summerset

That's why it might be worth thinking about pouch size or pizza size first before jumping to whatever conclusions. You are definitely not a psychiatrist who's able to decide if someone needs therapy or not.

Ah, come on... carbs may be sliding down easier than very protein rich foods (they do, no question about that) but it's not like you're getting no restriction at all from foods like pasta, bread or pizza so you can binge your way into oblivion the moment a carb manages to get into your pouch.

Don't know. If you ate that pizza in a "usual time frame" it's really a bit weird that you could eat the whole thing (if it wasn't a mini pizza) without a problem.

There was way more of this:

Peri-operative diet is usually the concern of the surgeon. What boggles my mind is that there is still no best standard available, neither for the peri-operative nutrition nor for long term nutrition. What all nutrition guidelines seem to have in common is "drink enough water and take your vitamins and minerals". Apart from this... nothing.

Just like you were able to stick to a strict diet before WLS? It's quite common for people on a diet to "fall off the wagon". In fact that's what usually happening with a very few exceptions. What might hopefully be helping is working out a plan that actually works long term for you (regardless of what other people might be thinking what should be right for you).

You should have been here a few months ago.

I don't know if you're meant to be skinny or not but I believe that there are people who're not meant to be skinny just like there are people who're not meant to be obese just like there are people who're short and like there are people who're tall. I think when we look around in our environment we can spot the "skinny one" who eats larger amounts of food and exercises less than we would expect someone that size. And then there are the "skinny ones" who eat smaller amounts of food than someone would expect and who exercises a lot and basically dedicate a lot of time to "being skinny" or are outright obsessed with food and weight and exercise. I personally think the later are "not made to be skinny". That doesn't mean they can't be skinny, however, they need to invest way more time and energy into being skinny, sometimes to the point of obsession. Others who aren't meant to be skinny won't get skinny investing the same amount of time and energy but are forever obsessed with "losing these last 5 or 10 lbs".

What is you describe is one of the reasons that I always cringe when a user talks about "starting this new life". The life after WLS is not a new life. Of course there are changes and for some people it might really be life altering, depending on the level of (physical) impairment they were experiencing because of their weight. However, when you're already holding a full-time job and/or have a spouse or family there might not be that much change at all. The job is still boring or exhausting, the husband comes home late from work, the wife is nagging too much, the kids are still getting on your nerves, you're still short of money, that damn knee is still hurting etc. The health benefit is a really big one though if you're experiencing it. Don't play it down.

A revision won't cure mindless eating (I guess you're already well aware of this) but it can help with reflux issues. I got a revision to bypass myself and reflux issues got way better. If you're having reflux issues a surgeon will usually advice against a sleeve.

double post

And... fat?

Honestly? If with insurance and waiting time it's the same amount of money you have to pay (or even more) I wouldn't bother with insurance. There's not guarantee they will approve you after all the hassle. However, when calculating your costs you should think about all the costs that are likely coming up (e. g. what about complications? follow-up? pre-op check-ups), not only the surgery itself.

Is it your hunger that came back or your appetite?

If you continue losing at this rate you will be at 100 lbs within 1 year. There is nothing bad about this.

Just another company out of countless others trying to sell a new product for profit. Not better or worse than other advertisement. I don't know if you're overreacting. I'd like to see a lot of existing advertisements gone myself (out of the pure egoistic reason that it gets on my nerves) so I hear you. From another perspective I don't see why you're so worked up about this particular advertisement. It's just one single more questionable product that is advertised to maximize profit. Advertisement is not about ethics or responsibility. Otherwise we wouldn't have advertisement that promotes tobacco, alcohol, big gas guzzling cars, foods that come out of factory farming etc. - It's about profit and money only. What I consider much worse is when products are advertised as "healthy" when in fact they're anything but.

Depends on your surgeon. The opinions on this differ.

You gave the answer in your post: Just calculate how many calories your body must burn to lose 18 lbs and how much of this weight you lost was most likely only water that is now stored back.

Definitely worth a read. It seems to be quite expensive now. I was lucky to get it for 1,27€ as Kindle edition last year (just looked it up in my past orders) in March when there was a promo at amazon. Now the book is 14,99€, yikes! Davis is also not the only bariatric surgeon who comments on the favored LCHP diet. Weiner also criticizes the obsession with "lean animal protein". His book "a pound of cure" is worth a read, too. (Available on Kindle Unlimited for free at the moment.)

Nobody forces us to eat that little calories. With time the amount of food one can eat usually increases. During the months we are able to eat only very small portions we maybe shouldn't focus on HCLP and view the high protein content of the food as some kind of medical prescription to avoid deficiencies.

Two weeks out I was tired all the time as well. I went back to work after three weeks and felt like collapsing after work (didn't do the standing work for two more weeks IIRC) even though it was only sitting in front of a computer. It takes a while. I don't know what you're eating throughout the day but getting in enough fluids, veg and protein is important even that early out.

It tastes really good, especially when you like your coffee sweet.

My dietician didn't say anything about calories as well and I think it makes a lot of sense since calorie intake is dependent on many things. What job do you do? How active are you? As long as you're losing weight and getting your protein in why are you caring about calories? It just makes things more complicated. As long as things are going smooth don't worry about calories. Be grateful that these days are over at least for now.

What did your surgeon say about this? Was the volume of the pouch measured? So how much so you really eat? I know it's annoying as hell but try to keep a food diary for two weeks or so to evaluate how much you really eat in one day (i. e. how many calories). And what are these cases in which you can eat as much as you like? Does it depend on the food or is it different from day to day?

4 weeks after surgery it was allowed again. Before that only this fake coffee stuff.