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NO TRACKING ?
Arabesque replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
I wasn’t required to track. I sort of did initially on random days for own curiosity. I did keep to the portion sizes I was given. I still do random checks to keep me on track & ensure I haven’t let things slide especially with new foods or recipes. I check protein, sugars, calories but don’t keep a formal record. I keep a mental tally of my daily protein intake but only because I have a protein malabsorption issue. It works for me & that is the key: finding out what works for you. If that’s tracking great. If it’s random tracking/monitoring or it’s none at all that’s great too. As long as it allows you to maintain, is manageable & not consuming you, all is good. I put on a good 2kgs/5lbs at the two year mark but didn’t know why. We worked out I wasn’t absorbing my HRT after my gall removal (why I don’t absorb protein too). Was put on a HRT patch & I slowly lost half of it over about 6 months again without changing what I ate or my activity. I’ve pretty much lost another kilo and now, nearing my 5 year mark, am pretty much what I weighed at my initial stabilised weight depending on the day. I should add I am very careful with what I eat & how much I eat. Still eat slowly. Still take small bites. Still eat to a routine most of the time around what & when I eat (I’m a clock watcher for my meals & snacks). Still very conscious of whether I am really hungry or just head hungry. Still very conscious of eating what I need not just how much or what I want to eat. -
What does your day of eating look like?
AmberFL replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
This was my day today; 2 mini ham frittatas, I made a protein shake, had isopure protein powder in my water, 1/2 of a ricotta bake and dinner I had .5oz of pot roast meat, one baby carrot and a bite 1/4 of baby potato. macros: 662 cal 40g carbs, 89g protein 16g fat Am I doing this right? Lol I really don’t know. I’m terrified of gaining weight -
What does your day of eating look like?
Arabesque replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
It was a while ago now but I remember I still wasn’t hitting my protein goal. I wanted to do real food only too & plus I found the shakes disgusting & never touched one after liquids. For breakfast I scrambled eggs with extra milk & took three days to eat them or ate rolled oats again made totally on milk & took three days to eat a serve. Lunch & dinner were often just protein (maybe 2 ozs) & nothing else or with just a green bean or two or a small cauliflower floret with dinner. And yes I’d take a while to eat that - 45 mins +/-. After a week or two on soft food I added a high protein yoghurt or yoghurt drink as an afternoon snack to burst my protein. I wasn’t hungry or really interested in eating. I simply couldn’t eat more than I was but I was following my surgeon’s portion size recommendation of 1/4 - 1/3 cup from purée slowly increasing to a cup by 6 months If you are worried by getting your protein in try protein water. You’ll get about 16oz liquid, 15g protein & about 70 calories. So fewer calories (if you count calories) than a shake (which is really a meal) but not as many nutrients. Just watch those with added sugar or sugar substitutes or artificial sweeteners. -
What does your day of eating look like?
Lily2024 replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I'm 5 weeks post op RNY, I eat 3 meals of protein, 2 oz per meal, and add 1 cup of fairlife milk and a protein shake. If I'm feeling hungry I'll add 2 oz of greek yogurt or protein pudding for a fourth meal. I usually feel a bit hungrier on days that I swim. I exercise every day and I can tell when I got too into it, I feel tired and hungry. So far the easiest to digest have been ground turkey, smoked salmon, chicken, tuna, and cottage cheese. I'm still drinking chicken broth when I feel like I need more salt and if I forget that, I crave chips. I also pretty much eat my weight in sugar free popsicles. -
What does your day of eating look like?
AmberFL replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
Okay! That’s my booklet says too was 4-6hrs every meal. But this morning I two egg bites for 5g protein so a couple of later I made my protien shake. This makes me feel better I don’t wanna over eat but I don’t want under eat either. This is a science! -
What does your day of eating look like?
