ChaChaBurch

That's perfectly normal! Not only have you gone through MAJOR surgery, you have several weeks ahead of being tired, low energy, and practically no stamina. It's all normal -- from the surgery, to the MUCH lower calories that you're taking in. Just really focus on Protein and hydration. Being dehydrated can cause your body to feel really tired too. I would suggest that if you don't see any sort of an increase over the next couple of days, call your doctor. They may need to give you an IV of fluids.

Just an update: I had my revision on 3/22 and I have to say it was the best thing I've done in a long, long time! It was done in one surgery and lasted only 2.5 hours -- and he was able to do it lapriscopically! I am so happy with my sleeve! No more getting stuck, no more sliming! I am on the "soft/mushy" phase, but so far it's been well worth it!

What you're feeling is completely normal. Your new sleeve is still swollen from the surgery (takes about 10-14 days for swelling to go down). Just remember that at this point, anything you drink (or eat) to take itty bitty baby sips (or bites). Wait a few minutes between sips/bites. I had a band to sleeve revision on 3/22/12 and I'm down 32lbs. I can tell such a HUGE difference with the sleeve. I'm on soft foods right now and by the end of next week I'll be on "regular foods" (woo-hoo)!! It will get better for you, I promise!

We did communion at Easter, and I remember prior to receiving it that I was hungry and couldn't wait to get home to eat. After I had communion, I wasn't hungry anymore, but I never thought of it in the way you did. That is funny!

Also, if you are on Facebook, you should look up a group called "Failed Lap-Bands and Realize Bands" - it's a group of folks who either had the band and got the revision, or they currently have the band and are working on getting a revision to another kind of WLS.

I had the band in 2007 - lost about 45lbs in 7 months. Then everything started going downhill. By 2009, I couldn't eat anything without getting stuck - EVERY SINGLE TIME! Soon it was just junk food in order to get something in my tummy. Obviously, I gained it all back. I had the sleeve on 3/22/12, and haven't looked back. The Surgeon said I had a tremendous amount of scar tissue, but he was still able to remove 85% of my stomach - no leaks - and I have never been happier. No more getting stuck, having problems drinking, and back to eating "normal" healthy foods. For me, this was the best thing I've ever done.

I had the band in 2007 - lost about 45lbs in 7 months. Then everything started going downhill. By 2009, I couldn't eat anything without getting stuck - EVERY SINGLE TIME! Soon it was just junk food in order to get something in my tummy. Obviously, I gained it all back. I had the sleeve on 3/22/12, and haven't looked back. The Surgeon said I had a tremendous amount of scar tissue, but he was still able to remove 85% of my stomach - no leaks - and I have never been happier. No more getting stuck, having problems drinking, and back to eating "normal" healthy foods. For me, this was the best thing I've ever done.

Don't know if this is the proper forum or not, but just wanted to share something. If you haven't seen the movie "Supersize Me", I would highly recommend it. It's one man's journey eating nothing but McDonald's for 30 days. His health totally tanks! Not only that, there are conversations with Doctor's, Nutritionist's, etc., discussing the overall effect of fast food. What really struck me was the addictive nature of unhealthy food. It's amazing. Pretty much from the very beginning he became addicted. He would be feeling sick, tired, depressed, and then eat something from McDonald's and suddenly he was feeling great. Amazing. I never really thought about what all that junk was doing to me.

Congratulations! What an amazing accomplishment! I'm only 6 weeks post-op, and can't wait to get to my 1 year!! What an inspiration.

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Prior to surgery I wore a size 24. Today, I had to go buy new pants because all my other one's were too big. So I went to the store and tried on 20's . . . . to big, then I tried on 18's . . . .STILL too big. I then tried the 16's and they fit!!!!!!! I haven't worn 16's in over 20 years!!!!! I am so LOVING my sleeve! :wub:

Does anyone have a favorite WLS cookbook, or any suggestions for me? I love the recipes on this site, but I do much better with an actual book. I sure do wish Eggface would do a cookbook!!

I say dump the alcohol and food and go back to the Sex....It burns alot of calories and is an enjoyable gratifing exercise. Then go back to eating small portions and make sure you get your Protein first...then your fruits and veggies. But stay away from the booze as was said earlier straight sugar and that causes weight gain like non other. Make sure you get your liquids in and start making your yougurt smoothies again, the boyfriend will love them and they are good for you both!
Good Luck in your continued weight loss, I know you can do it!

