summerset

"Cleared to go" doesn't necessarily mean "ready to go". Take care.

Preference of the dietician. Not every dietician recommends this. A lot of this calorie and/or carb counting might have to do with fear and lack of trust. Counting and tracking something provides a sense of being in control.

Contact your bariatric team. It might also be useful to make contact with a neurologist and/or psychiatrist to get evaluation of these symptoms. While deficiencies definitely can mimic/cause mental health issues, there is the chance that it doesn't have anything to do with WLS. Any therapist/counsellor worth their degree would require ruling out physiological problems, especially when it comes to a rather aggressive procedure like the DS.

How many days ago was your surgery? I'm asking because I was on liquids/puree for 3 weeks and while I was glad I didn't have to do the whole 4 weeks this time I also think I wouldn't have been able to manage progressing to something like oatmeal or cereal, beans or eggs any earlier than these three weeks. I understand that there might be cravings for "normal food" but take it easy.

You could take a look at bodybuilding or fitness websites. There are usually lots of high protein recipes on their websites or boards. I got the idea of high protein oats, protein mug cakes, protein pancakes and waffles and protein balls from there.

Ok, no talk about artificial food coloring, please. I noticed the unnatural color of the sauce after I bought it. ? Leftover rice with peanut tofu and spinach with a sweet & sour sauce for tomorrow's work day.

So it's like 2-3 days ago? Honestly, I think some patients seem to expect too much too soon in terms of recovery. You recently had abdominal surgery. Not once. Twice. There is most likely still a lot of swelling in the lower esophagus and the stomach/pouch from the manipulation, hence trouble drinking. Also some patients are sensitive to the general anesthesia, hence the vomiting. Of course this is not a diagnosis. This is an educated guess. And it brings me to something that I most likely won't never get: how soon after abdominal surgery some patients are discharged. Are patients pressing for discharge? What I read on here sometimes, coming from patients like three days post-op, would usually occur within a hospital setting if day of discharge wouldn't be that soon. Nausea, vomiting, feeling weak, dehydrated or bloated, not being able to empty bowels, trouble drinking fluids... So instead of being able to ask the nurse or doctor "Is this normal?!" they need to ask Google and users on an internet board "Is this normal?! Should I call my surgeon" - and the answer can only be: yes, if in doubt, you should! Was that recommended?

I have an IUD myself because I consider it very convenient (no worrying for 5 years in a row plus the luxury of having no menstrual pain, lol) but I would never have accepted it as a requirement before surgery. Same with a mammogram. Yes, one should get PAP regularly but again: as a requirement for WLS it's ridiculous and kind of...intrusive?

I'm surprised he didn't require a PET-scan.

What's so wrong with rice? Hopefully you could enjoy your meal!

Yellow curry with veg chicken, edamame and spinach with the rest of the coconut milk plus rice.

Well, most likely you'll be able to eat them after surgery. If you want to eat them, nobody is going to stop you (I eat this stuff myself so no judgment here). However, the problem might be that you maybe won't tolerate the type of protein they use in their bars. You wouldn't be the first patient developing an intolerance to whey or soy. So stock up at your own risk. Worst thing that can happen though is that you have to give them away and you wasted your money. I guess I would go with this offer. I'm a hoarder and my flat always looks like I'm preparing for crisis.

It's just something to consider. Chronic Epstein-Barr virus infection is something that comes to my mind because of the fever and lymph nodes but med school was long ago.

I never had problems with fluids. It varies from patient to patient. Surgeons were very pleased that I could manage fluid intake from the beginning on without problems. Sleeve patients seem to have a harder time with fluids first.

After such a long time doctors seem to be hesitant to view the RNY as the culprit. That doesn't mean that there aren't problems that occur years after surgery. What comes to my mind when talking about "leaky gut" and "gastric bypass" is SIBO. Did anyone look into this?

I never thought much about it tbh. When eating soup I always ate liquids first, then solids, even as a child. My curries are usually rather "dry". I don't like them with lots of liquids. Same with muesli or porridges.

If you're looking for "red curry like" you might want to use a bit of red curry paste instead of the sauce I used. And press your tofu for a while before using it. It will soak up the spices better. I usually don't bother with it but the taste is really more intense then.

I cooked it so the definite answer to your question is: no! ? - cube of mushroom broth dissolved in hot water - hot sauce to taste (I use about 0.5 tsp) - cubed plain tofu (just use your favourite brand) - coconut milk to taste Mix everything together except the coconut milk. Heat through in microwave, let sit for about half an hour so the spices can get into the tofu cubes a bit, heat up again. Add coconut milk. I often add some sliced mushrooms, seaweed or udon noodles but the amount of tofu was a lot already so I skipped that.

Tofu in spicy broth and coconut milk again.

I hope you enjoyed the food? I think you two guys are perfect examples when it comes to the "never again" approach not working in most likely the majority of patients (come on, we all know the threads with the wagon or the track). Sooner or later many (most?) patients will try to eat what is considered very often "forbidden food" in the WLS community but seen as "normal food" within the rest of their environment (e. g. pizza or burgers, bread). And guess what: most of the patients will tolerate these foods just fine. The "I can't have this because for sure it will make me sick"-protection just took a jump out the window to suicide itself. Oops. These foods are tasty, easily available, highly palatable, not too expensive and it's just what most people around you eat at least occasionally and consider it a normal food to eat, regardless of them being overweight, underweight or of normal weight. Hopefully you'll be able to enjoy these foods occasionally and in reasonable amounts instead of going into binge mode/loss-of-control-eating mode when it comes to these foods. Deprivation is a problem in the long run and WLS obviously doesn't fix the craving problem in the majority of cases, at least not long term.

Thought I'd add something: veg sushi leftovers. Tofu in broth and coconut milk.

It depends. Some days I feel just, well... fat. Usually looking in the mirror helps this feeling. However, on some days I see myself as "too fat" or rather "not thin enough". Like hips are too wide in comparison to shoulders... Thighs and upper arms are just FAT... When I have these days it can help seeing my reflection in comparison to other people, e. g. in a glass door or window. It's easier to see yourself the size you are when you stand next to other people.

When she stops eating when she feels full she is not eating mindlessly. On the contrary - she seems to be pretty mindful of what she's doing and that she is the one who didn't regain so far indicates that this strategy works for her.

I never counted fat grams as well. However, I can remember a scrambled egg with a bit of cheese (I still ate dairy then) being one of these too-heavy foods I tried too soon after surgery and had to puke several times. So my association of egg + bacon = too much fat in one sitting. Same with this ricotta bake many people eat soon after surgery. I rarely feel physical hunger. Or maybe I'm just used to ignore the signals, no idea. I feel I eat more according to cravings than anything else but that's what I always did after WLS. I sometimes can feel this slight lightheadedness that tells me it's time to eat but usually it's more subtle like getting more and more fidgety.

The "bump" under the incision can be hematoma. It can also be e. g. a hernia (I had that). If you want to be sure, you need to get an ultrasound.