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Thank God. I am the same and was getting a bit worried about the fact I wasn't counting calories. I am just trying to eat small and regularly while including liquids. I am worried that I am not getting enough protein all the time but just not hungry enough to be able to fit more in most days. I didn't want to get into weighing out foods and tracking as felt that was putting too much stress on myself, just trying to be as healthy as possible in my food choices, with some occasional blips (slice of ready meal lasagna tonight). Some days I can eat slightly larger portions but figure a bit of extra bean stew isn't going to send me over the edge
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Almost 3 weeks PO and gaining?
Saxons replied to sarahrob218's topic in Gastric Sleeve Surgery Forums
I had my gastric sleeve done in 2018, so have a few years experience. I couldn't eat anything for at least 4 weeks post op, and then it was a tiny teaspoon of mush at each meal. It took me hours to get through a protein shake of 300ml. By the time I finished the breakfast one, it was time to start the lunchtime one! And so on to dinner... 1200 calories seems huge to me at 3 weeks. I was struggling to drink enough water at that point. My tummy was so tiny. Even if I drank too much water, I would vomit, because my stomach was too small to cope. I still suffer that vomiting if I am too ambitious with my portions. I wouldn't be able to even get through 1200 cal now, unless maybe I went on a strict no carb, high protein plan. Even then it would be a struggle. High protein foods are SO filling. I love fish and seafood, but I can hardly eat 2 tbs of grilled salmon at a meal even 6 years out. I lost 90 pounds in 6 months, luckily no skin looseness... very fortunate. I have slowed my weight loss and then plateaued at 120 lbs loss. If I was you, I would go back to your protein drinks, and go from there. -
I had vsg surgery on 12/19/23 I lost about 12lbs during the first week and a half but since week two hit I've been seeing the scale not move at all, my inches on my waist was going down so I was to upset. Then I had my post op visit with my surgeon and He told me that I wasn't eating enough, He said that I was losing too much weight and I had told him that the scale hasn't even moved for the past week. But he expected me to hit about 1200 calories a day where I've been eating me 400 or 500. He had said that I should add a couple of snacks in to my meals throughout the day. So three meals a day plus two snacks at least. And it's been a struggle but I've done that and I've been eating around 800 calories a day. Maybe 9:00 but now I'm gaining weight so I'm just unsure of what to do. Should I keep going at this? 800 calorie 900 trying to achieve 1200 so soon after surgery or should I just stick with my four or 500? It seems like so much food for 3 weeks post-op. Also, just so it's clear, I'm pretty much clearer to eat anything I want now just to use discretion when choosing my foods. I am hitting All of my protein and water goals. But I was before when I was getting 400 calories or 500 a day.
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Dealing With Negative Comments
Bypass2Freedom posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hello all, I had my first negative comment yesterday from a member of my partner's family. I was talking about my surgery (as someone else in their family had also had WLS), and this individual spoke up and said to me: "ah, you don't have the will power to do it yourself then?". I was just a bit taken aback if I am honest. I had to correct her (not that I have to justify myself to anyone), in saying that I had exhausted all my options, and other conditions I have mean that WLS is the only way for me. I know we shouldn't take things that others say to heart, but I can just predict that this is going to be the mindset of most people who do not understand what it is like to be obese, and to struggle every day. How have some of you dealt with comments such as these?- 41 replies
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39 178 pounds. Terrible time gaining weight... Any advise.
