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Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

Yes, in time it should go back down. The study I saw said it starts dropping about a week after surgery. But, it won't hurt to keep in touch with your doctor. If they decide to do the holter monitor, do that - just to make sure there's no crazy coincidences happening.

The pull and twist sensation is most likely a stomach spasm. It is one of the rarer side effects of bariatric surgery. I got them too, and mine happened even with water! My surgeon told me they'd go away after a few weeks and sure enough, between weeks 2 and 3 they magically faded out! You have to be veeeeery slow with eating and drinking. The pain on the inside that feels like your stomach weight is causing it is completely normal. You have a lot of internal sutures and there are anchor stitches to keep things in place, those are often the most painful and take the longest to heal! I couldn't lie on my side for a few weeks without propping up my stomach with a pillow under it because the pulling of my stomach sideways caused intense pain thanks to the anchor stitches. I think it took about a month to 6 weeks for that to fade completely. Bariatric surgery is not a sprint, it is a marathon. Healing takes time and a generous amount of patience. The more impatient and annoyed you are with your body, the more agitated and anxious you will get. All the things you have described sound fairly normal for 11-12 days out from surgery. I'm sure your surgeon will tell you that at your follow up appointment! Be sure he knows all your concerns. It takes about 3 months for those internal sutures and cut nerves to heal up completely and start sending clearer signals to your brain. But the pain from the incisions and internal stitches should go away within 4-6 weeks. I'm sorry your team didn't explain to you how gradual recovery is and how slow it can feel... You can do this! When you see the scale moving it'll help ease the frustration. LOL

Thank you for this detailed accounting!! I hope you continue it as you heal so we can follow along. Glad it all went safely!! The recovery houses sound really great in concept for the first week after surgery. I think they have them in areas with a lot of plastic surgery, like in Miami too. It feels like a gentler transition than just sending you home or to a hotel with no care. Though I have heard the food is an adventure!! I wish you much ease with your continued healing...

I woke up hungry in post op recovery... It really annoyed me. LOL Some of us never lose our hunger with surgery. The stomach growling is normal and it isn't always a sign you are hungry. These are just digestive sounds and since your digestive system is spending more time empty, the sounds are louder and more frequent. Swelling can impact this too. For the first two weeks whenever I drank I felt like it was going down a drain, I could feel the displacement of air and even heard gurgling! It was soooo strange! As has been said above, once you are in the soft food stage and food is staying in your stomach longer, these sounds might ease up.

I agree with the others, contact your surgeon and let them know. It isn't unusual to have intolerances to protein shakes early on. I couldn't stomach them for the first several weeks. I could get in my fluids though, with diligence, but they had to either be very cold or very warm, my stomach didn't like anything in between, and even with fluids I would get this intense twisting pain with every swallow, like my stomach was trying to cartwheel inside me! But after the two week mark this started to ease. I was able to water down protein water and get it in. Then I was able to thin out protein shakes with milk and get them in. I was still nauseated daily until the 8 week mark, but meds helped with that. My surgeon said this whole track wasn't unusual, I was one of those rare patients that got the side effect of stomach spasms post surgery and they usually calm down after a few weeks. He was right! By weeks 3-4 I could drink most things without pain, as long as I kept sipping rather than trying to gulp. I'm 3 months out and still can't gulp... But this is definitely a situation where you want your surgeon's office aware of how you are feeling so they can send you in for fluid infusions if you start to show signs of dehydration. Dehydration is the number 1 complication of bariatric surgery in the early weeks, plenty of people end up with hydration infusions until the swelling goes down in their tummies enough they can get their water in.

Three weeks from today I should be checked into the hotel with my mom and trying to get a good night's sleep before surgery! Crossing my fingers there are no further delays. The hospital is only an hour away, which would normally not be a big deal, but rush hour traffic is bad and I'm not sure how early I'll need to be there in the morning, so we decided to go the night before. My mom wanted to be able to stay and visit into the evening but doesn't like night driving, so she felt better about being in a hotel the night I'm in the hospital. Luckily, there's a Courtyard Marriott about 5 minutes from the hospital. Sadly, no hot tub

I start my liquid diet a week from tomorrow, which is why I will be spending some time this weekend buying things my 15 and 12 year old daughters can cook for themselves, and prepping some stuff ahead for them to put in the freezer so I don't have to deal with food prep for the next 4 weeks or so. After that, I should be able to make some foods that we'll all be able to eat, hopefully. Luckily, my kids are self-sufficient for breakfasts and lunches, but they are still really limited on dinner skills. I guess I need to work on that with them (along with teaching them to do laundry).

Your stomach is still healing (6-8 weeks PO), and it still hasn't adjusted to your smaller stomach size. It will get better over time.

If you were going to die, it wouldn't be "borderline". 😊 And it's worth noting that weight loss surgery tends to raise these levels for the first week after surgery. So that test is not definitive.

