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A little back ground with me. I had gastric sleeve 10 years ago because of my over weight issue I wasn’t getting my period and I wasn’t able to get pregnant. After the sleeve I loss total of 60 lbs, and got pregnant. The first pregnancy ended in miscarriage. I was very depressed about it. So my next 2 pregnancies I made sure I eat and gave enough nutrients for my babies. Also I didn’t keep up with the weight loss after I gave birth. Now after 10 years of the surgery I regained almost all my weight. My issue with pcos such as no having period came back… didn’t have period for like 2 years. Also have other issue like cholesterol, foot pain and Gerd. I thought about having revision for almost 3 years and I took action and had gastric bypass about a week ago. I am feeling some emotional up and down…been crying for the last few days. I feel such a failure of having to have to get the revision when the doctor gave me a chance. My surgery also didn’t go perfect. I was under the anesthesia for over 4-5 hours, (I didn’t get an exact time from the doctor when I came out from surgery. Family was inform about the equipment issue and didn’t see me untill the afternoon) because one of the equipment broke and the medical team had to wait for the replacement. I went into surgery 7am and woke up 4pm. when I woke up they had me take a walk and tried drinking sips of water. I vomited right back with 2 big chunks of clogged blood. And I tried drinking again but kept vomiting dark brown color liquid out, like old blood. ( sorry if it’s too much description) it was quite a lot of it even I didn’t drink so much water. The nurse informed the doctor and they said it’s normal and they did just literally cut my stomach. So some amount of blood is normal, but because I was under the anesthesia for so long maybe I am feeling sick from it. So they told me not to drink anything for the first day and started me on liquid the next day. The next day I was fine and went home. I felt horrible the first day and the pain in my stomach is there everywhere probably gas. The feeling after the revision surgery is completely different than how I felt the first time. I am aware it’s a bigger operation, but I just didn’t expect it to be like that. When I return home my stomach pain was still there, but eventually it did get better, but after a few days my whole stomach was so itchy, I thought the incisions were healing and that why I am feeling this way. The next day all my incisions were swollen red. BTW I had 6 big incision and 2 small needle punctures. When it got swollen, red and itchy it was at night and I waited another day and called my doctor asap in the morning. They told me I am having an allergic reaction to the dermabond. I am just feeling itchy, my incisions are raised and lumpy, it’s been over a week and I lose only 5 lbs. ( comparing to other people who loss 10-20lbs, i think to myself why am I not loss it?) and when I look at scars from the mirror I just broke down and cried. Thinking what did I do to myself…. I know I should stop being so bitter, and stop complaining. But I just feel like such a failure because I failed the first surgery, and I put myself in this journey again and things are not going so great… there are the positive side that I should look at, but I just can’t help it. *note- goal weight 150lbs pre op weight 273lbs started liquid diet 258lbs I had a stall during liquid diet for 1 week. Most people loss 10-15 lbs during liquid diet. I loss 8lbs. I followed everything my nutritionist told me and had 1 lean protein 3oz and 3 oz vegetable for lunch for 2 weeks. i w so hungry that the morning of surgery the nurse told me my blood pressure was actually very low. Surgery day 250lbs 1week post op 245lbs I don’t know what type of response I am waiting to get here. Maybe I am just venting and hoping to feel better.

I have a total of 4 weeks preop diet. The first 3 weeks, daily, I could have 2 protein shakes, 2 low cal, low fat, low carb snacks, 3 oz of lean protein, and one cup of non starchy vegetables. Also at least 64 oz water. I lost 22 lbs. this last week I can have 5 protein shakes and at least 64 oz water. I’m on day two of that and I have been very weak, shaky, and sometimes nauseous today. Hoping for a better day tomorrow!