ChunkCat replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I have to eat every 2-3 hours and have since I was post op, so I eat 5-6 small meals a day. I prefer this because it keeps me from mindless snacking, provides a rhythm to my day, and allows me to get in a variety of flavors and textures. I'm only 3 months post op, there is no way I'd get my daily macros in with just 3 meals a day. My stomach doesn't have that capacity and if I go past 3 hours without eating my energy crashes, I feel light headed, nauseous, shaky, and irritable. Each person's body is different, but by necessity I ascribe to the "eat less more often" method and I'm not alone in that need. My target macros are 120 grams of protein, 100 grams of fat, 40 grams of total carbs, calories don't matter because I malabsorb a good percentage of fat and a moderate percentage of protein. 8:00 am Premier Protein Vanilla Shake 9:30 am 3 tablespoons hashbrowns, 4 cherry tomatoes, 1 1/2 scrambled eggs 12:00 Ratio Coconut Keto Yogurt and 2 tablespoons Diabetic Kitchen Granola 3:00 pm Espresso with 1/2 cup Fairlife Whole Milk, Quest Spicy Sweet Chili Protein Chips 6:00 pm 1 grilled chicken thigh, no skin, 3 tablespoons green beans 9:00 pm 14 Wasabi Soy Roasted Almonds, 1 Choxo Dark Chocolate Coconut Cup Total Macros: 116 grams of Protein, 40 total grams of carbs, 78 grams of fat, 1305 calories. This is pretty typical for me. I don't always eat the protein chips, I was just in a hurry and they are one of my go-to snacks when I can't have something perishable. Normally they'd be a protein and veggie. -
What does your day of eating look like?
NickelChip replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
I don't know if this helps, but when I saw the nutritionist last week for my last pre-op appointment, she suggested choosing three regularly spaced meal times, 4 to 6 hours apart. I've decided on 8:30, 1:30, and 6:30 because it works best with my daily work schedule. She said to eat what I could of "real" food at the mealtimes, but not to let myself keep eating beyond 30-40 minutes. My goal is 20-25g protein at the meal, but let's say I managed to eat 10g for breakfast. In that case, I would want to supplement 10-15g of protein shake at 11am (halfway between breakfast and lunch). If I managed to eat 20g of protein at lunch, then I could skip the supplement between lunch and dinner. But if I only got 5g protein at dinner, I should supplement with 15-20g of protein shake a couple hours after dinner. That way you're trying real food first, but not letting yourself get behind as the day goes on. She said it would take quite some time to ween off protein supplements completely and that was fine. Eventually, she wants me to be at 3 meals and no snacks with 60-80g protein per day. If you don't want to rely on protein shakes but you find you can easily eat something like a Greek yogurt in between meals, you could do that instead. But basically it's just going to take time, and even after you are at a point that you can usually get all 20-25g of protein in a meal, there still may be some days where you can't and you need a supplement. -
What does your day of eating look like?
AmberFL posted a topic in POST-Operation Weight Loss Surgery Q&A
I am now on soft food, I meal prepped some lunches but getting my protein seems way tougher than just drinking shakes. I have the isopure lime mango mix in for 20g. I want to be able to eat food since it’s going to be more sustainable but how did you guys get it all in? -
NO TRACKING ?
