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I use Quest brand Milk Shake Protein replacements with 45 grams of protein. I also get 30 grams of protein from various flavors of Premier Protein, these are both meal replacements. Be careful with anything bought in a store, make sure it has 3g or less of fat and 3 g or less of sugar, and make sure that they have NO added sugars. Gotta read the labels. I agree with SpartanMaker, you need to be very careful when looking for what you need in the guidelines you shared. That's page 19, I wonder if there are other dietary guidelines within your packet. Wishing you the best.

I agree with you, I definitely feel so much better and in less pain! I just can’t believe for 4 months I’ve been in this stall when it seems that the first year is major weight loss for most people 🥺 I do have regular check ins with my dietician and have been following the advice they give and they also suggested adding some calories but it’s hard to fit in my stomach. But no excuses I gotta do it. Just frustrating and no one on my care team seems to be alarmed or offer any medications even though it’s been 4 months of this. lol

Yeah it is definitely normal for it to slow - and a good thing to remind us of the priorities when it comes to eating etc! Definitely good prep for the future I can see how that is a thing - I definitely weigh myself far far less than I used to in the earlier day of surgery, but I still find myself on that scale maybe 3-4 times per week! I need to perhaps take a step back and get the tape measure out instead and just weigh in once a month as you say!

I'm wearing a new pair of jeans that are a size 14 (uk or size 10us) I have NEVER been a size 14 in my life! When I was a kid, I went from a kids 6 to a juniors 11 to a 16! Even when moving to the UK as a teenager and taking into account size diversions, I've never been this size. I'm not supposed to wear jeans to work, but my manager was so happy for me, she let me today! (I guess also because my last week is next week) but still. It's been an amazing 7 months! Three years ago, I lost my stepfather, two years ago i lost my mother and I was at my lowest point mentally and couldn't imagine light at the end of that tunnel, and now I'm happier and healthier than I thought I could ever be again! Thanks to everyone on this forum as well when I've spiraled and you've kept me inspired.

I agree if you’re meeting your protein goals you don’t need to continue with them. You can keep some on hand for emergencies if you want. Personally, I stopped them as soon as week 3 & purées began. They were disgusting! I added a high protein yoghurt to my diet which was more palatable to me. I wasn’t hitting my protein goal yet but I was close and my surgeon & dietician were okay with it. I had never intended to rely on protein shakes or powders. My plan was to get all I needed nutritionally from real food. PS: You can also make a smoothie with the yoghurt by blending a tub with milk and you can add a powdered flavour or even protein powder for additional protein if you want.

How many calories should I be eater per day in on week 4

Very true! Thing is I love lifting using weight machines. Especially leg day! I don't like going to the gym alone and my husband and I work opposite shifts. So it's hard to get to go together. I started my new routine this morning and excited to continue it. We swim about once a week. But rained the last time we were off together. So indoor things I can do myself is most helpful to me for now. Thanks for the advice!

Does your insurance have specific guidelines for qualifying? For example, mine required a BMI over 40 or over 35 plus a certain number of comorbidities from a specific list that they provided ( I can't remember the specifics now, but I do know they were spelled out clearly in writing). They required 6 months of regular appointments, including weigh-ins, with the team of dietician/surgeon/behavioral health specialists. They required a panel of blood tests, as well as a letter from the primary care physician in support of the surgery. Once those requirements were fulfilled, approval was a formality. We knew before the request was submitted that it would be approved. The actual approval took maybe 2 weeks to process and I was able to find the information by logging into my insurance portal and looking under the section for authorizations. Your surgeon's office should have someone on staff who is an expert at dealing with insurance who can tell you exactly how the process is expected to go. My office submitted my paperwork a standard number of weeks before the surgery, something like 3 or 4 weeks, I think.

Congrats! I had my testing earlier this week. Everything went well and I'm ready to go for Tuesday! Liver shrink is HARD. I'm fine all day long, but really struggling when it comes to dinner time when I can actually eat real food and not just a protein shake. I feel like I'm eating the same boring things every day. I think I'd almost rather being in purely shakes, because at least that I can vary the flavor of. @one more time, I wonder if it has to do with BMI? Maybe your bmi is lower and the size of your liver won't be as much of an issue?? I know bc my bmi was over 50, that's why I needed 3 weeks of liver shrink instead of my Dr's usually two week rx of it.

@Mspretty86 they are effing amazing! if you put them in the freezer it tastes like a 3 musketeers, the middle is fluffy like marshmallow and the outside doesn't taste like fake chocolate. My daughter is now eating them as a snack during day. It has great macros too. I have only tried the Brownie and coconut ones so far.

