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I think I've settled in on getting bypassed, so I'm trying to gather all the information I can. Dumping doesn't sound pleasant and I want to get as much information about that as I can. I have read sugar and fat is the biggest contributing factor to dumping. I get added sugar and fat, but what about items that have natural sugars, like fruit? Or natural fats like avocado or nuts? What about sautéed vegetables in olive oil? Or is Dumping more of a personal trigger? What are your go-to alternatives for sugar and fats (oils and butter for cooking) Thanks all! Sent from my SM-S908U using BariatricPal mobile app Sent from my SM-S908U using BariatricPal mobile app

Fairlife and Premier shakes got me through my pre and post op diets. They all all kinds of flavors. If they're too sweet, you can always dilute them with almond milk.

Hey! I’m not a nurse but a monitor tech and work 12’s. Your best bet is loads of little things starting out- Greek yogurts, eggs and cheese, string cheese, taco meat, chili, etc. condiment or mini lunch containers are great. Take the time and walk away from the floor! You and your health are just as important as your patient. After all you’ve taken the steps to get to where you are now, don’t let others derail you by being unprepared for success when you come back. Also, water bottle at the hydration station and a phone timer to schedule breaks.

Hello Welcome to the forum. You seem to have everything sewn up and are ready to go. I would suggest you have a look in the heading ' Food before and After' especially posts by @Starwarsandcupcakes This lady does meal prep on steroids. She has given me loads of meal ideas and new foods that I have never heard of. I think she may be a nurse too. Good luck and hope to see more of your posts in the future

Hi everyone. I was sleeved on january 12. My pain started on Friday. I felt like a pull on my right side, under the big stitch. The annoying pain was there all weekend. Monday it started more like a burn. Saw my dr and he said it was normal. Tuesday when I got up from the coach I left my insides literally rip and a burning sensation. It kept happening everytime I would walk and get up from sitting to standing. I went to the ER . They did xrays, ct scans, blood work and everything came back good. The er dr called my surgeon. I apperantly ripped an internal suture. It is the worst pain I have ever felt. I am now on bedrest and pain meds to heal. Has anyone ever been through this? How long did this pain last?

You are always entitled to a second opinion. Or second doctor. They have to provide you with your records and /or send records to new doctor. It is not up to Dr B to decide if Dr A can do the surgery. It is up to Dr. A. . I would contact and request an appointment with them if possible. Or get a recommendation from Tricare for some even if a little further out. I am speaking from experience because after having my 6 months of nutritional visits, psych evaluation, cardiac clearance, other medical clearances that were required, and upper endoscopy, and multiple other things my insurance denied me having surgery saying that it was not medically necessary even though I met every bit of the criteria and my PCP had referred me to having the surgery. I ended up having to change doctors 7 months into the process because where my husband works they also have transcarent which is a plan that will help pay for surgeries. The initial surgeon that I was saying did not take it so I had to go to a different doctor transfer all my records to them . I had my consultation one week , pre-op the next week, and surgery the next. I had to be sure that I had it all done in the month of December because I did not want to have to start over on paying my deductible and everything else with my insurance because we had already met our deductible and out-of-pocket expense for the year. So thankfully I had surgery on December 28th and all is well. Good luck! Sent from my GN2200 using BariatricPal mobile app

Something isn't adding up here. If she's getting in 109g protein, that's 436 calories right there. If she's only taking in 662 calories, then her protein would be about 65% of that. Maybe some misinterpretation of what MFP is reading? I can see that they might "recommend" 35% protein for her low calories - a typical normal diet might be 15-20%, and a bariatric weight loss diet might well be 50-60% (or more, at the beginning when we are eating little else other than protein.) 60-80g would be a typical recommendation for a woman with a sleeve, as there is no significant malabsorption involved, though some go higher than that as a means of avoiding "carbs", or under the false assumption that the extra will help avoid loss of muscle mass (it will to the point that one is actually working to build muscle mass, but the only thing the excess does, other than make expensive urine, is to avoid deficiency, but one doesn't need much extra to avoid that - the typical bariatric recommendations will cover it.) It does sound like a bariatric RD would be a good person to consult, and if she is truly only getting 6-700 calories and still struggling, then there may be some other metabolic issue going on, and some other appropriate specialist may be in order. But a good RD would be a great start in getting a good baseline of what is really happening dietwise. Starting at 400 lb, a sleeve is often somewhat marginal for getting to normal, particularly for a woman of that size (how tall is she - that's a factor as well in determining an appropriate goal and understanding metabolic issues.) You say that she recently moved cross country - where is she now - that can be a help in finding new specialists. It might be that the VSG is indeed marginal for her needs, and she really needs something stronger. A DS is a straightforward conversion from the VSG (as it uses the sleeve as its basis) and is typically the strongest metabolic tool of the mainstream procedures, so that is also a longer term consideration.

Stop putting yourself under pressure. You won't magically stop losing weight after a certain time span. You stop losing weight when you're in a caloric equilibrium and you start losing again when you're in a caloric deficit (even years out).

NO ! You haven't wasted anything ! You have GAINED experience, you have gained the knowledge that IF you eat certain foods, you won't lose weight. One of the biggest issues for many people, myself included isn't losing the weight... if I really set my mind to it.... it is keeping it off. I am a dozen years post surgery. Look at where I started and where I am now. About 4 years ago I decided to take some gained weight off.... again... and to stop every so often and maintain THAT weight for a while. BLEW MY OWN MIND !!! I could eat more, or eat treats and maintain my weight each time. Two years ago I got down to about 172 - 173 and decided to stay there and only panic if I got to 177. I kept a 40 pound weight loss for 2 years. AFTER losing 120 pounds 12 to 10 years ago. A while back... a few months I decided that I would just try to get back from an average of 175 to maybe that 172. Took my time, made some small changes. Gained 2 pounds during the 8 days of Chanukkah with some latkes and jelly donuts. And family dinners. Not a problem. Went back to what I was doing before our holiday and lost the two pounds ... (again) and didn't beat myself up over it. As soon as I stopped eating the holiday foods, the two pounds came off and another couple pounds after that... For me, it is all about getting into the right head space and weighing daily, watching what I eat, and balance. Friends dropped off dinner for my adult daughter and I tonight.... line caught, home made fresh FRIED fish. And french fries. (REALLY ?!) The fish was delicious. I ate 4 fries. And a piece of fish. I have fish for lunch tomorrow, and dinner..... and my daughter has fish and fries for days... I am the same weight now as I was in college... in 1977. From my heaviest weight I am almost half of myself. NEVER ever say that you cannot. Take a break from being so hard on yourself. Take a week and maintain where you are now. Then go back to where you need to be. You can do this.

I’m 4 years out. At home I still weigh my food. At dinner I eat around 1-1.5oz veggies & the rest is protein. The whole meal is 3 -3.5 oz. If I eat more then that I get too full & I’m uncomfortable for a while. When we eat out I eat a little less then 1/2 of the meal, my husband & I usually share an entry. If I’m eating out with a friend I ask if I can order something on the kid’s menu. At about 1.5 years out I started eating over 4 oz & I put back on 30 pounds! I used The Fast Metabolism Diet & I did great & I actually got to my goal weight!