Hi Everyone,

This is for the Newbies who have had or are going to have "sleeve" WLS. I have posted these before & have had people ask me to repost them. I know that different doctors have different requirements for what you should eat the 1st month after surgery. Please follow YOUR doctors directions for what you have. I am posting what my doctor wanted me to do.

VOL # 1

Hi Everyone, I decided that I would make a list of things for new people who are thinking about having WLS that might be helpful to them.

This is long so please PRINT THIS OUT TO READ if you don’t want to read it all at one time.
First thing is to start asking people on the board is all kinds of questions—make of list of things you want to ask and keep coming back and ask more questions as time goes on. The more questions that ask the more you educate yourself about WLS and the process and what doctor they liked. Don’t rely on just one source of information. It is really normal to have all kind of feeling and emotions when trying to decide if you want to have Weight Loss Surgery. I must have talked myself in and out of doing this at least 50 times during my 6 months of research. My only regret is that I didn’t do it sooner. This is a big step. But if diet and exercise worked for us then we still wouldn’t be fat and would have lost the weight a long time ago and never regained it. It takes a lot of courage to have Weight Loss Surgery. I am very proud of you for looking into this. Don’t give any more days of your life being overweight, and your body hurting along with being unhealthy. WLS really is your answer.

How do you select your surgeon? First of all this is NOT a time to price shop for the cheapest doctor to do your WLS—that is just the wrong way to go at this. There are a lot of doctors who advertise on the Internet doing sleeve surgery for a lot less than some other doctors. I found one posting from a person who had the following concerns after having surgery in Tijuana, Mexico. (a) They put NO name band on her to be able to ID her when giving medications or anything else. ( NO one asked if she had any allergies to foods or medications—thank goodness this person didn’t have any. ( The lab did NOT label tubes of blood with the person’s name on it—very dangerous. © Day after surgery they gave this person ice chips, tea and apple juice. The next day (day 2) they gave this person NOTHING so this person asked why and the nurse said this person wasn’t allowed to eat anything. Well, this person then said I had Clear liquids the day before and they wanted to know WHO gave it to this person?? (d) This person was told that they would get a copy of the operative report on their discharge to take home with them—This person has not received it yet and that was about 2 weeks ago. So make sure have positive feedback about the Surgeon and Staff and Hospital that you choose who is best for you. I can only speak about my experience and my research that I did before I made him my choice for a surgeon. I know that there are other good doctors out there too. Do you research and be careful. Take your time and be comfortable with your choice.

Pack lightly for your WLS. So many of us have gone to Mexico, so you want a small suitcase with wheels, a laptop & a cell phone. The clothing that you wear to Mexico are the same ones you can wear home—slip on shoes work great too. Make sure that the clothing is loose fitting. Something just comfortable for your ride home. While in Mexico—that is if you go to Mexico for WLS make sure you take GAS-X. They have nothing in Mexico that they give your for gas, and the use gas in your abdominal area during surgery. It is painful after the surgery, so GAS-X STRIPS are easy to use by just placing them on your tongue. Take a couple of boxes with you—you will be glad you did. If you are going to use a credit card make sure you tell your credit card company and your Bank if you use your debit card or credit card. Sometimes if you DO NOT let these companies know you are outside of the US they block your charges. Use a credit card or debit card vs. cash. The debit card or credit card is much easier to use. Take small amounts of cash for tips—I took $65.00 in 1’s for tip money for various things. If you go to any hospital anywhere leave ALL jewelry at home –just a watch and no rings or other jewelry. I never had any problems at all leaving my purse and computer& cell phone in my room while I was in surgery, but they recommend that you leave all jewelry at home. If you are a lady please remove all nail polish—they need it removed to see your nail beds during surgery.