ChunkCat replied to Zaxarooey's topic in Duodenal Switch Surgery Forum
If you had a DS you are thought to absorb about 20% of the fat you eat, 60% of the protein you eat, and 100% of the carbs you eat. Your doctor should have explained this to you... The intestines can adapt some to the surgery over time, but most studies have shown DS patients continue to have malabsorption. That's the whole point of the surgery! In rare cases, there is a small number of patients who will lose more weight than they intend, or have excessive muscle wasting. The muscle wasting is normally due to not eating enough protein post surgery. A DS patient needs around 120 grams of protein a day, more if they workout trying to gain muscle. Are you taking your vitamins? Have you had your labs checked recently? In the case of someone who has lost more weight than they intended to with a DS, certain enzymes can be given to help them absorb more of the food they eat, or a surgical revision can be done to lengthen their common channel, giving them more length of small intestines to absorb calories from. Of the two, I'd try the enzymes first. If you gained up to 240 with the enzymes, clearly they were effective for you! So why not consider taking them on an alternating schedule, titrating the dose to slowly gain what you need, and then taper off of them and see if you can maintain?? If you want to do this with food you are probably looking at over 4,000 calories a day. That is going to be tough. You can only eat so much food in a day! DS patients usually don't count calories at all, we count macros because it is the macros that help us stay in our target range, since no one really knows exactly how many calories an individual with a DS surgery is going to absorb, we can only ballpark it. But you should be getting a LOT of protein and around 120-150 grams of fat, according to vets who have lived with this surgery for decades. To bulk, most people I know load up on carbs, which is not easy for a DS person unless you want to spend a lot of time in the bathroom, or you are lucky enough to actually tolerate a decent amount of carbs. But carbs will usually put weight on. If you want more people with DS to talk to, check the bariatricfacts.org forums. We are mostly DS people over there and most of the regular posters are vets. But be prepared, they are fans of straight talk and not everyone likes that! -
39 178 pounds. Terrible time gaining weight... Any advise.
Arabesque replied to Zaxarooey's topic in Duodenal Switch Surgery Forum
I think you need to get back into contact with your dietician. Did you say whether you track your food & monitor your macros? Have you still be having regular blood tests as these will show if you are lacking in any nutrients & you can track & monitor any changes when comparing with your food data. This data will help your dietician to help you construct an eating plan that will meet your needs. There are tests to see if you aren’t absorbing certain nutrients. Like a stool test can identify how much fat is present & if you aren’t absorbing it effectively. I take Creons (pancreatic enzymes) three times a day to help with my protein malabsorption (curtesy of my gall removal - not a common side effect but I was just unlucky). They also help with malabsorption of fats & carbs as well as proteins. Worth a conversation with your doctor if it is discovered you’re have malabsorption issues. -
Food Before and After Photos
ShooterInTheSix replied to GreenTealael's topic in General Weight Loss Surgery Discussions
That suddenly reminded me how much I miss real deal pecan pie. For reference a slice (1/8 of a 9"pie) is; Calories 503 Fat 27.08g Carbs 63.68g Protein 5.98g I'm going to be missing it for a long time! -
I'M TERRIFIED AND NEED GUIDANCE
SleeveToBypass2023 replied to Vanessa Correal's topic in Gastric Sleeve Surgery Forums
If you like how you look, feel good, have good mobility, and have no health issues then there's no reason to get this kind of surgery. Doing it because you know you'll gain weight i the future isn't the right reason to do it. Maybe see a nutritionist about getting on a healthy eating plan, and move your body more. Walk, workout, go hiking, swim, do things that move your body. That will help. Pay attention to what you're eating and drinking. Consume 1800 - 2000 calories per day, prioritize protein first, then veggies, then carbs. Reduce sugar and salt. Limit alcoholic drinks. These are all things that will help you to be healthier, drop a little weight, and ensure health as the years go on. Surgery is a last resort for those who have serious weight and health issues and have failed at everything else. -
I'M TERRIFIED AND NEED GUIDANCE
Vanessa Correal replied to Vanessa Correal's topic in Gastric Sleeve Surgery Forums
Hellow, thank you for your answer. I'm not unhappy with myself; let's say my self-love is at 75%, sometimes I feel a little down but I have never hated my body or my looks. The lowest my weight has been is 200 pounds and I looked like I was weighing 180 at the time (it was 7-8 years ago). I'm lucky enough to say I dont have any health problems at all, and I dont have difficulties moving around. I can run easily at work for any code happening. I think i'm going the surgery firstly for my health. I know it is a good option. I'm just confused about if it the best for me. I'm also doing it because I know I will be gaining weight throughout the years of life. I'm young and I might not feel it now, but with time, I will have more and more health problems. -
39 178 pounds. Terrible time gaining weight... Any advise.
Zaxarooey replied to Zaxarooey's topic in Duodenal Switch Surgery Forum
That helps but how do I factor in how much I need because of malabsorption. What's the percentage of carbs, protein and carbs that I absorb or we all absorb from ds? I need to know for the information to work for me.. thanks. Or should I just Google it I sometimes wonder how correct Google is when it says I absorb 60% of protein 40% carbs and 50% of calories.. unless that sounds right to you? -
39 178 pounds. Terrible time gaining weight... Any advise.