I was fortunate in that my first sips of water that were allowed after surgery were so dang welcome...and the satisfaction of having those sips carried over in the weeks ahead. Always having a water bottle close at hand is a good habit to get in. It seems to be a widely held practice by people in general.

I had my surgery on 11/13/24 I am 5’1 my Sw:211 pre op: 196 Current:171 Goal: 140 I’ve been having a few issues eating most days, I am at a stall right now from not eating or drinking much for like 2 weeks. Im back on track and I get full full for the day after one meal so been doing more drinks. I wasn’t using straws until a few days ago, only way I can get enough daily fluids in me. I am a Cali girl, I do use THC to help me eat these days, otherwise I’m not hungry. I’m trying to force myself to do more weight lifts for my muscles which I’m loosing fast, but I do walk 1-2 hours a day. I also don't like the calcium chews, gonna see about switching to pills on my next visit. Anyone in SW Houston that work out or belong to a gym?

I had a revision to SADI on 8/7/2024. Lost 70 pounds but then I started chemo for breast cancer that I was diagnosed with a day shy of my 3 month surgiversary. I was told not to lose quite as fast by the oncologist and the oncology dietician so I have since only lost ten more in 2.5 months. Anyways, my double mastectomy is tentatively scheduled for 5/8/2024. During that surgery they remove all the breast tissue and put in Empty bladders they call expanders and then they slowly fill them each week with saline in the office to stretch the skin making room for the implant. The cosmetic dr says that I could take my time and try out all the sizes and go up and down and then do the reconstruction surgery to put in the saline implant when I’m sure of the size I want and I loved that idea because I want to go smaller but I know it’s going to take a while for my brain to get used to it. The problem is that I have to begin radiation 6 weeks post surgery and the process does something to your skin that makes it very hard to stretch so the radiation Dr says I need to decide on a size before I start radiation treatments. Well I don't think it would be a good idea to postpone radiation just to decide on a breast size so I kinda need to know what my goal is right away so he fills it fast enough for me to get there within 6 weeks. At the same time it will hurt worse the faster we go. I am currently a 36 G. I was thinking maybe a 36 C or D would be small enough that they don’t get in the way with exercise and hurt my back and neck but not look too small after seeing myself larger for so many years. Also if I drop more weight and get to say a 34 I would be a D or DD but what if I lose more weight I mean I want to keep going if I can and then I’m a 32 DDD. I was a 32 C when I was younger and I think when I got my implants I went to a small DD but I sorta doubt i will get that small again, honestly. how much weight did you guys lose between band sizes. I was thinking that if I get to 158 I would be thrilled and that’s only 20 more pounds so I know that I won’t get to a 32 at that size. Do you think it’s possible I will get back to the 120’s. I know the last two months threw my pattern off a bit but I was losing steady at 3-4 pounds a week before all of this. Is there anyone with similar stats that can tell me about their experience with SADI or maybe a virgin bypass. My loss trend was similar to that according to the NP at 3 months out. I really wish I could do this after I get to my low weight and stabilize. All I want is to be able to buy bras in a normal store and not have to pay a fortune for lunch lady bras anymore or have my back breaking and poor posture from a too large chest. But at the same time I don’t want to look too small. I figure that I would find the smallest size that I could get used to so when I lose more weight it will probably be perfect but I won’t have time to get used to it like the surgeon and I hoped. 😢 So I get that cup size is a matter of preference but can anyone with similar stats tell me how much they ultimately lost if they were losing 3-4 pounds at 3 months or how much weight they lost between band sizes or 36-34 and 34-32. Or anything else that may help me. I’m so scared I’m gonna decide on a size and my body is going to change but since it’s all implant after this surgery my boobs won’t change with me with loss or gain and I will be way too big or small for my frame.

Is anybody here familiar with the Carnivore Diet? It's basically a more restrictive form of Keto where you ONLY eat meat, cheese, fat, and butter. The more meat the better. The fattier the meat the better. It sounds counterintuitive to eat this type of diet, but there are several doctors out there who recommend it to help reverse diabetes and fight inflammation. While it's impossible to have zero carbs, the goal is to have as few as possible, less than 10 per day, and consume no bread, fruit, vegetables or anything other than "meat." Now, I must say that I had/have my doubts about the healthiness of this diet. That being said, my husband has been on it for 4 months and lost 35 pounds and his A1C and morning fasting glucose levels are now within normal range. He is going to continue on the diet, or as he calls it, "way of life." I did it with him for 3 months and I lost 20 pounds, but toward the end I was having a lot of diarrhea and my body couldn't handle/process all of the protein and fat without some carbs, so I switched to a new diet in mid-December. Dr. Ken Berry is the person my husband follows on YouTube who explains the science behind it and how to do it. He also said that 1/3 of people can't do it because of their particular body's need for carbs for proper digestion. Anyway, I was curious if anybody here was familiar with the Carnivore Diet or had tried it or was doing it?