The first month you do after surgery is the HARDEST month you will ever have to do. You do 10 days of nothing but Clear Liquids to start with—that means you have to be able to see through the liquid. Do not panic if you can not get the Protein they want you to have the 1st 10 days—I couldn’t find anything I liked that was clear during the 1st 10 days. They want you to try to drink 64 oz. each day, and it is difficult—it is like a job because you will need to be sipping Water ALL day long. I want you to give it your very best effort to drink as much as you can. Getting your liquids in each day is so very important to your recovery. You DO NOT want to get dehydrated; you could end up in the hospital. Your new stomach has just had major surgery and it is swollen and will only hold something about the size of your thumb. The next 10 days gets much better—you are now on creamy liquids for these 10 days—don’t forget to drink you water. You can now have some creamy Soups, yogurt, and pudding—sugar free and find a Protein Drink that you like. For me it is Premier Protein Drink and I get mine at costco. When looking for a protein drink, make sure they are low in calories, high in Protein—Premier has 30 grams of protein in each drink box and make sure you have low carbs too. I know there are a lot of other Protein drinks out there that people like. When it comes to carbs I tried to keep mine at no more than 20 carbs per day. Ask others what kind of Protein Drinks they liked and where they get them. The last 10 days are mushy foods—Don’t forget to drink your water. Mushy foods are a bit of a challenge. How many foods can I make mushy? I even considered using some baby foods. Start thinking about what will work as mushy foods for you.

Starting the 2nd month is quite an adventure. You can eat regular food. Here is where the relearning process takes place. You now will take tiny BABY BITES of food and chew each bit about 30 times or until it is like a liquid. From here on out you will need to take small bites of food and chew and chew and chew. I found out that chicken and fish were a lot easier to chew up. I don’t eat much red meat—your tastes will change and things you didn’t like a lot might taste good and something that you used to love don’t taste that great anymore. Keep track of what you are eating and keep your calories at about 800 calories per day and no more than 20 carbs per day—whole grain carbs are the best to have—NO white or refined carbs. I highly suggest that you keep track by writing them down or using some of the Internet sites that offers you this. I suggest this site it works great there are other sites to use this is just a suggestion. hair 3 or 4 months after having WLS. I would find a lot of hair in the shower after washing my hair. That is pretty normal for a lot of us—this does not happen to everyone. There is no magical cure for hair loss—some people use different shampoo’s or take Biotin. It happens and you live with it. YES, it will grow back. For me I had pencil straight hair and mine grew back natural curly and I love it now. I already had thin hair so for me, I got some cute wigs and wore them for about 9 months until my hair looked a lot better. It was worth the Hair loss to lose 105 pounds.

Because we eat a lot of protein we suffer from Constipation. You need to have at least 70 grams of protein EACH day. So I mix my protein drink each morning with Miralax. It is NOT habit forming and is tasteless and it is just a good way to start off the day. I put the protein and a cap full of Miralax in the blender with about 5 small ice cubes and that is my Breakfast. 3 years later I still have this for breakfast and nothing else, it just works for me.

You may have periods where you have what we call STALLS. You may be doing everything right and eating and exercising and you have NO weight loss for a week or more. This is normal—mine lasted 9 days. Don’t panic the weight loss will start up again, just keep doing what you are doing.

Our heads play games with us sometimes it is ugly what our brain tried to convince us of—We call these “Head Games” and they really are tough times to work though, but you can do it. Your head is still thinking with your old brain and way of thinking that you have been doing for most of your life. You now are eating VERY small amount of food, but your head is used to you eating LARGE amounts of food and that is what your brain wants—so it tries to tell you the you should be eating more—NOT true at all. So you need to have a talk with yourself. Do I just WAN T to eat or do I really NEED to eat?

You are not on a diet, but you are making a LIFESTYLE change and that is good because you can do this for the rest of your life. You will NEVER be able to eat like you used to. That is good because that is how we got fat. You will morn the loss of food—you will look around and see others inhaling all this food and you think to yourself—I used to eat like that. You will notice how fast people eat and inhale their food and talk and hardly chew what they are eating. That is pretty normal feeling to have—because you are now eating such small amounts of food and chewing and chewing. You will never be able to guzzle a bottle of water again—that is OK too. These are all good things. In time you will look at all the food people are eating and thinking to yourself oh my gosh I could never eat that much again—it is way too much food.

When you have issues or problems come back to the board and ask others who have already done this. We are here to help and support you.

