Healthy_life2

https://www.ncbi.nlm.nih.gov/pubmed/26906303 I’m sorry you are going through these health issues. I may be wrong. I’m not a trusting person. Can you find a surgeon that is not part of your bariatric program to diagnose if the two are related? I am concerned that your surgeon’s office may be worried about liability issues. Side note: Breast implants have the same connection to autoimmune issues. This was posted by the US national Library of medicine J Clin Rheumatol. 2016 Mar;22(2):89-91. doi: 10.1097/RHU.0000000000000363. Is Bariatric Surgery a Trigger Factor for Systemic Autoimmune Diseases? Cañas CA1, Echeverri AF, Ospina FE, Suso JP, Agualimpia A, Echeverri A, Bonilla-Abadía F, Tobón GJ. Author information Abstract Bariatric procedures are an effective option for weight loss and control of comorbidities in obese patients. Obesity is a proinflammatory condition in which some cytokines such as leptin, a proinflammatory protein, is elevated and adiponectin, an anti-inflammatory protein, is decreased. In patients undergoing weight reduction surgeries, these hormone levels behave paradoxically. It is not known whether bariatric surgery protects against development of autoinflammatory or autoimmune conditions; nevertheless, changes occurring in the immune system are incompletely understood. In this case series, we describe 4 patients undergoing bariatric surgery, who subsequently developed systemic autoimmune diseases. Patients in our case series were asymptomatic before surgery and developed an autoimmune disease within 11.2 months. Two women fulfilled criteria for systemic lupus erythematosus (one associated with antiphospholipid syndrome), and 2 men developed rheumatoid arthritis. A causal relationship is difficult to establish because factors that could trigger these diseases are multiple, including genetic susceptibility, time elapsed until achievement of ideal weight, and vitamin deficiencies, among others. However, clinicians must be attentive to this possible association.

Have you talked with your Dr. about your vomiting situation? Natures best isopure zero carb water/drink. It's hydration and protein all in one. 160 calories. 0 carbs 0 sugar 40 grams protein. It’s not thick like shakes. Texture is like Gatorade. If the flavor is too much add water to it. Sip slowly. They are at GNC, Vitimine shoppe and amazon.

Meal prep containers that portion and travel well. reusable, freezer and heat safe Reusable or disposable plastic compartment with lids. These are great for freezing leftovers. On the run meals. microwave and done. https://www.amazon.com/Prepa-Pack-32oz-Compartment-Containers/dp/B01MYGAHR8/ref=sr_1_4_sspa?keywords=microwaveable+freezzer+meal+prep&qid=1556369507&s=home-garden&sr=1-4-spell-spons&psc=1 Glass container with great sealing lids- It’s an investment and will last longer. https://www.amazon.com/Glass-Meal-Prep-Containers-Compartment/dp/B07JKXQFXG/ref=sr_1_10?keywords=glass+meal+prep&qid=1556369590&s=gateway&sr=8-10 Travel/work bento box. Love this product. https://www.amazon.com/Fun-Life-Bento-Lunch-Compartment/dp/B07DNTQTKB/ref=sr_1_7?crid=94U77T4FH2B8&keywords=bento+boxes+for+adults&qid=1556369060&s=gateway&sprefix=bento+box%2Caps%2C245&sr=8-7

Great advice for food above - Meal prep containers that travel well. Bento boxes https://www.amazon.com/Fun-Life-Bento-Lunch-Compartment/dp/B07DNTQTKB/ref=sr_1_7?crid=94U77T4FH2B8&keywords=bento+boxes+for+adults&qid=1556369060&s=gateway&sprefix=bento+box%2Caps%2C245&sr=8-7

I sneak in healthier choices. LOL feels so naughty, Love it.

Rest up and recover. Your body is still healing. Yes, it will get better. Your first step to a healthier you has been completed. Good things are coming your way.

Many of us still feel hunger. Some of its real and some head hunger. There are ways to manage it. Some questions, Do you log your food? How many calories can you eat at this point? At real food stage, what does a day of food look like for you? ***By the way. I’m in Idaho. We have the same surgeon’s office****

https://www.walmart.com/ip/Essie-Treat-Love-Color-Nail-Strengthener-27-Pinked-To-Perfection-0-46-FL-OZ/56099151?athcpid=56099151&athpgid=athenaItemPage&athcgid=null&athznid=PWVAV&athieid=v0&athstid=CS020&athguid=71881604-1de-16a593e93016ea&athena=true https://www.walmart.com/ip/essie-Millionails-Nail-Treatment-0-46-oz/22137462

Great photos. Would you mind giving the locations?

