NickelChip

Congratulations! The first few weeks are hard. Everything is so new, and no matter how much you've read up and know the facts, the reality is enough to make you question yourself all the time. But it does get easier! And even when you make mistakes, it's not the end of the world. Use this recovery time to rest and start good habits and you'll do well!

Liquid clears your stomach pouch in a matter of seconds after gastric bypass. I know this because on the morning after my surgery, I had to do a swallow test and l literally watched on the screen as my new little pouch filled with a swallow of liquid and immediately started dripping it into my small intestine. By the time I took the third swallow, the first one was no longer in my stomach pouch at all and the second one was mostly emptied, too. That's how it is supposed to be. "Stretching out" your stomach is 99% myth for two reasons. First, at the early stage, your stomach is swollen and stiff. You couldn't stretch it out if you tried, let alone with a mere few ounces of liquid. Second, as time goes on, it's supposed to stretch a bit to allow you to eat a healthy quantity of food because you can't live on 400 calories forever. If you stick to your recommended portion sizes, eating schedule, and fill up on healthy foods, it won't be an issue. I highly recommend watching Dr. Pilcher's video about stomach stretching if you're concerned. Bottom line, most people do not actually stretch their stomachs, they learn to eat around the size restriction by grazing all day and eating high calorie junk, and then blame their "stretched" stomach for their bad behavior when they gain back all the weight. At 8 weeks post-op, swelling has decreased and capacity is closer to what it's meant to be. Drinking 12 oz in 35 minutes is totally normal and healthy at this point. It means you are healing. Solid foods take longer to empty, so eating 3-4 oz per meal will feel very different than drinking 12 oz of water. At 3 months post-op, I can drink 32 oz of hot decaf tea in 30 minutes. I can eat 5-6oz yogurt/bean soup or only 2-3 oz of chicken breast in the same amount of time. It's a function of how much your stomach has to do before it can move along. My advice is to follow the instructions you were given with regard to your number of meals per day, quantity of food at each sitting, macros, etc. Stop when you feel fullness cues, but don't eat more just because you don't feel fullness cues, if that makes sense. You will never need more than 4 oz of chicken at a sitting, but you will likely be able to eat more than that in a year or two. Resist the temptation, and add non-starchy veg instead if you feel hungry. Build good habits now that you can stick to forever.

Thought I'd update this post because I just had the chance to attend a live Q&A session with Dr. Matthew Weiner. I talked to him about my weight loss so far and concerns about how slow my progress has felt post-op. He asked me about pre-op weight loss and what my highest weight had been, and explained that even though I was 223 going into surgery, I had started at 251 and lost 12 lbs from nutrition changes over 6 months, plus 16 lbs from the pre-op diet, so that all factors into the final weight loss expectations. He suggested in terms of what my final weight loss from the surgery might be that using the 251 starting weight could be more accurate, and that the pre-op diet weight loss would definitely help explain the slower weight loss post-op. Bottom line, I feel so much relief hearing this explanation from him and really appreciated him taking the time to ask so many questions to get to the answer! My surgeon really hasn't given me an estimate of what I should expect to lose, although I plan to ask at my 3-month appointment next week so I can compare.

@BlueParis I think you should try rocking the Queen Elizabeth look! I'm glad you've gotten to the bottom of the anemia and blood pressure concerns, and hopefully addressing that will help with your temperature regulation. I'm still losing so slowly, which is frustrating. But at least it's going the right direction again. I weighed in at 201 lbs this morning, which I also had hit a week ago but then bounced up for several days. I think the scale is just teasing me because I'm so close to being under 200. I'm trying not to let it bother me but it's hard. I'm only down 4 lbs in the past month, and only 22 since surgery, despite hitting protein, water, and exercise goals daily. I look forward to talking to my surgeon's office about it next week.

They will create a small stomach pouch, same as in a regular bypass. But be aware that even with bypass, the ability to eat more returns over time. If it helps for comparison, though, I can tell you that at 3 months out with gastric bypass, I can eat about 3/4 c yogurt with a little bit of fruit, or 2-3 oz chicken with maybe 1/4 cup cooked veg in one sitting. In both cases, this would take me about 15 minutes to eat.

I know they make filters for giardia that backpackers use when treating water from streams. You can buy a water bottle with the special filter at hiking supply stores. That way, if you are concerned at all when out and about, you can just put the water you're served into your bottle to be sure it's been filtered completely. The one I saw online from Grayl runs about $90 and holds 24oz.

Congratulations! And you are both looking really good!

