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Hi! After week 4 it seemed like everything finally changed for me. I no longer was feeling sick and was able to start keeping water and soft food down. I felt great and was able to walk longer distances daily. My doctor said in about 5% of WLS patients they deal with the nausea and just feeling down around the 3-4 week mark but it won't last long. Oh, also I had my labs done at my 3 month post-op and they were perfect. I'm currently 4 months post-op and down 61lbs! It's amazing how much better I'm feeling. Best of luck to you and I hope things start turning around for you.

I final got to move onto the soft food diet, but after eating a small amount of food for 3 days, I went back to liquids because the idea of food makes me sick. I have had an issue with pain and nausea since I was in the hospital and it continued at home, does this go away? I'm going into my 3rd week and I don't think I have ever made my protein and water goals..

Please tell me the nausea went after after the 4th week? I just had the MDS on 1/2/24 and I have had pain and nausea since I was in the hospital and it's happens just about every day at different times. I just got moved to the soft food diet and after having some food for 3 days, I could only stomach liquids today. I have been sleeping with a hot water bottle, along with meds, to deal with the pain. Since I'm not even into week 3, I am trying not to overreact/panic but I am definitely not meeting protein and liquid goals...

Hello all o/ I am hoping some of you can help me with some questions about life post SADI. I had RNY in 2013, and on 6/2023 I had it converted to SADI. This is a new procedure at my doctor’s office. They’ve never done duodenal switch procedures and I was one of the first people to have SADI. The Dietary information given to me was the same they give for RNY/Sleeve patients. There isn’t anyone for me to really talk to at the support group about it and while my nurses try to be helpful, it’s not the same as getting info from people who have lived through this. Ever since surgery I have been extremely hungry. I haven’t had any kind of restrictive feeling you would have with the original RNY surgery. My doctor said part of it was because when she reversed my RNY she left me with a bigger stomach than normal (to help prevent pressure on the suture lines and leaks). When people were eating 2oz of yogurt I was able to eat a whole cup, and my doctor told me it was fine, she wanted me to eat more with this surgery. The problem is she has never said how much is too much. She said just meet my Protein goals (80 -100grams) and everything else will follow naturally. As the months have passed and I have been trying to eat more normal food, I have noticed that I am already slipping up. I am constantly hungry and find I am just watching the clock for when I can eat again, and I am overeating. And eating the wrong things. The amount of gas I have been experiencing is unbearable. I am having a hard time pin pointing exactly what is making me this way (the only two things I know with out a doubt seem to be potatoes and Onions… two of my favorite vegetables ) I was sick for 3 days after Thanksgiving from eating stuffing and mashed potatoes. I am so grateful that I work from home right now because I don’t know how I can be around people like this. I am ok until around 3pm, then the bloating starts, and the gas keeps me up all night. It’s not gentle, it sounds like warfare. The tiniest poop might come out with gale winds force. I can’t go in public. No amount of Gas X or Beano seems to work. I need to get a handle on this. I am taking my vitamins/calcium religiously. I am eating about 60-80 grams of protein a day, but found I am eating larger portions than I think I should be, snacking, and eating too much carbs. Just basically I’m off the rails. I am still losing weight, but probably not what I could be. I do plan on talking to the dietician again but would like to hear from people who have lived this life first. Can some of you share your experiences with me? Are there certain foods you must avoid because of the gas? Is there a certain number of carbs/fats/protein you’re aiming for each day? Does it get better? Can you eventually eat friend onions with your fajitas again? Did you struggle with hunger? I would love to hear everyones experiences and what has/has not worked for them. Thanks for the support!

Whitch app is good to track food we eat

I can relate to the acid reflux issue due to having a hiatal hernia too. I was daily suffering with it for years until WLS. My stomach was also pushed up through my diaphragm. Docs found the hernia during pre-op testing and repaired it the same day as my RNY. I think your doctor was hoping by fixing your hernia, it might take care of your reflux along with you losing the abdominal weight from the sleeve surgery. I also carried the majority of my excess weight around my midsection and was told that my reflux was because excess fat was pushing food back up into my esophagus. That was before they discovered I had the hernia. But both problems contributed. After losing over 100 pounds, I'm finding that even though I am losing weight all over, my stomach is still the last place it is coming off. Very frustrating but I still have 40 lbs. to lose. And that's where it is sitting. I chalk it up to genetics. Sadly, the hernia repair didn't take care of your reflux and the sleeve is notorious for causing it. Even in those that never had it. One of the reasons I opted for the bypass and haven't had reflux since. As for your weight loss stall, maybe try backing off from hard workouts unless you are getting an adequate days rest in between. Increased levels of cortisol can cause abdominal weight gain. I lost all my weight from leisurely walking outdoors 2-3 miles 5-6xs a week.. GL. Your pics look great.