Stevia sweet drops. I liked the root beer and cola flavors. https://sweetleaf.com/stevia_products/sweetleaf-liquid-stevia-sweet-drops/

Show me yours and I’ll show you mine. Make your walk about the photo opportunity. I would love to see the amazing places you live in or travel to. Post them!!!!!

You are not alone - See same topic below https://www.bariatricpal.com/topic/424799-help-weight-gain-2-years-out-is-it-the-meds/?tab=comments#comment-4769639 https://www.bariatricpal.com/topic/424777-struggling-regain/?tab=comments#comment-4769516

I'm also 50, Things change a bit, Right *smile* I’ve been Using a log for years. I agree, it helps.

This is kind of a repost. Had the same conversation with someone this morning. You’re not alone. 29 pounds is much easier than a 50 80 100+. Pound gain.... It can be done. If you have maintained for a year and not gained means you are eating maintenance calories. Log your food. Dial your calories back to get your body in weight loss mode. Back to baraitric basics. myfitnesspal free food log download https://www.myfitnesspal.com/ phone https://play.google.com/store/apps/details?id=com.myfitnesspal.android&hl=en_US Years out, much of weight loss is fighting the mental battles to get back on track. Seriously, I have motivators on my fridge to remind me of my goal and where I want to be. Its right in my face when I am seeking food. Makes me stop and ask. Am I hungry? How much room for calories do I have left in my log for the day? Is this boredom or emotional/stress eating? (see photos below *lol*) All I can share is my personal experience. I’m a sleeve. My surgery was in 2014. I have worked off a gain in my third year. Log your food. Make sure you are eating your weight loss calories and macros. I’m female 5”5” My calories are 900 to 1100 Carbs are 60 grams for weight loss. ***We are all different - You may need to dial in your calories to see what range you lose weight***. If you need help with this let me know. Get temptation out of the house and keep healthy options for sweet and salty cravings. I have a bit less restriction than I had in the first year. I found ways to fill the extra space and keep my calories/macros in range. Add as much veggies as you like until full. Ditch liquid and soft stage Protein. Dense protein will help keep you feeling more satisfied. I’m also back in weight loss mode for the summer* My food log is open.

The weight you want to lose is much easier than a 50 80 100+. Pound gain.... It can be done. Years out, much of weight loss is fighting the mental battles to get back on track. Seriously I have motivators on my fridge to remind me of my goal and where I want to be. Its right in my face when I am seeking food. Makes me stop and ask. Am I hungry? How much room for calories do I have left in my log for the day? Is this boredom or emotional/stress eating? (see photos below *lol*) All I can share is my personal experience. I’m a sleeve. My surgery was in 2014. I have worked off a gain in my third year. Log your food. Make sure you are eating your weight loss calories and macros.(Log including alcohol) I’m female 5”5” My calories are 900 to 1100 Carbs are 60 grams for weight loss. ***We are all different - You may need to dial in your calories to see what range you lose weight***. If you need help with this let me know. Get temptation out of the house and keep healthy options for sweet and salty cravings. I have a bit less restriction than I had in the first year. I found ways to fill the extra space and keep my calories/macros in range. Add as much veggies as you like until full. Ditch liquid and soft stage protein. Dense protein will help keep you feeling more satisfied. I’m not sure how you are going to trouble shoot your hydration. My surgeon gave me a prescription for zantac. Trial and error for fluids that sit well. I drink crystal light, pre workout or nuun tabs. I’m also back in weight loss mode for the summer* My food log is open.

Fantastic! Bring on your summer bod!

How long have you been on the five-pound plateau? If it’s a stall, work your plan and wait it out. I still experience this at almost five years out. I reevaluated how I was working my plan. Some things to try Log your food and make sure you are eating your weight loss calories and macros. You may need to adjust them. (I have to admit; it only takes me a few days off plan to see a weight bounce) If you are eating the same foods over and over. Try switching your menu up. If your exercise/activity has become a stale routine or your intensity is the same. It’s time to change it up. Some people do intermittent fasting. Here is a link to the thread if you’re interested. https://www.bariatricpal.com/topic/419144-intermittent-fasting-daily-menuresultsaccountability/?page=164&tab=comments#comment-4768671

There are factors on how much you lose and the rate. Age, sex, hormones, medical issues, and medications. What you can control is you're diet and exercise staying-on on plan. Some of us lose fast some of us lose slow. The statistics with the sleeve is expect to lose 60% of your weight. It's not how fast you lose it's the fact that you're losing weight is what's important. My regimen is following my plan. I log my food. I keep within my calories/macros. Working out. I started walking right after surgery. After my dr released me to do more. I did elliptical. I had my first stall 3rd month. I mixed my cardio up on three different machines. As I progressed I did cardio with some weightlifting. Find what you enjoy. Make a commitment to it and it becomes habit.