Shanna NYC replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
Tracking is a thing that can be polarizing for sure. It's almost like weighing in daily - it's not necessarily a good thing for all people. Some it helps, some it hinders. I, like many here, have been on a weight loss journey long before choosing surgery. When I was ready to be serious back in 2014 I tracked daily on MyFitnessPal. I only had a calorie goal and macros wasn't even on the mind. It for sure helped me in my journey to lose 100lbs and maintain that loss for a few years. I was definitely more consistent with it Monday through Friday, but not overly "religious" with it on weekends. Sometimes you guess a serving or a recipe that's close to one you use - but at least you have a close enough snapshot. Then came 2020, tracking, activity and all that jazz all of it went out the window and by 2022 I gained all my weight back. Then was the serious contemplation of surgery. Now I track via the Baritastic app (which i like, but do not love) and it's honestly more about protein and fiber tracking and reminders for vitamins throughout the day. I've never been overly anxious about writing down every last bite and morsel or if the calories were more one day over the next. However it can help to provide insight if you feel like maybe you stalled and try to lower or raise carbs to help it budge. Or that it can help track activity along with intake. The numbers might help the big picture and to reflect back. Some track for a period of time and then step back when there's a good grasp of macro counts by reflex and it becomes second nature. But once I think it starts getting obsessive or causes anxiety or to villainize foods, then maybe tracking in that manner is not for you. -
11 days for me (after i had plastic surgery a year later, it was 13 DAYS omg). i ended up doing a glycerine suppository. my pro tip would be to keep up efforts to stay regular, and start taking action after a certain amount of days to avoid discomfort/pain/annoyance/etc. In the first 6mnths postop, I took 2 tsps of Benefibre every day with my morning protein shake and drank ALOT of water. If i didn't poop in 3-4 days, I'd take a miralax, if that didn't work after a day or so I'd take Milk of Magnesia, if that didn't work after a day, I'd do a glycerine suppository. if that glycerine suppository didn't work after 1 hour, I'd take another one. Luckily, I have never had to figure out what to do if that 2nd suppository didn't work, as to date, it always did, phew. these days (im 5+ years post op) i no longer take my daily benefibre, and am more or less regular (poop every 2-3 days), but i do get the occasional bout of consitpation, during which i'd employ my old M.O. described above. its funny-not-funny that pre-wls i had the opposite problem, i would poop like 2-3 times A DAY (sorry, TMI!! lol)
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I had been keeping a daily notebook since the start of January as I wanted to be prepared in case I was asked about my meals at my last check-up (I wasn't asked) but it was just a note of what I ate or drank, no nutritional info. Last week I started using My Fitness Pal. The reason I started tracking on the app is that my weight loss has slowed right down plus I wanted to be sure I was I was getting enough protein in each day as I have started to increase my exercise. I don't live or die by the tracking but finding it helpful as I can see already that I have been having less sugar than I thought and also more protein than I realised so am happy with that. Blonde me never realised that the daily scoop of collagen I put in my coffee also counted towards my protein 😂
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NO TRACKING ?
New To This23 replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
Does your clinic want you to track it? Personally, I hate, like really hate, tracking food, it's inconvenient and annoying. My clinic wants me to eat 5 very small meals a day that are balanced, protein, carb, veg, and fruit. For me, I am still losing weight and my energy increased once I was able to have these other foods. My goal was to eat how "normal" people should be eating. I do struggle with real meat and raw veggies, my system still does not like them, so I eat a vegetarian diet and cook/steam all veggies. I have learned when to stop eating based on how I feel, I now know when one bite will be one bite too much, that is how I track. I just did my labs today for my 3-month check-up ( hit 3 months Jan 27) so I will see what my clinic has to say about my labs on Feb 12th and I will make adjustments from there if needed. -
Hi I am 3 months out and I am experiencing hair loss, but honestly, even people that do Keto or Code Red where you basically only eat protein (btw hard on the kidneys) lose hair, so I think it's unavoidable. Things will get much easier once you can eat actual food (you'll learn by trial and error what works for you.)
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Need some infos about macros
Vanessa Correal replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
I'm on my second week post op, in my puree stage right now. It's just that I,m buying groceries and I'M trying to keep an eye on the calories, proteins, sugar and fat but i'm not about the limits. I'm kind of confused at this point. Also, i'm not really counting my macros, i just want to be able to have an idea about what I eat while learning to eat healthy and in a balanced way again. -
Post-Surgery Life Internationally
Arabesque replied to kat2536's topic in POST-Operation Weight Loss Surgery Q&A
As @ChunkCat said you should be fine in any city which is likely where you’ll be while studying. These surgeries are performed just about everywhere these days. Find a good general practitioner (PCP) & then they should be able to refer you if you need/want. The PCP will be able to request & monitor your blood work & ensure you’re not missing out on any thing or your levels aren’t dropping too low or getting too high. They could refer you to a good dietician as well. Actual follow ups with your surgeon differ. I saw mine for the first few months & then his colleague took over & I still see her almost 5 years later. I saw him again two years later when he took my fall out though. Some never see their surgeon again unless there is an issue or a concern. You don’t need special bariatric food or vitamins after surgery. Just good, healthy, nutrient dense food the more natural & low processed the better. Some surgeons recommend specific brands for the pre & post surgery liquid stages but generally any high protein shake (pre made or powder) will work. (My cynical side says they likely have a marketing deal with that shake company.) I only had shakes for 2 weeks post surgery & I bought Atkins cause it was easily accessible at my grocery store - lol! Just check the sugar content (real & artificial) & protein content & calories. Same with vitamins, look for quality brands & check how much of each vitamin they contain so you’re not double dosing. Your blood work will help inform what vitamin supplements you actually need. All the best. -
Definitely not in liquids. All you might be able to do is try a peanut butter flavour powder & add it to your shakes. I wasn’t allowed peanut butter until maintenance. Though it has protein it’s not a lot & it’s high fat (even the natural ones) & often high in added sugar. I enjoy a teaspoonful as one of my snack options now but my fat intake is low & sugar is very low so I can get away with it. Check with your team/dietician as to when you can add it & how much you can have.
