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I start my pre op tomorrow. The thing I have noticed even without the preop is if I am dehydrated I can be dizzy. I would make sure you’re drinking enough water. As far as the other. I think some of it might be from the protein drink you might have chosen? I know some of them have that effect. Like when I was on slim fast for a while it would do that. I would check the protein drinks to see if they might contain more fiber or carbs than what is recommended. (I just found out mine do 😒) I spent over $35 for a 24 pack so I’m not going to change now. I just won’t use them for post op if you are having TMI bowel movements lol then maybe you want to add some water or double what you’re drinking because that will cause dizziness because of dehydration. Hope it helps. Also check your meds, if your on any, that might need to take with food that before wasn’t an issue you might need to take when you have your protein drink.

@RonHall908 no I wasn’t tested for sleep apnea. I think it’s the blood thinner they have me on. I’m 6 days post op and I’ve quit taking both pain and nausea meds. I’m able to stay awake longer now though… just a little weak and dizzy. Going to get ahold of my doctor on Monday and ask if I can stop the blood thinners too if it persists. No issues meeting my mark for fluids or protein at the moment.

I have yet to get a surgery date, I'm hoping for January. It's interesting how different some doctors are and what they require. My Dr. wants me to do a 2 week liquid diet before surgery. Also, I've been using Premier Protein. It has the most Protein @30grams of most other protein replacements.

Hi everyone, so i had gastric sleeve on 23/09/2023. my current routine is usually protein shake in the morning, breakfast/lunch around 12-1 PM, then i go to the gym for my workout and have my BCAA during/post workout, and then my dinner when i get home. However, i got told by many people that i should actually keep my protein shake for later on and not in the morning and instead just have breakfast. What do you guys usually do with arrangements of meals and protein shake and so on?

My surgery is scheduled for this Tuesday 12/12! Started my liquid diet yesterday and surprisingly went pretty good. I am excited and nervous rolled into one. But, I am mostly afraid of excessive loose skin and losing my hair. I bought some protein powder with collagen and chewable vitamins but does anyone have any recommendations on shampoo to help prevent lose?

Just an update on my situation: On Wednesday evening, I emailed my primary care physician and asked her if she could look into things because I still had heard nothing. Yesterday, I heard back from her, confirming she had reached out on my behalf and the center was indeed closing. She was shocked I had received no information. This morning, I got a call first from the office of the doctor I had seen at the weight management center up until July, when I moved from the medical to surgical side. She wants me to come in Monday so she can walk me through things, and I think just to see how I am doing with all this because she's really nice and had been my doctor for 6+ years. A few hours later, I finally heard from the manager who was supposed to be contacting me. He told me the center is officially closing in February, so all remaining surgeries were cancelled, and he told me of three options for centers within the same hospital group (Beth Israel Lahey) that had agreed to help absorb the affected patients. He is supposed to be sending my information to the one I chose, Winchester Hospital, and I also left them a message this afternoon (their office closes early on Fridays so I just missed them). Praying that I'll have a better idea on Monday how big a delay this will cause and how many new flaming hoops I will have to jump through. Bottom line, reaching out to my primary care doctor seemed to get the wheels turning, so never be afraid to be the squeaky wheel! Also, I managed to keep my temper in check with the manager because I'm positive this is not his doing, but I would welcome the chance to express my displeasure to the hospital administration. A troop of poorly trained chimpanzees could have handled this with more compassion and competency, and I think that reflects directly on the upper management (upon whom I have been wishing many unpleasant afflictions this week).

Have to admit I wondered thyroid too. Gall removal can cause malabsorption issues which would add to those associated with your bypass. I struggle absorbing protein & one med since my gall was removed. And my energy is lower than it was before the gall surgery 2.5yrs ago. My labs come back really well too (except the protein which vacillates between 58-61 so barely ok & that’s with meds to help). Also going through a hungry not hungry phase at the moment. Usually this last for a meal or a day or two except this time it’s been 6 or more weeks. Dropped a meal & a snack (now 3 meals & 2 snacks) cause don’t want to eat them. I am concerned as my protein intake is lower as a result. Have lost about a kilogram (2lbs) which puts me back at my lowest weight (48.4kg/about 106lbs yesterday). Not as much as you but … Hoping Christmas will sort it out as I might be tempted to eat a little more again. If it continues I’ll be calling the doctor who does my post sleeve surgery checks. She wasn’t happy 18 days ago at my last appointment when I was 49kg. (She prefers me in the 49/50kg range.) Wonder if it a combination of things with not one single thing being really out of sync or not functioning correctly is what’s happening?? Our bodies are complex & maybe yours needs some fine tuning. I hope they find some answers for you soon. All the best.

