Arabesque

Actually I’d say it’s more Atkins than Keto, though both advocate high fat, low carb. The difference is Atkins recommends higher protein & also healthy carbs in maintenance. Keto doesn’t. Keto also is quite restrictive in choice of vegetables & fruit while Atkins has more options. It may be best not to try to define your post surgery diet as anything other than your post surgery diet as prescribed by your surgeon & dietician. We all get too stuck on labels. Generally, your post surgery diet is high protein, low carb, low fat, low sugar while losing. Starches like rice,bread, pasta & potatoes are not recommended for a couple of reasons. Unused starch quickly turns into fat. Rice, pasta & bread swell in the tummy leaving less room for you to eat protein & more nutritious food choices (i.e. vegetables). They often sit heavily in your tummy as well making you unable to eat what you need as well. They are considered higher processed carbs too. Many successfully reintroduce them or variations of them in maintenance. No one ‘diet’ works for everyone & many aren’t sustainable in the long term. That’s one of the reasons we always failed in the past. Work out a way of eating (not a ‘diet’) that works for you, your body (health), your lifestyle, allows you maintain & is sustainable & allows some flexibility if needed. It may take elements of a few different ways of eating. I don’t consider myself on a diet. This is just what I eat.

It still happens occasionally. Funniest & oddest time was almost a year ago. I attended a farewell for someone I’d worked with on & off for years. I caught up with a team I’d worked with for about a year until a few months before my surgery. I greeted two of the men, hugged & kissed each on the cheek & sat with them for a while catching up. Later on, one admitted he had no idea who I was for ages. The other admitted it took him a few minutes. I thought it was hilarious that they had hugged & kissed a ‘stranger’. Another man kept saying he didn’t know who I was & I had to tell him my name twice before he accepted it was me. (The women knew who I was as I had seen them a few times since my surgery.) Two weeks ago I went to a funeral & people didn’t recognise me & some told other people I was my s-in-l. She is 7 inches taller than me! She also has a bigger build, is a couple of sizes larger than me & didn’t know the person who had passed away. I was a bit peeved about that one. I say enjoy it while it lasts.

Some people do have very few issues with drinking & eating. It’s part of us all being different & our bodies reacting differently to the surgery. Yes, fluids do pass through your digestive system more quickly but another thing to consider is that lots of nerves were cut during your surgery & messages & signals like feeling full don’t always get through until you are fully recovered. It’s why we’re advised to take things slowly & to be aware of portion sizes. When you are full healed, you’ll likely discover the signals & messages are different. For example, some say they now get the hiccups or their nose runs when they are full or have had enough.

I’m with you on the quantity of food people eat & add the quality of food. It almost makes me feel physically ill. Can’t stand ads, social media posts, movies, tv programs, etc. which show & celebrate the excess. Shudder. I can understand your concerns for your sister’s family & how you feel torn about what to do. My brother struggles with his weight like I did (do - as we always will) & I watch his children eat seemingly all the time & not always the best choices. The only thing is they are very active. Lots of sport & outdoor play & while they are young & that continues it will help. Though I worry most about the second daughter & son who I feel are very much like my brother & I & their maternal poppa. All I feel I can do is set an example. When they ask why I’m not eating or not eating much I tell them I’m careful about what I eat & how much I eat because I don’t want to put on weight again & I want to be healthy. When they’re with me, the food options are always more nutritious & I subtly restrict the quantities & how regularly they eat. (How about we go outside for a while & then we can have morning/afternoon tea.) It may be all your can do too. The worry is if you say something it may cause dissension & alienation.

Mine was high too. It could be just part of the weight loss when lots of things go out of whack for a little while but it’s good they’re doing since tests to ensure it’s not a sign of another issue like your gall, a blocked bile duct, or any other cause they can do something about. My surgeon was a little concerned but asked if there was Gilbert’s in my family. Turned out it is as we discovered my dad’s only surviving sibling has it. I let my surgeon know & he said if it continued to be high it likely was Gilbert’s. The symptoms were pretty much me too. Almost 3.5yrs out & yep it’s still high. It likely always was but no blood test had picked it up previously. Doesn’t cause me any issues except my stamina isn’t the best & I take longer to recover from viruses, etc.

