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Well, it wasn’t exactly an AI generated recommendation. It was an AI generated summary of all the articles that applied to the question I asked Google. So basically One of the articles them gave that recommendation is below and you can read the full article of course and determine whether it’s a reputable source and applies to you. I agree with not going by a cookie cutter approach regardless of where it came from. Especially the Internet, but it logically does make sense to me so it would definitely be worth talking to your doctor about and asking for a specific plan for you. I know for me, my body is fighting cancer and processing chemo right now which both increase metabolism. Currently I’m logging like 1000-1500 cal more a day and still losing (albeit a little slower to appease my doctors). It changes your metabolism when your body is fighting something and it does burn more calories during times like this. How many that would be something your surgeon may be able to help you with a refer you to someone who can. I am very fortunate that I am at a big fancy breast center and they have an oncology dietitian that is helping me throughout all of my different treatments that I have in store for me over the next year to keep me on track for both that and my bariatric journey. i think the most important part would be to just be mindful of the fact that healing does require adequate nutrition and not to be at too much of a calorie deficit because yes, we will heal like we did from our bariatric surgery but that doesn’t necessarily mean it was the ideal circumstance or that we we’re healing as fast as we could have. I know you are itching to get out and back to your activity asap as I would be and good nutrition is very important for faster healing. I’m not saying that means you need to eat as much as you were eating when you were working out like crazy, but if it was me, I would focus primarily on fueling my body to get better faster, without gaining of course, and really focus on the weight loss once I was back on track (it won’t be that long). I mean if you can lose a bit great but if your body is screaming out for nutritious food it’s probable that there is a reason. The nutritionist that I am working with would not give me a specific calorie amount instead she told me to still try to avoid cookies and chips, but to eat when my body was craving nutritious food and she checks in with me every week to see how I am doing and make tweaks Does your surgeon have a nurse practitioner that you could talk to if you give them a call? Or was your dietician from pre surgery very helpful (mine was worthless 😂). Maybe you would get a more in-depth response from them than your surgeon who’s always super busy.

1. Iron Deficiency and Anemia 10 Years After Roux-en-Y Gastric Bypass for Severe Obesity 2. Iron Deficiency After Gastric Bypass Surgery 3. Risks of Bariatric Surgery: Anemia 4. Anemia After Bariatric Surgery: More than Just Iron Deficiency 5. Hematological Disorders following Gastric Bypass Surgery: Emerging Concepts of the Interplay between Nutritional Deficiency and Inflammation

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I realised my response above was a bit lacking on practical recommendations. Let me try to summarize what I'd suggest: Since you're right where I'd want you to be in terms of weight loss per month, don't change anything at this point. Only consider changing if you find the weight loss completely stops for 2 months or more. If weight loss does stop for at least 2 months, I'd actually recommend UPPING calories by 250-300 calories a day. I know that sounds counter-intuitive, especially considering that a negative energy balance is the only way to lose weight, but let me explain. Remember when I said above that one of the main jobs of our metabolic regulation system is to keep us from dying? No matter what we do, our metabolism slows when we diet. The rationale behind upping calories (by a small amount), is that we want to convince that system that the "bad times" have passed, and it's okay to ratchet up metabolic processes again. I'd recommend eating this increased calorie amount for at least a month, but two months would be better. Somewhat surprisingly, most people won't gain weight if they do this because their metabolism will increase to compensate. After that diet break, only then do we drop calories for a month or two in order to drop some more weight. You can keep up this intermittent dieting (not to be confused with intermittent fasting), until you get to your goal weight. I know this sounds like a slow process, but I promise, in the long run it's actually faster than if you just tried to keep cutting calories to get to your goal. Please keep exercising for your health, but also so that once you do get to your goal, you'll have a much easier time maintaining the loss. I would strongly recommend a minimum of 3 days per week of aerobic exercise and 2 days per week of strength training. This will set you up really well to maintain weight, as well as for excellent health as you get older. Don't be afraid to seek out a good mental health counselor. None of us got as big as we were by having a healthy relationship with food. The vast majority of people that fail to lose weight or that regain lots of weight after bariatric surgery do so because they fall back into old poor eating habits.

the two they usually measure for are ALT and AST. But not all clinics test for those, so not everyone knows their values (actually, my bariatric clinic doesn't test for them, either - I'd gone to my primary care provider for some reason or another (it's been eight or nine years, so I don't remember why) and she did some panel that included liver values. She freaked about it, but my bariatric clinic knew what was going on - and again, they were back down to normal once I was about a year out).. They go up because rapid weight loss is really hard on the liver.