Ya they said everything looked good other than Vitamin A and B12 deficiency and my protein levels where low. But I'm doing a repeat this week to check them and my liver counts since they were elevated.

I had the sleeve surgery 9/26/16 and did well with it till I had my gallbladder removed in 2018 then I developed severe gastric reflux. My surgeon found that my bile duct got stuck open after they removed my gallbladder. With the bile constantly running in my sleeve it eroded it causing some precancerous changes. Once my insurance approved for a second surgery we went with changing over to a bypass in June of 2020 to fix the problem. I was very happy that we ended up doing the revision because I no longer had to sleep sitting up and my stalled weight loss finally started back up again and I was able to continue my weight loss journey. Fast forward to the present of this year I have been holding a good weight of between 137 to 145 lbs and no health issues really I just still struggled with dumping a lot cause my new pouch didn't always like food but I maintain weight with the help of shakes. Then in August of this year for some reason I just started getting where I didn't feel well and I dropped like 17 lb like it was nothing. I contacted my surgeon because I was concerned because of how weak and tired I had felt and I've noticed like vision changes my muscles or shrinking rapidly I was becoming dehydrated and all kinds of new things that I wasn't prepared for. My surgeon ordered a upper scope and a lower which come back very good. My lab showed that I did have a couple vitamin deficiencies so I increased my vitamins I actually have to go redo my labs here because I also ended up getting sick and went in the ER in my liver counts were high and they never been high before so we're checking those this week. But now I'm having a harder time eating and getting my body to absorb my nutrition even the protein shakes aren't helping maintain my body weight I am dropping weight still pretty rapidly I'm down to 124 lb now and my immune system seems to have been weakened because I get sick super easy and I try to stay away from other people otherwise that makes it harder on me and I guess get wiped out. I am currently waiting for my surgeon to call me back because I'm getting more concerned about how we come getting it's getting harder to do every daily things such as washing my hair folding my clothes and putting them away my muscles hurt and they're tired and weak and they get all cramped up. I'm blessed to have this surgery but I was never expecting that I would get this new very weird complication of just not being able to eat very well and to maintain weight. I trust my surgery team he's wonderful I'm hoping they can figure this out I'd really do not want a feeding tube or a PICC line I work with the public and that's even getting hard to do and I've almost thought about applying for disability until I get this figured out so I can quit losing weight by exertion. I'm just wondering is anybody else going through something like this or they just out of nowhere started losing weight again and they just can't seem to get it to stop. I'm worried not only for myself but for my family because my kids are still pretty young and I'm not ready to leave this world yet I still have a lot to live for. Hw: 268 SW 221lbs LW 124lns Height 5'2

Hello, My name is Alex and I am scheduled for the gastric sleeve procedure on 12/18/23. Growing up I never had a problem with my weight; as a matter of fact I was very thin. Due to changes in life and past trauma, I used food as a coping mechanism. I ballooned from 160 pounds at 18 years old to 475 pounds by the time I turned 31. I was "content" being overweight because I refused to deal with it. At the behest of my wife, I begrudgingly scheduled an appointment to be seen by a primary care physician for the first time in years at the height of the pandemic. At this appointment, I weighed in at 475 pounds and was diagnosed with high blood pressure... extremely high blood pressure. This made total sense as I couldn't walk very far without being out of breath, I couldn't go up steps without sweating and having my heart pounding, and I couldn't play with my nieces and nephews. I was prescribed blood pressure meds at 31 years old and told that if I didn't make significant changes and lose weight, I was staring down an early death. That was the kick in the ass I needed. I immediately got a gym membership, downloaded a calorie tracker, immediately made improvements in my diet and dove in head first. Over the course of the next year and a half I lost nearly 100 pounds through diet and exercise alone. I knew that to get to my goal weight though, that I needed more tools.... or a more powerful one. So I was seen by a bariatric provider and over the course of many months was approved for sleeve gastrectomy and was scheduled for surgery. I am currently on the liquid diet and I am struggling. I am dying for flavor... the protein shakes, cottage cheese, greek yogurt, and jello that have been my diet for the last three days are not cutting it. I've made a few mistakes... a piece of cheese here or a nibble of chicken there. I am striving for today being a good day.. but it has been hard. I am constantly cold, I'm less tolerant of daily B.S. than I normally am, and am just now starting to not feel as irritable as I have the last few days. I am looking forward to having this procedure done, but I am nervous that I won't lose enough. I'm nervous that I'll ruin it or some other nonsense I keep telling myself. After being overweight for so long its hard to imagine not being as large as I am. I am looking forward to a healthier life, the ability to play with my nieces, nephews and daughter, and being in more control of my life. Thank you for reading this very long post and I look forward to chatting with you on this journey!

