Everything posted by Berry78
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Not eating enough...
Your stomach is NOT healed at 5-6 weeks. It takes a full 6 months to actually be completely healed, but the scarring process is well underway at 8-9 weeks. Leaks are still possible until about 9 weeks postop, so you really have to be extra careful for the entire first 2 months. 1. Fluids: It sounds like you're probably getting in your 64oz. Good. 2. Protein: 4oz greek yogurt has about 12g protein? 4oz meat has around 26g protein. So you're only getting in about 38g protein for the day. That is nowhere near enough. I'd recommend drinking something with protein. A protein shake, or 4 cups of regular milk, or 3 cups of fairlife milk, or 4 cups of bone broth, or a bottle of Lifeway protein kefir, etc. The drinks count toward your fluid goals (except maybe the extra-concentrated protein shakes). Instead of filling up valuable real estate with oatmeal and watermelon, take fiber supplements with your drinks. By time you are 8 weeks postop, you will find you can eat more, and can move away from drinking your calories. Early on, it's necessary, unless you can get in 6 small meals that each have 12g of protein. (Which is almost impossible at 5 weeks postop, but you might set as a goal for the next few weeks).
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7 mos post op, divorced and 90 lbs gone ( pics)
OMG, you look fabulous, darling! (Sorry you ripped your beautiful new pants ). I LOVE your top, and the earings are over-the-top gorgeous!
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Canker sores
In my experience, they tend to happen more when you're stressed. I'd say surgery qualifies as a stressor. I like to either dab straight salt on them (burns), or rinse with salt water. Try to make sure you are getting plenty of rest and relaxation. Of course you can always bring it up with your doc.
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Sleeved Yesterday 7/19 - having trouble!!
It takes liquid to digest protein. 2 days postop we need to be working on our liquid goals. Protein is so filling that it might keep us from getting in the fluids. The first week out of surgery, dehydration is a much bigger concern than malnutrition. Either get your fluids up to 40-70oz, then bring in protein shakes/purees, or eat a little, then drink, eat a little, then drink. Milk and broth count as both protein and fluid since they have relatively little protein to the amount of fluid. (A protein shake has about 16g protein to 8oz. Milk and bone broth have 8g protein to 8oz). I guess you could water down your protein shake as well... The same applies to pureed tuna and the like. For every 1oz of tuna (about 6g protein), drink 6-8oz of fluids. (So if you ate 2 cans of tuna in a day, that's about 8oz of fish, to drinking 48- 64oz of fluids..). You don't need to drink as much when consuming carbohydrates, because when carbo-HYDRATES are broken down in the gut, they release some water. BUT, early on we need to consume a minimum amount of protein and there isn't room in our tummies for carbs, so it's a moot point anyway.
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Liquid Phase
Yes, the preop diets vary widely according to the surgeon. Your surgeon should provide your post op meal plan instructions. Sometimes they don't really give it ahead of time since they want to be able to explain it to you. Ask your team about it. If they turn you loose without guidance, be sure to come back and ask...
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Swallowing?
Your stomach is still numb from having had nerves cut. Even though yogurt is soft, you don't want to irritate things by going too quickly. Try to eat half the yogurt, then eat the other half a couple hours later. The v8 should be fine since it is a liquid. Going slow and easy now will pay dividends later.
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Nuts?
Nuts were one of the last things permitted on my plan (I think at 7 or 8 weeks out). I found cashews to be the easiest, since they are soft and skinless. Smooth peanut butter blended into a smoothie is easy at 4-6 weeks.
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Getting back into things
I bob like a cork when swimming.. my kids could hang off me like a raft... sorta reminded me of the mom on The Incredibles.
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Help
If something actually gets stuck, you'll likely feel the need to vomit. I think you just ate a bit too much. Go slow and chew well, you'll get there
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Still obese
Female waist measurement under 35 inches (at bellybutton) indicates low risk of weight related health issues. What is your waist measurement?
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Having trouble drinking
I frequently have to wait an hour or two to drink after eating a heavy meal. Because of this, I'll drink right up until just a few minutes before I eat. If you start feeling dehydrated, you can always go back on full liquids for a day (no waiting to drink at all). Things will gradually get easier, in the meantime, think outside of the box to get what you need..