My favorite tofu dishes are either agadashi tofu ( firm tofu, drain, pat it dry, roll it in corn starch and bake or fry it) mix 2tbs soy sauce, water, mirin in a bowl with 1 tsp ground fresh ginger, drop tofu in and eat immediately. or tofu tofrites: extra firm tofu (drain, pat dry and allow to dry wrapped in paper towels with a plate on top to squish out water, while you make the batter. I have a bunch of batters. Off the top of my head 1c almond meal/flour, 1/2 c coconut flakes, and like 2 tbs Cajun seasoning. Cut tofu into fat fry sizes and dunk it milk or a scrambled up egg then batter and place on baking sheet with parchment paper (or it sticks and is bad ) 15 min at 400 and or until outside is panko crispy. Salt if needed. Good as is or with dips also great with shrimp. Or tofu chocolate pie/ mouse: everyone likes this with different amounts of sugar (if I eat sugar I suddenly can’t think about anything but binge eating for a week). So I just use the darkest and most cocoa powder chocolate I can get and melt 1.5 cups and toss it in a blender with an already prepped block of silken tofu (prep, wrap it in paper towels 2-3 layers till try, so not squash silken to get out water). I then add a sprinkle of salt and a tap vanilla. Scrape it into cups or a pie tin…. Refrigerate for 2 hours. My sister makes this with a cup of sweetener… I skip. Pardon.. seriously all day I think about food. Get a notebook or notecards. Separate it into categories by how long it is to prepare. Start with your under 5 min, 30, or whatever times you need. Put carb, protein, etc info in the back. Make your recipe set. When you are bored with food… a crazy good recipe like sukiyaki with konjac noodles or muscles in a savory broth, spoil yourself. Or mix up your cards you have saved. Add cards as you like things. But make sure you have a ready supply of “crap I can make with on hand pantry stuff when I didn’t go shopping,” “crap I can make under 5 min, I am starving,” and “crap that freezes great for oamc food prep so you are never having to resort to crap take out.” You will feel like you’ve got the Bariatric eating down after you have your recipe book.

Egg Drop was my first take out item post-op but I waited till soft food stage to eat it. My program didn't have a puree phase. I did cheat a bit by using a Vitamix and totally liquifying some soups. But as @Arabesque said, wait until your Bariatric team OKs you for the puree stage then either strain or liquefy. I was also concerned about the amount of fat added to Egg Drop from my local Chinese restaurant but it didn't seem to effect me. It tasted wonderful! You can also make your own using some chicken bouillon or broth and dropping an egg into it. GL and congrats on your surgery!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

As an British-American, I'm going back to the US for Thanksgiving in one month and I pretty much have the same concerns. Food, Food, Food is all it is. Come to find out my stepmother had the sleeve two years ago (she kept it real quiet but judged my mother for having a bypass 15 years ago, but I digress) so having one other bariatric patient at the table could be helpful for portion size recommendations. But Christmas, I'm with Italian friends. Italians (not to generalise, but something I've observed) love to feed people so I'm going to have to practice stern "no thank you".

So pretty easy general stuff then. Ok. I shouldn't be too afraid then. Worst case scenario is they fail me and I have to wait a couple more months for surgery. My bariatric team did mention that if I failed that they would be working with me on the issues that the psychologist found and it doesn't mean I can't get the surgery It just would delay it. They want to make sure my surgery is safe and effective. I get it.

This is a thread I started about the MALE GAZE and the bariatric experience, a question was asked about a Female Gaze and it was answered. Public forum or not if one is asked about their experience with the female species and it's answered then it is what it is. I welcome all responses but it won't be a continuum back and forth. I'm already bored 😂😂😂. "You just say that word "Women" and I'm already yawning (women don't REV up my nether regions 😂)....back to the MALE GAZE. Now MEN I can talk about them all day! I think I'm going to put on a small dress and go get some MALE GAZES 😂😂😂. Reading some of these post it looks like I will have to get used to the MALE GAZE. So therefore I will go have a little fun. I will have to not be as pissed.