I was told drinking before a meal took up space that should be reserved for food. That never made much sense to me since liquids usually move quickly through. But in the beginning, I still waited 30 minutes before and after eating. Nowadays I wait anywhere from 30 minutes to an hour but only after a meal. Depending on the meal. It is quite painful otherwise if I don't. I would forego the snacks if I had to choose between them and staying hydrated. GL

I'm 9 months out from WLS and I've been following this forum since January 2023. I can't count the number of posts here of people struggling to drink protein. I consumed a lot of them before ever having surgery. Back in my weightlifting days. Maybe it's an acquired taste sort of thing but never had a problem with them except for a few premade ones tasting too sweet. Food/drink aversions are pretty common post-op though. taste buds change etc. I can't help but wonder, when using the powders... if tasting chalky, use a good blender. I have a Vitamix and even the cheapest protein powders taste good. I tried Walmart's Equate Whey Protein powder for $18/18 servings. If you are mixing with a spoon or shaking in a cup, even the best powders will taste chalky. I buy vanilla or unflavored powder so I can change up the taste by adding frozen fruit, SF various flavor Greek yogurts, peanut butter or cocoa powder, Crystal Light or stevia to sweeten. I like to use milk and ice. It comes out tasting like a milkshake. Strawberry being my fav. Experiment to find what you like. Variations are endless and beats drinking the same premade ones day after day. GL on your weight loss journey!!

I would second the idea of trying warm liquids - I found it much easier to hit my fluid targets this way. Have you thought about VLCD-type soups? They are high protein (because they're intended to contain a whole day's requirement in 3 servings). Alternatively greek yoghurt/skyr or protein yoghurts? One tub of the latter has 20g protein and I could usually manage one in two or three sittings at your stage. I also quite enjoyed the pureed food phase, although there's no way I would have come anywhere close to my protein goals on the volume I could manage a month post op. There are so many things to juggle with your new stomach. The first few weeks can be difficult, and we worry about everything at the start. I think you'll relax into it and be absolutely fine. Keep trying your best and asking for advice - there are so many people here with loads of experience to share.

I follow all WLS guidelines so what does any of that really matter. I am allowed to eat some carbs as it’s limited and I don’t weigh my food. I use a small plate and I know what my measurements are. I do drink 30 minutes before and after. If I want sugar I’ll eat it within my own guidelines since I’m working out and that’s only once a month cravings. I’m only 5’3 and carry my fat in my belly. My surgeon has no problem with my stall since I workout 4-5x a week. I’m more worried about the daily medications I take for GERD for the past 13 yrs which isn’t good. They have me on 2 acid reflux pills and antibiotics so idk if that’s an issue too. I can lose weight I’ve always been thin all my life except after having my last baby which caused my hernia and issues; by then I couldn’t exercise no more gained weight plus perimenopause belly weight gain on top of that has been hard. The first pic on top was 1 yr before surgery the second pic is recent on new years.

Just by way of alternatives: My plan never included protein drinks. I'm one of those folks that gets their protein from "food." Google it if necessary. My plan from day 1 was/is 3 meals per day of 3-4oz protein + 1oz veggies. First 6 weeks it was pureed. Granted, I never completed a meal until about 5 or 6 months post-op, but I did the best I could and my team was happy with that. At any rate, just a different take on the whole protein thing. Good luck, Tek

The food guidelines for WLS have acidic foods which isn’t good for a GERD patient. The guidelines for GERD patients the food is bland. I can’t always do GERD eating since I need my protein and consuming yogurt, cottage cheese with other nutrients sometimes triggers my reflux. I don’t think it’s the combination of the two that’s stoping my weight loss. I may have built more muscle especially in my legs and arms but the belly muscle I’m still trying to build up.