I too am Puerto Rican so I understand the attachment to rice. I am 8 months post-op. I personally have had rice on a few occasions. It does not cause me any discomfort, but I haven't had it in any large amounts. I had about a tablespoon of arroz con gandules and a tablespoon of stuffing for Thanksgiving. I still follow protocol of concentrating on protein first and foremost and then veg and carbs. A small taste is fine once in awhile especially for the holidays or special occasion as long as it's not a bigger trigger for you to keep going. Even before surgery, I was used to substituting cauli rice for reg rice. It took me a long time to try bread again and when I did it was a keto bread just one slice. It sits fine, but i don't eat it often at all. I prefer a mini zero carb tortilla when the mood strikes. A pack of 12 tortillas can last me a month and I've yet to go through more than 3 slices of bread from the entire loaf. Some plans can differ, some people's preferences will differ, and sometimes your tummy chooses for you as things won't sit well. I like to live in the middle ground, where I follow my plan the greater majority of the time, but don't demonize any food. I make the choice to choose foods better for me - leaner proteins, veggies, hearts of palm pasta, little to no sugar added foods, high protein low carb snacks. Fortunately now there are many more healthier options so you don't always have to go without.

I eat rice "backwards" ... Most dishes have the rice as the base of the dish. I put the vegetables, and protein at the bottom or as the majority of my meal, and then sprinkle the rice on top .... I can add as much or as little as I desire, but this way, I see the rice .... and I have some, just not as the majority of my plate/meal. I do this in many different cuisines !

I wish I knew what they have planned. They are supposed to call me to explain, but so far the only person I've spoken with is the guy who answers the phone, and he probably wasn't supposed to tell me anything. He just said, "unfortunately, the center is closing, so..." The worst part is, I've been a patient there for almost 7 years, doing nutritional and medical weight loss. I love my endocrinologist there, and the nutritionists, the staff. If they are losing their jobs, I will cry. And they are always so busy I don't see how they can afford to close. I am so mad because I had a chance to move my surgery to right before Thanksgiving, but I had to pass because it was too last minute for figuring out the childcare. Now I'm kicking myself. Literally, my insurance approval is in and everything. I have a pantry of protein powders and a bookcase of bariatric cookbooks. I have watched every video on the planet. I just needed my final pre-test, which was supposed to be next week. My mom had booked a hotel in Harvard Square to be close by the night of the surgery and take me home the next day. The kids would be off school for winter break. Now I have no idea where anything stands. I will still have my insurance for January because my husband's job doesn't start until a few days into the month so we'll have paid the premium for January, but as of February it'll have to be the new insurance, and I don't yet know what they cover, or even which insurance company it is. Plus, my deductible starts over on Jan 1, naturally.

I agree. Yes your relationship with food is supposed to change but the surgery doesn’t do this you have to do this work. The surgery just gives you the time to reflect on your relationship: the how, why, when & what you eat. Many find the support of a therapist helpful during this time. The pain in your tummy you feel is likely stomach acid not real hunger. Much like a rumbling tummy is often called hunger pangs/pain but usually is that excess acid & just your digestive system working & again not real hunger. There’s a lot to learn about your body & your signals. My real hunger signals are restlessness. I feel like something is wrong but at first I don’t know what & there is a reason I feel hungry - I haven’t eaten in a few hours or I only ate part of my earlier meal.. I never want a specific food, flavour or texture (that’s head hunger) just food & I choose protein dense food. I’m 4.5 yrs post sleeve & have basically maintained. Things I found that helped include eating to a routine. I don’t eat unless it’s time to eat. I eat slowly. I ask myself if I need the next bite or just want it. I watch my portion sizes & never eat more than the portion. (Don’t mind if I don’t eat all my portion.) I consider the value of the food I choose - nutrient dense, predominantly low processed foods. Highly processed food is know to suppress your satiety hormone & stimulate your hunger hormones. (Recently I read that an easy way to judge how processed a food is, is to read the ingredient list. The more synthetic ingredients or ingredients you don’t recognise as real food the more processed it is. Ingredients in traditional rolled oats are just oats so low processed. In Quakers instant oats, as an example, there’s oats, sugar, flavours, salt, calcium carbonate, guar gum, pyridone hydrochloride, etc. so more highly processed.) Just some things you might want to consider.

No question is ever dumb! My doc also considers protein shakes as fluid in the post op early phases. After about 4-6 months, they do not count in overall fluid goals where I go.

No question is ever dumb! My doc also considers protein shakes as fluid in the post op early phases. After about 4-6 months, they do not count in overall fluid goals where I go.

