NickelChip

After having my surgery cancelled last month due to the abrupt closure of my hospital's bariatric practice, I have a new date at another hospital in the area and can hardly wait for the time to fly by. I'm scheduled for gastric bypass on February 21. Any other February peeps out there?

A food diary is a good idea. I hate doing them but I've been keeping one since my preop diet and will probably continue for a few more months until I really feel like I've got a good routine and no issues with hitting all the goals. I'm feeling pretty much back to normal, no issues with food in more than a week. What kind of pain are you experiencing?

I'm almost 9 weeks post-op and trying to figure out if I'm on track. I started my 2 week diet at 239 and was 223 the day before surgery. Since surgery, I am down to 204. (So much slower since surgery!) Here's where it gets tricky. If my goal weight is 155 lbs and I use my starting weight from the day I began my 2 week diet, I had an 84lb weight loss goal and am currently at around 41% of excess weight lost. But if I use my day of surgery weight, I had a 68lb goal and am at only 28% lost. This feels like a big difference. I've seen some sources say count your weight loss during the immediate pre-op diet, and others say no, don't count it. Are there any actual rules, or is everyone just making this stuff up as they go?

This one took a little more math since they give you pounds lost instead of what weight you will be, but I liked that I could see it month my month. The funny thing is the risk calculator one is more aggressive/optimistic in terms of my weight loss. The Mexico one says I'll be 195 at 3 months but the Risk one says 5lbs lower. Oh well, as everyone says, this is just an average, no matter which calculator you look at. But I do find it helpful to have an idea of what to expect. It keeps me realistic.

Took my 2 month post-op photo today. Subtle changes between now and the 1 month post-op photo.

If all you're having for breakfast is a protein cold brew, that won't stick with you for long. I have a smoothie in the mornings and it packs a good nutritional punch. I recall even from before surgery that a smoothie would keep me going until lunch. My new go-to, after some trial and error, is 150g frozen fruit, 30g baby spinach, 1tsp each of hemp seed, chia, flax, and raw sunflower seeds, 100g drained and rinsed canned beans (cannellini, white beans, black beans, chickpeas will all work), plus 2 scoops unflavored protein (20g), a scoop of beetroot powder and a scoop of Benefiber. I fill with as much water as my 20oz blender cup will hold. I add a squeeze of the bottled grated ginger to kind of mask the bean flavor, and I blend the heck out of it with a Vitamix so it's really smooth. It's about 360 calories, 30g protein, and has 16g fiber (11 from ingredients, 5 from Benefiber). It takes me about 45 minutes to drink it at 9 weeks post-op.

It can vary widely. At my first program, they ran CBC, metabolic, thyroid, vitamin D, A1c, and a few others. But I switched to a different program, one within the same hospital system in fact, and the doctor ordered so many tests that even after combining a few that could run together, they had to take 16 vials of blood! The lab had a policy of no more than 12 vials per day, so I had to go back for the rest.

Using my day of surgery weight, the calculator suggests I'll be 195lbs at 3 months. I'm 204.4 today, but assuming this blasted week-long stall breaks soon, it seems likely I'll be somewhere around there in another 26 days. It tells me to expect 178lbs at 3 months and 158lbs at a year, with a low of 151lbs at 18 months. I would be pleased as punch with that if it happens! That would be exactly 100lbs down from my highest weight, which seems unreal.

This is the best time to start good habits for the future. You probably won't feel hungry for a while, but you will need to eat regularly anyway. Without the distraction of hunger, you can make deliberate choices. Right now, you should have a schedule from your surgeon's office or dietician that tells you what you can eat, how much, and when. Try to follow that as you get used to your body's new cues. If you need more detail, you can check out bariatric cookbooks, but choose ones written by doctors and registered dietitians who specialize in bariatrics. It's a good time to slowly try out new recipes and retrain yourself for small portions.

From what I've been reading and a video from Dr. John Pilcher I recently watched, it's definitely normal. You usually lose the most in your first 3 months, around 1/2 the weight you're going to lose. After doing some poking around to clarify, it seems that number is calculated using your day of surgery weight. Between 3 and 6 months, you continue losing at 1-2 lbs a week, and this slows to maybe just a few pounds per month between 6 months and a year. So, let's say you lost 50lbs in the first 3 months, it's going to take you 9 months to lose the other 50lbs, but you most likely will lose it as long as you keep doing the right things.