SleeveToBypass2023 replied to Zaxarooey's topic in Duodenal Switch Surgery Forum
According to the American College of Sports Medicine, "To increase muscle mass in combination with physical activity, it is recommended that a person that lifts weights regularly or is training for a running or cycling event eat a range of 1.2-1.7 grams of protein per kilogram of body weight per day, or 0.5 to 0.8 grams per pound of body weight." According to the University of Minnesota, "Recommended Carbohydrate Intake: Research suggests that bodybuilders who are trying to gain substantial muscle growth or increased body mass should consume about 5-6 grams of carbohydrates per kilogram of body weight per day." According to Maxinutrition.com, "Most people require around 20 calories per pound (or 44 kcal / kg) of bodyweight to gain muscle mass. Using a 180-pound (82kg) male as an example, the required daily calorie intake is 3600 calories (20 kcal x 180 lb = 3600 kcal)." Hope that helps (found in a 5 minute Google search). Good luck!! -
39 178 pounds. Terrible time gaining weight... Any advise.
Zaxarooey replied to Zaxarooey's topic in Duodenal Switch Surgery Forum
So how much protein does everyone else eat in order to keep muscle? I expect none of you count calories but you probably pay attention to your protein intake so give me some numbers please... I'm just trying to get to normal. The correct amount to eat every day calories protein carbs. As of yet I have not seen any doctor who could give me that information... I'm looking for a nutritionist who specializes in gastric bypass. Until then just knowing a protein amount to shoot for would help. I'm 6"3 39 ,180 pounds -
January 2024 surgery buddies
Lily2024 replied to Pink fridge's topic in Gastric Sleeve Surgery Forums
Day 4 post op: Able to drink fluids, it's uncomfortable if I go too fast, as I knew, however I now know how fast is too fast for me. I'm walking on the treadmill fairly easily, slow pace, no incline, limited to 15 min at a time. I walked 5 times yesterday, only once so far today and only 5 min according to how I feel. I'm able to eat up to 2 oz at a time, so far I've had Chobani Zero nonfat greek yogurt, tuna pureed with light mayo with pickle juice, and a sugar free pudding mixed with protein powder. All of it has gone fairly well. I haven't vomited, very little nausea, and every day I'm more awake and thinking more clearly. My only issue so far has been a sketchy bladder. I guess of all things that could happen, it's pretty benign, but I had to have a catheter placed to allow my bladder to rest from being stretched too much. I think all the angry innards caused some shifting. In all likelihood it's just a temporary thing that will resolve when some of the swelling goes down. I have some nerve damage from many years ago so it isn't as far out of left field as it could be. -
Struggling with dietary revisions
SleeveToBypass2023 replied to Emilyk's topic in Pre-op Diets and Questions
You should definitely have access to a dietician through the surgeon's office. The problem with any of us giving you that info is that our surgeons all have different requirements. Some allow more carbs and fats, some restrict the heck out of them. Some allow higher calories, some don't. Some universal rules, though, are these: water intake: at least 64oz per day food: PROTEIN first, then veggies, then carbs. Protein, protein, protein!!! sugar: majorly reduce sugar intake (I went to sugar free and use monk fruit sweetener when I need something to taste sweet) salt: reduce the amount of salt (especially if you have high bp) and what I did was switch from normal table salt to Himalayan salt (it's healthier and has a saltier taste so you need less) I don't really want to tell you specifically how many calories, carbs, protein, and fats you can have, because as I said, that varies between surgeons. I can tell you what MY office said and what I do, but that's about it. Here's what my surgeon's office wants: Protein: 60-80g per day Carbs: 50g or less per day Fat: 50g or less per day Calories: first 6 mo - 1000 per day - after 6 mo - 1200 - 1300 per day What I personally do: Calories: non work out days - 1000 per day - workout days - 1200 - 1300 per day Protein: non workout days - 60 - 70g per day - workout days - 80 - 90g per day Carbs: non workout days - 20-25g per day - workout days - 35 - 50g per day Fat: non workout days - 20-25g per day - workout days - 35-50g per day Water: non workout days - 64oz per day - workout days - 64oz of water and 20oz of gatorade zero or Propel per day -
I'M TERRIFIED AND NEED GUIDANCE
summerseeker replied to Vanessa Correal's topic in Gastric Sleeve Surgery Forums
