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Years later, I still kind of live in the "pureed" stage at times. I am a soup lover, I like congee with veggies and eggs, hummus with cheese crisps that basically melt in your mouth (made in my air fryer), black beans with tomatoes, onions and chilies, soft tofu (a lot of different ways), cottage cheese with different spices... Etc. A lot of yummy things.

As everyone has said, stalls are very common. They actually are Dan important part of your weight loss. It’s when your body takes stock of your constant needs & readjusts things like your hormones ( hunger, satiety, etc.), metabolic rate, etc. The stall will end when your body is ready. You can’t force it, let it take the time it needs. Still frustrating though. Fluctuations are also perfectly normal. We all fluctuate. You’ll eventually work out your usual fluctuation swing. Mine is about 2 lbs. Some are greater, some are less. Fluid retention, constipation, diarrhoea, hormones, etc. all contribute. I mean you don’t eat & drink exactly the same foods & fluids in the exact same quantities every day either. Nor do you the exact same activities to burn calories. Congrats on your weight loss so far. Yay!

Nothing stopping you from eating ‘non breakfast foods’ for breakfast if you’re tired of eggs. For example 3ozs of most meats contain more than 20g of protein - you could have some chicken for breakfast, salmon, etc. Find a high protein yoghurt (mine has 20g - it’s an Australian brand). A serve of rolled oats, milk & seeds can give you 15g. Make a smoothie. Try some other egg recipes not just poached, fried or scrambled: egg muffins, omelettes, frittatas, etc. Add some unflavoured protein powder to your pancake mix, porridge, smoothie, coffee, etc. for an extra boost. Here are a couple of high protein breakfast ideas. You may have to adjust them based on what you are allowed to eat. Ask your dietician for some high protein meal ideas too. https://www.health.com/25-high-protein-breakfast-ideas-to-keep-you-full-7566320

My surgeon's assistant and I had a long talk about it and she was like, unfortunately it's not uncommon for some people to take longer to be able to eat certain foods and some may never be able to. And truthfully, I'm actually kinda grateful that I can't just go and eat whatever I want so there is less risk of me falling into the trap of bad eating habits again further down the road. I'm losing weight consistently, and my last bloodwork was fantastic, so, so long as I'm mindful of the nutrients I'm getting- I'm ok with not being able to eat other foods. But the nausea does suck when I -try- to eat something. At least it doesn't hurt when something DOES have to come up. (just the lead up to it)

@volfanLol @ family member maybe my body is holding on to as much as possible for as long as possible. don’t do protein shakes or powder. Just protein water mixed with my regular water 250ml of protein water and 250ml of vitamin water to 2liters of water. Yes I run through that a day I cook all my foods rarely eat out. And rarely mix and match my meals. for instance if I am eating fish I would eat either just fish or fish and lettuce nothing added or removed. Per meal isn’t a lot maybe 4-5oz total calories I consume a day according to fitness pal is roughly 600 on a very bad day or 1000 on a day I take loads of carbs

I would want to look closely at this, verifying the bile reflux and determining if there is any acid reflux component to this before getting into long term treatment options as the treatment can differ widely depending upon that diagnosis. If it is bile, then I wouldn't expect Pepcid or other anti acid meds to do much as the are treating acid and not bile, a base. I'm not sure what meds they do use but likely different ones. Bile is used to neutralize the acid coming out of the stomach along with the digested food into the intestines. Is your surgeon in the loop on these findings (I assume so, but check if you haven't heard from them yet,) as that may change his prescriptions. If it is strictly a bile problem, then a bypass will probably correct it, but not guaranteed as it moves the stomach/pouch outlet downstream into the natural path of bile secretions; the key, according to one surgeon I discussed this with, is the length of the roux limb, as that is the one that connects the pouch with the mainstream intestine and how far any bile would have to travel to reflux into the stomach. This doc noted that at 80cm or greater (IIRC) he didn't run into any bile reflux problems. The basic RNY procedure has been around for some 140 years for gastric cancer and gastroparesis (it is usually termed just a partial gastrectomy, or likely some other fancy latin names as well,) and it that use, bile reflux is a not uncommon complication. My non-MD take on it is that in those cases, they tend to keep the limbs short to minimize malabsorption and weight loss (last thing a cancer patient usually needs is more weight loss!) So, the longer limb makes sense here. Discuss this and make sure that your surgeon is up on this aspect of it. The other option if it is basically a bile problem is the DS, duodenal switch, which is pretty much a guaranteed cure for any bile problems owing to the very long path between the bile ducts and the stomach, but relatively few bariatric surgeons offer it owing to its greater complexity. Note this only applies to the "traditional" or Hess DS and not the newer SIPS/SADI/"loop" or simplified DS, which like its mini-bypass cousin has bile reflux as one of its common complications. The DS will not help any acid reflux problem as it uses the existing sleeve (though may resleeve it if it was malformed causing GERD rather than just overproduction of acid,) while adding the intestinal rerouting for malabsorption. The DS is a better choice over the RNY revision if slow or inadequate weightloss is an issue, too, as it is a stronger metabolic tool. Good luck on this - bile is surely a much less common problem with the sleeve than acid reflux, so the industry isn't quite as settled on solutions for it.

