading the labels on everything to check macros and protein. My other tip would be track your food with MyFitnessPal. Even the free version will keep track of your protein. Right after my surgery, I also had a special bowl and plate which marked out the ratio of how much protein should be on the plate. If I'm low on protein, I'll usually make myself drink a smoothie, that's 20grams of protein right there. If you haven't had your surgery yet, it should be relatively easy to hit the protein goals because you're not dealing with restriction yet.

I'm so sorry to hear that! Between my incision hurting and the awful pain after swallowing, this really sucks. The only thing keeping me going is the supportive words of people in this group telling me it's all pretty normal. The only thing I can suggest to you is that you absolutely continue with your pain meds. I just got a refill (granted, they only gave me 20, to begin with), and COULD NOT WAIT to take them. The majority of the pain was gone within 30 mins of taking my meds. I would also suggest taking a stool softener as the pain meds can be constipating. Good luck!!!

Of the mainstream procedures, the sleeve will be the most benign of them when it comes to supplement needs and the amount of trouble one can get into by ignoring them and the labs. Supplementing with the sleeve is largely an individual thing - there is much more influence by individual variations and dietary habits than there is from the surgery. I've never heard of B1 being a particular problem, but given that the primary dietary source is from the grain complex, and many people are into low carb dieting (Atkins, Keto, etc.) that minimizes that food group, it isn't surprising that such deficiencies would be showing up - not from the procedure, but from the chosen diet. My wife is chronically low in Potassium, but that is just her, not her WLS (as DS in her case.) That is managed by checking levels periodically and adjusting supplements as needed - just as if she had never had WLS. I have heard it hypothesized that there might be some iron absorption issue with the sleeve owing to the somewhat more rapid transit times of food through the stomach, but I haven't seen any validation of that concern. The malabsorbing (RNY, DS) procedures specifically do malabsorb minerals such as iron to varying degrees as much of the mineral absorption happens in the duodenum which is bypassed entirely (in the RNY) or partially (in the DS) so iron levels can certainly be more of a challenge with those patients. I had a bleed a few years ago that sapped my iron/ferritan levels, but was able to restore them to normal in a few months by doubling my oral iron supplement; most with an RNY or DS would need iron infusions to recover from those levels. I tend to lose a bit of D normally so have been supplementing that since before my VSG and continue to do so at moderate levels (2-5k IU) both from that perspective, and also our surgeon prefers to see us in the higher end of the normal range on the blood levels; some in the malabsorbing camp will use 50k IU supplements to keep things in line (particularly the DS folks who specifically malabsorb fat soluble vitamins such as D) I know quite a few long time DS people (10-20+ years) and have seen very little problem as long as labs are regularly taken (annually usually) and responded to; however ignore those at your peril as weird things can happen if you don't. And that's with the DS, which is the fussiest of the procedures in that regard. With a sleeve, you are much more likely to get into trouble by something that you bring to the table - whether that be intrinsic or behavioral - but that is good reason to keep up with periodic lab checks just the same (my labs are a lot simpler than those of a typical DS or RNY person, as there is less that is needed to be monitored with the VSG.)

Good luck, my RNY was 8/10. I agree with the walking. The more you move around, the better you will feel. Also, one day at a time. Don’t be discouraged if you have a setback or a bad day. I’ve definitely had some not great days and struggle with fatigue and drinking enough liquids but give your body time to heal. This is a big, life/body changing ordeal! Be well!

Good luck. Keep us posted. Sent from my SM-N975U using BariatricPal mobile app

Congratulations, self payer here too! I had my surgery about two weeks ago, time flies right by. Make sure to take plenty of before pictures, weigh yourself, and try to measure everything. I'm down about 22 pounds and I can actually see the results at this point. [emoji4] I'm so excited for you! Sent from my Moto Z (2) using BariatricPal mobile app

Im 2 months out also. I weigh in weekly. The first month I lost 4-5 pounds a week. Now averaging 2-3 a week.

I was soooooo sick for the first 18ish hours. I was really glad my husband didn't have to see me like that. There are pros to every bad situation. Lol.

@WhatATool:-) I lost 19 lbs. the first month. I only weighed at the Doctor's office so I have no idea what I was earlier than that. While some might be disappointed by that number, I was thrilled. It was the most I'd ever lost in a month & I hadn't gained as I normally would have if I'd kept on as I was pre surgery. Now 15 years later, I am right where I want to be. I hope you will be, too.

Definitely a stressful time, all the build up to it and waiting is exhausting