Since surgery I've had pain in my hips, knees, wrists and back, especially if these joints remain immobile for awhile such as during sleeping. Its so painful it wakes me up and I dread moving. I've also started getting sharp pain for no reason in my right arm pit area (now gone but moved) tricep (rt) thighs and now hypersensitivity on my left outer thigh on the skin. Its so sensitive clothing annoys it, its kind of a constant numb feeling. The sharp pain started in the right arm pit area and I thought it was shingles but I had no rash. My doctor wasn't sure and called in a colleague, she also wasn't sure. Lidocaine patches and an anti seizure medication were prescribed (frequently used for nerve pain). Needless to say the pain has continued and moved to other locations listed above. The pain feels sharp, as if someone is pinching a small amount of skin and twisting it then it goes away. I've had an MRI months before the odd sharp pains started and spinal stenosis was the diagnosis. I'm not sure if my spinal stenosis is what's causing all my odd sharp pains and hypersensitivity. I bring all this up because I don't know if its attributed to my bariatric surgery or not. I just know I didn't have any of this pain beforehand. Could it be just getting older..or the surgery who knows? Anyone with ideas or who've gone through something similar? I appreciate any ideas, I'm not asking for actual medical advice so no worries just ideas, personal stories if you've had something similar! Thank you!

So sorry you're struggling right now. I think if we're all being honest, we're ALL been there. I've said this before, but I strongly believe anyone that is or was obese has an eating disorder or at least suffers from disordered eating. You simply don't get that big unless you have an unhealthy relationship with food. The thing is, none of us magically got better by having bariatric surgery. If you think you need it, please reachout to a mental health professional to help you get back on track. If you don't feel ready for therapy, that's okay too. You have to do what's right for you. Just know that there is help out there if you need it. I want you to know that I personally have faith in you, even if you don't right now. You are an inspiration to many people here, me included. You've already shown how strong you are and how hard you're willing to work for your goals. I know this is just a temporary setback, and I'm guessing a lot of it was brought on by extra stress due to surgery and your routine being thrown off. As they say, this too will pass. I know you can get your mojo back, so please give yourself some grace. We're often our worst critics. I'm honestly just guessing based on your previous posts, but I'd think you're a very goal-oriented person. It might be beneficial to stop thinking "I need to get back on track". That's just too nebulous. Instead set yourself small, time-bound concrete goals. Only you can decide what those should be, but it might be as simple as "get at least 120 grams of lean protein tomorrow". Forget everything else that part of your personal idea about what "back on track" means and just work on that one small goal until it's become habitual. Only then, add in a new goal to work on. Just keep them small, easily attainable based on where you're at today, and make sure they have a time component such as my goal for tomorrow is..., or my goal this week is... you get the idea. If you need any help with diet or exercise as you work through this, please feel free to PM me and I'll do my best to help. Wishing you all the success in the world!

I spoke with my surgeon today about some weird symptoms I have had since surgery. I have only experienced about 3-4 episodes of it since having surgery, but it tends to happen if I haven't eaten for a substantial amount of time (like nothing until 2/3pm). The following happens: shaking light headedness dizziness sweating anxiety palpitations pale presentation of skin weakness disorientation He has suggested that I have reactive hypoglycaemia - has anyone else experienced this? I have heard it is quite common after bariatric surgery

Our surgeons did their very best to educate us in a manner that would be easy for a broad population to understand but sadly WLS is not as simple as restriction driving weight loss. Check out these excerpts from a review on the Endocrinology of the Gut and the Regulation of Body Weight and Metabolism and also a study that tried to predict outcomes of various WLS on (hedonic) hunger and weight loss : The mechanisms behind the success of bariatric/metabolic surgeries remain to be fully elucidated but post-surgical changes in gut-derived hormonal peptides, bile acids (BA), gut microbiota, and vagal tone are suggested to be involved (13, 14). Read more here: https://www.ncbi.nlm.nih.gov/books/NBK556470/ Bariatric surgery engenders weight loss through a number of biological changes, which alter eating behavior and thereby result in a reduced energy intake, which is the main driver for sustained weight loss. Gut hormones, metabolically active polypeptides secreted along the GI tract in response to fasting and eating, act upon CNS centers involved in appetite regulation and generate either orexigenic or anorectic responses. Following bariatric surgery, gut hormone secretion profiles change as a result of the anatomical changes from the surgery. Altered gut hormone secretion profiles are thought to be key mediators for weight loss following RYGB and SG. RYGB results in a marked rise in meal-stimulated circulating levels of anorectic hormones peptide YY 36 (PYY) and glucagon-like peptide 1 (GLP-1); these changes are also seen post-SG but to a lesser extent. SG, in contrast, leads to a significant reduction in the orexigenic hormone ghrelin, by means of removing most of the ghrelin-producing cell population from the stomach. Ghrelin and PYY/GLP-1 act on appetite-regulating areas of the CNS in an opposing manner, stimulating orexigenic or anorectic responses, respectively [16]. Read more here: https://link.springer.com/article/10.1007/s11739-022-03063-0#:~:text=A reduced energy intake%2C as,weight loss following bariatric surgery.