Give or exchange all your fat clothes away. You will never need them again after they become too big for you. This weight loss is something you will be able to maintain for the rest of your life. You have earned the right to have new clothes.

Make sure you have the VERY best doctor that has had a lot of experience with sleeve surgery and check his success rates out. Check the doctor for HIGH patient reviews from the people who have gone to him or her. I can NOT STRESSS this enough. Make sure that your surgery is being done in a hospital NOT a Clinic. Ask where you recovery will be. YOU are worth the extra money that it cost to have this WLS in a Hospital and by the best Doctor you can have. You want to have a happy and GREAT life and having the RIGHT Doctor and Hospital are the key to this.

Sorry if this is long, but it is intended to have as a reference and answer a lot of your questions that you might have. For some of you, you are very lucky because your health insurance is now starting to pay for Weight Loss Surgery. For many of us, we did not have your luck, so we are self pay patients. There are companies that loan money for this surgery—be aware that their interest rate is high. Once you pick your doctor ask them about these companies that give loans for surgery if you are a self pay patient. You know we never think twice about making car payments. If you have to borrow the money for this surgery just look at this as “body payment.” It will be the best money you have ever borrowed. Please PRINT this out to read later. If you have any questions for me please feel free to contact me. I had surgery almost 3 ½ years ago, so I do have quite a bit of experience. I really am here to help you along your journey. It took me 14 months to lose this weight and I was 63 when I had the surgery, so it is NEVER too late in life to do this.
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VOL # 2

Here are some more things I want you to know about if you are thinking about having WLS and you are having the “Sleeve.”

1. We have talked a little or a lot about “slimming or phlegming” In case you missed it, when you first start eating regular food you have to re-learn how to eat again and chew. With your new stomach you will need to take small tiny bites and chew until the food in your mouth is almost liquid like. This is nothing like what you had been doing your entire life. In the past you eat and talk and put big bite in your mouth along with a few chews and then swallowing—this will NO LONGER WORK FOR YOU. This is a very difficult thing to change. So with your new stomach and just having surgery you may experience slimming or phlegming. First you will feel like the food is stuck, then it comes back up in a clear liquid –your saliva. It isn’t vomit, so that is why it is called slimming or Fleming. It’s a wakeup call to slow down you eating and chew, and chew and chew some more. Just go to the bathroom or have a napkin ready for the slimming or phlegming if you are eating out. If you try to overeat—which is bad you may experience this too sometimes. For me it was always about not chewing enough.

2. What are some signs that you are full? At first I wasn’t sure, but sometimes I just got tired of all the chewing, so I stopped eating. I now get the hiccups or my noise will start to run when I am full. I know that other people have said they experienced this too.

3. It does take some time to retrain yourself on how to eating and I know that the first month it is such a process just trying to get all the food & liquid in that you need to get in because of your new restrictions. In time it does get a lot easier. Some people actually mourn the loss of food, because you will NEVER EAT the quantity of food that we used to eat---YEAH that is how we are going to lose the fat and maintain that goal weight that we want to have for the rest of our lives.

4. If you think you are hungry and you are positive that you are having physical symptoms of hunger this is YOUR OLD thinking brain playing those tricks we have talked about. You now have to start learning to educate this OLD brain into being your NEW thinking brain. Ask yourself do you just "want to eat" or do you really "need to eat" because it has been 3 or 4 hours since you have eaten anything. It is amazing what our brains can and will do to sabotage our way of thinking. You may be challenged by this OLD brains way of thinking for many years. For me I just have to have some self-talks with myself. We have an addiction to food. There is no way around avoiding food, so we need to find the set of skills that will allow us to change our lifestyle. I eat to live, I NO LONGER live to eat! Food is not my main focus in life.

5. I have seen so many times where people are going along and doing great with their weight loss. Then all of a sudden they are NOT losing anything—they panic—I did when it happened to me. We call these “Stalls.” We have stalled and are not losing anything. Most of the time you are eating all the same and correct things that you have in the past when you were losing weight. Our body just does this naturally--stalls. Mine lasted 9 days one time. This is really normal. I have a few suggestions. Use this site or something like it to track everything you are putting in your mouth.http://www.livestrong.com/thedailyplate/ you might be surprised at what you are eating—that is why I say track it. Remember keep your total calories at 800 per day—if you exercise then you can eat more. This site will help you figure that out how much more you can it by what kind of exercise you did. You also need to make sure that you are not eating more than 20 carbs per day. No white or refined carbs. They should ONLY be whole grain carbs—not whole wheat, BUT Whole Grain carbs—do the best you can when it comes to carbs. If you are having problems with the weight loss you can kick up the amount of exercise you are doing too. The weight loss will start back up again, so don’t panic.