You sound as if you have a great deal going on in your life. You need to take a moment out of your busy life to just breathe. Three months is still a long time to decide which way you want to go, either with surgery or not. You can cancel right up to the minute you walk into the hospital. A few have. This may not be your time. So lets take the things that you are most worried about, Your hair. You will not go bald. You probably will loose some of your thickness. You are young, you have masses of hair. When you are as old as I am you would have already have lost lots of hair due to menopause, so I started off with a deficit. It did get a little scary and I needed to get my hair cut really short but I do love the freedom that it gives me. I felt it was worth it. This surgery was my last chance at a normal life. You will not loose too much weight, you will stop a right place for you. You need to up your calories until you get to a balance. I am ok on 1500 calories a day. I have a slow life, I dont work anymore. I go out with friends, I eat and drink as before. The only thing I do not do is overeat. I don't miss doing that, my friends might do. Especially if they liked to overeat with me. How do you see yourself ? Not how others see you. They may want a fat friend to bolster their own negative ego's. Do you put weight on every year and keep it on ? We all did. We did diets after diets and put it all back on again with added weight. Lots of us ended up with weight related illnesses like diabetes and blood pressure. If you think you can loose weight yourself and keep it off then you need to try. Give yourself 6 to 12 months to do it. Bariatric surgery is not an easy option but if you stick with it, it is a solution. If you do not follow the guide lines then like a diet, it will fail. You should go back and chat with your surgeon. You need to be totally happy with your decision. Give yourself the time you need. -
Family wedding two months after surgery
Pines replied to Pines's topic in General Weight Loss Surgery Discussions
Thanks everyone for your feedback - I REALLY appreciate it! I was trying to think ahead because I have the two busiest months at work right before my surgery AND I just got called for jury duty in February. When it rains, it pours! 😄 Maybe I’ll just wait and spend some time while I’m off for recovery doing some intensive online shopping, or at least narrowing down some options. Again, thanks for sharing your experiences! -
Do you have a dietician? If so ask them for more specifics. We all need the amount of information & depth of detail that makes us feel comfortable & confident about we have to do. We have different needs (food preferences like vegetarian or vegan, food sensitivities or allergies, general health, current weight, age, mobility, etc.) which is why I suggest you get the specifics from your dietician for what will best complement your needs. Your surgeon may have requirements too. As some general advice, start tracking your food (lots of tracking apps available like My Fitness Pal). Increase your fluids to 2L/64ozs. Reduce or drop any carbonated drinks. Reduce snacking. Reduce the highly or ultra processed foods in your current diet. Increase your protein & vegetable intake - look at around 4oz protein & a good cup of vegetables for a meal. Modify some of your cooking styles like use an air fryer or bake not pan fry. Swap simple carbs for complex whole or multi grains. Reduce the number of sugary/sweet foods you eat. You don’t have to do all these things at once, unless you have a tight time frame but certainly start introducing a couple of these things each week or two until you get more definite information from your dietician. PS If you don’t have a dietician yet, ask for a referral to one from your team.
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Gain Weight after 5 years
Arabesque replied to wilocarpio's topic in Tell Your Weight Loss Surgery Story
Regain is a fear I think we all carry with us. In addition to @Spinoza’s advice, make sure you restart tracking your food intake, fluids & activity too. It can be easy to let portion sizes slip, reintroduce foods that aren’t nutritionally dense & are calorie heavy, life gets busy so you drop or reduce any activity you were doing ir simply life throws challenges at you so watching what you eat gets forgotten or put in the too hard basket. Get back in touch with your team too: your dietician, therapist, etc. To talk through what’s been happening, any emotional, medical or psychological challenges you may have been facing, why you revered to old eating behaviours, better food choices etc. & look at ways you can better manage these considerations. Even meet up with your surgeon to look at what other options are available to you too. -
February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
What does your pre-op diet look like? Mine will be 2 weeks of full liquid, so basically protein shakes, water or sugar free flavored water, decaf coffee and tea, sugar free jello and pudding, sugar free popsicles, broth, skim milk, Greek yogurt, unsweetened applesauce, and cream of tomato soup. I think she said up to 5 shakes per day but I need to clarify at my final dietician appointment on Feb 1. Not gonna lie, I am not looking forward to this part. My previous clinic only did a 2-day liquid diet. But I can survive! -
39 178 pounds. Terrible time gaining weight... Any advise.