Sleeve diet guide: Avoid sugar AFTER GASTRIC SLEEVE SURGERY DIET You’ve made it past surgery and you’re on your way to a healthier life. You may think it’s clear sailing from here. Unfortunately, the hard part is just beginning. Now is not the time to cheat. While the two week diet was important reduce your risk of surgical (intraoperative) complication, the week 1 to 4 post-op diet will help prevent post-op complications. The first few weeks after surgery, you will experience frequent irritability and it’s not uncommon to second guess your decision to have surgery. The very extreme diet after your sleeve gastrectomy may seem like your surgeon is being overly cautious. It is utterly important that you follow his or her instructions to the ‘T.’ Cheating on your post-op diet can cause diarrhea, dehydration, constipation, bowel obstruction, or a very serious gastric leak. If you need more motivation to follow your post-op diet, this article will help. Below is a typical diet after gastric sleeve surgery for weeks 1 to 4. WEEK 1 – CLEAR LIQUIDS ONLY In week one you are limited to clear liquids only. This sounds tough. And it is tough. However, most patients have very little desire to eat. The hunger hormone ghrelin is almost non-existent after surgery. The part of the stomach that produces the majority of ghrelin is removed during surgery. Make sure all items listed below are sugar free. Water Broth Jell-O Decaf tea Decaf coffee Sugar free Popsicles Sugar free drinks that are not carbonated You should avoid: Carbonated beverages Very sweet beverages Sugar Caffeine WEEK 2 – FULL LIQUID DIET WITH PROTEIN During week two you may start to feel some hunger pains. Continue to stick to your surgeon’s recommended diet. Your diet may include all items from week 1 plus: Protein powder mixed with a sugar free non-carbonated clear liquid. Sugar free pudding. Soup with soft noodles. Non fat yogurt. Carnation instant breakfast. Look for the sugar free option. Very thin creamed soups. No chunks. Sugar free sorbet. Very watery hot oatmeal. Check the sugar content. Diluted no-sugar added juice. Sugar free, nonfat ice cream Thinned applesauce. Check sugar content. WEEK 3 – SOFT PUREED FOODS Week three after gastric sleeve surgery is tough. But the good news is that you can start adding some real food into your diet, albeit pureed. You still need to be careful to limit sugars and fats. The goals for week 3 include: Get your 60 grams of protein per day Eat slowly Introduce new foods one by one. Food may taste differently and will be tolerated differently than they were before surgery. You may find that dairy is harder to digest. It’s recommended that you introduce new foods slowly. Give your body some time to react to each new food. By doing this you’ll be able to identify foods that are causing gas, stomach upset, and/or diarrhea. The foods listed below are typically acceptable for week three after surgery. 1 protein shake per day. You can now blend them with yogurt or non-fat milk. Almond milk or coconut milk makes a great protein shake. Hummus Cottage cheese (low fat) Soft cereals – Let your cereal sit in the non-fat milk until it’s soft. Soft vegetables – steam or boil them until they are soft. Soft cheeses – limit these, they are typically high in fat. Ground chicken or beef. Add some beef or chicken stock to keep the meat soft. Soups Scrambled eggs – these are a great source of protein. Soft (steamed) fish. Remember to chew well. Canned tuna and salmon (you can add low fat mayo). Great source of protein. Mashed fruit. Bananas, avocados, and canned fruit (watch sugar content). You should avoid the following foods: While smoothies are ok, limit their sugar content. Sugar Starchy foods like pasta, rice and bread. Fibrous vegetables like celery, broccoli, asparagus, raw leafy greens. WEEK 4 – INTRODUCING FOODS! You’ve followed your diet up to week four. Now it’s time to start introducing real foods. Your sleeve and stomach are still sensitive, so go slow and remember to chew each bite thoroughly. You’re done with pureed foods, but you should continue to look for softer versions of food during this week. Continue your daily protein shakes Introduce chicken and beef very slowly. Ensure you chew thoroughly. Any type of fish. Fruits Vegetables (it’s still recommended that you cook these to soften them a bit). Sweet Potatoes Mashed and baked potatoes. Cereal Caffeine can be introduced. It’s recommended that you limit this. You should avoid the following foods in week four: Sodas Fried foods Fibrous vegetables (i.e. celery and asparagus) Sugary drinks Candy Dessert Pastas and other high carbohydrate, low nutrient foods (pizza). Whole milk and other whole milk dairy foods. Nuts WEEK 4 HEALTHY SNACKS While it is recommended that you only eat 3 small meals each day and hydrate in-between meals, you may need a small healthy snack. If your surgeon approves this, the items below make healthy snacks. Hummus with rice crackers or softened (boiled and cooled) baby carrots. Hard boiled egg. Quarter cup of oatmeal. Quarter of a baked sweet potato (or microwaved) Banana Strawberries or fresh fruit. WEEK 5 AND BEYOND Continue to introduce foods one by one to see how well they are tolerated. Watch out for constipation, diarrhea, and upset stomach. Eat three small meals every day. Hydrate throughout the day. Stop drinking fluids 30 minutes before each meal. Avoid snacking. If you do, choose a nutrient-dense food (fruit, vegetable, nuts). Take your recommended daily vitamins. Ensure you get 60 grams of protein. Supplement daily with a protein shake. Incorporate exercise into your daily routine. Make it a habit. Avoid sodas. Prepare for bad days. How will you cope when you are in a difficult situation? Find an accountability partner. Go to a support group and make friends that you can call. 6 TIPS – HEALTHY EATING AFTER GASTRIC SLEEVE SURGERY Choose foods that are nutrient dense. Bread is not nutrient dense. An apple, banana, fish, etc. are nutrient dense foods. Do not drink your calories. It won’t fill you up and most caloric drinks are filled with sugar. Expect an emotional roller-coaster. Don’t let food be your comfort. Create a plan. Chew your food thoroughly and take your time eating. Plan what you will eat if you’re going out. Ask for half the portion size at restaurants. You may get a discount and you won’t be tempted to overeat. Make water your new best friend. Drink it regularly throughout the day. Buy a reusable 64 oz bottle that you can carry to work with you. Make sure you finish the entire bottle each day. But remember not to drink with meals (this helps prevent stretching your pouch).