@SleeveToBypass2023 workout routing is 4-5 Times a week. 1:30hours cardio one day and 1:20 hours cardio for 3 days (40mins jogging 20mins hill walk 20mins elliptical) 5th day is more strength training and it’s up to 10 variations with 20mins cardio strength training mostly arms back core and I do a variation of 6-8 different upper body and core 4-5 sets of each variation 10-15 reps minimum weight is 15kg. had always been doing weight training when I got the all clear a month after surgery until 3months ago when I started elliptical on,y calories I drink is my protein water. Which isn’t up to 500ml per day. Along with 2.5-3liters of water 1 liter is usually covered during workout I noticed I don’t eat up to 21oz of food through the day mostly protein

I have noticed the same thing. I’m about 6 months out from my sleeve op and can eat about half of what I previously could (which to be fair was a lot!) My weight loss has stalled and I know it’s because of the type and amount of food I eat. I saw my doctor recently and they recommended getting back to basics and focusing on protein and water intake to get back on track. They didn’t seem concerned about the pouch stretching. Good luck with your continued weight loss!

Greetings, So as most people do from time to time - I fell off the wagon for about two weeks while on vacation and in the process of that, I noticed that I was able to eat more without any discomfort. I wasn't gorging on food like I did to gain the weight that I had, but I was able to handle bigger portions or that 3rd slice of pizza. I screwed up and I know that. I actually feel guilty, especially considering all the weight I have lost. It was just the first time where it was harder to stay focused as I wanted to enjoy my vacation. I know next time I have to plan better. Now I am aware that the stomach does stretch again, but it is my understanding that it takes years for that to happen per what I have read from doctors - which is why some people who have bariatric surgery tend to gain some or all the weight again years later if they haven't maintained their better eating habits. I am only 5 months out from the sleeve, so I was just curious why I was able to eat more than usual at this early point. I am back on track now, but just wanted to ensure that this is normal - that the stomach can stretch temporarily in the short term and things should be back to normal now that I am eating smaller portions again/proper foods. That I haven't already stretched out my stomach a bit. I would appreciate any feedback here. Thanks, HM

Hi all - I'm so sorry to hear of what you are facing guys; I'm sure you had not bargained for that! I wondered what procedure you all had. I had a gastric bypass and seem to have healed well thus far. I only feel nauseous very occasionally and the feeling is fleeting and thus I'm not actually put off of eating my food. I have not yet experienced 'dumping' and threw up only once much earlier on. I have not yet had a bad reaction to anything that I have eaten but I do try to be careful. I'm three and a half months post surgery and feeling ok. I swim daily and feel sufficiently healed so far. Have you all spoken to your health team? xx

I had my surgery on 8/15 as well. I am still losing steadily. I am still around 400 calories a day, even on soft foods. First week after surgery was 3.4 pounds down, 2nd week was 14.4, 3rd week was 6.8, 4th week was 6.2, today was 5.4 lost each week. 36.2 pounds lost since surgery (I am on the larger scale for loss tho LOL). 56 pounds down since Pre Op started. 75.2 pounds down since life style changes. You will get there, my daughter had the surgery the same time I did, and she has hit stalls where she gained .5 pounds one week. I weigh in about 3 times a week, but only 1 is what I record. I am going to start weighing in only once per week. Your body is adjusting so it will take some time.

First, great job on the weight-loss. I've noticed I can eat more and I'm starting to get my appetite back. It's so important to follow the plan... get in your protein (and some extra if needed). I aim for 3 oz per meal or about 80+ grams per day. Keep it lean- chicken, fish, shell fish, and plant protein. Make sure you're getting your veggies in. Cut up a veggie tray for the week and enjoy with a tablespoon of hummus or guac. Low fat cheese and yogurt. Keep measuring your food. It's so easy to overeat. Fluids are really important to stay on top of. Another thing that helps is to stay busy and keep your mind off food when you're bored. Exercise is also helpful to boost your mood and metabolism. Just be careful of the after workout munchies. It's totally a thing for me. A once on awhile treat is important too. My nutritionist said that if we always deprive ourselves, we'll regress back to old eating habits. So, for example, I love onion rings. And we we go to dinner that my husband orders them, I'll have one... or whatever I may be craving. Small amounts of something special once a week is totally within the plan. Everything they taught you before surgery is for life. Focus on not deviating from that too much.

