Finding Erika sorry for the late reply! I see that there have been some great responses and tips so far. As for my programme here in the UK please see below: A healthy diet There are five main food groups and a healthy diet comprises a mix of them: Protein foods – such as meat, fish, eggs, beans – include 2-3 60-90g (2-3oz) portions per day. You must be particularly careful to chew meat, chicken and fish thoroughly before you swallow – the recommended bite size is the size of a 20p piece. Eat the protein part of your meal first. Milk and dairy – choose low-fat cheese and limit amount to 30-60g (1-2 oz). Choose skimmed milk and low fat yogurt varieties. Fruit and vegetables – try to have 4-5 portions per day. A small glassful of unsweetened fruit or vegetable juice counts as one portion. Carbohydrates – bread, potatoes and cereals. One small portion of 60-90g (2-3oz) at each meal will be fine. Fatty and sugary foods – use a small amount of olive oil for cooking and replace puddings with a low fat yoghurt or stewed fruit. As mentioned before, beware of the soft calorie-laden foods such as chocolate, sweets or ice cream (see section on dumping syndrome). Fluids Choose non-carbonated fluids. Avoid diet and/or regular fizzy drinks. These make you feel uncomfortable and the gas produced by these can stretch the pouch. Your best choices for fluids are water (try squeezing some lemon into water), artificially sweetened, non-carbonated flavoured waters, coffee or tea, herbal teas, clear soups, and diluted 100 percent unsweetened fruit juices. Read labels carefully to be sure your healthy sounding drinks do not contain lots of calories. Do not forget that alcoholic drinks can be high in calories, so moderate your intake. Aim for 10 glasses of fluid a day. Meal ideas for normal diet: Breakfast Coffee or tea or 200ml skimmed milk or 200ml vegetable or fruit juice 1 slice brown bread or roll (toasted) or 50g breakfast cereal 10g butter/margarine or 20g low fat spread 1 portion jam, honey or low fat cheese spread or 50g lean meat or 1 egg Lunch 50g poached fish or 50g meat or 50-75g chicken/ Quorn/ tofu-based product 1 tablespoon risotto or rice or 1 tablespoon mashed potato or 1 small boiled potato 1 peeled grilled tomato or 2 tsp broccoli or carrots or a small mixed salad Evening meal 100g boiled spaghetti with Bolognese sauce, 1 teaspoon Parmesan cheese and 1 peeled grilled tomato Or 3 small slices of low-fat cheese, 1 slice brown bread and a small, non leafy, mixed salad (tomato, cucumber) Or 1 tablespoon tuna or egg salad with diced pickled vegetables, 1 slice brown bread Or 50g baked potato with cheese and ham with1 tablespoon of tomato salad Steps to success: Limit portion sizes for meals to a side plate or about half of a normal portion. Using measuring tools such as food scales to check your portion sizes can help initially. Eat the protein part of your meal first followed by the carbohydrate and the vegetables. Do not eat more for fear of getting hungry later. Remember that it will take time to get used to what your smaller portion looks like. Eat slowly and if you do get hungry later on have a ready-prepared snack such as a piece of fruit or a low-calorie yoghurt. Stop eating as soon as you are no longer hungry. You have to listen to your body’s feeling of satisfaction and fullness; otherwise there is a great risk of you stretching the pouch. Eat slowly, taking 20-30 minutes to complete your meal. Most obese people are used to rushing their meals and, as there is a time delay from stretching the wall of your stomach and it telling your brain you are full, you need to be careful with this one. Try placing your knife and fork down between mouthfuls. Chew foods thoroughly, aiming for 15-20 chews per mouthful. Swallow the food once you have achieved a smooth puree consistency in the mouth. Take tiny bites (cut meat up to the size of a pencil-top rubber) and chew each piece 10–25 times. Stop eating after about 20 minutes and if you are hungry again a few minutes later have a little more. Eat three meals per day –You should be satisfied eating three meals a day without getting hungry in between meals. Beware of developing 'grazing' eating patterns of small snacks throughout the day. Eat healthy, solid food –Many soft foods are high in fat or carbohydrates and as a consequence you may be taking more calories than you should and your weight loss will slow down or stop. Choose solid foods without lots of sauce (e.g. small meal of chicken and vegetables) and you will eat less overall and stay full for longer. Do not drink while eating as you could feel full too soon before you have eaten the right amount of food. So avoid fluids for half an hour before your meals and for one hour afterwards. Do not eat or graze between meals as this will slow down the weight loss. You should not need to eat between meals because of hunger if you are eating three sensible meals per day. Only eat good quality nutritious food (see above). All drinks should be zero calories – Calorie laden drinks, including alcohol, will simply add calories to your daily intake. Women need calcium and this can be obtained from skimmed milk. You should avoid juice, squashes, milkshakes and. fizzy drinks (the gas can also cause considerable pain), Drink adequate fluid between meals as mentioned before. How much exercise should I do? It is recommended that adults should aim to be active daily. Over a week, activity should add up to at least 150 minutes (2½ hours) of moderate intensity activity in bouts of 10 minutes or more. One way to approach this is to do 30 minutes on at least 5 days a week. Alternatively, comparable benefits can be achieved through 75 minutes of vigorous intensity activity spread across the week or combinations of moderate and vigorous intensity activity. I'm using this as a guide but still finding it difficult to eat much (better since I last posted to you) and I struggle to do any exercise (except long walks) because I feel so tired! My hair is thinning so badly as well but I know it will be worth it in the end! [emoji4]