AFTER GASTRIC SLEEVE SURGERY DIET You’ve made it past surgery and you’re on your way to a healthier life. You may think it’s clear sailing from here. Unfortunately, the hard part is just beginning. Now is not the time to cheat. While the two week diet was important reduce your risk of surgical (intraoperative) complication, the week 1 to 4 post-op diet will help prevent post-op complications. The first few weeks after surgery, you will experience frequent irritability and it’s not uncommon to second guess your decision to have surgery. The very extreme diet after your sleeve gastrectomy may seem like your surgeon is being overly cautious. It is utterly important that you follow his or her instructions to the ‘T.’ Cheating on your post-op diet can cause diarrhea, dehydration, constipation, bowel obstruction, or a very serious gastric leak. If you need more motivation to follow your post-op diet, this article will help. Below is a typical diet after gastric sleeve surgery for weeks 1 to 4. WEEK 1 – CLEAR LIQUIDS ONLY In week one you are limited to clear liquids only. This sounds tough. And it is tough. However, most patients have very little desire to eat. The hunger hormone ghrelin is almost non-existent after surgery. The part of the stomach that produces the majority of ghrelin is removed during surgery. Make sure all items listed below are sugar free. Water Broth Jell-O Decaf tea Decaf coffee Sugar free Popsicles Sugar free drinks that are not carbonated You should avoid: Carbonated beverages Very sweet beverages Sugar Caffeine WEEK 2 – FULL LIQUID DIET WITH PROTEIN During week two you may start to feel some hunger pains. Continue to stick to your surgeon’s recommended diet. Your diet may include all items from week 1 plus: Protein powder mixed with a sugar free non-carbonated clear liquid. Sugar free pudding. Soup with soft noodles. Non fat yogurt. Carnation instant breakfast. Look for the sugar free option. Very thin creamed soups. No chunks. Sugar free sorbet. Very watery hot oatmeal. Check the sugar content. Diluted no-sugar added juice. Sugar free, nonfat ice cream Thinned applesauce. Check sugar content. WEEK 3 – SOFT PUREED FOODS Week three after gastric sleeve surgery is tough. But the good news is that you can start adding some real food into your diet, albeit pureed. You still need to be careful to limit sugars and fats. The goals for week 3 include: Get your 60 grams of protein per day Eat slowly Introduce new foods one by one. Food may taste differently and will be tolerated differently than they were before surgery. You may find that dairy is harder to digest. It’s recommended that you introduce new foods slowly. Give your body some time to react to each new food. By doing this you’ll be able to identify foods that are causing gas, stomach upset, and/or diarrhea. The foods listed below are typically acceptable for week three after surgery. 1 protein shake per day. You can now blend them with yogurt or non-fat milk. Almond milk or coconut milk makes a great protein shake. Hummus Cottage cheese (low fat) Soft cereals – Let your cereal sit in the non-fat milk until it’s soft. Soft vegetables – steam or boil them until they are soft. Soft cheeses – limit these, they are typically high in fat. Ground chicken or beef. Add some beef or chicken stock to keep the meat soft. Soups Scrambled eggs – these are a great source of protein. Soft (steamed) fish. Remember to chew well. Canned tuna and salmon (you can add low fat mayo). Great source of protein. Mashed fruit. Bananas, avocados, and canned fruit (watch sugar content). You should avoid the following foods: While smoothies are ok, limit their sugar content. Sugar Starchy foods like pasta, rice and bread. Fibrous vegetables like celery, broccoli, asparagus, raw leafy greens. WEEK 4 – INTRODUCING FOODS! You’ve followed your diet up to week four. Now it’s time to start introducing real foods. Your sleeve and stomach