You're probably right about the need to search for patterns when there aren't any! The only scientific explanation I can think of is the amount I've lost this time, and the amount I lost 7 years ago to get to this same weight, is basically the same, and about 20% of my total body weight. I know I've read that 20% tends to be where the body starts really fighting weight loss, and even if the surgery makes it possible to overcome those mechanisms and lose more, it may be that the short term effect is a brief stall while it all gets sorted out internally. So it's probably just coincidence, maybe based on having lost about the same number of pounds as last time.

I'm going on 12 weeks post-op and for the past 2 weeks, I have been stalled. I know this is common, if frustrating. But what interests me is where I stalled. About 7 years ago, I had my most successful attempt at weight loss through nutrition counseling. I started at 251 lbs and I lost fairly rapidly and steadily for 6 months through calorie restriction and daily walking, reaching a low-point of 203.8 lbs. And then I stalled. I never got below 203.8. In fact, I steadily gained about 10 lbs over the next several months and then maintained that higher weight for maybe a year, and then gained more. When I started the surgical program last summer, I was right back at 251 lbs. Perhaps coincidentally, 203 lbs is a number I remember being fairly consistent for me in my mid to late 20s. When I weighed myself, not having dieted at all and just living my life, I was usually between 202 and 205 for several years. My question is, did anyone else stall when you reached a certain weight where you had either struggled to get lower in the past or where your body had been very comfortable for a long time at one point? I'm curious if this could be some sort of built-in set-point where my body is trying to settle itself just because it remembers being comfortable here for some reason. Like after the shock of the last several weeks it's saying "Oh, thank God, I recognize this street. I think I'll live here." I know the surgery is still doing its job and I will hopefully see this stall break soon. It's early days. But I'm just fascinated by how this particular number seems important to my body in some way. Did anyone else have a similar experience?

I take the chewable Celebrate One with 45mg iron and have had no issues even though I used to gag on vitamin capsules pre-surgery. I doubt I will go back to pills. I find the Tropical Twist flavor to be nice. Here is their EU site: https://celebratevitamins.eu/

Oh wow, French onion dip is my downfall. That sounds so delicious. I had some big reusable parfait cups in my cupboard with two sections to them, where you could do your yogurt and berries in the big section and then keep your granola or nuts in the other to keep them crisp until the last minute. I used 4 of these to portion out the blended container of cottage cheese dip into 4 servings with about 8oz of carrots, cucumbers, mushrooms, red peppers, and tomatoes. Turns out that for an evening snack, I actually can only eat half. Which is fine. That gives me a week's worth of veg already prepped. Once the ranch dip is used up, I'm doing French onion! And I'm going to try those pepperoni chips. I also want to make some kale chips. Those are so tasty. I need an air fryer. I think I want to replace my toaster oven with one that has the air fryer built in, but I keep waffling on which brand to get.

I added it to my Subscribe and Save, so I won't get it for a few more days, but I can't wait to try them! In the meantime, I have a new obsession: whipped cottage cheese ranch dip! You take regular cottage cheese and put it in your food processor or blender and blend until it's super creamy, like a thick sour cream or almost a cream cheese. Add ranch seasoning powder (or probably any favorite dip seasoning) and eat with raw veg. I've made the dip with Greek yogurt before, but I like this even better. It doesn't have that yogurt taste so it feels more like "real" dip. I love that it has 14g protein when made with 1/2 c cottage cheese, compared to only 2g in a comparable amount of hummus. It also takes a long time to chew all the veg, so it makes a great snack in the evening, especially if you like something when watching TV.

"Because I was cursed by an evil witch in the forest for not minding my own business."