6. We all stumble and fall along the way, don’t beat yourself up over it. Move on and have a better day the next day.

7. Be aware that your friends and family may not be supportive of you having WLS. For your family, first they really may NOT understand it and they are scared for you. This is pretty normal. You have been on the Internet, and been educating yourself and doing a lot of reading—you know much more than they do about weight loss surgery and your choice is the sleeve. They have only heard the horror stories that the media puts out there or one of their uneducated family or friends have told them. Your friends are scared they may lose you as a friend because you are going to lose the weight and they will remain fat—yes I call it fat. I know there are a lot of politically correct terms to use, but if I can say I was fat you will one day too. Some of your friends will be jealous. My suggestion is that you can try to educate them some, but take your time and effort right now and use it for yourself. After you have had WLS and they see you are becoming healthy and you are alive and well they may come around. I want you to put yourself FIRST, for the very first time. If they are truly your friends they will be there when you are skinny.

8. The first month will be the hardest month you will have to do. You are changing everything about how you eat. I want you to keep saying to yourself that it is ONLY 30 days and I can do ANYTHING for 30 days. Once you start the 2nd month and can have regular food, it gets easier.

9. What do you do about getting smaller clothes? One of my adventures used to be to go to Resale clothing places and sell or trade my larger clothing to them, and then finding some smaller sizes. Just buy what you need to get by for a while until you need a smaller size. It was like a treasure hunt or an adventure for me. I found some places like Goodwill that had brand name label NEW clothing that the local stores gave them. I found some great deals at these places. So consider doing something like this or getting together with some of your friends and trading clothing. I also donated a lot of mine for a tax deduction to nonprofit organizations that give tax receipts—it is really great when it is tax time rolls around and I had all these deductions. I would make a list of everything I was going to donate and how much weight I had lost. I kept that all together in case the IRS asked why I gave away 20 some dress and 10 pair of pants, and 30 tops!

10.Make sure that you go see your Primary Care Doctor when you have had WLS if you have gone outside of the US for your surgery. I went to see my PCP before I went to let her know what I was doing—I wanted a doctor who would support me in my efforts. I had to do a bit of education and after she had time to read all of the information I left her, she was behind me all the way. She said come back in to see her after being home for 2 weeks and she would check me over and run a blood panel to see how I was doing. She did this every month for a while and started taking me of meds that I no longer needed. I did need to start taking potassium—mine was low after having WLS and I knew this when I left Dr. Aceves—they had run a blood panel after I had my “Sleeve surgery.” I loved the fact that my PCP took me off 4 of my other medications within 3months of me having WLS.

11. Exercise is important for you in a lot of ways. Walking and swimming are the ones that work best for me. I know that there have been a few people who said they did nothing. Walking helped me lose a little faster and was good cardio too. I try to walk at least 4 or 5 times a week. When I can I try to swim on the days I don’t walk. I know at first it is difficult to start to exercise, but walk around your home then, down the block a little. When the weather is bad—I live in Oregon and we have a lot of rain, we walk inside the Mall during those times. They open up the Mall at 6:00 am where I live, so you can start early. Buy a used treadmill and see if you like walking on it. My last words of wisdom are the following

1. Saying yes means you will do something new, meet someone new most likely and make a difference in your life.

2. Be true to yourself. It is you, your authentic self, the one you were in the first grade, before you leaned to massage your personality into a form that would suit others.

3. Sometimes it is hard to hear the message because of all the external voices and they are so loud.

4. Voices that are loud are always meant to bully. DO NOT BE BULLIED.

5. So carry your courage in an easily accessible place. Be your OWN authentic person when it comes to Weight Loss Surgery. This is ALL about you and NO one else.

