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Yes . It is harder then I thought it would be to change that habit of late night eating. So I now have resolved myself to saving about 200 calories to my late night snacking. I have also returned to making sugar free jello and having that as a snack or having a banana . I have also reduced my portions to 250- 300 g . It was eating puree just so I could eat larger portions. While also not pureeing my foods anymore. It is helping and starting to embrace and modify my old habit. Work with it and not let it become my burdin. Also this week I am now back to loosing weight again. I'm entering my 10 week post op. Pre op 2 week before 265bls Surgery day 250 lbs Current weight 225 lbs That's 40 lbs. In 21/2 months and I am happy and healthier and looking forward to continue on my journey to better health and weight loss .

Don’t give up at all. 35 lbs gone is fantastic especially if it stays gone forever. Also it’s not the end of the road because you may continue to lose if you’re diligent. Track everything you eat and drink consistently to see if you accidentally placed yourself into maintenance calories and adjust from there. And if you ever feel like you need more help, go right back to your surgeon and ask for it. There are more avenues they can suggest if you ask (nutrition counseling, drug therapy, behavioral adjustments, etc) Good luck & cheering you forward

Hey yall, I had vsg on Halloween. Lost weight fairly easily the first 3 weeks. But that 3rd week and now the 4th week the scale has not moved. I know from what I read it is normal but it's been 2 weeks now and I am worried. I have tried different things to restart it like okay maybe I need to count every thing that I eat and did that then, okay maybe I need to eat more so my body will stop freaking out and tried that. However, nothing worked haha. I am getting all required protein and water and keep it low carb. I was eating like 250 calories and day then bumped it up to around 500 for a couple days. And when I added more carb still nothing happened. So, today I decided I'd try to walk for 30 mins which I did. Hoping the scale moves. Any suggestions?!!! I really want to succeed...

Did OK! Took about 1.5 oz of each item (turkey, roast pork, mashed, sweet potato casserole, sausage stuffing) and was able to enjoy dinner without feeling deprived. I even took 1/5 teaspoon of chocolate silk pie for dessert. I measured everything and scanned the barcode for the pie and my calories came out to about 1000 for the day, I knew I would try to eat dinner, so ate a very light breakfast and had broth for lunch. I was suprised the sugar didn't bother me but it wasn't worth the anxiety of getting on the scale the next morning! I definitely won't be doing that again any tine soon. I've come too far to screw it up now! I am encouraged by this group, thank you to everyone and good luck going forward on your journey!

I ate a lot of calories (there was dessert) but what was crazy is because of the volume restriction from the pouch I still stayed around what a normal person would eat on a normal non-holiday day. Basically just allowed myself to eat everything except bread which was a very nice change. Then I lost two pounds overnight! It might be back today so I am going to stay off the scale a few days.

Well I gave myself that day as a cheat day and I wasn't even going to track my food but I couldn't stop myself and tracked anyway. I ate more calories then I thought that I could which was 1114 calories. Most of the issue was cheese looking at the breakdown. So many calories in a little amount of food so I'll have to be careful with cheese in the future I think. I did eat a little of everything and didn't worry about carbs and ended up eating 77. The sad thing was that when I just eat what I want to eat, I didn't eat enough protein and only hit 50. I did have an issue with the turkey itself which I guess is the same as chicken. I just can't eat it very well, it feels like I'm eating rocks and makes my stomach sore. I was worried that it would hurt my mental ability to stick to the diet after giving myself free rein but so far so good. I think it basically got it out of my system and has actually helped my carb cravings and head hunger issues at least temporarily. So I think I did ok and I can see where I need to watch myself and calories but everything is still a learning curve at this point and I learned a lot and got to celebrate with my family, so it was a good day

I'll be honest. I cringed when I read this. I become concerned when I see people using ankle weights to do cardo. There are a number of reasons I would recommend avoiding this: They change your gait mechanics, which can make you more prone to injury. For any impact movements like walking or running, you are increasing the impact on your joints, again making you more likely to injure yourself. These are not a substitute for weight training. You are mostly moving them along a horizontal plane, so they do very little to actually strengthen your muscles. (It's a bit of an oversimplification, but you'd likely need to move them along a vertical plane for that and you'd need to use a lot more weight.) While studies on this are a bit inconclusive, some studies suggest that there is very little to no actual benefit when used for cardiovascular exercises like running, walking or biking. The reason is that while it does increase the effort required, it tends to make you move slower to compensate. In other words, you'd burn roughly the same number of calories just by picking up the pace. (And by doing that you wouldn't have the increased injury risk.) You do you, but I think you'll find most reputable trainers, exercise physiologists and physical therapists would also advise avoiding them. The other thing that I saw here that concerned me is the risk of overtraining. 2.5 hours of exercise in one day may be too much for you if you're not used to this? Overtraining can also lead to injuries, fatigue and burnout, all of which are the enemies of consistency. The single best thing we all can do to improve our health is ensure we are consistently exercising. Consistent, slow increases in your overall exercise workload are important to long-term health and fitness.