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Suddenly not feeling good
Just skip your vitamins for the next two days to see if that helps. That way you'll have more info for your surgeon. Two days won't make a difference to your nutritional status... I wouldn't advise someone to avoid vitamins longer than that without their physician's ok. If you still feel sick without vitamins, then you know to look elsewhere. Keep us posted!
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Gastric Sleeve - BMI 31
I just wanted to point out that, although you want to lose 45-50lbs, you are only 33lbs away from a healthy bmi. Most of us lose around 15lbs on the preop diet, so you seriously want to risk life and limb over a measly 18lbs? Please visit the complications forum before making your final decision. Everyone really should do that.
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Why do we fall off the wagon? & How to get back on?
Ahhh.. I see, thank you for clarifying. Two weeks before my sleeve surgery, I had my "last meal". I truly meant to only eat a slice or two of pizza.. but I ate half a large pizza, and washed it down with an entire blueberry pie (left a bit of crust around the edges.. go me! Lol!) 7 weeks later, after enduring the nightmarish 2 week long 3-shake-a-day preop liver shrink diet, and 4 weeks of liquids, and a week of soft food of which I could only eat 3 bites at a time... I began to be disgusted by the portions (and bite sizes!) that others were consuming. I used to be just like them, but I was changed. Now, I'm used to what I eat, and what they eat.. I'm no longer disgusted, and I'm finding my new "normal". I agree it will take years to eat the plate you are describing, and that was also my goal before surgery. My focus has narrowed now to simply "getting everything in" that I need for the day. Food truly feels like fuel now, and if I go too long without eating, everything goes to heck in a handbasket. I get angry, tired, etc. Even though I'm eating small quantities for "fuel", I'm truly ENJOYING my food, like never before, and when I'm full, the idea of "one more bite" is a turn-off, completely and utterly. It's like a switch.. one minute I'm hungry and having a great time stuffing my face, and the next, I'm DONE. It's a revelation, because that never happened before in my life. I NEVER truly got full before. There was ALWAYS room for more... guess that's why I turned into a 300lb sack of jello! Lol! As for buffets, at least at this point, I'd be safe. It would just be silly to spend that kind of money when I can only eat a single cup of chili. My hope is that the sleeve keeps my restriction in place long enough that even when I CAN eat more than a cup of chili, that I WON'T. Only time will tell with that one.
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Why do we fall off the wagon? & How to get back on?
Not sure exactly what you mean by this, but it sounds like you may not really understand what this surgery does. Your tummy will be so small, that it makes almost no sense eating more than 1 thing per meal (meat OR veggies, not both) for quite a while. (at least for me, I can't fix a bite or two of something.. I'd rather make 4oz of the single item, then next meal fix the other thing. I'm 4 months out, so maybe over years things will slowly change...) The people that eat a bite of veggies with their meat have the veggies ready to go, already prepared. That works too, it's just not my personal system. But the idea of going to a buffet and eating a bite of this or that.. it's almost laughable.
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Is this all i will lose?
When I get discouraged by stalls and what-not, I keep the rule of thumb in mind: "When you are dieting, a safe, healthy amount of weight to lose is 1-2lbs a week". Which translates to 4-10lbs a month. Even our slowest losers are in that range while losing.
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Anyone having RNY to help gastroparesis?
Ok, found something interesting today. In another thread, people are asking about getting a runny nose when they eat after surgery. Doesn't happen to everyone, but isn't uncommon. I was looking for information on the vagus nerve to mention, as it could be the root cause of the drippy nose. Here is part of an article that I feel applies to you. Here is the link to the whole article: https://paleoleap.com/vagus-nerve-for-health-weight-loss/ The good news is bariatric surgery does seem to change the vagus nerve signalling. So maybe this is part of why many of us seem to get so much healthier after surgery (beyond just weight loss).
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Side affects???
Oh, and I forgot to mention the potential role of the "vagus nerve" https://books.google.com/books?id=pgbbPeyPOLcC&pg=PA61&lpg=PA61&dq=vagal+nerve+running+nose&source=bl&ots=Wd5SdrOWD5&sig=qbNyvpZXrhEejyf1E5bXb1euCA0&hl=en&sa=X&ved=0ahUKEwjqoMK9o5_VAhXGQD4KHU0wDdoQ6AEIWzAH#v=onepage&q=vagal nerve running nose&f=false
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Pictures of my bedroom 2nd day post op
Those first few weeks, I also had "tunnel vision". If it worked, great, just keep doing it! Really push to get your water up to 40oz today. That's the minimum to keep you out of the hospital, especially in the summer months. (And if you are in the heat, then that's probably not enough). If you start feeling dizzy or getting dark urine, you may want to swing by some place to get a bag of fluids on board. You're doing great!