So, I'm almost 3 months out from having my RNY gastric bypass. The surgery itself is very safe, but the first few months after can be rough. You don't eat a lot, and you may feel sick and probably exhausted, too. But by 3 months, your tummy is pretty well healed and you've learned to chew thoroughly, slow down, and take small bites. You may have identified a few trigger foods that you really have no desire to eat again (hello, scrambled eggs). At my appointment last week I was cleared to basically eat any type of food I wanted. I was warned a very tough steak or woody/fibrous vegetable and fruit (asparagus stems, pineapple), could still cause issues, but as long as you're reasonable about choices, it's fine. I'm thrilled to be allowed to have raw veg again. And I enjoy food. I just enjoy it on plates the size of a saucer instead of a big dinner plate, and I find I don't want more than a bite or two of unhealthy stuff. Except ice cream, which is why I don't keep that in the house! At restaurants, I either take home enough for 2-3 more meals, or I order an appetizer. And I skip the bread, pasta, and other fillers. It'll be a long time before I feel like I can handle a slice of pizza, for sure. But that's okay. My family ordered a pizza the other day and it smelled delicious, but I literally did not want it. Not even a taste. I never thought that would happen to me because I adore pizza, and it made me glad because saying no to it was no big deal. I can tell you that as a slow loser, I will probably never end up "thin" from this surgery. But it's made a huge difference for me already. The day I left the hospital, I was already off blood pressure meds, which I had been taking for a decade. My joints don't hurt anymore. My inflammation is down. I can walk longer and faster. I feel better. And I like the way I look more now too. I'm already able to buy some clothing that isn't specifically from the "plus" department, and I look forward to that being the norm. I'm 50 and I haven't been this low in weight since I was 29. But, it is an adjustment. It's a challenge. And if you love food, you will probably have to do a lot of mental work about that. Like, why are you eating? Are you hungry, or is it a self-soothing mechanism. And if the latter, is there a better way to deal with your emotions when you physically can't reach for food? I ask myself this a lot. My brother had VSG 15 years ago. If you didn't know him back then, you would think today he's an average weight guy (not skinny) with a slightly smaller than average appetite. We were at a wedding when I was still pre-surgery and he out ate me at dinner. So the "half a happy meal" thing is short term. Only you probably won't want to eat those after surgery because they might not sound appetizing anymore.

Not gonna lie, it's been a rough month so far. I was doing okay heading into May. On May 1, I reached 203lbs, which officially was the lowest I have been since my 20s. The next day it bounced up, but then I lost steadily, down to 201.6. And then yesterday morning, when I was heading to my 3-month check in with the dietician, I was back up to 203lbs overnight! What the heck?!? Nine days into the month and all progress erased! And then my dietician said everything I'm doing nutritionally is good, but I've only lost 19 lbs since surgery according to their office scale. I go back on the 21st to see the nurse practitioner and am going to ask what can be done if it hasn't improved by then. My loss of momentum tracks almost exactly to when I started taking my doctor's advice to get regular exercise. It was supposed to speed up my progress, according to the surgeon. Instead, in the past 3 weeks I have lost a total of 1.4 lbs. Color me unimpressed. Finally, my dietician said I should try to reduce my reliance on protein powder, which I have in my morning smoothie and at night before bed. She wants me eating more "real" food (though, in my defense, I do not rely on soft foods and have chicken and vegetables and such every day). So I had scrambled eggs and fruit this morning and it all made me really sick. What a start to the day. Smoothies made me feel good and I'm seeing little reason to give them up. I had smoothies all the time pre-op. I'm hoping they'll run some blood tests at the next appointment to see what's up. Like @RonHall908, I have also been exhausted lately and can't concentrate.

First, a long stall between 3 to 6 months is totally normal and the type of thing doctors should tell us to expect. But weight loss surgery is a game changer. This is no longer about calorie restriction to force your body to shed some weight, and if you think about it logically, it's impossible that your body is carrying out all its bodily functions on less than 1000 calories per day. It's burning fat, and also shifting fluids which account for a lot of what the scale reports to you as weight. If someone who had not had surgery said I will only 800 calories, you would be concerned for their health. I say this as someone who is in a similar place mentally and emotionally as you are after stalling again for 9 days: you have to stop the dieting mentality. Calorie restriction got you nowhere before and it will do nothing but hinder you now. Stop counting calories, especially if your team does not require it. Stop weighing yourself. Focus on eating protein, veggies, fruit, beans, nuts, and seeds. Focus on avoiding artificial sweeteners, processed foods, and simple carbs. Focus on creating sustainable habits and getting the right balance of foods every time you eat. Weigh yourself in a week. Or a month. This isn't about the scale or what you lose from day to day. It's about getting healthy for the rest of your life. It'll happen but you need to step back and not drive yourself crazy over it.