Hi, 👋🏽 I’m 7 days into my two week liquid diet. I’ve searched high and low for recommendations. Here’s what I’ve done so far… I found shrimp 🍤 broth, added low sodium Old Bay. It’s ALMOST like having shrimp! Skinny syrups in high protein Slim Fast flavored water packets in water and vanilla shakes sugar free jello and popsicles Sugar free hard candies, like werthers GOOD LUCK EVERYONE! if I think of any more or find a miracle way of getting through this I’ll definitely share!

I always tell people that the two weeks before surgery were much more difficult for me than anything that came after the surgery. It is a terrible period and you really do have to power through it. As far as the constipation, take fiber capsules (preferably psyllium husk) with a probiotic. Its also a good habit to get into post-surgery, as soon as you can handle it. It will keep you regular and help with digestion. Try a different brand of shakes and see it works better for you. I always preferred the Premier Protein shakes over the Equate ones. Drink an insane amount of liquid during this time. Always be chugging some kind of liquid, just to try to keep your stomach relatively full. Eat sugar free popsicles by the box.

Congrats on the surgery, and your first steps towards a healthier you! It looks like I'm a day late, but echoing what others are saying, the first day is the roughest, by far, but it eases up quickly throughout the week. Walk and do arm exercises (lifting over your head, rotating, just any movement while walking), and this will help dissipate the gas pressure you're probably experiencing right now. Try to do a little every hour, even if its just walking down the hallway and back a couple times. If your doctor allows it, take Gas-X to also help with the gas pressure. It kept feeling like it was getting stuck in my left should/chest area, and was really uncomfortable. That was my biggest complaint about the process the first couple weeks, but the walking and gas-x would buy me a couple hours of relief. Also, for the protein shakes during your liquid phase, get the Fairlife brand 30g or 42g shakes if you can find them. They taste more like chocolate milk and don't have that chemical taste that a lot of other protein shakes have (Premier protein and muscle milk). Check Sams Club and Costco for those.

Congrats on the surgery! Expect the first month to be a roller coaster of emotions, hunger, anger, and a day or two of regret. That's a rite of passage for us, where I think everyone second guesses their decision. By week 5, I finally started getting a better handle on things and I'm still very happy with my decision. 10 weeks out and I'm in better shape than I've been in decades! As others have said, you feel hungry because you are hungry. Your body is used to the previous amount of eating, and panics when it realizes you're not eating what you used to. Since you were a candidate for surgery, then your body has enough fat cell reserves to live off of that for a few weeks, which is why they have you focus only on water the first two weeks, while working in more protein to prevent you from burning muscle. However, our bodies don't understand that logic and kicks into survival mode. It only understands "food" or "no food". The first six months is critical to the process because that's when we have the best opportunity to retrain our mind and bodies to adapt. In a sense it is traumatic to our bodies, and it will fight until it understands that this new normal is safe, because that's its job, to keep you alive! Once you're back to solid foods, that's when recognizing head hunger becomes more important. Around that time (somewhere around weeks 4-6), you'll have worked up to eating enough calories to be sustaining metabolism, while still running enough of a deficit to burn fat. At that point, your body will try to tell you "hey, we're close to the old normal again, go ahead and eat more!". As my therapist reminds me, remember to listen specifically to your stomach, and not your mouth. Practice eating enough to where your stomach feels full, and not pressured from too much, but at the same time, study your habits to see if you're eating to stay busy, to deflect stress (I'm guilty of this), or just because your body thinks you should keep your stomach topped off. During that period, if you feel like your stomach is craving more, double check what nutrients you are getting. If you're deficient in vitamins or minerals, you will develop insatiable cravings, but your body can't tell you exactly what its missing. It just yells "I'm Hungry!". Check with your doctor on which supplements to add or remove, and also branch out with different styles of food as long as they fit your calories/macros. I felt like I was starving for most of last week, then I got some Korean food (sort of a bibimbap inspired kale and cabbage salad with beef) on Friday, and the cravings stopped. I'm still trying to figure out what itch that scratched, but obviously I was missing something in that! Also, be very careful with sugar, starches, breads, rice, etc. That can send you into a craving spiral that lasts 2-3 days. Some sugar alcohols like Sorbitol and Xylitol also trigger that for me, while Monk Fruit, Stevia, and Splenda don't. Everyone is different, but pay attention to those ingredients, because that can make the hunger feel worse!

