NickelChip

Here is my 4-week post-op update: Highest weight: 251 Start of 2 week pre-op diet weight: 238 Day before surgery weight: 226 Today's weight: 214.8 I had a stall that began exactly at the 3-week post-surgery mark and lasted 7 days. Below are photos taken before surgery and this morning.

Well done! You're definitely making great progress.

Well, I think you look spectacular and very healthy. The transformation is absolutely stunning! I also think as our population trends heavier, we don't see the extra weight as much. I was a chubby kid, and I was like one of maybe 3 chubby kids in my entire grade, not just my class. I dieted like an idiot as a teen and got down to 126 lbs and I was nowhere close to the thinnest person in my friend group. Nobody said anything about me getting too skinny, for sure. I gained weight in college and by the time I graduated, I was overweight again, and obese by the time I hit my late 20s. I always felt like the biggest person in the room (at, like 210 lbs). But by the time I was in my mid-30s, I started seeing bigger people than me all around. Everyone was getting bigger. My weight went up to 225, but many of the parents of kids in my daughters' grades were way bigger than that. It almost had an insulating effect from my own weight gain, because I was no longer the biggest person in the room. I just kind of looked normal. When a friend heard I was getting bypass, her first response was "but you're not that big" and at this point I was 250 lbs with a 40+ BMI, plus high blood pressure, prediabetes, and high cholesterol. And this was from a person who is in the healthy BMI range and never been overweight. So I definitely think we've become so used to seeing larger people that we think "obese" is a term reserved for the people on television shows who weigh 600+ pounds. And, of course, the rapid weight loss from surgery is jarring so people notice it more. But don't let their comments get to you!

Excess body weight equals your starting weight minus your "ideal" body weight (not the highest weight in your healthy BMI range). You can calculate your ideal body weight here: https://www.calculator.net/ideal-weight-calculator.html You get several slightly different calculations with this, plus a healthy BMI range (in my case, 114.6-154.9). For me, 3 out of 4 calculations tell me my ideal weight is 130, so I'll go with that. It should be noted, that is not my "goal" weight. Keep in mind all of this is a guessing game, not an exact science.

Dang. That eliminates what I would say. I will say this, though. Did these same people tell you to your face you were "too fat" when you were obese and your weight was actively trying to shorten your lifespan? Or is it just your skinniness that worries them? Because you are right in the middle of a healthy weight range right now. You could drop to 125 lbs and STILL be 100% healthy and normal weight. So, if these people weren't telling you every day when you were 262 lbs how worried they were about your weight, I don't think I'd trust their judgement where weight is concerned. I'm not saying the comments don't come from a place of love, but they do seem to come from a place of ignorance.

I know I shouldn't complain because I'm feeling great and hitting my protein and water goals every day since I got home from the hospital, even tolerating soft proteins really well. If it weren't for the incisions and the lack of hunger, I'd almost forget I had anything done. But man, I would check my scale for bad batteries if I hadn't just changed them. My preop diet was a very exciting time as I was dropping weight like crazy. 15 lbs in 14 days! I was 238.8 on February 7, and the day before I went to the hospital, February 20, I weighed in at 223.4. I stayed off the scale after getting home because I knew I had IV fluids and all of that to flush out of my system. But I weighed myself today, 10 days post-op, and I'm down exactly 1 pound at 222.4. Color me underwhelmed. I know it's probably just an early appearance of the "3 week stall." Logically, I understand all the reasons for it to happen. But it doesn't stop me from wanting to kick something, specifically, my scale. My body will never miss an opportunity to mess with my head. Anybody else have a slower start after surgery than you were expecting? How long did it take to pick up the pace?

I hope talking to them about it will help! It's funny because everyone knows right now I can barely eat anything, but they all catch themselves offering me food because it's "polite." I'm eating dessert, want some? I made this big meal full of stuff you can't even look at right now, can I get you a plate? And then I see it on their faces, it's like oh, wait... But since you're dealing with regain, it's good that you are figuring out your triggers and asking others to help you avoid them now so you can have the best chance for success the second time around.