As a vet, I'd like to kindly suggest you reframe your thinking. There's no cheating, there are no bad foods. You're still allowed to eat and enjoy food. It's all about balance. You don't need to feel guilty or do an extreme work out to make up for anything. You're going to need to find a sustainable way of eating and relating to food. Realistically, you likely ate under 1500 calories0 calories

so yesterday while i was cooking dinner, i cut myself a (smallish) slice of cake i made and got about halfway though when i started feeling sick. i think it was a combination of dumping and lactose intolerance (didn't take my lactose pill cuz i somehow forgot that there was a whole lotta cream and mascarpone in there!!) anyhoo, barfed a little, pooped alot, and promptly passed out; then woke up starving this morning cuz i slept through dinner and my insides have been throughly cleaned out from the barfing and the pooping. so my breakfast of champions (of sorts): crackers, pate, cheese and figs (and like 3 glasses of water beforehand): 311 calories. almost ate it all.

believe it or not, my two-week pre-surgery diet was more restrictive than yours. I was only allowed no-calorie fluids, 4-5 protein shakes, sugar free Jello, sugar free popsicles, and one cup of broth or tomato juice a day.

According to previous ASMBS guidelines from the ASMBS website, "Q: Do I need to avoid caffeine after bariatric surgery? A: Caffeine fluids have been shown to be as good as any others for keeping you hydrated. Still, it is a good idea to avoid caffeine for at least the first thirty days after surgery while your stomach is extra sensitive. After that point, you can ask your surgeon or dietitian about resuming caffeine. Remember that caffeine often comes paired with sugary, high-calorie drinks, so be sure you’re making wise beverage choices." The BariatricPal Store carries a large selection of bariatric friendly coffee options at https://store.bariatricpal.com/collections/coffee .

Not even sips but it's natural from the beginning. Meaning that physically in the beginning, you'll eat so little that any additional water will make you feel uncomfortable anyway. Before you know it, it becomes habit. It still makes me so uncomfortable that even now I wait over an hour after I eat before drinking anything. I understand your concerns about vitamins too. If you hate swallowing pills, many of us have been using patches successfully. You'll have to see what works best for you. In the end, the weightloss will be worth with it and you will see how very little you eat, and will want to keep your body healthy by taking supplements. For months, I ate less than 800 calories. Even years later, many of us still do not eat enough to be well nourished. I totally get the fast food with our significant others as a bond but it is totally doable. My mister doesn't care what I order but I think he feels more comfortable as long as I order something. So let's say Taco bell ... I order a side of black beans with onions (50 cal). I don't think it is what I eat but that I have a meal with him regardless what it is. IF he ever insisted on me eating what I used to eat, then there is something really wrong with the relationship in the first place.

Hey folks I need advise please! They put me on the two week pre-op diet today and I'll post their guidelines below. Tomorrow is Thanksgiving, can I get by with cheating just tmro if I stuck to just about meat and veggies? Will that impact me if I have Thanksgiving dinner? This is also odd, they told me I am to have NOTHING but what's on the list.. that includes meat and eggs... That's protein so I dont understand why I can't have that? Even if it's tuna or something. Can I get some advise please, I'm really frustrated. If need be I'll stay home and not go to Thanksgiving but I don't want to have to do that if I don't have to. Pre-op guidelines Diet guidelines: Low Calorie, 800 calories per day At least 60 grams of protein per day Protein meal replacement shakes Bariatric Advantage[emoji2400] Meal Replacement (available for purchase in office) Ensure Max Protein Shake Equate High Performance Protein Shake Equate Whey Protein Powder Fairlife Core Power or Nutrition Plan Protein Shakes GNC Total Lean Shake 25 Muscle Milk Pro Series Premier Protein Smoothie King Gladiator or Lean 1 Unjury Protein Powder What to include in your diet: Meal Replacements / Protein supplements: 3-5 meal replacement shakes per day Whey protein with at least 20 grams of protein per serving (soy or vegan options available if whey intolerant) Soups: Bouillon, broths, and low-fat cream soups Avoid soups containing noodles, rice, meat, and other food chunks Milk and Dairy: Skim or 1% milk, Almond, Soy, Lactaid, or Fairlife Light yogurt, Nonfat Greek yogurt No ice cream! J Other: Sugar free pudding, sugar free Jell-O, sugar free popsicles Vegetable juice Beverages: should be sugar free and calorie free Aim for at least 64 ounces of total fluids per day Water with Crystal Light, sugar free Kool-Aid, sugar free water flavorings Unsweet iced tea or coffee (decaffeinated preferred) No carbonated beverages, no alcohol, no fruit juices You may have 1-4 cups of non-starchy vegetables per day to satisfy hunger. Broccoli, carrots, cauliflower, cucumbers (pickles are okay), green beans, lettuce, peppers, spinach, squash, tomatoes DO NOT EAT peas, corn, or potatoes (starchy vegetables) Sent from my SM-G781U using BariatricPal mobile app

