ezbeinggreen

Agree 100% with @AJ Tylo . There is no one-size-fits-all formula, you just have to go with what works for you.

FYI I was an on-and-off vegan prior to surgery but went back to eating meat and dairy because my surgeon was also on the high-protein bandwagon. But after research I realized I could be healthy vegetarian with VSG, and I ditched the high protein myth shortly afterwards. You have to make a healthy plan for ANY way of eating, omnivore or otherwise. I find I meet/exceed all my nutritional requirements without even trying most days, more than I ever did as a meat eater. Apps that track vitamins and minerals as well as fat/carbs/protein like Cronometer really help! I am now 5 years out and my portion sizes are about the same as a normal person (ie. non-WLS patient of a healthy weight/healthy mindset around food). This is normal - you WILL be able to eat more over time, that is why you need to take advantage of the first 6-12 months to break bad habits. I definitely attributed eating mostly plant-based to being able to maintain my weight. I never reached my goal, but that's because I let high fat foods and carbs like pasta and bread and rice back in too soon, as well as cheats like pizza. Granted I still eat far less of these things... all things... (I can eat 2 slices of pizza max) but less pizza is still pizza!

It may be worth seeing a registered dietician who specializes in vegetarian/vegan diets, independent of/outside your surgeon's practice. The nutritionist at your surgeon's office is going to be biased and only advise you based on the surgeon's program.

Atkins/Keto/high protein diet for the rest of your life after bariatric surgery is old school nutrition nonsense. FYI most doctors only need to take 1 semester of nutrition classes and that was back when they were in in undergrad or med school. A lot has changed since then. As long as you eat a well-planned, plant-based diet (this applies to non-bariatric patients as well) you will thrive. I'd say success after bariatric surgery is more about using the time where you have restriction to learn better habits and ditch your addiction to empty calorie dense carbs like white breads, pasta, white sugar, etc. than anything else. You will eventually be able to eat normal portions of food so breaking bad habits is key. If you continue to eat a SAD diet and the crap that made you fat in the first place, even if just less of it, you will eventually experience regain. Immediately after surgery (first 1-4 weeks), you will be drinking/ eating very low cal in the ballpark of 500-800 calories. You will be weak some days because of lack of calories, not lack of protein. It takes years to become protein deficient! Then you'll probably be around 800-1000 until 8-12 weeks., 1000 - 1200 for a good while after that. I hovered around 1000 - 1200 for my first year post surgery. Look up Dr. Garth Davis, he is a bariatric surgeon who advocated a whole foods plant-based diet. I also like Dr. Matthew Weiner - he has a number of videos on Youtube, both have Facebook pages and groups to help you.

Hi All, I was just banded on 10/15 at the Lahey Clinic in Burlington, MA. They have a great program (Center for Surgical Weight Loss) that was just certified a Center of Excellence by the Bariatric Surgery Center Network (BSCN) Accreditation Program of the American College of Surgeons (ACS). They have been wonderful to deal with and the hospital was unbelievable... all private rooms, around the clock care. My insurance (BCBS) covered the procedure, but during the initial seminar they stated self-pay for lapband surgery was about $18,000 (including all the pre- and post-surgery office visits, labs, fill appointments, etc.). It is a pretty intensive program, but it works and I love my surgeon (Dr. Nepomnayshy).