Ooh and just be sure not to do what I did after my sleeve. I got all the way down to 18 pounds from my goal and I felt like such a failure that I let it derail me. Hopefully you will keep losing and don’t stop trying BUT, also have in the back of your mind that you have already done incredible and are far more healthy than you were even if you don’t reach this arbitrary number. I have a girl in my in person bariatric support group who did the same thing over TWO POUNDS. Our brains are very powerful and it’s great to strive for a goal but also be flexible and not crazy like I was and think it was a total waste and throw it all away. After I gained it all back plus some I would have done anything to be 168 or 178 again. Granted the sleeve was not appropriate for me and I probably wouldn’t have maintained at the 178 I bounced back to for long anyways, but I’m just saying that I gave up far too easily. Just a word of caution from someone who made that mistake.

Obviously you need to decide what's right for you. I was in the same boat as you in that they discovered inflammation during my EGD. I had already been leaning toward RYGB anyway, but that sealed the deal as far as I was concerned. My doctor stressed that even though I wasn't having issues with GERD, there was a strong possibility I'd develop issues if I insisted on SG. As far as risk is concerned, all surgeries carry some risk and since RYGB is a more complex surgery, you are correct that some studies show a marginally higher risk profile. Interestingly, other studies show no difference. Keep in mind that obese people are all going to have a higher surgical risk for ANY procedure than a normal sized person. Other factors that increase risk are things like heart disease, diabetes, smoking, etc. Also, surgical experience and the quality of the facilities play a huge role in overall risk. My point is that cross sectional studies showing risk are not equivalent to YOUR risks of surgery. In terms of "convertability", I think my opinion is somewhat the opposite of yours. Technically, RYGB is completely reversible, since unlike SG, nothing is removed from your body. This to me was a huge plus in my decision making process. When we look at revisions, keep in mind that revision of SG due to GERD is pretty common and those revision surgeries basically revise the patient to gastric bypass to alleviate the GERD. I can't speak to your malabsorption concerns since first of all, malabsorption in and of itself is potentially a good thing for weight loss. i can see a concern for malnutrition, but I was willing to commit to a lifetime of vitamin and calcium supplementation. I also try hard to eat a fairly healthy diet, thus also upping the chances that I have no issues with malnutrition. If you are not willing to commit you those things then yes, this may be an issue for you. Keep in mind that while it's less common, SG patients can also suffer from malnutrition. It's actually recommended that all bariatric surgery patients use supplements and eat a healthy diet and I think as long as you do those things, neither surgery is going to be an issue. Best of luck whatever you decide.

What about Milk? Fairlife makes both full fat and reduced fat milk that has extra protein in it. It's not as much as the protein drinks, but it's not that far off. Eggs might be another option? I couldn't tolerate and still don't care for scrambled, but over-easy and boiled eggs have worked well for me for a long time. On the hair loss thing: I don't really think protein intake makes a ton of difference honestly. At least if you are getting the minimum recommended amount per your surgeon. My point is that there are more factors at work here than just protein intake. For most people post weight loss surgery, at least some hair loss is inevitable. Stress and hormone imbalances probably contribute at least as much hair loss post bariatric surgery as protein intake issues. Keep in mind that any hair loss post-surgery is likely temporary, so you'll do yourself well by not stressing over something you may not have any control over. IMO, the bigger reason to focus on protein intake is because it will help stave off muscle loss. This is a bit overly simplistic, but the more muscle you maintain during your loss, the better your weight loss will be because it will help keep your metabolism up.

Core Bariatric by Dr. Maria Iliakova and Tammie Lakose - this one is interesting because it's a bariatric surgeon and her very first bariatric patient. It's a new podcast that started this year, so not a lot to catch up on. No Guts No Glory by Allyson and Cortni - both of these ladies had bariatric surgeries. One had the sleeve and the other had the diversion with duodenal switch. So they share about the upsides, the downsides, and everything else.