Yes, it is quite normal - some don't do a liquid diet pre-op diet at all, preferring just low carb and/or fat, calorie restrictions, or no dieting at all - we didn't have any restrictions until the usual day before general surgery thing. A big YMMV thing. While I wouldn't go overboard on starting a liquid diet early, transitioning to more protein drinks and the like to get used to them and find your preferences is certainly useful. I don't find the getting used to post op idea all that compelling, as you likely won't feel like having much else other than liquids, but some programs go overboard on the back end with extensive liquid dieting post op, so for them, it might be useful. Our program had liquids in it, but transitioned us as we could tolerate thicker and more solid foods, with their findings that their patients tended to do better as they moved into more real food. But programs vary widely, so go with their instructions.

Hello I had the same type of concerns pre-op. I have ALWAYS drank tons while eating meals. Easily 20 oz or more every meal, so I had this same concern. During the pre-op process I decided to start this and see how it went. At first it was hard because naturally I would reach for the drink, even sometimes I felt like I needed the liquid to swallow. (It was weird) With some practice I was drink free at meals before surgery and just had to work on not drinking 30 min before and after the meals. Now 7 months post op, it is a non issue for me. I sometimes drink a little closer to meals than 30 minutes if I am not paying attention but after meals it is always 30 minutes or more. You would be surprised how easy it was to make the transition. Start now and right after surgery you are on all liquids so it makes it easier. The vitamins were never really a concern of mine because I took GERD and high BP meds every day anyway so in my mind I was expecting to get off of those meds after surgery and with weight loss so I was just swapping those for daily vitamins. In my mind nothing changed. I was off ALL meds by 2 months post-op and now just taking vitamins. 1 a day multi vitamin with iron, and 2 calcium a day so its not too bad. Some people take a ton of vitamins though. We were instructed to start with this and it may need to be adjusted depending on blood work results. So far so good for me, I get blood work again next month. Lastly, I put off my surgery for years. Two reasons, 1 was that I have lost over 100 lbs multiple times so I kept telling myself I could do it again. But, I could never keep it off so I decided that the surgery would (hopefully) be the key to keeping it off. 2 was that I was also afraid I would fail and just gain it back again. I still worry about this a little but then I take notice to how much my eating habits have changed (without effort most off the time) and that even on my WORST days I have never consumed more than 1600 calories. My daily calorie goal is to stay at about 1000 right now. Before surgery I could pack in 5000-6000 calories a day if I wanted. Still not saying it is impossible because it does happen but I believe if you make the changes and give them time to become habit you will be ok. I am sticking with this, I am still in the loosing phase so I really don't know what will happen but I have high hopes this time and have been thinking about it regularly. Whereas before surgery I was always just focused on loosing the weight and never thinking about keeping it off. Sorry for my super long post but I hope it helps ease your mind! Best of luck to you!

Will you be home for Thanksgiving or at a family event? I will be at home on the holidays so I will eat as usual. Like you breaking your stall (congrats), the weight loss and fear of gaining it back, are great motivators not to go overboard during the holidays. I count calories, weigh my food no matter what. If on vacation, or a special event, I eat a bite of different things, log them right after the meal. If I can't log at the time, I take snapshots of the dish before I eat (and after) so I can remember what I ate and how much I ate, then log later. 24/7, 365 days/year.

I hope this was a pep talk and not a lecture! If it helps you refocus then brilliant. You've already done so well, he's probably just willing you to go further. I came here to wish all my November 2021 friends a happy anniversary. I'm just past mine, pretty much done losing at this point I think - I've lost 1lb in the last 5 weeks, but I am maintaining without too much thought. I still do track every single bite I eat, just out of habit, and I think I need to! It would be so easy to slip. I hope you are all happy with where you are, and that those of us who still have a bit to go can keep it up! Would you have believed a year ago you would lose what you have? I certainly wouldn't. 🤩 Just for the record I weigh 154lbs, that's a total loss of 122lbs since 2 months pre-op and 97lbs since the day of surgery. I'm maintaining on about 1400 calories a day on weekdays and probably 1700-1800 at the weekend because I drink alcohol then.

I'm three months out from mini bypass and had a Thanksgiving dinner with friends a few days ago. My plate was about a third turkey, and then a bite or two of everything else. It worked out really well - I felt like I was able to enjoy the meal along with everyone else. I didn't bother tracking that meal because I religiously track everything else, and I knew that if I missed my protein goals or went over my calories that day, it wasn't going to be by much. We're also having our own (very toned down) Thanksgiving and I'm planning on doing the same thing - a decent serving of turkey, and then a taste of everything else. It helps that I'm still pretty food... ambivalent? and that I'm not really interested in sweet things since the surgery.