6. Last you don’t need the approval of the Bully. You know what is right for you, follow your heart and go for it.

I am always here if you want to ask me more questions, or I didn’t cover something that you are thinking about. I read my E-mail daily. I know it is a BIG step to take and there are a lot of things to think about, you can and will be success.

My last bit of knowledge is making sure you keep drinking your water each day. It is so VERY important that you do this.

Hugs,
Suzanne

That's just totally awesome! Congrats!!!!

It's easy to get married. It's hard to stay married. I see that you have a lot of support her and through your health professionals; but I'd like to add my 2-cents. Please check out this link....http://www.jayandlaura.com/
Really look at their WebSite and even like them on Facebook. I know these people personally and they have a passion for MARRIAGE. If you can arrange it, Jay and Laura do a "Destination Event" on Mackinaw Island (Michigan) and it's 2 days of reconnecting with your spouse. They are bringing in an AMAZING guest speaker from Texas. They also travel all over the US, and even into Canada, for their "Ultimate Date Night" Seminars.
I pray you get the health, help and guidance to do what is best for you. In the meantime, I highly recommend getting a dog. Spend time training the little guy (get a smart one, like a golden retriever) and certify him/her to do therapy work. I did this when it became impossible for me to have children and I didn't know how to feel "fulfilled." The time I spend with my Charlie bringing happiness to others that are in nursing homes, hospitals, schools and libraries is very fulfilling!
Good luck to you!

Hi everyone...i got the call that insurance approved the sleeve (previously only had contract for by-pass) so they scheduled me...
Surgery date May 2.... 6:30 am check in.... Happy Dance... !!!!!!

I'm in the middle of my third month and I just started eating salads. Haven't had any problems yet.

I turned 52 today. I was sleeved on 3/14/12 and have not regretted it for a minute. I have lost 26 lbs and of course would like it to go faster. But, I know if I stay the course it will come off. I have very few people I told I was doing this, so it really was satisfying when a lady I hardly know at work commented on my weight loss! Makes it all worth it.

DISCLAIMER: This FAQ is in no way intended to replace or undermine the advice of your physician. Every person is different, every surgeon has different guidelines, and no two situations are identical. Therefore if any of the answers below are unclear or contradict your physicians’ instructions, always follow your physicians’ instructions. The responses given are a compilation from multiple sources and references.
How do I embed the weight loss ticker? There are many ticker generators you can use, but the majority of us use TickerFactory.com or MyFitnessPal.com – Once you create your ticker, embed the code into your signature via your “Settings”
*Adding* liquid stage? During your clear liquid stage you can have anything that you can sip through a straw that is translucent, meaning see through. For instance: Water, juice, broth, sugar free popsicles, sugar free Jello, Isopure Protein Drinks, Gatorade, Powerade, decaf tea just to name a few. Once you move on to full liquids you may add liquids that are not translucent. For instance: creamed Soups, soups with the chunks strained out, milk, Protein shakes etc… NOTHING CAFFEINATED
When can I have coffee/soda/tea? Decaf coffee is typically OK about 30days post-op. Decaf tea is OK starting with your clear liquid diet. Soda is typically never OK, with the reasons varying from the carbonation causing painful gas to the carbonation stretching your sleeve. Regardless of the reasoning, it's generally a good idea to avoid sodas entirely, or to consume them in extreme moderation.
When do I start mushies/purees? Every surgeon has different guidelines for the progression of your post-op diet. The majority of post-op diets progress as follows:
Day 1-7 Clear Liquids
Day 8-14 Full liquids
Day 15-21 Purees
Day 22-50 Mushies
What’s the difference between mushies and purees? The major difference is that purees are anything that has been blenderized/pureed to a baby food consistency and has no chunks. These should not be watery, but instead a thicker pudding like consistency. Mushies are soft foods that have not been pureed.< /p>
I'm on liquids/purees and I feel no restriction, should I be concerned that my surgery didn't work? Nope! You'll feel your restriction as you start to take in denser foods. In reality, you never want to experience that over stuffed feeling again because that means you've over stuffed your sleeve. There's much debate over whether or not you can stretch your stomach by over stuffing your sleeve, I for one am not trying to prove or disprove the theory. Best to play it safe - when you start to feel full, stop eating.
Should I be counting calories or carbs or both? Both. Again, every surgeon is different, but the majority of sleevers will be on a 600-1000 calorie/day diet with carbs kept at 60-80g or less. The general guideline is this: When eating, protein is always first, veggies are second, and if you have room carbs/starch last. The majority will rarely have room for the carbs.
How much protein should I be getting per day? The recommended protein intake may vary from 55 to 100g per day, depending on your individual needs and the bariatric diet provided by your surgeon or dietitian. The generally accepted minimum protein requirement for women is about 50 to 60g per day and men need at least 60 to 70g of protein per day.
How much liquid do i need for the day? About 60-80oz
When can I eat salad? Once you reach the point where you’re on normal solids you can try salad. Start with a small amount and see how your sleeve tolerates it as it can be difficult to digest.
Best Protein Shakes? This one depends on your particular tastes, however most seem to enjoy powders? utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury.