Hi! I had vsg 8.15 and have lost 24 lbs. This am I seem to be up 3 lbs. Not off course. Still eating pureed. Cals are between 6 and 700. I meet protein daily but water is tough. I usually get 52 ounces vs 64. I eat 3 meals daily plus 1 snack of string cheese. I still have some muscle discomfort in tummy area but find I'm emotional a lot. Dr is happy w progress but I'm super upset with stall or gain when I'm not even eating or drinking off program. Any thoughts?

Yeah... the nausea has actually gotten worse lately for me. I'm on strictly soft foods still (scrambled eggs, cream of rice, etc) or really crunchy foods that grind up in my mouth like these almond flour cheese crackers (they've got a decent amount of protein for a "carb-like" snack) or ultra dry toast with some sugar free jam, or the baby/toddler animal crackers from Gerber. I made the "mistake" of eating a hard boiled egg this morning and even though I chewed it well, it did NOT sit well at all. Deli meats do the same thing. Anything with texture or density to it makes me feel like it needs to come back out. And plain water still comes right back out IMMEDIATELY. But if there's sugar substitute and some color and flavor, my body accepts it. I've been drinking freshen up energy because it's sugar free and is a clean energy without all the bad stuff in it. Just the equivalent of a single cup of coffee and some B vitamins. And I like the way it tastes so I definitely am doing better at meeting my fluid goals, which was a struggle before. Struggling to get my multivitamins in as taking pills sucks. And I've been getting heartburn here and there if I forget to take the pantoprazole I was prescribed. But I found some GOOD calcium "chews" at the natural food store - it's literally chocolates instead of the tootsie roll like chews most end up being. I got the dark chocolate because for some reason milk chocolate tastes like poison to me.

There's no BMI requirement for any specific wls procedure. The type of surgery is a medical decision made between the Dr and patient, not the insurance company. Most insurance won't cover wls unless you have a 40 bmi or other medical issues like pre diabetes etc. I had a 39 to 40 BMI at 287 lbs. I choose the Sadi DS over the traditional Hess DS, RNY, VSG or Lapband after disucssing my goals with my doctor. My criteria was to lose all the weight, keep it off and be able to eat normally eventually. All of them are true for me today (9 years later) but I also do my part with at least trying to mostly eat well, and getting daily exercise. It's important to note that wls creates an imbalance in your body and you have to make adjustments including the vitamins, eating, accepting loose skin, bloating and gas issues with bad food choices, etc. FYI - It's not an easy journey and takes time. If you make the commitment, it's worth it. Below is my journey and my almost 63 year old body 9 years post Sadi.

Liquids go through you much more quickly then solid foods so you don’t get full as quickly. But I do encourage you to go slowly. We’re told to sip (& then to eat slowly) for reasons (e.g. nerves are cut during surgery so messages don’t get through in the same way or at all for a while). At the moment you don’t want to stress or strain your healing tummy & digestive system. Remember all those sutures & staples holding everything together. All because you can doesn’t mean you should. All the best with your recovery.

I never did the puree stage. Just looked and sounded gross to me. I just ate things like fish and softer fruits like canned pears (in water, not syrup), bananas, refried beans with sour cream, avocado, and shredded cheese, lots of soups (my favorite has always been minestrone, so I get the canned Progresso soup), etc... I personally love making my own protein shakes and often still have one for breakfast (not big breakfast fan, but skipping is a no-no). I get Arbonne protein shakes (the coffee one is my favorite) and I add stuff to it to make it acceptable as a meal. Making them myself vs ready made are SO much better to me. Especially now.

I had the SADI-S 3 days ago and I can already drink 12 ounces over a 5 minute period. Seems like a lot. I'm hoping I can't EAT 12 ounces! Does anyone know how that works?