Thank you everyone for your responses. I stopped eating solid food and continued with my diet plan and I can say it's terrible. I'm HUNGRY all the time! It's impossible. Everyone saying about head hunger, but no solutions how to deal with that. I drink enough water but it never helped before surgery neither now. Honesty, I'm giving up and don't know how to live normal life.

I did forget to mention that even though I had to wait 30 minutes before and after eating, once I moved on to solid foods, I only had to wait 30 minutes AFTER eating. I could drink up to the point I started eating something. Not sure what the rationale was there - maybe there's more of a risk of nutrients being washed out of your stomach when you're on liquids and/or purees when you drink BEFORE eating, too (which makes sense since those don't stay in your stomach for very long).

As I stated I’m not in this for weight loss. My issues are belly fat and working hard to get rid of it since I couldn’t workout for 15 yrs because of regurgitation, vomiting and pain with my hiatal hernia. My question was only asking about GERD patients losing weight slower than regular obese patients. I don’t have any food issues and my dietitian has no worries about me. I’ve always carried good muscles in my skinny legs. I don’t compare myself to no one I just can’t believe these bariatric weight loss videos people have actually lost that much weight in 6 months as they claimed especially how huge they were. My reflux has always been horrible and I’ve been on medication for 15 years daily. Now I can only stay off for 4 days but I’ll have bad silent reflux. My GERD is unmanageable even with a strict diet. My surgeon thought since I never had GERD with my 2 older kids maybe it would subside now. This all went downhill after I had my 3rd child.

Thank you everyone. I have been taking it easy a little better. Getting up and moving around only when I can and resting when my body says no more. I think you're right about the gas pain in the left side especially. I was finally able to have some relief of that this morning. not gonna get into detail if you know what I mean. LOL. Right now, I'm trying to get my eating schedule figured. I feel like I'm always hungy, then eat and am too full. I haven't had any vomiting, so that's good. But I do get these weird hicccups sometimes. I'm currently on pureed as of right now.

Day and night 5, Food and Meds The website said everyone speaks English, but 2 of 3 assigned to me don't speak much of it. We use Google translate, which is close enough to get it across. I didn't take a shower yesterday because I didn't like being helped with it and I figured since I sat in bed all day, at worse, I had a few crumbs. I suggest you do shower every day to keep an eye on your incisions. The really itchy spot turned out to be a blister. I've never been alergic to tape, but I have a couple blisters under the tape they used to hold gauze on.I'm able to get in bed without hurting now. I'm hoping it isn't just because I'm on pain meds. Starting day 3, I've been walking 2 or 3 times a day for a few minutes. Today, I walked for 15 minutes. Needless to say, I walk slow and hunched over. They gave me compression socks at the hospital, and I thought I put them in my bag when I got dressed, but I didn't. I tend to sleep most of the day and work and watch TV at night and go to sleep for the night after midnight meds. Before coming, I sent them dietary needs and asked if I could bring my own breakfast. I told them I'd had gastric sleeve and can only eat 6oz at a time, and no eggs or seafood. Unless you are adventurous or bring your own food as a backup, I suggest you be specific as to what you want to eat. I've had chicken or turkey, potatoes and salad 3 times (OK); soup 3 times, veg, chicken veg with barley, and veg with a big meatball (OK); tostados with weird stuff on it twice (not OK); I'm missing one meal, I think I told them I wasn't hungry and they asked if I'd like ice cream (I said yes and they brought a small bowl). For breakfast they make what I brought for breakfast, protein oatmeal and add a scoop of collagen with the added missing amino acid (they always use too much water). In addition to the oatmeal and collagen protein powder, I brought cheese and crackers, pure Protein Protein bars, and beef jerkey (I'm a rebel. It's low in fat, high in protein, low calorie, I spit out gristle, and if they ever have to cut a ball of gristle from my stomach then I'll give up beef). In the hospital, my doc gave me meds. The 2 antibiotics were to be taken every 8 hours, but not together and with food. The pain pills was take #1 and if it isn't enough take #2 2 hours later. #3 was only 3 pills and were the strongest and only to be taken at night if the pain was excruciating. I turned them over to the nurse at the house. They give me both #1 and #2 pain pills every time (6am, 8am, 2pm, 4pm, 10pm, midnight). I didn't object because I want to be as pain free as possible and they don't make me fuzzy). When they wake me up at 6am they give me fruit or peanut butter toast so I have something in my stomach. They don't bring food at the other times, but they know that I eat my snacks between meals.