You can take my advice with a grain of salt since I've never been in the position of losing too much weight and am only 4 weeks post-op, but I think at this point your best bet is to ignore calories and just listen to your body. Eat if you're hungry, don't eat if you're not, and focus on nutritious food. Your body will stop losing weight when it feels like it. I agree with @Spinoza that I think the surgery gives you a new set point. It's best to just see what that is and only worry about it if it's so low that it's unhealthy. More than likely, it'll bounce back up on its own if it's too low for you to maintain. But better you bounce up to where your goal was initially than put the brakes on now and then bounce up 10 lbs higher than you wanted in a year.

I really love sheet pan roasted veggies. You can do a mix of sweet potato, Brussels sprouts, sweet onion, butternut squash, zucchini, beets, etc. Spritz with avocado oil and put a little bit of sea salt, or try a glaze with some balsamic vinegar and pomegranate juice. You can also try cooking green beans in some chicken bone broth with a little diced ham for a healthier version of southern style green beans. I love making eggroll in a bowl, which uses a bag of coleslaw blend, julienne carrots, and ginger, garlic, and soy sauce. You can add ground pork for an all in one meal. I usually add snow peas, too, and mushrooms that my kids immediately pick out.

I recently tried a very natural protein bar made with nuts and egg white protein that I really liked. It was the Mammoth Bar in the goji berry flavor, available on Amazon. They're pricey but very good ingredients, and I found them to be super filling. 12g protein. I'd say they're a lot like the Rx bars, which are a bit cheaper and easier to find in stores. Worth keeping on hand for hikes or when you're going to be out all day.

Yesterday was no fun, not gonna lie. Having two meals in one day disagree with me to the point of several hours of pain and frequent vomiting is not something I'd care to repeat, so I'm taking it as a warning to go very easy with foods today. My program's recommendation was to have 3 meals daily and to supplement with protein shakes in between as needed, but they were very anti-snacking, which I do understand in the longterm. But I hate protein shakes, so I've felt this added pressure that if I can't eat enough protein in one sitting, I'm dooming myself to drinking something vile in a few hours. It's a recipe for taking one bite too many. However, I went to the dietician the other day and she was asking about snacks, and seemed surprised when I said I didn't have any, just the protein shakes. She even suggested I may need to add in a snack or two! So now it seems I can have several small meals instead of protein shakes and they're fine with it. Talk about mixed messages! I swear they don't read their own booklets sometimes. Anyway, I'm going to experiment with smaller portions size and more frequent meals to see if it helps. If it's just a few things that trigger the tummy issues, I'll chalk it up to not being able to tolerate those foods. If it continues with no pattern or becomes more frequent, I'll definitely talk to my doctor's office to rule out a stricture.

I'm 4 weeks out and started having this issue the past couple days off and on. This morning I had a scrambled egg and it ended up not staying down (despite no trouble with eggs in the past). Lunch was okay but then at dinner I went from being totally fine with 2oz smoked salmon to taking a single bit of veg and having pain and fullness, that stuck feeling, that again eventually led to the food coming back up. Now I just have a painful full feeling that's lingering for hours and is miserable. If it continues a few more days I will reach out to my doctor.

I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now.

Welcome! Click on the little drop down arrow next to your profile name at the top of the page and select My Tickers. You create the ticker and then it gives you options for making it public and adding it to your signature.

Hooray! Hopefully the time will move quickly for you. I remember how hard it was to be patient while I was waiting, and now all of a sudden a month has passed since surgery. It's funny how time works.

That is such an accomplishment! You look so much more vibrant now, and very happy, too. Extra energy must feel amazing! I finally have some energy kicking in 4 weeks post-op, but I wouldn't call it extra. I didn't count on how tired I would be, like dragging through the morning every day and needing to close my eyes by the time noon arrived. I finally feel back to normal, though. Which without caffeine (I've been told no to caffeine still) is saying something. Sounds like you're on track to reach your goal!