I understand the AUC Glucose/Blood Level curve Integral (area under curve) is used to calculate the Glycemic Index of certain foods. I have a question on why two sample foods with the same mass of carbohydrates can have different AUC Integrals or Glycemic Indices. I have some possible theories and would appreciate guidance. To be clear on definitions, the Glycemic Index is calculated using the relative rise of a blood glucose level two hours after consuming a food and it is the integral of (area under) a 2 hours glucose/blood response curve, following a 12 hour fast and ingestion of a sample food with 50 g of carbohydrates. The Index is calculated specifically using the ratio of a blood glucose AUC integral, ignoring the area below the fasting baseline (start of curve rise), for some carbohydrate source and a reference source. The reference source is usually either glucose or white bread. The trapezoidal rule is typically used to calculate the integral, although any method can be used. The Glycemic scale places pure Glucose at 100. The index is calculated using a ratio of two integrals using this formula: (SAMPLE_FOOD mmol/L * time)/(REFERENCE_FOOD mmol/L * time) * 100. Where I'm confused is that two sample foods with 50 g of carbohydrates should have the same energy in calories, typically 200 kcal (4 kcal/g carb). I see the integral of the AUC curves for different foods can be different, indicating different glucose/blood level changes for each food over the two hour window. This makes me think, the foods have the same energy content, but are changing the body's blood glucose levels differently, resulting in different curves and Glycemic Indices. I first questioned whether the reason for this was that part of a food's curve lied outside the 2-hour window, raising the Glycemic Index slower than another food. I also read that the glucose levels will change differently depending on the type of carbohydrate, and some form of carbohydrates are even impossible for the body to digest and are either digested by bacteria in the gut or simply excreted in the feces, which would resulting in a lower glucose/blood level rise. Therefore I have open questions on the AUC curve and Glycemic Index: are these numbers different between the same sample size of 50 g of carbohydrates due to differing blood glucose levels, yet the same energy delivered to the body (perhaps in another form other then rising glucose)? Are the levels different due to differences in the body's digestion of the food? Or, is part of the glucose/blood integral of some lower Glycemic Index foods passing beyond the 2-hour window of measurement, which would cause a smaller integral and lower Glycemic Index?

This is probably a question better suited to your surgeon-- I'm sort of surprised they didn't go over that during your last visit. I was allowed to drink anything sugar free and very low in calories, so Propel would fit (I actually drank almost EXCLUSIVELY Propel after my surgery, in fact, so much I made myself hate it.)

I was allowed as long as it was caffeine, calorie and sugar free. Anything under 5 calories per serving was considered to be "calorie free".

Veterans of weight-loss surgery, what kind of plan do you go into Thanksgiving with? Do you count calories, weigh your food or just eat tiny portions of what you want? Do you go out of your way to make WLS-friendly sides and desserts? I just broke a 3 week stall and I don't want to go back to that weight ever again. Any tips and tricks are appreciated!

You’ve had a pretty major surgery & are on a restricted diet so low energy, feeling weak, etc. is pretty much to be expected. Your body has been & is going through quite a bit. We recover in our own time but you will start to notice some improvement when your body has recovered more & is feeling stronger. You may be experiencing a postural drop in blood pressure. That is your blood pressure drops on standing & then regulates itself very quickly (less than a minute). Hot showers can cause it to occur too. If you are concerned or you think it’s going on for too long, give your surgeon a call. The change in your taste buds, & sensitivity to some smells, is also very common. It’s temporary, but can make finding something to eat a bit challenging at times. I would think your calorie intake at this stage is okay. I was eating way less than that but that was me. Check with your dietician, though, as all plans have different expectations around calories. Some are encouraged to eat more. Some aren’t given any calorie goals - I wasn’t.

Lol, I over prepared too. I made sure to have a mini fridge or cooler available. I did bring my lunchbox with ice packs and chicken just in case there weren’t good choices. That chicken saved me a couple of times when it was lasagna/Spaghetti. (Not a restaurant but family reunion over several days). I stayed in country so I could bring my water bottle and flavor packets, which would have been fine empty for traveling out of the country. The best part was being so active that I was really burning calories! I lost weight and enjoyed every bit of time with my family!

Laura My calories are anywhere between 450 and 750. It just depends on the day. Yes I’m on solid food. I can eat almost anything but a lot of things don’t taste that good anymore. And some things make me nauseous. Luckily I still love chicken! Protein is sometimes hard to hit but water intake is going well. My husband wonders if I’m eating enuf also. Im just taking it day by day and do what I can each day. I go in for my six week checkup next week. Hopefully I can find out what I need to improve on.