If its a specific food you crave then its head hunger and you need to ignore this as much as possible. You will see it written time and again on here that just because you can eat it does not mean that you should. You have to remember the fragility of your internal stitch line. The rules are - follow your doctors orders. So just keep drinking. Once you hit 6 weeks out and you are eating regular [ish] foods again and your new stomach has almost healed. You will find a restriction kicks in in a big way.

So today was day 11 and my symptoms are still that pull and tug or twist? When im drinking protein shakes or trying watered down soup juice ( cream of chicken thinned out with water then strained ). It feels like something squeezing my insides for a heartbeat then it finishes going down its uncomfortable and makes me NOT want to swallow anything besides water. A few of my incisions are healed up but puffy on the inside ( no pain or anything though ) and a few are painfully hard to ignore when im sitting up a certain way and sometimes when walking. I feel like the weight of my stomach is causing these aches because when i hold my stomach up with my hands pain is gone. Im going to see my surgeon for my 2 week follow up on the 31st so hopefully he can tell me whats wrong if anything. Also i still cannot stop spitting like it has decreased but not gone away completely it is SO annoying you have no idea. And i still get this pain at the roof of my mouth where the bone is right before your throat. Its not as painful as before but it still throbs on and off. I will update when i have news fingers crossed for me.

I agree. Definitely contact your surgeon. It could be just swelling. It could be a stricture. But you really shouldn’t be experiencing strong pain a week out (except from the surgical gas pain but even that should be reducing each day.). Most of us throw away our opioid pain meds by day 3 or 4 & often don’t need any pain meds after then either. Yes, meeting those fluid & protein goals can be difficult in the beginning. I’m another one who struggled at first (one shake & a cup of soup each day from day 4 & really nothing before then except a few sips of water). As long as you are making an effort & slowly getting closer you’ll be fine. Be aware of possible dehydration though. All the best. And push to get a response from your surgeon asap.

I start my 2 week liquid diet on Feb 7, but if I had to drink milk, I don't know what I would do . I can't stand the stuff! I haven't had a glass of milk since I was about 8. Thankfully, I can have protein shakes, yogurt, pudding, broth, and jello. If I start to feel grumpy about it, I'll remind myself I could be stuck drinking milk!

I had my surgery on Jan 18th and i can take a little more water then before but its STILL a pain in the butt because i still have pain (gas?) when im drinking. Im supposed to move on to pureed foods in a few days but how when im not 100 percent with these liquids. Its slow moving and it sucks. It seems like im going to be one of those cases where it takes forever to heal or get on track and it sounds like maybe you will be the same (hopefully not). I go to the doc for my 2 week follow up on the 31st i will let you know what he says about all this.

i had a bit of difficulty getting my protein shakes the first 2 weeks, i used protein powders and i had to water them down ALOT to get it down. i probably only consumed maybe the equivalent 1 cup of a pre-made protein shake the entire first 14 days post surgery. it was a issue of aversion for me...it was just so unappealing and gag-inducing. that and i was just so exhausted that there just wasn't enough awake time to drink. my water consumption wasn't that great either, probably sipped maybe less than 2 cups a day (warm/hot water cuz it felt better)...and i did this from a 1oz medicine cup all day long...soooo annoying omg. first two weeks i probably had less than 400 calories each ENTIRE WEEK. but magically (on day 13 to be exact), i accidentally found out i could could gulp down water...i was so thirsty that i forgot i was supposed to sip...and it was wonderful lol. so much more satisfying than those sad sips from the stupid medicine cup. after that i was gulping down litres of ice water. and protein shakes cuz i just would water then down alot with ice water and down them. solid food on the other hand took a little longer master...but that's another story. now i drink lots and eat lots (avg 1800 cals a day) for a bariatric patient, but not quite like a "regular" person, lol....and im 5+ years out. long story short: hang in there, it gets better by increments. keep in contact with your doc and team, and there is no need to worry of they aren't. good luck ❤️

My cousin just had the surgery plus the hiatal hernia surgery 2 weeks ago, she still struggles with liquid intake. She still has to set a timer to sip sip sip. Try walking more for the gas pains, it helps get rid of them. Every hour walk for 5-10 minutes. I am 5.5 months post op and the first week was hard to drink anything, cold or hot. Even when I hit the puree stage it was hard enough to get liquid in let alone something with a thicker consistency. It will get better over time. I agree, contact your surgeon, see if they have any other options.

I'm on a two week liquid diet before my Feb 7th surgery. What's your restrictions? Ask your doctor about taking multivitamins. I'm able to even on the liquid diet. But other doctors might before restive.

