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I always feel bad for my waiter when I go out to eat because they will usually come over and ask me if there is anything wrong with my meal. I just tell them that I had a stomach surgery and don't feel like eating and then I take my meal to go. When I am out with people outside of my family, I usually order something small and cut it up and use my fork to mix everything on the plate together and move it around to try to make it look like I ate more than I actually did. (This is a technique that small children often use to try to convince Mom that they have eaten enough dinner. I have often wondered how many other bariatric surgery patients have done this in an effort to not offend a host. ) You can also just box up half of your meal before you even start eating and just say that you are trying new eating habits if anyone asks. Buffets are just a no go for me unless they have to go options (pay by weight of meal). Even though I am several years out from surgery, after my doctor started me on Ozempic last year (for diabetes, not weight loss), I have been unable to eat more than a few bites of food at a time. My stomach literally feels just like it did a few weeks after surgery. Consequently, I have lost more weight which is great but I have to say that the daily nausea is getting old at this point.

I was very close to your size when I had my surgery. My surgery was covered completely by my insurance because I had very difficult to control type 2 diabetes in addition to HTN, and dyslipidemia. For diabetes prior to surgery, I was taking metformin, Bydureon, 80 units of Levemir insulin twice daily and 20 units of Novolog with each meal & snack. If you are familiar with insulin, you know these are really high doses so we are talking extreme insulin resistance.
After the surgery, I was immediately off of insulin and rapidly lost weight for the first 3-4 months and then stalled out after losing 50lbs. I stayed stuck between 160-170 for about 3 years and then when the Covid pandemic started, my husband was diagnosed with advanced kidney cancer. My stress levels went through the roof (I work in a hospital and was watching people die left and right thinking that at any time, my husband would be next). Anyway, I wound up regaining back up to 185 and started requiring insulin again at low doses. Then last year, I started on Ozempic and wound up starting to lose weight again and came off of the insulin again. After several months of Ozempic, I am now below my goal weight.
I think that you will be pleasantly surprised to find that you will initially lose weight very easily. The weight loss should help reduce but may not resolve your insulin resistance. Keeping the weight off long term may be more difficult but is still quite doable.

I was very close to your size when I had my surgery. My surgery was covered completely by my insurance because I had very difficult to control type 2 diabetes in addition to HTN, and dyslipidemia. For diabetes prior to surgery, I was taking metformin, Bydureon, 80 units of Levemir insulin twice daily and 20 units of Novolog with each meal & snack. If you are familiar with insulin, you know these are really high doses so we are talking extreme insulin resistance.
After the surgery, I was immediately off of insulin and rapidly lost weight for the first 3-4 months and then stalled out after losing 50lbs. I stayed stuck between 160-170 for about 3 years and then when the Covid pandemic started, my husband was diagnosed with advanced kidney cancer. My stress levels went through the roof (I work in a hospital and was watching people die left and right thinking that at any time, my husband would be next). Anyway, I wound up regaining back up to 185 and started requiring insulin again at low doses. Then last year, I started on Ozempic and wound up starting to lose weight again and came off of the insulin again. After several months of Ozempic, I am now below my goal weight.
I think that you will be pleasantly surprised to find that you will initially lose weight very easily. The weight loss should help reduce but may not resolve your insulin resistance. Keeping the weight off long term may be more difficult but is still quite doable.

I'm 3 weeks out and still have that. I talked to my Dr and he said that it was very normal to have a ton of energy 1 day and then none the next. He said it's because the body is healing.

I always feel bad for my waiter when I go out to eat because they will usually come over and ask me if there is anything wrong with my meal. I just tell them that I had a stomach surgery and don't feel like eating and then I take my meal to go. When I am out with people outside of my family, I usually order something small and cut it up and use my fork to mix everything on the plate together and move it around to try to make it look like I ate more than I actually did. (This is a technique that small children often use to try to convince Mom that they have eaten enough dinner. I have often wondered how many other bariatric surgery patients have done this in an effort to not offend a host. ) You can also just box up half of your meal before you even start eating and just say that you are trying new eating habits if anyone asks. Buffets are just a no go for me unless they have to go options (pay by weight of meal). Even though I am several years out from surgery, after my doctor started me on Ozempic last year (for diabetes, not weight loss), I have been unable to eat more than a few bites of food at a time. My stomach literally feels just like it did a few weeks after surgery. Consequently, I have lost more weight which is great but I have to say that the daily nausea is getting old at this point.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

If you run into trouble trying to swallow your pills after surgery, use a pill splitter or pill crusher ( (be sure to check whether it is ok to crush your pills. Ask your pharmacist.) I had a very strict surgeon who wanted me to crush all my meds for the first 21 days. For me, this meant I had to ask my Dr to switch one of my extended release meds (not crushable) to an immediate release form. I would recommend checking with your primary doctor or pharmacist about how safe your medications are to swallow whole without much liquid to wash them down (there are a few meds out there that really must be taken with plenty of Water or they can potentially cause trouble.)
Drinking more than 1-2 ounces of water at a time is not really recommended for the first few days. I found it relatively easy to drink from the start. My surgeon's instructions had me drinking 1 oz of water or Protein Shake every 15 minutes while awake for the first 21 days.