Zaxarooey posted a topic in Duodenal Switch Surgery Forum
So I eat 4200 calories a day. Long story short. 456 pounds at age 19 had DS 39 now and I weigh 178 pounds I've been working out 3x a week for two years. Lifting weights. At first I lost muscle, because I was eating 2200 calories most days maybe 60 grams of protein. I now I eat 4200 a day and get 250 grams of protein easy but even with gaining muscle I don't gain weight on the scale yet. I've gained in the past but once I started lifting weights I stopped. I just stay at 178ish.. my doctor wants me to take enzymes but I want to be able to gain weight with food... It's annoying to me I can't even gain a pound. I'm slowly raising calories 200 at a time. I wait a month then I'll raise it again but does anyone know how many calories I probably need and can anyone tell me for sure how many calories I absorb and how much fat, carbs, protein I absorb? My doctor says he can't tell me because everyone is different but... I need answers. I find myself scared every day I'll lose weight.. it's crazy to me im eating so much but my doctor's kinda not cool.. so I don't trust him last time I took enzymes I ended up getting up to 240 pounds on accident and the idea of gaining that much weight scares me.. I prefer to do it normally I just wonder what the calorie number is need. What works for you -
Family wedding two months after surgery
ms.sss replied to Pines's topic in General Weight Loss Surgery Discussions
at my two month mark it was christmas-ish and i along with the gazillion family parties, i had a wedding-like 50th bday party as well (not mine lol). eating was not an issue, i nibbled stuff here and there. i did bring a protein shake (or two) to every single event, just in case, but didn't need it at any of them. i could easily find something among the spread to eat. as for something to wear, i would probably nix the idea of buying a dress that fits u now. i can almost guarantee that it WILL NOT fit u in May. not sure if u are a hoarder of just-in-case "skinny clothes" like i was, but i was able to dip into this stash for a few months during weight loss phase for my dress-up needs. if anything, maybe wait until at least April to buy a new outfit? -
Gain Weight after 5 years
Spinoza replied to wilocarpio's topic in Tell Your Weight Loss Surgery Story
I think this is what we all fear OP. This community is so positive. If you can give us some more information about your surgery, starting weight, total loss, etc. then people will better be able to help. Please can you tell us how and why you think you regained? That might help others from going down the same path. Without knowing more I would advise reverting to your post op diet plan - protein first, veg second, carbs third. Alcohol only when you know it's not adding to your issues. I wish you all the best. I think you have knowledge to share that will help those of us earlier in our journeys and I KNOW that people here will want to give more specific help once we know more. -
February surgery buddies 🥰
NickelChip replied to Jessica Marie's topic in Gastric Bypass Surgery Forums
Yeah, while I work for myself so don't have to deal with coverage or time-off approval, I was somewhat grateful February was the option the doctor gave me. I had already rearranged a lot to accommodate the December date, and when that fell through, it left me scrambling. Turns out the week in February they gave me is pretty ideal, so I'm glad about that, even if the countdown is killing me. Between now and then, my main focus is on getting back to healthy foods after the holidays and developing a better schedule for meals and exercise that will help me be a bit more regular about both. -
December Surgery Buddies!
Laura.1912 replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
Reading a lot about tiredness and fatigue, is anyone feeling the other way at night? I’m struggling to sleep! I feel tired but ever since the op I have not got to sleep easily, have tried walking further in the day, reading etc but doesn’t seem to help!! (I’m 3 weeks post op on Tuesday) Feeling really positive otherwise though, the weight is coming down and the pureed stage doesn’t seem to be bothering me so much!! Just need to keep up with protein water to ensure I’m getting enough in, as only manage a few mouthfuls of the pureed food! Xx -
December Surgery Buddies!
Corben22 replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
I'm 2 1/2 weeks post op and I'm feeling alright, but with a LOT of sleep. I'm up for 2 or 3 hours and down for 4 or 5 hours. I'm doing okay on my protein/hydration, but I just can't seem to get going. I plan on going back to work on Monday, but I don't know that I'm going to have enough in the tank for an 8-hour day. Any ideas? *edit - did my 2 week check in yesterday, down 33 pounds post op.*