I had a tough time too. My stomach took so long to heal. My stitch line was so swollen for months. I had to eat softer foods for ever. 300 calories a day were my normal until 6 months out. It took me almost 20 months to eat chicken. Lamb is still too rich for me. I can eat smoked salmon but not cooked salmon. Pasta is still off my menu. All the other carbs I can eat a small spoonful. I can eat a small slice of quality seeded bread as long as its toasted. These foods were my most favourite pre surgery. Very strange. Its not the end of the world for me because I love being skinny. I dont think I can try salmon again. I get the foamies every time I try and its turned my against it

Happy Birthday! A little treat won't hurt, but 2 big things: 1. Don't beat yourself up over going off of the diet once. It can easily lead to a spiral where you feel bad. Remind yourself its not a big deal when its a single event, just resume at the next meal like nothing happened, and don't let it become a daily habit! 2. Expect sugar cravings and being "hangry" for a day or two after having a sweet treat after weeks of having none. I felt ravenous after having treats over the holidays, and couldn't figure out why. I wanted to eat more than I knew I could physically handle. Our bodies are engineered to make the most of carbs because up until a hundred years or so ago, they were rare for humans to come across. Nowadays, sugar and starch are in everything, and our bodies haven't adapted to that change in food availability yet. That instinct will kick in and make you want to eat "all the carbs". The following 2-3 days, resist it and remember to stick to higher protein and savory foods until it passes.

I'm obviously not a professional and can only speak on my experience as a bypass patient - I have not experienced vomiting or dumping syndrome and I'm a little over 9 months post-op. Even when meeting with my surgeon and he asked me what I was considering and why - before providing his own assessment - I said bypass as sleeve wasn't enough and SADI is too much - and he agreed. I have only experienced occasional mild acid reflux previous to surgery and did not want to put myself in a place to make it worse. My food portions are obviously smaller than prior (that's why we have these procedures), but it is not just a spoon or two at this point. That was only closer out from surgery. I am at about a half cup to a cup depending on density of what I'm consuming and that will still evolve even more further down the line. In my opinion, SADI is better for those who need to lose a lot more and may be diabetic as it is quick to reverse that. It may not be everyone's assessment and you have to choose what is best for you with your doctor's suggestion. I've heard and read it is difficult to revise should the need arise and it's mainly too many fats and/or sugars is what causes the diarrhea. Both require to be on vitamins/supplements for life, but it's even more important with the SADI as there is far more malabsorption. You will know what's best for yourself and your body and I wish you much luck.

most people with bypass don't have complications- and of those who do, they are usually minor and correctable (or in the case of dumping, preventable). Major complications with bypass are pretty rare. only about 30% of bypass patients dump. I never have, and neither do most of the other bypass patients I know. For those who do dump, it can usually be prevented by not eating a bunch of sugar or fat at one sitting (which none of us should be doing *anyway*). I threw up occasionally the first few weeks after surgery when I ate too much, too fast, or something that my stomach wasn't going to tolerate, but now I throw up about as often as I did pre-surgery - that is, very rarely. And as for food intolerances, most of those are temporary, but some can become permanent. But you'll figure out what your body will and won't tolerate pretty quickly. re: only eating a couple of bites of food. That's only in the first few weeks after surgery. For the last several years, no one would be able to tell I've had bypass surgery by watching me eat. They'd just assume I'm a "light eater", like many of my women friends who've never been obese. When I go to restaurants, if I'm not that hungry, I'll order something like an appetizer, soup, or a salad. If I AM hungry, I'll order an entree, eat half of it, and box up the rest to take home. Most of my women friends do the same thing. you're probably seeing more issues with bypass for two reasons: 1) it's a much, much more common surgery than SADI. As in a LOT more people have bypass than SADI, so of course you'll see more on it. 2). after people get over the first few weeks (which can be tough with either surgery), they usually only post when they're having some issue, because they're looking for advice or support. People who've never had issues (which would include most of us) aren't likely to post that everything is hunky-dory. as far as which to choose, they're both good surgeries. Advantage of SADI is it's a stronger surgery, and you'll likely lose more weight with it. Disadvantage is regular doctors (as opposed to bariatric surgeons) know a lot more about bypass than they do about SADI, so your PCP may not be able to help you if you have issues - they may have to refer you to a bariatric specialist (which, of course, is fine - but just something to keep in mind). Also, if you have GERD, bypass is usually the better choice, since it tends to improve GERD, if not outright cures it. SADI involves a sleeved stomach, which can cause GERD in some people (or make it worse if they already had GERD before surgery). It doesn't happen to everyone, but it IS a risk... good luck with your decision!