I would recommend wine. I found moscato to produce no heartburn in me. For me, a glass of white wine seems to go down easier but it may not be the same for you. I am sure that you have been warned that you will likely feel the effects of the alcohol more quickly. I found that I can really feel it after 1 glass. I have only had wine a few times since surgery because of this. I avoid mixed drinks like the plague. Tried it a couple of times and even with the "top shelf" stuff had terrible heartburn and nausea. Have never tried beer since the surgery. With all the carbonation in beer, it just doesn't seem like a good idea.

If you run into trouble trying to swallow your pills after surgery, use a pill splitter or pill crusher ( (be sure to check whether it is ok to crush your pills. Ask your pharmacist.) I had a very strict surgeon who wanted me to crush all my meds for the first 21 days. For me, this meant I had to ask my Dr to switch one of my extended release meds (not crushable) to an immediate release form. I would recommend checking with your primary doctor or pharmacist about how safe your medications are to swallow whole without much liquid to wash them down (there are a few meds out there that really must be taken with plenty of Water or they can potentially cause trouble.)
Drinking more than 1-2 ounces of water at a time is not really recommended for the first few days. I found it relatively easy to drink from the start. My surgeon's instructions had me drinking 1 oz of water or Protein Shake every 15 minutes while awake for the first 21 days.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

You will eventually be able to eat steak again. I ate my first bites of steak at about 90 days post op. I remember not really enjoying beef or pork when I first introduced them back into my diet. It seemed like any slightly fatty meat would really upset my stomach. I am about 9 months post op and I can honestly say that since about 5 months post op, I have had zero problems with any food textures. I enjoy steak now but usually only eat about 3-4 ounces.

You will eventually be able to eat steak again. I ate my first bites of steak at about 90 days post op. I remember not really enjoying beef or pork when I first introduced them back into my diet. It seemed like any slightly fatty meat would really upset my stomach. I am about 9 months post op and I can honestly say that since about 5 months post op, I have had zero problems with any food textures. I enjoy steak now but usually only eat about 3-4 ounces.

I am kind of where you are when it comes to feeling more hungry lately. I think that it probably has to do with my increase in carbohydrate intake (been eating bread and potatoes some here lately) and not drinking enough liquid. I am really good at getting adequate Protein. If you are struggling with protein intake, just keep switching it up until you find something that appeals to you. I am big on different kinds of Jerky and Chobani Greek yogurt and Oikos triple zero. jerky makes it really easy to hit your protein goal. After months of using the Protein Shakes and bars, I absolutely loathe all of them.

Hmm, I have never heard about bypass precluding you from Tylenol. Certainly you should not use NSAIDs, but I'm not so sure about Tylenol. I would double-check that with your Surgeon.
I did find this answer from a MD when asked about Tylenol:
Motrin is categorized as an Non Steroidal Anti Inflammatory Drug (NSAID) and these type of drugs are known to cause ulcers. Other NSAIDs include Aspirin, Advil, Aleve, Celebrex, Naproxen, Ibuprofen, just to mention a few. I would highly advise against them after GBP. In most cases Tylenol should be fine, but consult with your doctor about it.
I had both Diabetes and High Blood Pressure before my VSG, but the sleeve seems to have fixed that.

Dense Proteins are when you'll really start feeling it.
Unless your doctor just pretended to cut your stomach, it didn't fail.
At a few days or even weeks out? Your stomach is still very traumatized. You can't rely on feeling ANYTHING correctly at this point. You just had major surgery and likely still have some of the drugs in your system and feelings of fullness or hunger are going to be blunted if not missing for a very long while.
Be sure to not test what you can eat since you really can't judge how much you can hold right now. Measure and go slow. With liquids, it's not as dangerous, but you really still need to be measuring everything once you start purees and soft foods.

liquids, puddings... Etc. will go right through your sleeve. At this point, all you have to do is make sure you get your Protein and Water goals in. When you get to solids, you'll definitely feel it.

You are asking BP participants for a prescription. What does that suggest to you? How do you know how "well healed you are?" Feeling well is not necessarily the same as being healed.

Get unflavored Protein and add it to broth etc.

I would take more than a week. I took one week and the worked from home my second week. And I was probably more active than most. You still are pretty low energy on week two.

It made me crazy! The meds don't interact well with everyone's body chemistry. Like the pp stated, it's basically speed and it leaves you wired. For me, it made my temper almost unmanageable. It basically kills your appetite while you are on it, but after a while it starts to rev back up. Also, once you get off the meds, I've known people to say your appetite become heartier than before. Phen doesn't work on emotional eaters. I eat even when I'm not hungry so for me I didn't see much weight loss.

Why are you worried?
If you want to preempt the issue, simply tell the waiter/ess you don't eat a lot, or aren't that hungry and you're just having "X" or that you probably won't eat your whole meal, please bring a to go container with the plate.
They want you to be happy with the meal, yes, but really, how much you choose to eat is none of their business.
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