Relax you’re doing fine @MyDogsLoveMe. Twelve pounds in three weeks is a pretty darn good achievement. People who lose at a faster rate initially usually start at a much higher weight than you did. Plus we all lose at our own rate. Some weeks you may lose more the next may be less. As long as your general trend is downwards you’re doing great. Struggling to eat much more than your protein is the way it goes at least for another couple of weeks when you may be able to get in some vegetables. In your soft food stage, try adding a few vegetables & see how you go. I remember being able to eat a single green bean or a small spoon of steamed cabbage back then. I was able to throw a few vegetables (tomatoes, onion, celery, mushrooms) in soups & mince dishes & let them simmer away for ages so extra mushy. You’ll slowly be able to eat more & a greater variety of food. Remember you are still healing & are starting the retraining of how & what you eat. Oh, and I still take about an hour to eat a tub of yoghurt & I’m almost 3.5yrs out. I eat slowly & taking more than 30 minutes to eat anything is usual for me.

I forgot that. I used to do it too until recently. First to get rid of the horrid grainy taste & coating on my teeth from the shakes & then I found the minty taste refreshing. Plus I was reluctant to eat if I’d just cleaned my teeth.

I’d think no at four weeks. First you’re still healing. Secondly, your focus should be in getting in your protein & not filling up or restricting how much protein you can eat. Thirdly, they contain quite a few carbs which we’re often advised to keep low. Fourthly, are they on your allowed food list? But best to do is contact your surgeon &/or your dietician.

Oh yeah it happens. You know the old wanting something even more when you can’t have it. Plus not everyone loses their hunger or desire to eat after surgery. Try to find things to distract you. Go for a short walk, read, watch a show or movie, play a game, craft, check your social media or this forum. Anything that takes your mind off food at least for a little while. Even having a warm drink (like herbal or green tea) can help. I hope these next weeks are better for you. It does really get easier.

First, yes the shakes can be awful after surgery. Usually because our taste buds temporarily change. Sometimes changing brands or trying different flavours help. But if you still can’t tolerate them, don’t forget you can have bone broth, consommés, cream soups, milk. Even the protein waters are an option. I’d forgotten how awful shakes were (didn’t do them pre surgery) but I’d grit my teeth, dilute it & have one for breakfast each day (literally sipped it over a couple of hours). Then I’d have soup for my other meals. I actually found using warm/hot water with my chocolate flavoured shake a bit easier - more like a grainy hot chocolate. You’ll be on purées in a couple of days. Secondly, remember the staged return to eating is in place to protect & not put stress on your healing tummy. Remember all those sutures & staples holding your tummy together. Also lots of nerves were cut during your surgery so you may not actually be able to tell if you strained your tummy eating steak this soon. I always say all because you can doesn’t mean you should. You may get away with it once but do you want to push your luck? All the best.

I have a sleeve & only took a multi vitamin too though I briefly took vitamin D (couple of months after surgery). I’m a big advocate of not taking vitamins without having a blood test to see what you’re actually lacking in first. Having too much of a vitamin can be just as concerning as not having enough. Plus vitamins are expensive & some of them you just pee out if you have too much. You can request a blood test whenever you want & don’t have to wait for your next surgeon’s appointment. Stopped the multi at around 8 months. Didn’t need additional vitamins as blood tests showed I was getting all I needed from what I ate. I’m taking vitamin D again but only in Winter because we discovered my levels dropped then when I hibernate (hate the cold & bundle up so the sun isn’t able to reach my skin). Benefit of having regular blood tests & being able to historically track levels.

Wasn’t told to avoid antibiotics either. Just make sure your prescribing doctor knows about your sleeve & any malabsorption issues you may have (not that its a real issue with a sleeve).

So sorry you’ve been going through this. Even though they only removed a small slither of your tummy, nerve endings were still cut & you likely aren’t getting your messages through to tell you you’ve had enough or too much. Remember you will be healing for a while & will need to take it slowly for a few weeks just like you did in 2016. As to the hunger it could be stomach acid (extra being produced in response to the surgery) which can cause hunger pangs like pain. Are you on a PPI? All the best with your recovery.

Does your sister or mum know if they react to a specific anaesthetic or all of them? My aunt has a list of a couple she can’t tolerate so they use other ones when she has surgery. Make sure you let your surgeon & anesthetiser know so they can take precautions. I downloaded shows on my iPad too but ended up not watching any. Didn’t read either. Slept or dozed a lot & my concentration was non existent. The only unexpected thing that happened was my back went into spasm so I ended up staying an extra night. Oh & the unexpected, no warning diarrhoea. That wasn’t pleasant. Glad I packed extra knickers & pjs. LOL! All the best with your surgery.