Happy birthday! Mine was two months after my surgery but I’m not a big birthday party person. Sure for the significant decades but others not so much. I usually just cook something I like & in the before years I’d buy I treat. In the after years, I still do the same except no treat (I’m a rarely have sweets person now). Can’t recall what I did for that first birthday. Probably just stuck to my plan - it was more important to me. Don't think you can’t go out though. It’s just a matter of making the best choices you can from the menu & stick to portion sizes. Appetisers are usually an okay size. And doggy bags work for leftovers. You can even share a dish with someone else. As others have said, this is about learning about making better choices. It doesn’t mean you restrict yourself for ever more. Smaller portions, considering frequency of eating certain foods, using alternative ingredients or different cooking styles. Love fish & chips try grilled or steamed fish with oven baked or air fried not deep fried fries if you do decide to try a cupcake, you may find it overly sweet & you don’t enjoy it because you’ve been avoiding sweet for a while now. Our taste buds can become super sensitive to certain flavours too like sweet (or salty) too. Of course it could be delicious. I used to make chia pudding a lot. You could try that as a birthday dessert treat. I’d add vanilla extract or paste to the milk to give a little flavour boost or a little fruit. Plus bonus of protein.

I’m sorry you had such a rough beginning. For some food aversions or foods you are unable to tolerate are temporary for others they’re long term. Chicken seems to cause a lot of issues likely because breast is the most popular cut & it is dry which is the cause of most of the problems eating it e.g. foamies. Thighs are a more tender & moist cut (& also more flavoursome). Give them a go if you haven’t yet. Keeping all your meat juicy & tender (no well done steak) & use sauces & gravies to keep it moist may help. About 4.75yrs out & I still don’t eat bread, rice, pasta or similar products like wraps as they sit heavily in my tummy so I feel uncomfortable & limit what I can eat. Doesn’t bother me as I’m quite happy being more low carb & not eating simple carbs. Out of curiosity, have you tried plant based proteins? They’re not as dense as animal proteins. Might be worth a try if you haven’t. Just watch your protein intake.

its been a couple months since i last made a salad for myself at home in my trusty salad bowl. i blame the holidays and vacation and pure laziness! salads always, ALWAYS! hits the spot! 347 cals for the entire bowl, ate about 3/4 of it? yummer! p.s. i don't normally eat this late (its after 9pm here), but i was making and assembling empanadas for the past couple hours to fry in my deep fryer tomorrow. never deep fried my empanadas before (i always bake them)...we'll see if they turn out...i'll post pics tomorrow!)

Yeah I do, I think because it's always ready and there. I feel lazy a lot of the times. I hate cooking, but the only time I do kind of like to cook is dinner. But I did make a really yummy protein smoothie. Fairlife milk 13g protein, 17g of protein in the yogurt which of course makes it a 30 gram smoothie. But I also tried a another yogurt before I buy a big container of it and it has 25 grams of protein in it. It just sucks that I couldn't drink it all. Anyways, I also think we have this stuff (the processed foods) because it's cheaper than the healthy foods. It sucks and gotta do what we gotta do to get by. But yes I get that the money we spend on the processed foods, we could put towards healthy foods. Healthy foods don't last long which also sucks. 🤔 always can meal prep and freeze it. There's 6 people here and one who never eats what I make. So ill have to make sure that there are 5 of everything for the 5 people. Sorry just rambling