If you can find them, look for the Fairlife shakes. I drank those for my pre-op and post-op, and my surgeon was happy with the results. They have different varieties with 26g, 30g (most common), and 42g of protein and are generally 150-200 calories per bottle. These taste more like a Nesquick chocolate milk to me, and don't have that chemical taste that Premier Protein or Muscle Milk have. Check at Sams Club or Costco, if you have one nearby. They sell out fast, so you may want to check online each morning and place a pickup order for that afternoon before they're gone. My local one usually gets a pallet in weekly.

I made them using protein peanut butter and only half the amount of maple syrup so very little sugar per ball.

Thanks for the hug @summerseeker I very much appreciate the hug. Hugs are so much better than food. @catwoman7 I have tried Trulicity (same as Ozempic) some time ago. I had serious side effects and couldnt continue on it. But that doesnt mean that I cant ask my doctor about any other options. @BigZ- I do believe I need to see a psychologist/therapist. i have an appointment with a dietician tomorrow. Maybe they can point me in the right direction to the right person. @NickelChip I took your advice and weighed myself this morning. I will face 2.7 kg. So much easier to face this gain than trying to ignore a much bigger gain. I went for a walk for 30 minutes. @BigSueI will check out the podcast. I really appreciate ALL the responses. There are some really wise words in all this. @ChunkCat@Arabesque@Jeanniebug This is a journey that really doesnt end hey? I need to take care of myself in a good way. The self talk is something that I have always struggled with too. The honeymoon might be over but I determine where this marriage is headed. If it has to be a lifelong struggle then I would rather do it without all that extra padding. I am not giving up without a fight. I will be coming back to this page to pick more gems. Thankyou.

Hey everyone!! how is everyone doing? I was exactly 6 weeks post op yesterday and it was my 33rd birthday! I’ve lost 20lb since the op but 40lb since liver reducing (3 weeks of liquids) finally onto textured foods but prioritising protein and liquids still. I’m now 248lb the lowest I’ve been is 224lb in adult life so I’m excited to get past that weight! I also get married at the end of June so determined to do the best possible. after 4 years of waiting for the op, I can’t believe it’s now done!! Xxx

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

If you haven't had surgery yet, you may want to join the support group "Duodenal Switch SUPPORT Group" on FB for SADI/DS patients. https://www.facebook.com/groups/1799552573392212 There are a number of patients on there who have had the RNY and done revisions to SADI or DS. Honestly, the choice is up to you and how comfortable you are with your surgeon's opinion. There are plenty of lightweights who get SADI surgeries, especially those with pre-existing conditions. But some insurance companies still consider the SADI to be experimental, so be sure yours doesn't if you decide on it. You can get vomiting with any bariatric surgery. You can get diarrhea with any surgery. And while RNY can be good for GERD patients, there are plenty of people with GERD who still end up with a SADI or DS. I'm one of those patients, I have had GERD issues for years, but I wanted a more robust surgery than the RNY and two surgeons both agreed the DS would be the better option for me because I'm diabetic. The surgery normalized my blood sugar within 24 hours, as well as my blood pressure, and my cholesterol and triglycerides are normal now. It packs a huge metabolic punch. but I do have to watch carbs and sugars or I get diarrhea. My starting weight at surgery was 307, my goal is 180/170. But I regularly see lighter starting weights in my FB support group... Surgery type is a really individual decision!