No, but I did cut back on the amount of seeds (too much fat) and put drained and rinsed white beans this morning. It's definitely a work in progress to figure out what to eat. The bean taste was subtle so I think I will get used to it, and I may add some ginger to cover it. Frustrated to be on day 6 of a stall. My doctor told me I needed to increase my activity level, so I've been going on an hourlong walk and hitting 10k steps or more every day for the past...yep, precisely 6 days. Wondering if there's a correlation, like the extra activity made my body temporarily panic. I'm just trying to ignore it and carry on. The good news is I've had a lot fewer issues with stomach sensitivity this week, so I'm feeling brave enough to try some new recipes and incorporate more veggies.

I have a tendency in every aspect of my life to set unrealistically high expectations, so I'm trying to manage that, which is why it matters somewhat to me. For me, it provides peace of mind to see numbers (totally get that not everyone feels that way). For background, I was watching John Pilcher's "Real Weight Goals" video, and he says at the 3 month milestone (which is approaching for me), you've generally lost half the weight you're going to lose. He says "not the weight when you first met us, but the weight just before surgery." I got caught up on that phrasing and couldn't figure out if he meant literally the day of surgery or the day you start the pre-op prep, which is a pretty big difference for me. So I was hoping for a more definitive answer on how doctors calculate this type of thing.

Oh my gosh, this is exactly what I was looking for! Somehow I never came across an actual calculator, just paragraphs of text that say things like, "Let's say Jane weighs 290 lbs and her ideal weight is 110 lbs..." and then you're left to try to extrapolate what that means if you are nothing like Jane.

So. Much. Fluid. Seriously, my hands were so puffy that all my wrinkles disappeared (spoiler: they came back). I was also in for 2 nights and that IV was going non-stop. It took a little over a week for me to return to my day of surgery weight. Totally normal. They really should warn you, though.

Thanks, all! I certainly count every ounce of the weight I've lost for my own purposes, but I guess I always assumed medicine was a science-y, formula kind of a thing. But every source seems to say something different!

I swear I was 33 yesterday, but somehow today I am 50 and I promise you, that's way too young to die. You deserve a long life, and you deserve for it to start now, when you're still young enough to enjoy every minute of it. Surgery can be scary, but the good news is it isn't dangerous and it can help you have a healthy life.

@Spinoza I am giggling that you invited the devil for Easter. I agree that I avoid sugar substitutes, and the amount of real sugar I allow myself at this point is minimal. But I do have two treats I look forward to every day. I really love my cherry flavored calcium chews, and even better, I splurged on the Procare chocolate calcium and have one every evening after dinner. It's a piece of dark chocolate, but it's also my calcium supplement, and it's delicious.

I have been kicking off my day with a smoothie, and I think it's probably the healthiest thing I could do. I know the opinions on fruit sugar can vary, but for the most part, science seems to be on the side of reasonable quantities of whole fruit (not juice) being good for us and valuable for weight loss. I usually put about a cup (150g on the food scale) of assorted frozen fruits (may include banana, blueberries, raspberries, cherries, pineapple, mango, strawberries, blackberries, peaches, avocado), a handful of fresh baby spinach, 1 Tbsp each of chia seed, hemp seed, flax, and sunflower seed, a serving of beetroot powder, a scoop of Benefiber, 20g worth of unflavored protein powder, and top it off with tap water. This all fits in a 20oz smoothie blender cup, and usually takes me 30-60 minutes to drink as I start my morning. At around 425 calories and 33g protein, this is roughly half my calories and protein for the day! After that's done, I fill a 32oz thermal tumbler with 1 cup Fairlife skim milk and the rest decaf tea, which gets me another 13g protein, plus 24oz fluid. Since I can only get in about 15g protein at lunch and dinner when eating solid foods, it's really helpful for me to get so much in during the morning in an easy to consume format. I may try adding frozen riced cauliflower to the smoothie, too, as I hear that's good for the creaminess and I need another veg. Has anyone used any veg besides greens in your smoothies?

I think the hardest part for me, like @RonHall908 said, is having foods be fine one day and nearly lethal the next. I had scrambled eggs several times, no problem. So I ordered scrambled eggs while out one day last week and ended up searching high and low for a discreet place to vomit. I made a batch of tuna salad and split it into two servings. One serving was fine. The next day, nope. I could accept it so much easier if I just knew okay, this item is off the list for good. But having to build up the courage to try again in another week or two after an unpleasant experience is daunting.

Sounds like you're doing well! I'm only down about 20lbs since surgery (but 35lbs if you count the 2 week liquid diet), so I hope they're pleased with your progress. And I completely agree it has not been easy! It's really been a struggle and never knowing what will be okay and what won't from day to day is very difficult.

This is so important! I went into surgery with BP of 130/88, taking meds for years, and left the hospital 2 days later at 92/54. Because it was so much lower right away, I stayed off the BP meds and doctor officially removed them from my chart about 3 weeks later when my BP was still measuring 110/68 without them. Good luck meeting your protein and fluid goals!