are still sensitive, so go slow and remember to chew each bite thoroughly. You’re done with pureed foods, but you should continue to look for softer versions of food during this week. Continue your daily protein shakes Introduce chicken and beef very slowly. Ensure you chew thoroughly. Any type of fish. Fruits Vegetables (it’s still recommended that you cook these to soften them a bit). Sweet Potatoes Mashed and baked potatoes. Cereal Caffeine can be introduced. It’s recommended that you limit this. You should avoid the following foods in week four: Sodas Fried foods Fibrous vegetables (i.e. celery and asparagus) Sugary drinks Candy Dessert Pastas and other high carbohydrate, low nutrient foods (pizza). Whole milk and other whole milk dairy foods. Nuts WEEK 4 HEALTHY SNACKS While it is recommended that you only eat 3 small meals each day and hydrate in-between meals, you may need a small healthy snack. If your surgeon approves this, the items below make healthy snacks. Hummus with rice crackers or softened (boiled and cooled) baby carrots. Hard boiled egg. Quarter cup of oatmeal. Quarter of a baked sweet potato (or microwaved) Banana Strawberries or fresh fruit. WEEK 5 AND BEYOND Continue to introduce foods one by one to see how well they are tolerated. Watch out for constipation, diarrhea, and upset stomach. Eat three small meals every day. Hydrate throughout the day. Stop drinking fluids 30 minutes before each meal. Avoid snacking. If you do, choose a nutrient-dense food (fruit, vegetable, nuts). Take your recommended daily vitamins. Ensure you get 60 grams of protein. Supplement daily with a protein shake. Incorporate exercise into your daily routine. Make it a habit. Avoid sodas. Prepare for bad days. How will you cope when you are in a difficult situation? Find an accountability partner. Go to a support group and make friends that you can call. 6 TIPS – HEALTHY EATING AFTER GASTRIC SLEEVE SURGERY Choose foods that are nutrient dense. Bread is not nutrient dense. An apple, banana, fish, etc. are nutrient dense foods. Do not drink your calories. It won’t fill you up and most caloric drinks are filled with sugar. Expect an emotional roller-coaster. Don’t let food be your comfort. Create a plan. Chew your food thoroughly and take your time eating. Plan what you will eat if you’re going out. Ask for half the portion size at restaurants. You may get a discount and you won’t be tempted to overeat. Make water your new best friend. Drink it regularly throughout the day. Buy a reusable 64 oz bottle that you can carry to work with you. Make sure you finish the entire bottle each day. But remember not to drink with meals (this helps prevent stretching your pouch).

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Some links about the sleeve that may help. Sleeve diet guide: https://www.obesitycoverage.com/the-big-gastric-sleeve-diet-guide/ Sleeve reference manual https://www.obesitycoverage.com/gastric-sleeve-reference-manual/ bypass https://www.obesitycoverage.com/category/weight-loss-surgeries/gastric-bypass/ duodenal switch https://www.obesitycoverage.com/category/weight-loss-surgeries/duodenal-switch/ Mini gastric bypass https://www.obesitycoverage.com/mini-gastric-bypass-the-good-bad-and-ugly/ gastric ballon https://www.obesitycoverage.com/before-and-after-your-gastric-balloon-complete-guide/

Not sure if you use myfitnesspal. It’s a great community of fitness minded people. Great place to find people that don’t fit the typical *smile* Lifters that inspire me- Check out this guys profile. Staffordshire hes 55 years old, started at 402 and is now 207. not sure if he had bariatrics but he is helpful and a wealth of information. (photos below) https://www.myfitnesspal.com/profile/staffordshire62 Bigviffer - He has had surgery. His profile. (photos below) https://www.myfitnesspal.com/profile/BigViffer Bariatric profile https://www.bariatricpal.com/profile/252425-bigviffer/