Don’t panic yet & think you’ll always have reflux now. Your tummy is in shock after your surgery. Your digestive system is working differently & your body has to come to terms with that. Plus you’re still producing the same amount of stomach acid you did with your larger pre surgery tummy. And your eating way less food & less dense food that doesn’t need as much acid to digest it. So where does that acid go? Up. Most people are prescribed a PPI to counteract this excess acid for the first couple of months only & until everything settles & heals. If you weren’t prescribed one, contact your surgeon & ask for a script. Over the counter meds often aren’t strong enough in the beginning but might help some while waiting to get your script.

Popcorn is a slider food. It’s easy to eat & you generally end up eating way too much which is why many are advised to avoid it in the weight loss phase. Plus the temptation to eat it with flavourings can be even more dangerous. As to eating at the movies, I don’t but then I haven’t in decades. Initially I stopped because the food is so crappy. Then I realised you’re only there for a couple of hours - less than the amount of time between meals & I often went just after I’d eaten anyway. I usually just take in water or if it’s gold class or equivalent & I’m with friends I might take in a glass of wine (& pray I don’t have to do a bathroom run 😉) .

Almost 3.5 yrs out & I still eat slowly, 30-45 mins, leaving a couple of minutes between bites. Sometimes I take longer depending upon what I’m eating & how I pace myself. Salads with lots of leaves, yoghurt & prawns can take 50-60mins. Gotta allow time for the message you’ve had enough to get through. In the beginning, because you’re eating so little you won’t take 30mins to eat a meal more like 20. I used a teaspoon & only dipped into what ever I was eating, never a spoonful. I also used a cocktail or buffet fork (spork) & again only used the tip. There are little things you can do to slow yourself down & take breaks between bites. Take a bite during the ad break, or play a game on your device, respond to someone on this forum or read a thread, read a couple of pages of a book, etc. Eating with others? Then take a bite in conversation breaks, put your cutlery down & sit back from the table between bites. You’ll work out what strategies work best to help you slow down your eating. Eggs can be a little rich & filling @Smoothiegal which is why some people struggle with them. I used to scramble two eggs which would take me three days to eat so only being able to eat half an egg at your stage isn’t that unusual. At 6-8 months I could barely eat one egg. I ate two scrambled eggs for the first time last month.

Stalls are the worst. Frustrating & demoralising but also a perfectly normal occurrence. You lost a lot of weight in the first two weeks, your body is likely playing catch-up. Maybe check in with your dietician to review your diet & portion sizes. Also ask for recipe ideas. What carbs are you eating? I was allowed rolled oats from purée but apart from the carbs in dairy, legumes & other vegetables I ate no other carbs: no bread, no rice no pasta. But I ate so little of them it wasn’t a lot of carbs at all. If eat your protein first & then vegetables it’s unlikely you’d be able to eat anything else. While some plans do encourage people to reach 1200 calories quickly, 7 weeks seems too quickly. But check with your team.

Your other option is to go to your local hospital or emergency clinic. If you experience excess pain that can’t be managed or pain that is usual for you always seek medical help. Better cause they can physically see you & run tests. Pain this far out is not usual. Most find after 4 or 5 days there’s no pain just some discomfort (like latent gas pain, stretched muscles & similar) easily managed with over the counter meds if needed. All the best.

I didn’t really have any negative experiences when I was overweight at least not ones I was aware of. I agree with @HotWing&APrayer. Often our confidence decreases & anxiety/self consciousness increases with our weight. Then any negative experiences crush us further. I was only at my obese weight for about 5 years so body dysmorphia probably helped me because though I knew I was obese I only saw myself as overweight which was ok in my mind. Though I know I also was more aware of not doing overt things that others may judge as ‘no wonder she‘s fat’. With my weight loss I’m certainly more confident which has made me more chatty with shop assistants, service providers, random strangers, etc. (Yep, I’m the one holding up the line chatting to the check out person or the stranger who starts talking to you the shoes you’re trying on.) It does make most of my experiences more positive. It’s either my weight loss or I’m turning into my mother & grandmother 😱😆. Have noticed more negative experiences for getting older like old person stereotypes & being ignored over younger people which annoys me A LOT. Not afraid to say about it something. The girl who presumed I was a grandmother got an earful!! LOL. I may be 57 but I don’t even look like I’m close to that ( & very grateful for that).