I had my 3-month post-op appointment with my dietician today. She wanted to see 80g or more of protein with 40% of daily calories from protein, and at least 64oz water. Those are the only set numbers I was given, although we added up all the macros for a typical day from my journal and it came to around 900 calories, 91g protein, 78g carb, and 29g fat. The fat and carb percentage were roughly 30% each of my daily calories. She said that was very reasonable for this stage and that calories would slowly increase over time. I was also told I could pretty much eat any type of food now, but she cautioned me about sirloin steak and very fibrous foods like asparagus (the woody stalks, not the soft tips) and pineapple as probably being a bit too tough. But she encouraged me to add in raw veggies and to move away from protein powder as much as possible. Another reason you'll see programs not focusing on calorie counting is because people can make poor choices that way (or am I the only one who used to eat celery for lunch so I could have a big piece of cake and technically not exceed my calorie goals?). If you're choosing a small plate (I use a dessert/bread size plate) and fill one half with lean protein (3-4oz), and the other half with veggies, go easy on the fatty and sugary sauces, and stop eating at the first sign of fullness (for me, that would be hiccups), you will hit the recommendations without really having to stress over counting anything.

That looks delicious. Do you have a recipe?

I love all of this so much! Hooray!

@BlueParis We're going back and forth here in Massachusetts, with one day beautiful and sunny, followed by 3 days of rain. It's the time of year when you need to have every single type of clothing in your closet and you might wear them all on one day. But I'm so happy to get outside for walks any day when it isn't actively raining. @Briss72 I hope your leg infection clears up soon. That sounds so painful. It's funny, between last night and tonight cooking dinner, I already have enough little containers for the rest of the week for myself. I guess the next few nights I can make the stuff my kids like that I can't really eat since I'm all set. I have to say, the frozen squash "noodles" with marinara and turkey meatball (yes, just managed one) was so good tonight that I don't know why I ever ate it with spaghetti before.

@gracesmommy2 Thanks for the suggestion! I've just ordered a 10-pack of the sea salt flavor. I love anything that is small and protein packed.

Oh my gosh, you're almost there! Just over a week to go! Are you allowed tomato or butternut squash soup? I found these blended with unflavored protein were so much better than the powdered "soups."

Okay, so I would not say these taste good (like at all) but the protein shots with the 30g protein in 3oz size are convenient. The mango, in my opinion, is marginally better than lemonade. Not good, just...better. But the bottles are very small, so you can pop them in a bag and not have to worry about mixing powders on the go. I always put a few in my bag if I'm going to be away from the house for the day or overnight. Also, I see they sell Procare dark chocolate calcium bars. These are legit tasty and a great way to get your calcium while also getting "dessert." I have one almost every night. I also recommend the Syntrax Nectar variety bag, one packet eack of 15 protein shake flavors. Again, for that on the go convenience.

I totally get it. My brother had surgery about 15 years ago and his first few months were dramatic. He was losing so much weight daily, and went on to get from 310lbs to 150lbs in the first year or so (he's since regained to about 230lbs). But when I am tempted to compare myself to him negatively, I have to remember he was a guy (they lose 20% more on average) and in his early 30s at the time. I'm female and 50! Plus, his starting BMI was 6 points higher than mine. All that can make a difference. And even with friends who may seem a lot more like you (similar size and age), there are things you can't see like how much inflammation or water weight a person had, or how much muscle. But yeah, it's hard. Especially as most of us had tried and failed so many times, having a few good months and then coming to a halt and regaining everything plus some, time and time again. When you are a slower loser, it messes with your mind and plays up your fears. But I definitely second the idea of measurements. In the past 3 weeks, I have barely budged on the scale, losing only about 3 pounds and doing a lot of bouncing up and down. But I took my measurements and I've lost almost an inch in my bust, over an inch in my waist, and an inch and a half in my hips. At the start of April, I was wearing a size 20w in jeans (albeit roomy, but they stayed up). Yesterday, I had on a 16w and they were comfortable, not even skin tight! I haven't worn a 16 in years! So if the scale is messing with you, see if you have a piece of clothing from your skinnier days that you could try on. You might be amazed.

Thanks, @RonHall908! I should probably say, the 48lbs lost stretches back to last summer when I was at my highest ever weight and started incorporating the Pound of Cure guidelines into my daily routine. I lost 13lbs just with that over about 6 months, and then I lost about 13lbs more during the 2-week pre-op diet. So 26 of it was pre-op and 22 is post-op. Which kind of feels weird. I thought the surgery would ramp things up, but it feels like it slowed things down! I know there's a lot more going on metabolism-wise that will make it easier in the long run to lose more and keep the weight off, but it still can do your head in sometimes trying to balance expectations and reality. This is also the weight where I plateaued during my last serious weight loss attempt, right around losing 20% of my starting body weight. I know that research shows that most people can lose 5-10% of their body weight, but once you get to the 15 to 20% mark your body usually rebels. I assume that may be what's happening here as everything has to readjust, and the surgery changes will eventually make it possible to push past that plateau where I couldn't do it before. Fingers crossed!