Thanks Cat. they were so yummy. I had them again a few days later but they didn’t sit right. I am almost at the 3 month mark. I will do measurements in a few days. I have to eat even smaller amounts then a normal sleeve patient and chew 1000 times. Almost like mush in my mouth before it goes down. this is odd: The dietician has told me to chew the steak and then spit it out. This way I can get the taste and not the blockage. That has worked for at home meals. I am enjoying creating and cooking again. I have been busy with work(own business, work from home) but I have been staying 200km away from home 2 days a week as I have stuff on. Mostly immediate family stuff. That has interfered with my eating and drinking routine. I don’t feel happy/excited to eat out in public. Being judged for what and how much I eat. A friend complained I was wasting food. im looking forward to everyone’s achievements on our 3 month mark.

I’ve just had my surgery on January 23rd and I am struggling. I can barely handle any liquids, I’ve been trying to get my water and protein goals in but failing miserably. I’ve only managed to have just 2 bottles of protein since I left the hospital and for the broth I love barely had any and it’s almost been a week. Has anyone else had this problem? My stomach is constantly in pain and of course the gas pains. I can manage some water but it has to be cold and that’s mostly it. I know I have to have protein shakes and the broth but I just can’t. I’m just feeling weaker as the days go by and I’m not sure what to do next. Any advice?

Hi guys! I’m on day 5 of my two week liquid diet. My surgery is scheduled for February 6th. I have to say that even though it’s not as horrible as I expected, it absolutely does SUCK having only liquids, sugar free jello, popsicles and broth! The weird thing is that technically I only get hungry around normal meal times. I do miss actually chewing and I have super low energy and headaches. I also am having trouble sleeping. I’m all out of wack. I’m not working because of disability, so I’m thankful I don’t have to worry about WORKING. Whenever I feel bad or super hungry, I look on TikTok for before and afters for motivation. In the wee hours of the morning if I’m awake I’ll “cheat” and have a zero everything Greek yogurt. It kind of makes me feel better. I don’t think my doctor will mind, but I’ll ask tomorrow. It’s hard, but I’m trying to find distractions too. I just want this time to go by faster.

Yeah, I would just keep an eye on portion size to avoid overdoing it early on. I have a couple of favorite cookbooks out of all of the ones that I've bought (because I always overdo everything). They are: The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner (a bariatric surgeon), and Bariatric Meal Prep Made Easy by Kristin Willard (a registered dietician who specializes in bariatric nutrition). I would 100% recommend both of them and you can get them on Amazon. I like Dr. Weiner's book because he gives you what serving size to expect at different stages post-op. For instance, there's a chickpea curry with riced cauliflower. If you're at 1-3 months post op, your suggested serving is 2 tbsp curry and 2 tbsp cauli (which is 1/4 cup total). If you are 3 months to 2 years, it's 1/4 cup of each. If you are 2 years or more, it's 1 cup curry and 1/2 cup cauli. What I like is that it normalizes the reality that you start with really small portions and naturally eat more over time. I see so many people getting so nervous because they are hungrier at 1 year than they were at 1 month, and it's like yes, that's what is supposed to happen! I wish this book had the nutrition facts spelled out for all three portion sizes, not just the largest, because my math sucks with fraction. And I wish it had more photos, although the ones it does have are very nice and the overall quality of the book is high. What I like about Kristin Willard's book is it gives you 6 full-week meal plans and is meant for doing prep ahead, grab-and- go types of meals that you portion out in advance. Also, it is gorgeously illustrated with full-color photos for every single recipe. There is one weekly menu for purees, one for soft foods, and 4 for normal diet. They even include a shopping list for each weekly plan. In my opinion, (comparing to my surgeon's plan and what I see in Dr. Weiner's book) the suggested portion sizes are geared toward a patient who is 1-2 years post-op, so bear that in mind. You would probably get twice as many servings out of each recipe in the first year, and up to 4x the servings in the first few months. And of course both books are likely to have specific foods at a stage that your own program disagrees with, so you have to adjust accordingly. I'm also going to give an honorable mention to The Easy 5-ingredient Bariatric Cookbook by Megan Wolf, a registered dietician and bariatric specialist. The book loses marks for the lack of photos but gains marks for its stage specific portion size suggestions and for all the recipes being really easy to pull-off without buying out your entire supermarket for ingredients. The author is based in Manhattan, and these are definitely recipes you could accomplish with a tiny NYC kitchen and limited cooking skills. Honestly, if I had a friend going through WLS, I would probably give all three of these as a gift, along with a set of small (4 oz and 8-12oz) freezer safe food storage containers. Hope that helps!

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake). Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per protein shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it. All of which is a longwinded way of saying you're doing fine! Congratulations!

That's been me this weekend! My surgery is Feb 21 and I start a two week liquid diet on Feb 7. On Friday, I had pizza delivered for myself and the kids because I thought hey, this is the last time for a long time that I'll have a pizza night. And then my mom came over yesterday and it was like...pick up tacos from the taqueria on the corner? Yes, please! Won't be having tacos for a while... I've been pretty dedicated to healthy eating since this summer, lots of green smoothies and healthy salads, but I think a few indulgences are only natural when staring down 4+ weeks of little more than protein shakes and broth.