Mhy12784

I honestly eat more (frequently) than I ever have in my life. I dont eat particularly much, but im eating every 2-3 hours all day. Most of the time im hungry, but a decent amount of time im eating because its when im "supposed" to eat. Long as I keep pushing it at the gym I dont mind constantly eating as its all clean. And my entire diets built around Protein and Fiber, now im increasing complex carbs as well

I wouldn't rely on gaining muscle as much of an indicator on progress. It's incredibly difficult for both men and women to gain muscle (more so for the latter). If a man gained 10 pounds of muscle over a full year while eating at a caloric surplus and working out hardcore he's either incredibly genetically gifted or extremely lucky. As gaining 10 pounds of muscle in a full year is unlikely for most people. Maybe if it's your first year ever working out in your life you could have a combo of luck and beginners gains.
So I think for most people if you have a great routine and are consistently working out with proper weights and sets expecting anywhere from 3 to 8 pounds of muscle gain over the course of a full year is more realistic. And if you're losing weight (which makes gaining muscle more challenging) it's likely that you're on the lower end of that spectrum.

Milk it while you can
It's the golden window to get to levels of leanness you only imagined

I mean I'm 9 months out. But my Breakfast is a Protein mugcake which basically is 50g of protein. Then I have 2 Protein Bars at work, another 50g.
A small meal after work another 25-30g. (eggs, meat, something like that) dinner is basically lean meat 40 to 50g of protein, and before bed is a Protein Shake which is another 40 to 50g.

Effectively I eat every 2 to 3 hours. Getting at least 20g of protein at each meal, with a few big meals being closer to 50g.
If I was heavier I'd be concerned I'm eating so much, but since I'm legit borderline wasting away and trying to pack on muscle, I'm alright with how much I'm eating.
As long as I can keep up the hardcore lifting routine and pack on muscle

Just my 2 cents, but I wouldn't buy anything specifically designed for "bariatric patients"
You can get normal generic versions of everything for much cheaper and with a greater variety of flavors. Protein Powder, Multivitamins, Calcium, Vitamin b etc.
All the bariatric stuff is, is the exact same crap with a substantially higher price tag. I used bariatric Protein powders vitamin b Multivitamin and calcium at start and realized how obsencely overpriced it was and quickly switched to normal stuff from my favorite supplement stores

I'm around 9 months having 1600 to 1800 with 200 to 250g of Protein. Carbs are still fairly low, likely around 100g

Just my 2 cents, but I wouldn't buy anything specifically designed for "bariatric patients"
You can get normal generic versions of everything for much cheaper and with a greater variety of flavors. Protein Powder, Multivitamins, Calcium, Vitamin b etc.
All the bariatric stuff is, is the exact same crap with a substantially higher price tag. I used bariatric Protein powders vitamin b Multivitamin and calcium at start and realized how obsencely overpriced it was and quickly switched to normal stuff from my favorite supplement stores

Seriously why would anyone use a Vitamin Patch? You can take pills and chewables after surgery just fine, which are actually proven to work and much cheaper.
I get that people have crazy beliefs but vitamin patches are stupid honestly

I'm not losing I'm maintaining and trying to add on muscle mass. And eat very little carbs (which hurts my workouts).
I love sweet potatoes though, and know they're pretty healthy. The easiest way I've found to cook them is slice them up (usually 2 small ones) and spray them with Pam for like 2 to 3 seconds (I know it says calorie free, but it's still oil) then toss them in an airfryer
I estimate this comes to somewhere between 25 to 50 calories of oil. (very likely on the lower end of that calculation)
But would you consider this a fairly healthy source of carbohydrates, or am I basically justifying to myself a way to eat French fries?

Then what is the extra 40 calories made up of?

The most unusual stuff that I do regularly. Is Protein mugcakes (syntrax protein, coconut flour, baking powder skim milk microwaved)
Or Premier Protein milk shakes (which is basically freezing a premier protein throwing it in a blender with some skim milk Splenda and either sugar free vanilla pudding mix or PB2 powder)
Both easy filling very tasty and practically all protein.

The most unusual stuff that I do regularly. Is Protein mugcakes (syntrax protein, coconut flour, baking powder skim milk microwaved)
Or Premier Protein milk shakes (which is basically freezing a premier protein throwing it in a blender with some skim milk Splenda and either sugar free vanilla pudding mix or PB2 powder)
Both easy filling very tasty and practically all protein.

It sounds like youre pretty much having a sleeve to bypass conversion, and your doctor just wants to call it something that sounds more complicated and intelligent.
Having a gastric sleeve is basically the first part of a gastric bypass, so having a bypass after a sleeve is a fairly simple operation.
Its possible your surgeon is doing something slightly different, but the bottom line is itll be very similar to having a sleeve > bypass revision

Let me rephrase that. With a sleeve the first part of the bypass is done, dissection and what not . A patient getting a bypass after a sleeve will typically be easier than a patient just getting a bypass.