It depended on where I was when going through the stages. On puree I would blitz it but when on soft foods I would smash it with the back of a spoon. I still eat it now, its good

It took me for ever to reach my goals. Like 3 + months. They just told me to do my best. Protein yogurts were my saviour, 2 of these and a pint of milk a day and I had all my protein. Drinking seemed to take all day and all my waking night too. I had my surgery in coldest winter, so hot drinks were easiest for me to manage, although they did get cold before I drank it all. After meals if I found myself thirsty, I would suck a popsicle , its a fluid. Once you can drink your ounces you will feel amazing. Its really worth while persevering, it does get easier soon I had to keep going back a stage because eating 'normal' foods was so difficult for me

Thanks to all of you for your insights. I was doing the Ensure Max Protein drinks for the first two and half months. Now I find them very gag-inducing and have a hard time digesting them. The Electrolytes- yep, both in water and Gatorade Zero. I'm not sure I am eating enough--my portions are small, and I feel fine after a small plate, 1/2 protein, 1/4 veggies, 1/4 carbs. My wife has been great about making different dishes that are compatible with post-op lifestyle. I'm just not that hungry, though I'll still eat simply for fuel. When I first got out of surgery, I couldn't wait to eat real food again, but now, I think my system cannot handle the volume and in some cases the texture. Maybe this is also a result of hormonal/nervous system changes, I dunno. Yes, I have a good dietitian who is part of the surgeon's office, as well as an integrative medicine nurse/practitioner who does a different set of blood work at the same time I get blood work done for the surgeon. I'll be back up there for another post-op exam in a couple months. Sorry for the lag in my responding- i didn't get an email alert when a lot of you posted, I'll have to check my settings--in the meantime, the weather has broken here in Texas, finally. So, walking outdoors is possible. (It was 110F most of the summer here--brutal!). Now is the nice time to be here. PS: on the gym, I talked to the head trainer, and they are used to members who have gone thru physical rehab and coming back to the gym- they were fine with me taking things slowly and will work w/me.

Well, I ran into my first food intolerance with my sleeve Gastrectomy...fml. My stomach can't stand Bacon. I can live without bacon, and my Surgical team did warn me I might not be able to eat bacon, but this is so far the first and only intolerance I have.

It doesn’t matter if you take ages to drink or eat your protein. I would sip my protein shake & then high protein yoghurt drink for hours. Just sip, sip, sip. I also ate some things very slowly too - just dipping in a teaspoon & not a full spoonful. In fact I still take an hour to eat my high protein yoghurt. I wasn’t interested I eating or hungry for almost a year but I knew I had to eat & drink to at least be close to my goals. It actually helped me change my relationship with food - that maxim of eating to live not living to eat. (My surgeon was okay if I wasn’t hitting those goals for the first month or so as long as I was close & getting closer.) You can also boost your protein intake by adding protein powder to soups, your own smoothies, yoghurts, etc. I still can’t gulp down a glassful of liquid. One big mouthful or two swallows & that’s it & yes I still have to wait before I have another so I still sip all day long & I drink over night too. And I still take 39-45 minutes to eat what is about a recommended portion for a meal - like @sweetsmith78 about 8ozs of usually 3-4ozs protein & about 4oz steamed vegetables. In the beginning I was eating 1/4-1/3 a cup of food from purée for a meal & slowly increased to a cup at 6 months. It does get easier. During the first couple of months you’re still healing & your tummy is sensitive & fussy with certain tastes, smells or textures literally turning your tummy & being impossible to eat. All the best.

Oh yeah, the protein shakes are awful. I forced myself to have one a day & then had soup. So glad to get to purées when I never touched a shake again. Did your dietician give you a list of foods you can eat? If not give them a call. There are some foods like certain fruits we’re advised to avoid while we’re healing. Smoothies are great. The high protein yoghurt I ate had a yoghurt drink too which I regularly had (25-30g protein). Yes, you still have to purée the soups. Everything must be extra smooth, no lumps, fibrous, bits, etc. so it just slides down into your tummy. You can purée a lot of things just keep them very runny by adding sauces, stock, gravy, mayo, milk, etc. And don’t worry you won’t be undernourished after 5 days. You’re likely feeling weak & lacking energy simply because of what is a pretty major surgery. Oh the constipation will be with you for a while. Try to keep on top of it. Add a soluble fibre to your soups or smoothies & take a stool softener or similar as needed to get things moving. I used to take something if I got to three days without pooping. Oh & don’t be surprised if your poop is small & you only go every two days - you’re not eating much at the moment.

Have you considered unflavored protein powder? You can add it to water or even sprinkle it on food or jello. Depending on what your dietician at the clinic where you have surgery says, you likely will be able to have a broth of some sort, since those are more savory that might be perfect for you and you could add unflavored protein powder to that as well just to boost the protein.