Um, your doctor should have told you that not ALL bariatric patients lose their feelings of hunger after surgery. And even when they do, hunger eventually comes back for almost everyone. Hunger is a normal body sensation! It would be nice to have a break from it, but not all of us get that. I woke up in the recovery room and was STARVING! It wasn't a vague hungry either, I would have eaten seafood in that moment and I generally hate seafood (though post op I now like fish, oddly). I felt really annoyed, especially because before surgery I had not experienced hunger in a long time. I have had some instances of head hunger post op. Like Summerseeker said, if it is a particular craving, it is most likely head hunger. If you'd eat a protein you don't even like, or plain chicken breast, it is probably genuine hunger... Either way, your digestive system isn't ready for any solids yet, so expect to feel hungry for a while. I never found increasing protein helped it. The only thing that helped was the soft food stage, and even then, it took a while to settle. Also, if you aren't on a PPI, the extra acid in our tummies can cause you to be ravenous when you aren't really hungry, it is a gnawing stomach pang sort of feeling caused by the acid irritating your new tummy.

Have they tested you to see if you are having issues with reactive hypoglycemia? This usually kicks in 1-4 hours after a meal, but since you've had a bypass it is possible it could kick in faster for you if your food is transitioning faster. I've seen FB groups for bariatric patients that have this issue. I've noticed it often happens years out from surgery... I used to have issues with this before bariatric surgery, even on a low carb diet. Eating small meals often with fat and protein paired with your carbs is usually what they advise to treat it, along with other dietary adjustments. Personally if I don't eat every 2-3 hours, I aggressively crash energy wise. It is very pronounced. I have to carry snacks with me everywhere to prevent me going past that 3 hour mark or I look like the Energizer Bunny without his battery! LOL

I agree with the others, contact your surgeon and let them know. It isn't unusual to have intolerances to protein shakes early on. I couldn't stomach them for the first several weeks. I could get in my fluids though, with diligence, but they had to either be very cold or very warm, my stomach didn't like anything in between, and even with fluids I would get this intense twisting pain with every swallow, like my stomach was trying to cartwheel inside me! But after the two week mark this started to ease. I was able to water down protein water and get it in. Then I was able to thin out protein shakes with milk and get them in. I was still nauseated daily until the 8 week mark, but meds helped with that. My surgeon said this whole track wasn't unusual, I was one of those rare patients that got the side effect of stomach spasms post surgery and they usually calm down after a few weeks. He was right! By weeks 3-4 I could drink most things without pain, as long as I kept sipping rather than trying to gulp. I'm 3 months out and still can't gulp... But this is definitely a situation where you want your surgeon's office aware of how you are feeling so they can send you in for fluid infusions if you start to show signs of dehydration. Dehydration is the number 1 complication of bariatric surgery in the early weeks, plenty of people end up with hydration infusions until the swelling goes down in their tummies enough they can get their water in.

You should be able to take a stool softener or Miralax to relieve the constipation. It isn't unusual for people to have some digestive issues on the shakes, they are heavy in protein and low in fat and fiber, two things that usually help regulate our stools. Make sure you are getting in at least 64oz of water daily. Some surgeons have strict rules about the shakes you can use pre-op, others just give guidelines. Premier Protein ready made shakes are the only ones I was allowed to have pre-op (or Bariatric Advantage, but they are AWFUL). I like their Cafe Latte the best, though the vanilla and caramel are good too... I've had just about every flavor they make out of boredom on the pre-op diet and they were all passable, though I recommend you drink them cold. My least favorite are the peanut butter chocolate and the winter mint. If you can drink whatever shake you want, Ghost makes some tasty protein powders! I also like the Syntrax line in general, just pay attention to getting the correct whey your doctor wants. I love Seeq, they sell sample packs on their website and they taste like juice! I think the watermelon one is the best... I also like Genepro powder, it is tasteless and dissolves into just about anything so you could put it in sugar free liquids. And Fairlife does ready to drink shakes that are pretty delicious! They mess with my stomach for some odd reason, but I know a LOT of bariatric patients that buy them by the case. You can usually get them individually at Target or some grocery stores. As for the cooking, I'd just excuse myself as much as possible... Yes, this is your path, and yes, it is your struggle, but I think asking our partners to have empathy is important too, they may not understand how hard it is... Electrolytes once a day help a lot with cravings, be sure they are sugar free. Having a variety of shake flavors helps too. And just being honest with your family if you can and saying "Hey, this is hard for me, and I might be grumpy around you when you are eating food or I'm having to cook you food. It isn't personal, I'm just hungry!!" LOL