I was always ready for the next phase after the monotony, though I was discharged from the hospital on the pureed stage. I did not have any liquid only phase post-op. I was on yogurt, ricotta (ricotta bake was a lifesaver), pureed soups. The shakes were hard to get down. I couldn't manage 2 a day. Protein water was a good option to change up the flavor and not just the creamy stuff. Half applesauce and half greek yogurt was a decent changeup. When I was first cleared for eggs, I couldn't stomach one scrambled egg. I found the soft boiled egg far easier to tolerate. I don't typically have protein shakes now, but I do still like them as my base for coffee every now and again.

i totally understand those sentiments. i am so sick of protein shakes. ..i would rather not eat than drink another! I think having full liquids 14 days prior to surgery AND continue after surgery is exhausting. they should change the preop. if I only had 2 weeks after surgery, this would be a breeze at 1 week in. but i was literally done with shakes before surgery! LOL.

Yes, your relationship with food is supposed to change. How you view it, how often you eat it, what you eat, etc... Also, having a specific meal plan to follow helps a lot while you navigate your new normal. Definitely slow down your eating, start looking at what you're eating and what your calorie/carb/fat/protein intake is, look at your activity levels and adjust them accordingly, and look into speaking with your nutritionist and a bariatric therapist. This is all stuff that should have been gone over with you long before you actually had your surgery.

So, what was the first thing you ate when you were able?? Thank you! It's not that I'm hungry...it's just that I'm tired of drinking these shakes and broths. I keep on reading all this stuff like being able to eat eggs after 2 weeks liquid like a cheese omelet....and so I start anticipating it. Or i read about eating oatmeal....anything but this protein shakes! And maybe if i can make like a protein smoothie myself....I don't know....it's just hard. Appreciate you responses.

So it's not that you can't have any carbs. You want them last, and you want them not to be "bad" carbs, like from pasta and breads and white potatoes. You should be eating 5 times per day. 3 meals and 2 snacks. You want protein first, then veggies, then carbs. No sugar, low salt (himalayan is the best if you need it). Avoid carbonation because it stretches your stomach out. My bariatric diet stated 60-80g of protein per day, 1000-1200 calories per day, less than 50 net carbs per day, and less than 50g of fat per day. If working out, or if you have a very physical job, then it would be slightly modified to 75 - 90g of protein, 1200-1400 calories, no more than 65 net carbs, and no more than 65g of fat per day. It seems like a bariatric therapist might be a good thing for you, because it sounds like your relationship with food never changed, and you never learned to tell the difference between real and head hunger. And lastly, you should be eating very slowly. You're filling up fast because you're cramming a lot of food into your stomach all at once. After it makes its way through, the food is gone but you're hungry again. Eat slowly, chew it well, follow the bariatric diet, find a bariatric diet, and reach out to your nutritionist and see what they can do to help you get back on track and maybe map out an eating plan for you.

Thanks everyone. Guess I'm just venting....I only thought of peanut butter because of the protein. I usually have 2 30gram premier protein shakes a day and one cup of chicken broth. Try to get in more fluids but it's very hard to get some 64 fluid ounces in daily. I haven't had any complications so far, thank God....pain is diminishing.....do my daily walks up and down the hallways. Just tired of the monotony. I have doctor's appointment this Friday, maybe she'll let me move on to at least some scrambled eggs.

I had mine on November 20. My surgeon had me go from clear liquids to protein shakes and broth on the 3rd day after, as long as I could tolerate it without getting sick, but had me hold off on non-clear soups or other creamy drinks until today. I've been able to keep down plain greek yogurt, cottage cheese, and egg drop soup since Saturday, and part of a scrambled egg today, even though I jumped the gun a little on that. I'm still waiting a couple more days before attempting softened meats. Definitely stick to what your surgeon/doctor says, and take it really slowly when introducing something new. If you have a bad reaction, wait 2-3 days before attempting it again. They warned me beef can be harder to tolerate at first compared to something like canned/pureed tuna or chicken, and may require a couple more weeks.

Everyone's gut is a little different. Any brand of protein shakes will slow things down for me if I have 2 or more per day. My friend who had previous surgery is the opposite, they have to run to a bathroom within an hour of drinking one. Not sure if its the gut biome or other biological factors, but it can definitely be the cause for some.

Head hunger is the worst for me, and if I eat anything with a lot of starch or sugar, I crave it constantly. I'm having to distance myself from anything with more than single-digit carbs, otherwise it takes me about 3 days to get rid of the cravings, which is misery. Also remember when chewing up and spitting out carb-heavy foods, just to get a taste, your mouth will absorb some of those carbs, which can trigger those cravings. Not so much with protein or fat heavy foods. I'm trying to remember my wife's motto, she says Little Debbies lead to Fat Deborahs. Although there's days I'd do something regrettable for one of their Christmas Cakes lol.