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Unsupportive Family
I'm with larta on this one. Tell them that you've had a change of heart, that they are right. Once they are like, "Oh, well.. OK then! Glad you came to your senses"... then proceed to do what you want to do. At least they'll not continue ragging on you.. which is exactly what is going to happen as it stands. Sorry you didn't get the support you were after {hugs}, you are a strong, independent woman, and you can figure out what is right for you.
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New to the forum and recent Gastric Bypass
Woo hoo! Sounds like you are doing great! congrats, and welcome!
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Pictures of my bedroom 2nd day post op
Adding some G2 to your water might help make it more palatable. I love your pics.. so true! Congrats on getting through the first couple days.. every day should be a little bit better than the one before, and before you know it you'll be a couple months post op, and all these early concerns will be behind you
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Vomiting after eating meat
To continue vomiting for hours after consuming something isn't something to take lightly. Take a couple more weeks off of eating those foods, then try again (but next time, try pureeing them into a liquid consistency). Grilling and broiling meat with no oil.. nope nope. It has to be soft and lubricated. Gravy and mayonnaise are your friends for the next couple months with meat. Think about the meat you feed a baby.. your tummy needs it like that. And if you don't know... go to the baby food aisle and buy a jar. You don't need to eat it, but it will show what your tummy wants. Revisional surgeries don't give the bang of original procedures. It may take more work and a longer time, but you'll get there even so. I can't do protein shakes either.. but cottage cheese and yogurt are nice and smooth, eggs might work for you, refried beans, soft cheese (like fresh mozzarella). Tofu if it's soft (I don't know anything about it, really ). You can even try a few cashews. It's still a little early for nuts, but if you eat them one at a time, and chew it to paste, it might be ok for you. Cashews are the softest nuts, without skins, so start with them. Limit nuts to 1oz a day because they are so calorically dense.
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Anyone having RNY to help gastroparesis?
Wow, your plate is FULL! The bypass does tend to change a whole lot of hormonal issues, and can give a "reset". Here's hoping it'll do just that for you! It sounds like your doc is hoping to "bypass" the parts of the stomach with impaired motility. Seems like a reasonable hope With your whole host of problems, I'm just wondering what sorts of diets you've tried in the past to try and manage those issues, and whether anything seemed to help...
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Nerves only thing stopping me
If "fear of failure" is your biggest concern, then that's a relatively easy one. You currently "didn't have the surgery". You are heavy enough to be thinking of getting it.. so it sounds like you are currently in a place of "failure". (I don't think you're one, but I suspect you do). Once you get the surgery, there is almost no chance that you won't lose at least some weight over the first year postop. I don't think I've ever seen anyone get on the board and say they lost 5lbs and never lost another ounce. 40lbs, maybe. So, I feel comfortable guaranteeing you will lose at least 40lbs over the first year. Even if this doesn't get you to goal, it will be better than where you stand right now, correct? Ultimately, the weight loss right after the surgery is the easy part. You don't have to do much, and it kinda just falls off. After 6-8 months, you'll have to actually start working at it. BUT, by then, you have already lost some weight, so moving around won't be as hard, and you've already been practicing eating small quantities of (hopefully) healthy food. "Working at it" will kinda come naturally in a way that is hard to imagine now. Choosing the surgery (for me) was my first step in becoming 'NOT a failure". I'm only 4 months postop, so we'll see how things go long term. But for now, I took that step to change the path I was on, and my new path IS leading me in the right direction. The easiest way to know if you are one of the super-rare cases that doesn't lose weight postop.. if you were to go on a diet right now, and start working out at the gym, would you lose weight? If you would, (but would regain later), then join the rest of us, because that's how it works for the vast majority of us. If you have never been able to lose even 5 lbs on a restricted diet and exercise program, then you may want to have some additional tests to find out why not, because that would indicate that surgery may not do what you hope.