I ate fresh fruit around month 3 months after surgery. Usually watermelon at first as an afternoon snack. Then I added berries & grapes. I added some dried apricots to my rolled oats occasionally but found them too sweet. Check with your dietician though as fruit with seeds & coarse skin aren’t allowed in most plans for the first months. In maintenance I initially ate most any fruit again as an afternoon snack. Now I tend to only eat blueberries with my rolled oats at breakfast & rarely any other fruit though with summer coming I’ll probably have some cherries & lychees. Fruit is my main source of sugar cause I cut so much out of my eating. Eating really only one serve of fruit a day is my personal choice not because I can’t.

You know what’s happening. You said it yourself - eating more junk food & old habits sneaking back. It’s the battle we all face & always will to some extent. The surgery only changes our body not our brain sadly. All because you can tolerate those foods doesn’t mean you should eat them. But you have to make the decision as to whether you’ll eat them, how often you’ll eat them & how much of them you’ll eat. Finding a balance of our eating & weight & being able to live the life we want is something we have to discover for ourselves. It’s why many accept being a little heavier than they originally wanted as it’s less restrictive, more sustainable & allows them more flexibility to enjoy their life with family & friends. And that’s okay. Unfortunately, yes, exercising will increase your appetite as your body seeks to replace the calories you’ve burnt being active. If you’re more active you can eat more calories but less than you burn if you want to keep losing. Also exercising only contributes to around 10% of the weight you want to lose. So if you want to lose 20lbs, exercise will contribute to the loss of about 2 of those pounds. Of course, lots of other benefits to being active. I think you know what you need to do if you want to lose more weight. Start by making one change today. Then in a week or so make another. It’s easier to manage & accept going one step at a time. All the best.

I find the milk in my rolled oats does that to me sometimes. Not as bad as you but similar symptoms - nausea, cold sweats & general weakness & passes fairly quickly likely because it’s more low key than yours. I use lactose free milk but it’s like it’s too rich or something. It tends to happen if I have my milky rolled oats too early in the morning (like before 8am). It’s like my tummy isn’t ready for it. Possibly it happened to you because your tummy can be sensitive (& fussy) fir a while after surgery while you are healing. Though the spitting up saliva aspect sounds like the foamies (not so much the other symptoms though) which often indicates eating/drinking too fast or too much. Try diluting your shake to thin it out some & drink more slowly. Sip, sip, sip.

The truth is some people don’t lose their hunger after surgery. But it’s best to rule out the other culprits of thinking you may be hungry first. As @kaylee50 said, in almost most cases a rumbling, grumbling tummy does not mean you’re hungry. It’s just your digestive system doing what it’s supposed to: digest food. Not all food digests as fast as others so sometimes it can occur some ti e after you’ve eaten. This also leads to are you on a PPI as stomach acid can make you think you’re hungry too. Head hunger is a big culprit & a tough one to battle. Our brains are powerful & can convince us of lots of things. Are you hungry because you think it’s time to eat like it’s lunch time so I should be hungry? Are you hungry out of habit like because your watching a movie? Are you hungry because you’re stressed, sad, angry, frustrated, etc. & food is a way to sooth or comfort yourself? (The surgery is pretty stressful on your body, emotions & mind.) Do you think you’re hungry because your brain is telling you eating so little can’t be enough food? Try drinking something. I found a cup of green/herbal tea soothing & helpful. Distraction is also good. Go for stroll. Water your plants. Read, craft, play a game. Check out social media, you tube, this forum. Even waiting half an hour before having something to eat is often enough as real hunger doesn’t abate but head hunger does. Be careful eating foods not on your list of staged approved food. The restricted diet is in place to support & protect your healing tummy. Remember all because you can doesn’t mean you should. All the best.

It could just be up because of your weight loss & the stress of weight loss on your liver but it’s probably best to monitor it for a while. There are tests to ensure it’s not related to cirrhosis, fatty liver, gallstones, hepatitis, bile duct blockages. Will be interesting to see what your doctor says. My bilirubin levels were high & still are three plus years on. My surgeon asked if there was Gilbert’s in my family as a sign of that is high bilirubin levels. I discovered I did have an aunt with Gilbert’s & I also had a lot of the symptoms of Gilbert’s too (explained a lot actually) so my surgeon believes I likely have it too.