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November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
Wow, you look great @Char V!! You have obviously exceeded his expectations of your weight loss!! Yeah, I grew up pretty poor and finishing the food on my plate was a huge thing. My parents were excellent at food guilt and money guilt. But I've put a lot of hard work into letting that go because it just wasn't a healthy mindset for me... My fridge is full of leftovers like most bariatric patients, and we actually eat most of the leftovers (my partner too has weight issues and is diabetic). I try to order things that can be leftover and still taste decent. But every once in a while I set that aside and just get what I want, even if it won't be finished. My mindful eating coach challenged me to do that to teach myself that eating more than what I need is just as much a waste as throwing it in the trash... None of us can avoid food waste. It is fine to try and mitigate it as best we can while at home, if that is what our values dictate. But when eating out I need to sometimes practice leaving food on my plate and being okay with that... It was hard, but I'm working on it!! Still, I would be unpleasant if someone opted to point out my "wastefulness". 😂 Traveling all around AU working is definitely stressful on the body AND the diet! I recently opted not to go on a business trip with my partner because I didn't want to deal with attempting to eat for a week out of my hotel room without a fridge. Even I have limits regarding food wastage. LOL If we were driving there and I had a fridge it would be different, when we travelled for the holidays when I was 2 months out I was fine. I got a lunchbox that fit a fair number of shakes and protein snacks, cheese and such, and made sure to carry protein snacks wherever I went. But this gets considerably harder if you are flying around to places...so I decided to stay home with the cats. LOL Are you flying to various places or driving?? Sydney is such a lovely city, I really enjoyed my week there. Though it wouldn't be as much fun in a moonboot!! -
Post-Surgery Life Internationally
ChunkCat replied to kat2536's topic in POST-Operation Weight Loss Surgery Q&A
I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care. -
I need advice! Thinking of doing gastric sleeve
ChunkCat replied to CeeLo-96's topic in Gastric Sleeve Surgery Forums
I had the Duodenal Switch, which is different than the most common two surgeries being discussed here. I picked it because I had type 2 diabetes, high blood pressure, high cholesterol and triglycerides, sleep apnea, etc... I also picked it because I knew a purely restrictive surgery wouldn't work for me. Portion has never been my issue. Pre-op I was eating about 1000-1200 calories a day, for about 10 years, and did nothing but steadily gain weight. My surgeon said it was obvious I have a metabolic disorder, so I needed a metabolically strong surgery. I also didn't want to risk gaining weight back and the DS has the lowest rate of regain. But as a trade off it can cause more vitamin and protein deficiencies if not managed well and the diet is a bit different than the others post op because of our malabsorption. However, diabetes was my biggest concern and the DS puts about 95% of T2 cases in remission, and most stay that way. Post op my blood sugar dropped to 82 within 24 hours of surgery and my high blood pressure normalized, so they took me off of my diabetes meds and blood pressure meds. I'm 3 months out and my a1c is 4.8 without medication!! My blood pressure continues to be normal without meds. My cholesterol and triglycerides are also normal without medication, which hasn't happened in decades! All this to say---consult with a surgeon who offers ALL the surgeries if you can find one in your area. Talk to them about your reasons for wanting bariatric surgery and consider your options carefully. The sleeve surgery is amazing for a number of people, but it isn't right for everyone. The bypass is a fantastic surgery for certain patients, but again, it isn't for everyone. And the DS is a powerful surgery, but it definitely has a specific patient profile. All are great surgeries, but not all of them will be the best surgery for you. Only you and your surgeon can decide that. And don't be afraid to get a second opinion. I went to two surgeons before deciding on one (though both recommended the same surgery). I needed that extra reassurance I was picking the right surgeon and the right surgery. I'm so glad I did this surgery, I just wish it had been an option available to me when I was younger.❤️ -
I blended Low sodium can soups and drank my isopure protein water.