Near the top menu bar there's a circle with your avatar, username, and a down arrow. Click the down arrow. Look down past the content area to the settings section. If you select "my surgery" from this list, you can update your dates, weight, goals, etc. If you select "my tickers" you can create a ticker to count down to your surgery date or to track your weight loss. To get the ticker you make to show up in your signature, you have to select that option (I think it's in the last step) as the default is for it not to show up. There is also html code if you want to add it to a blog or something similar.

Thank you for commenting! I thought I was doing something wrong or stretched out my stomach already! lol! guess its part of the process! Water has always been a struggle for me even pre-op so I am trying to just focus on water and protein and make sure I hit those goals. We got this!!

OMG, I posted the same thing last night! I also had my sleeve done on 1/24 and I am shocked to find that I am actually having hunger pangs and growling. I'm at the same stage...full liquid, but I can have cream soups, sugar free pudding, yogurt, protein shakes, etc. I have to thin the yogurt with some skim milk to tolerate it and even then it's not great. Today I am going to add some Isopure flavorless protein powder to pudding. I think if I can get more protein in, I might feel less hungry. I'm drinking Protein 2 0 water and protein shakes in addition to plain water. I'm sorry you're feeling hungry but I'm relieved to find that it's somewhat normal. Good luck!

Thanks for responding. I'm not craving a particular food, or even necessarily "food" at all. In fact, I don't even really have an appetite just yet. I just have plain old hunger pangs and growling. I am plenty hydrated and feel I can maybe get more grams of protein in with some yogurt or pudding with added protein powder...both allowed per my doctors, so I'm not breaking any rules. It's just hard to get it all in 1 ounce at a time! I totally was not expecting to feel hungry and I'm curious if others have had the same thing happen.

Thank you....I was SO not expecting this, and I'm pissed off! I feel exactly as you felt---didn't I do this to NOT feel hungry? I think I need to follow my body's cues and try to get more protein in the form of maybe yogurt and pudding with added flavorless portein powder. I am definitely getting enough hydration because I am urinating several times a day and it is almost clear.

HI all, I got sleeved last Wednesday 1/24. I have been very blessed that my recovery has been great! Even thought I am slow I am getting my protein and water in. However yesterday I noticed that my stomach is growling...likes I am hungry? It does not go away even after I drink water or have protein. This is odd, I am trying to not give in because I cannot imagine that I am hungry when my stomach was cut into 1/4 of its size. I am getting my walks in already, and being able to move pretty well. Is this possible? It feels as though I did not even has surgery!

Hey I’m at the same place you are my surgery is the 8th. I too experienced tiredness. I read on another post to take b12 and it worked! I have energy and I’m not constantly tired. My diet allows me to have oatmeal so I use that as my “treat”. I’ve also realized I can strain my soup and add high concentrate bone broth 20 Grams of protein that is working. Oh also Gatorade protein drink helps me too. It is challenging but I’m not hungry as long as I eat every 2 hours n here’s to us!!

Hey I’m at the same place you are my surgery is the 8th. I too experienced tiredness. I read on another post to take b12 and it worked! I have energy and I’m not constantly tired. My diet allows me to have oatmeal so I use that as my “treat”. I’ve also realized I can strain my soup and add high concentrate bone broth 20 Grams of protein that is working. Oh also Gatorade protein drink helps me too. It is challenging but I’m not hungry as long as I eat every 2 hours n here’s to us!!