It sounds like youre pretty much having a sleeve to bypass conversion, and your doctor just wants to call it something that sounds more complicated and intelligent.
Having a gastric sleeve is basically the first part of a gastric bypass, so having a bypass after a sleeve is a fairly simple operation.
Its possible your surgeon is doing something slightly different, but the bottom line is itll be very similar to having a sleeve > bypass revision

The last few weeks I've been freezing my Premier Protein shakes, then putting them in a blender with some skim milk, Splenda, and PB2 Peanut Butter powder. Basically like a milk shake
But I think freezing premier shakes then putting them in a blender makes them much thicker and more enjoyable. Definitely a poor man's milkshake, and honestly it's more filling as well. The pb2 is just the icing on the cake but coffee will make it like a frappe too

It's extremely overpriced (I get this is a non issue if you have money), it's significantly higher in calories than most Protein Shakes, and only 55% of the calories in it are from Protein (which is extraordinarily low for a protein shake).
I feel like the purpose of using a Protein Shake in your diet is to have a concentrated source of protein. If a shake is barely over 50% protein, that means the other 50% is pretty much a waste (let's be honest nobody drinks a protein shake to hit their saturated fat requirements or carbs).
When I'm drinking shakes (which I do almost everyday) the goal is to get as much protein as possible for as little calories as possible (although sometimes ill add sources of Fiber to it).
I wouldn't go so far as to call Labrada bad, as it's certainly not bad. But when something like a Premier Protein shake is less than half the price, and 75% of the calories are from protein, it's no contest. And that's not even comparing them both to whey protein isolate shakes (ie Syntrax nectar) that are 90% + calories of protein.
I want my protein shakes to be mostly protein. So I can get my fats and carbs from meats, nuts, fruits, and vegetables. "wasting" almost 10g of fat on a protein shake is exactly that a waste to me. Especially if you're in the losing phase and your calories are extremely restricted.

That said I keep some Protein Bars at work for days where I end up working overtime. And the macros for them are even worse than the shakes. But it's not an everyday routine, it's more of a convience for days where the unexpected comes up at work and I can grab and go.

i cant speak for people with the bypass as their digestive process is substantially altered. But with the Sleeve I genuinely dont believe that to be true.
The human body is smart and designed around not having a constant source of nourishment, and can take hours to fully digest food. Especially for those of us who are relatively bigger (ie most people who havent lost their weight yet) the notion that we could only absorb 25-30g of protein in a sitting is crazy.
With the Sleeve our stomachs are smaller so we cant eat as much, but digestion is otherwise normal.
Now ideally we would spread our meals out, but if youre trying to get a higher protein intake (150-200g a day) theres no fricken way youre going to be able to accomplish that only getting 25-30g of protein in a meal while eating 7 meals a day
I have a relatively higher protein intake (I aim for 175g + a day) and try to have 4 meals with 40-60g of protein at each, and while anecdotal im in the best shape of my life
(on a side note I dont think the Labrada shake is a good choice, but I did use it for a few months post op as I enjoyed the flavor and it helped me get through the early stages of my post WLS life)

I used to drink these shakes. They taste pretty good, Cookies and cream was something I consumed regularly for a while.

But theyre too expensive, and have too many calories.
Im much happier with Premier Protein shakes than the Labrada ones. The only positive about Labrada is its lactose free (but id still rather take a premier with a lactose pill)
I would encourage only buying the Labrada shakes when they are on sale though. Many of the websites that sell it frequently have 20-30% off coupons, which lowers the price to something less insane.

I think the answer to this question is it depends. I think for a sleeve you'd be better off having it done laparscopically. The Da Vinci only has 30 and 45mm staples which don't come with seamguard reinforcements and the literature behind their staples doesn't have sufficient long term data
The bypass doesn't need reinforcements as the critical part of the procedure is the anastamosis and the surgeon suturing is what's important. And the Da Vinci offers benefits for the surgeon when it comes to suturing especially the 3D vision , so I think it's good for that.
Ultimately I think the most important thing is how many and how often your surgeon does this case with the robot. If he does 100+ robotic bypasses a year and has for years I think the Da Vinci will be better. If the surgeon had done not many or doesn't do them often, I think it'll be worse for you.
And I don't think at this time having the sleeve robitically is a benefit to a patient, a bypass on the other hand it could be if the surgeon has done plenty.
And ive assisted with thousands of robotics cases

You're taking miralax ways too often, which can cause your body to become dependent on it (this is a real thing).
I had the same problem as everybody else, and I have seen substantial improvements with the following.
Colace 3x a day (this you CAN do often)
Metamucil 3x a day (I love the pink lemonade flavor of Metamucil weight control. It has some other stuff in it, but I just buy it because I love the pink lemonade flavor)
Fiberchoice tablets 2-4 times a day (they taste yummy, and contain inulin fiber which doesn't do much but add bulk)
And sometimes I'll eat some fiber gummys as well (they contain polydextrose, which is another cheap crappie fiber that serves little purpose but adding bulk).
I have no idea how often you should take laxatives but my surgeon strongly recommending avoiding taking them more than once in a blue moon as it will cause dependency and cause real problems.

And with fiber supplements you wanna build up your dosage slowly over time otherwise you'll get super bloated and gassy.
I probably get around 35g of Fiber a day on a 1200-1500 calorie a day diet and that barely cuts it. That's not counting the additional fiber I get from fiber tablets and sometimes gummies as those are inferior sources of fiber.
But I strongly encourage anyone with Constipation issues to get ahead of the fiber game, before your unpleasant issues turn to hemorrhoids and then you'll be dealing with an extremely unpleasant situation

I don't understand this.
It's incredibly easy to add carbohydrates.
She wants you to get some carbs have an Isopure and some applesauce after. This makes no sense to me. And isopure is very common postop, hell that's what my hospital gives you while you're there

I don't understand this.
It's incredibly easy to add carbohydrates.
She wants you to get some carbs have an Isopure and some applesauce after. This makes no sense to me. And isopure is very common postop, hell that's what my hospital gives you while you're there

It does say on there use a shake of your own choosing. Those are all powders and not RTD drinks.
It's fine as recommendations but honestly what Protein Powder you use doesn't matter, as long as the macros aren't ****

I would take your endocrinologist advice over your surgeons when it comes to this.
Ideally you want to take care of both, but your endocrinologist is going to know and understand your diabetes, while the surgeon knows surgery.
Personally I would get your endocrinologist advice in concrete clear language, and share this with your surgeon. (be sure not to misonterpt anything or change someone's words)