I had the sleeve done in 2017. I suffered for years with GERD and pain. I had a hiatal hernia repair in April, 2024 and it returned in June 2024. This time my organs were in my chest near my heart. So on November 12th I had a hiatal hernia repair AND gastric bypass. I am sooo tired and run down. The smell of certain foods make me sick. I am so afraid to move to the soft food stage because I am afraid it will cause problems again. I’m taking the vitamins and drinking my fluids. Will all of this pass? I think I am nervous because I wasn’t prepared 100% for the bypass. I knew it was a possibility but had not prepped as a planned bariatric surgery would have been. does the smell of certain foods make sickness go away? I plan to begin the soft diet very slowly . Does anyone have any suggestions? how about the gruesome breath? Does that settle down? thank you for your assistance.

Most of the people on here have said it. I do cook most of my food now, hence the name. I think I’m weird because I like to food prep. I weigh myself at least once a week or check how my jeans fit. Then jump back on track (if I’ve wandered) by weighing food, measuring, recording and checking in with my son or a friend to hold myself accountable. I stay in touch with my bariatric group of fellow WLS patients because it’s good positive energy from people working hard to maintain weight loss. I pop on here too, again nice positive energy from folks trying to be supportive and helpful staying healthy!

I know programmes differ hugely but my surgeon placed absolutely no restrictions on caffeine and I was hugely grateful. I have no idea whether there is good evidence that caffeine consumption affects weight loss after bariatric surgery but I suspect very much not. @GreenTealael do you have any evidence to share? I am a coffee, not a matcha drinker, but I know how much I valued those coffees in the weeks and months after my surgery. Might be worth drilling down into the actual evidence based practice with your team if matcha means as much to you!

Hello all! I had my SADI-S done on July 17th and I was trying to find a community/support from others who have gone through bariatric surgery. Both my parents had the RYGB over 10+ years ago, so I guess I'm not really new to bariatric surgery, but I am new to all things SADI/sleeve. I'm currently taking the Bariatric Advantage multiEA with iron and they are...gross. So I'm curious to the alternative people have been taking, but that also meet with the SADI requirements, since I know the malabsorption is an issue. I'm diabetic, and on the Omnipod insulin pump, but with U-500 Humalin instead of U-100. I am extremely insulin resistant, even after the surgery. But it has been way better than before the surgery, so whoo hoo. I think I'm just looking for people to share their own stories with the sleeve/SADI and any tips/tricks along the way.

Well today was round 4 of my chemo and immunotherapy and steroids, etc. Messing with my tastes a bit on certain stuff Things don’t taste gross just not good. I came home and i did chicken breast with a little ceaser side salad and a tiny bit of spinach tortolini. I know that last one was not ideal but it made the meal go down easier if that makes any sense. I guess it’s a balance for now to get the rest of what I need in nutrition wise and it was cheese filled so still protein. 🤷‍♀️ I am about to go eat some mixed fruit now for my snack. I also did five miles walking and tomorrow morning I have yoga. I think that getting my nutrition and exercise is really helping my body deal with all of this because I did the stringer one up front so it’s been two months and i don’t have alot of side effects yet. The doctors are pretty amazed. Knock on wood I am able To keep it up because I had to do that BRAT diet for a week and I could feel myself getting weaker and my sleep was off and I wasn’t wanting to exercise. I am REALLY trying to keep to my habits as best as I can. I hope everyone else is doing well with juggling their bariatric journey with “life” as well.

It sounds like your resources are limited for getting support in your local area, so I wanted to recommend looking into the Pound of Cure nutrition program, which is run by Dr. Weiner in Tucson, AZ (he also has a couple books and YouTube channel with bariatric educational information). It's $49 a month and allows you to attend unlimited online support groups with their dietician and peer leaders, as well as a few sessions per month that are run by Dr. Weiner. I've subscribed for a while and go to at least a few of the groups per month as my schedule permits. Many times there will just be a few people in the group and you can really get a chance to ask your questions and get some good advice. Just for example, there's a group for the first year post-op, for emotional eating and stress management, and even one for surviving the holidays and travel. They've been in this business for many years and I'm betting they could think of dozens of patients who felt exactly how you do right now but went on to be successful.