What else counts as a liquid? Anything that can be sipped through a straw or that will reduce back to a liquid. For example: Jello, sugar free popsicles, frozen yogurt/ice cream (these are generally no no foods)
Why can't I tolerate plain water, is this normal? It’s called water nausea and it is completely normal. This is very common during the first few weeks following surgery and should eventually subside.
What is sliming/slimes? Sliming or slimes occur when you eat or drink something and then regurgitate a slimy, foamy, saliva like substance, usually when belching.
What is grazing? Grazing is when instead of consuming your standard 3 small meals and 2 small Snacks per day, you simply munch all day grabbing a handful here or a bite there. The rule is that your meals should take you 20-30 minutes to eat and should be about 3 hours apart with only fluids in between.
What do all these acronyms mean?
In no particular order:
WLS – Weight Loss Surgery
NSV – Non scale Victory (ie: smaller clothes, compliments, climbing a flight of stairs etc…)
NUT – Nutritionist
PCP – Primary Care Physician
VSG – Vertical Sleeve Gastrectomy
TOM – Time of the Month
SF – Sugar Free
WFL/WFD – What’s for Lunch/Dinner
How much did you lose at 1 month etc.? How much can I expect to lose in what time frame? Everyone’s body is different and so is everyone’s journey. There is no set amount you should expect lose in a set amount of time, and you should never compare your journey or your progress to someone elses. As long as you’re sticking with the program and following your surgeons guidelines, the weight will come off.
What is a stall? How long does it last and how do I break it? A stall is a point at which the scale stops moving for a period of time. The length of the stall varies from a few days to a few weeks and sometimes a few months. Non VSG’ers typically call it a plateau. Stalls are perfectly normal and to be expected. As we lose weight so dramatically, our bodies need time to catch up physically - this typically happens during a stall. While the scale may not be moving, you may notice an increase in compliments. This is because while the number on the scale isn’t getting any smaller, you are physically getting smaller. There are many tips and tricks for breaking a stall (increase your fluids and protein, increase your activity, up your calories…) but the reality is it will break on its own.
When can I have sex? When you’re ready. Keep it simple for the first few weeks post-op and don’t attempt any tricky positions. Be careful until you’ve been cleared by your surgeon for strenuous activity.
When can I start exercising? Typically right away, though the types of exercises you can do will be limited. Most surgeons restrict weight training/resistance training for about 3-4 weeks after surgery, but you should be walking/speed walking at least 30-45min daily starting from the day you get home.
What do I do with flabby skin? What's the best exercise etc.? The severity of the flab will vary based on many different factors. While there’s no way to tell how bad it will be or whether it will even be bad, there are a couple of proactive measures you can take. Make sure you’re using a moisturizing lotion with Vitamin E and Keratin several times daily. The vitamin E will help add elasticity back to your skin and the keratin will add moisture, both of which may help your skin bounce back as the weight falls off. The best exercises to target your problem areas are resistance and strength training in order to tone and build muscle to replace the fat. Lastly, be patient. Just as your weight stalls while your waist catches up to it, your skin will sag until it gets the signal to shrink. While it probably won’t ever be as tight as you’d like, it will shrink.
Will I lose hair? How much? What causes it? When does it return? Do Vitamins help? The truth is, yes, you probably will lose hair. Because of the drastic changes going on that are caused by the extreme reduction in protein and vitamins coming in as well as the hormonal fluctuations caused by the rapid weight loss, it takes our bodies a while to adjust. Don’t worry, as our hormones level out and our bodies get used to the new us, it will come back. There is no set time frame for it to do so however.