OMG please do not compare yourself to anyone else, its the road to ruin. This is not a quick fix, it may take over a year to loose your extra weight. My journey took nearly 3 years. If you stick at the program you will get to the weight of your dreams. Everyone who does this surgery has a different regime to follow. Some can have solids straight away, some have liquids for 4 weeks then puree for 2 weeks. Some eat low calorie, zero sugar, zero fat etc Some of us [me] eat full fat. Some have Carbs, some of us don't [me] Some exercise, some don't. What I am trying to say is don't try to compare to the unknown. You are doing amazing. Right on track. Follow your teams regime. You are just beginning. Slow and steady wins this race. Any time now you may have a fright when you don't loose anything, your body needs these stalls to regroup.

@SpartanMaker okay I have all my food prepped and ready for this week so I am going to follow up with you next week, once I figure out my foods for the week! Thank you for all the advice and taking the time to go through this with me!

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.

What I did and tried to type was to weigh myself every day, but I only logged it in my book once a week. That way, the small fluctuations were less of a big deal when I seen what happened at the end of the week. It would probably be better to even do every other week or every month to log. Or log it every day but just highlight it once a week or once a month something like that so that you can see that really your trend is down

I am about 6 weeks out from my arm lift. I was cleared Friday to resume normal activities. Today I was at the gym lifting weights, though not yet quite as much as presurgery. Do everything they tell you and recovery should be a breeze!

I've finished my Pre-Operative Program at Bariatric and General Surgery at MedStar Washington Hospital Center. I'd previously felt unsure about the program but it's turn out to be a very good experience. Now, I'm in the window where they will request prior authorization and then at some point I'll get a surgery date and be off. For me due to scheduling the gap is going to be about 3 months. Since I have the time I'm interested in learning what could be beneficial for me to consider in this waiting period. I will continue to lose weight with the goal of losing 8 lbs a month. I will continuing exercising, and seeing my dietician. I've eve reached out to setup sessions with a bariatric therapist. I've purchased six months of chewable multi-vitamins and calcium, an assortment of protein shake flavors. But I know there's more needed so please lay your wisdom on me.

My pre-op diet was 12 weeks of milk with added skimmed milk powder, and one salty drink a day (broth) (This was the diet my doctor put me on as they are researching it, not some weird fad diet I'd heard about to be clear.) I lost quickly for the first 2 weeks, hit a plateau, gained weight, plateaued, jumped back down and repeat. It's not a straight path downwards, sadly. I did lose the required weight. If you stick with the programme, you will get there. The bus kind of drives it self in terms of where toi body wants to be at.

I'm 11 weeks post op ty all for your posts

I had two strictures - at 4 weeks out and again at 8 weeks out. But I was told that they almost always occur during the first three months after surgery, so it's not very likely that that's what's going on with you. If it is, though, it's a super easy fix. Both times I felt like I had acid reflux. The first time I was puzzled since bypass usually cures that. After a couple of days of that, I suddenly couldn't keep food down, so I called my surgeon's office and they told me it was probably a stricture and they set up an appt, but they said if it got to the point where I couldn't even keep fluids down, to go to the ER (it never got to that point). The second time I knew what was going on because I had that acid reflux feeling again, so I made an appt to have the stricture "fixed". I never had any pain either time, though. It was an acid reflux feeling (which progressed to not being able to keep food down when I had the first stricture)

How can I intake more protein and more calories without eating a huge amount of food throughout the day, all day long? It's almost impossible for me to get in 3 meals a day, and small snacking all day isn't possible either. So what are some ways I can get in extra protein without heavy shakes/smoothies? Or some meals/snacks that have a lot of protein and/or calories in them, but aren't a huge amount of food (if that makes sense)! Thanks for the help in advance!

We went to visit friends this weekend in CO and I went snow shoeing for the first time! I don’t know that I could have done it at my starting weight. My legs are still sore cause you have to walk differently than you do normally, but we went over 3 miles and it was so much fun!