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Need some infos about macros
NickelChip replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
I've been told my eventual goal will be 3 meals per day, 20-25g protein per meal, which is equal to 3-4 oz cooked meat (palm size/deck of cards). After protein, I should prioritize non-starchy vegetables, followed by fruit, followed by starchy veg and grains, which are limited to 1/2 c portion. My program avoids giving specific macros because everyone is different and also I think to get away from dieting mentality. I was told to space meals 4-6 hours apart and avoid snacking (this is for after the early stages when you need to eat more frequently). Basically, when your appetite starts to return, stick with the limits of 20-25g protein and 1/2 c starch/grain, and eat as much non-starchy veg and fruit as you like until you feel satisfied (instead of taking bigger meat and starch portions as we might be tempted to do). Oh, and choose low-fat or non-fat options when available and stay away from added sugar. They're okay with stevia and sucralose but frown on sugar alcohols. -
Generally I've never seen peanut butter on the approved list, but I did check on powdered peanut butter and was told I could add it to my protein shakes in the full liquid phase. The difference is the powdered (PB2 or similar) is significantly lower in fat than real peanut butter.
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Post SADI help <3 Save me from the farts
ChunkCat replied to ParkerUsagi's topic in Duodenal Switch Surgery Forum
The gas is probably from the carbs. Especially simple carbs, though complex carbs can cause it too. DS/SADI patients have altered small intestines and those shorter lengths digest carbs differently than the full length did pre-op. Things with sugars in them, like carbs, can cause gas to build up as part of the digestion process. In addition to this, some people are sensitive to FODMAPS. That can happen with or without surgery. Onions are a huge FODMAP trigger food! Your gut may be reacting to these foods. You can try an elimination diet to see if it helps. But really, cut the carbs if you want peace. DS/SADI patients need about 90-120 grams of protein (120 grams is ideal, or whatever it takes to keep your protein levels at 7 or above) about 100-150 grams of fat depending on the surgery, and ideally we keep carbs below 50 grams during active weight loss, some go below 30 grams. But even in maintenance, we need to watch the carbs if we want to avoid gas and other digestive issues. -
Modified Duodenal Switch
ChunkCat replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
Everyone's recovery is different. I had no pain after a few weeks, other than some internal tugging of the stitches when I changed positions. But I am still on a PPI, those are wise to take for a while after surgery. My nausea eased around 2 months after surgery. I was taking meds for it every day (promethazine), twice a day. This isn't because of the DS, this is because any procedure on your stomach can cause nausea for a while. But again, for some it is brief, some it is longer. Focusing on hydration goals is important in the first few weeks because it is hydration that will keep you out of the ER with dehydration. Our bodies have enough protein stores to get us through those first few weeks. After that, protein is a slow, steady progress sort of thing. I was about 3 months out before I could hit my protein goals. I get about 120 grams a day now. But I hit my water goal from day 2, because I desperately wanted to avoid dehydration!! How are you feeling now? -
Need some infos about macros
catwoman7 replied to Vanessa Correal's topic in POST-Operation Weight Loss Surgery Q&A
It depends on the surgeon. Most seem to recommend 60-80 grams of protein, but as for the rest, it varies a lot. Not many have requirements for fat. As far as carbs, some surgeons have their patients on low carb (or ultra low carb) plans, others have patients on more balanced plans.