I’m constipated - what is it okay to take, especially in the beginning when newly sleeved? Will it get better? Worse? In the beginning a simple stool softener like Colace should do the trick. You don’t want to take a laxative or anything that may irritate your new sleeve. While you’re in the liquid/puree stage, Constipation shouldn’t be an issue, but as you reintroduce solids you may have to go back to your stool softeners. If you do find that stool softners are only offering temporary relief, try increasing your fluids and Fiber and decreasing your cheeses.
I’m having very loose bowel movements, is this normal? Totally. You do need to monitor stools of this consistency to ensure they contain no blood, but very loose stools, even watery stools, are completely normal for a few weeks post-op. When in doubt – ask your surgeon.
Will I feel fatigue? Will fatigue go away? Yes and yes. Your body has just undergone major surgery and it needs to heal. While it’s healing you will feel more fatigued than normal. Subsequent to having such a large portion of your stomach removed is the fact that you can no longer take in as much food (read: fuel) and therefore your body has to adjust and find a new fuel source. Your body will eventually begin to burn fat for fuel and some of the fatigue will subside. Your surgeon should also prescribe a B12 supplement which will also help with energy.
When can I go back to work? How much time should I take off? That will be entirely up to your surgeon. Most return to work within 2-3 weeks.
How many days in the hospital? Your hospital stay will depend on your recovery. When you are able to keep down liquids, are up and about and walking as directed, and your surgeon and nursing staff are confident there are no complications, you’ll be released. Your surgeon should be able to give you an expectation of the length of your stay.
Do the staples dissolve? No. The staples used to close the stomach are titanium and do not dissolve. The stomach tissue will eventually grow over the staple line. Your staples do not make metal detectors go off or make you ineligible for an MRI. They are completely benign.
Why am I always hungry? The most likely culprit is either head hunger or reflux/heartburn. Head hunger is a false sense of hunger triggered by boredom/emotions/the clock or any number of things which make you think you’re hungry when you’re really not. Heartburn is the most common culprit of constant hunger. Even though you may not feel as though you have heartburn, you may find that a simple antacid will eliminate that constant hungry feeling.
What is dumping syndrome? Dumping syndrome is what happens when the contents of your stomach are rapidly dumped into your small intestine. It is characterized by cramps, nausea, vomiting, or diarrhea. Most people that complain of dumping syndrome associate the attacks with eating a certain type of food IE sweets, carbs etc.. It generally resolves on it's own once the offending food has left the system.
What is a stricture? A stricture is what happens when scar tissue builds up in your esophagus (sometimes caused by reflux) that causes your esophagus to narrow and makes swallowing difficult.
What is a leak and what are the symptoms? A leak is an opening along the suture line of your sleeve that allows bile and other digestive fluids to leak into your abdominal cavity. The symptoms of a leak vary but the most common symptoms are pain radiating across the abdomen, fever, rapid heart rate, shortness of breath, dizziness, vomiting, nausea, fatigue, and abdominal cramping. It is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Can you get a leak any time after surgery? Or is it just immediate? Most leaks happen very soon after surgery, but there is still a risk for about 4-6 weeks after. Again, it is important to note that leaks are rare and only occur in about 1 out of every 100 cases.
Some of my incisions are oozing - is this normal? If they’re oozing a green or yellowish Fluid, absolutely not. Green and yellow are the colors of infection and should be reported to your surgeon immediately. If your incisions are oozing a pinkish or clear watery fluid it’s your body’s way of keeping your incisions clean and isn’t usually a concern. When in doubt, ask your surgeon.
I see a lot of people posting about drains - I don't have any. Should I be concerned? Drains are tubes that are temporarily placed in the abdomen that allow fluids to drain from your abdominal cavity in order to prevent infection. Not every surgeon uses them so if you don't have any, don't worry. It likely means your surgeon saw no need to place them. That being said, it doesn't mean you're immune to infection so you should still be on the lookout for fever or any areas that a red, warm to the touch, painful, swollen, or oozing any green or yellow fluids.