Looking great, and I love the hair color!

Every surgeon is different, but with my program, I was allowed to start soft proteins on Day 7 after a chat with the nurse to make sure I was getting my hydration in and feeling well. I had great luck with tuna salad made with low-fat mayo, yogurt (I did Oikos Triple Zero, but eventually the artificial sweetener taste turned me off them), oh, and cottage cheese was an absolute delight! I made a poached egg and it went down nicely, so then I tried a deviled eggs (yum!) and finally scrambled with a bit of cheddar. I was also allowed refried beans and ground chicken/turkey (which I made with some taco seasoning). After a week of just those items, I was allowed to slowly add in some veg, fruit, and finally grains. This is much faster than what my surgeon allows for sleeve, by the way. He explained that the healing is different between sleeve and bypass, so I was happy to be able to get back to real foods faster. My only issues with vomiting came from reheating some salmon (way too dry) and another time of eating a bit too fast without properly chewing every single bite and waiting long enough between bites. But otherwise, I'm at 4 weeks as of tomorrow and I'm pretty much able to have any types of food, including raw veg. I have a tiny cucumber, tomato, shredded carrot, and edamame "salad" with most of my lunches. As for pills, I crush or sprinkle all of mine over a couple tablespoons of applesauce. Except for vitamins and calciu, which are chewables and have been fine.

On the pre-op diet, I liked the Bariatric Fusion chicken soup flavor, and I also was able to do two scoops of Syntrax Nectar unflavored in a tomato basil soup. It gave it a creamy consistency, similar to if you added some milk or cream. Post-surgery, the only one I can still stomach other than the unflavored powder is Syntrax Nectar Naturals in orange flavor, which is somewhat convincing as an orange-juice-adjacent drink. Think TANG.

The sashimi was great! Very easy to eat. I had just a few bites of my miso soup and then gave that and the salad to my daughters (both items come with the order). I think I ate 4 or 5 pieces over the span of an hour, no rice, and half of one green tea mochi ice cream for dessert. I ordered a miso soup to take home because it was so delicious. I had half yesterday and will finish it today. Congratulations on your stall breaking! Mine is still hanging on, but I'm just trying to ignore it. I've lost 21 lbs but a lot of that happened during the liquid diet pre-op. When I told my dietician I'd lost 15lbs in two weeks pre-op, she said that was way more than expected and might be why my post-op loss has been slower. It'll all work out in the end, I guess.

I'm having eggs prepared all different ways, plain Greek yogurt or cottage cheese with fruit, tuna salad, smoked salmon, ricotta bake, quiche, white fish, ground turkey, baked tofu, and all types of cheese. I went out for sushi (sashimi, actually) and that was really nice. I also love edamame as a snack. Right now I'm having a no-sugar drinkable yogurt for a snack that's nice, although maybe too sweet to buy again. I'm not having a ton of veggies yet but I usually have a small serving of cucumber slices, julienne carrots, and diced tomatoes with a drizzle of balsamic vinegar at lunch, and I like to add spinach to an omelet for breakfast sometimes. I'll have broccoli or green beans with my protein at dinner. Another nice treat is peanut butter powder, which I have in plain and chocolate.

Had my 4-week post-op appointment with my dietician today. She wants me to start aiming for 80g protein and 800 calories per day. Currently I'm averaging closer to 65g and 600 calories. We'll see how it goes this week!

My two suggestions are to change up the temperature of your drinks, and to try some sugar free popsicles. Depending on the day, I find really icy cold water or hot herbal tea will just go down perfectly. Peppermint tea and ginger tea are both really soothing. And the popsicles limit how quickly and how much you swallow, so you get a slow hydration (that also tastes nice).

I haven't been told this personally but it's something I've heard can happen. I would suggest trying to increase calories without increasing volume if you can't eat more. You could add a small handful of dry roasted or raw nuts, which are very calorie dense. Or choose low fat instead of non fat dairy products. Even just adding a protein shake in between breakfast and lunch or before bed could give you another 200 calories without making you feel too full.