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Thank you so much for your response. It’s perfect timing that I saw this as I just left the Bariatric surgeon’s office. My experience with GLP-1s was quite discouraging. I was just about ready to give up trying to lose the weight I regained. However, my appointment with the Bariatric surgeon was quite encouraging. He agrees that I qualify for a revision surgery. He laid out the revision surgery options: Bypass, SADI-S or SIPS. Apparently the final revision surgery method will be determined during the surgery when he is able to assess my intestine length for the bypass/malabsorption effect. So for now, I’m going to focus on completing the program steps (Barium swallow, Psych appointment, Nutrition appt, support group, etc) so they can submit the PA for revision surgery. So I’m going to focus on completing the insurance requirements

So I take Wellbutrin and after surgery I am supposed to crush it and take it with applesauce. I guess for better absorption. It tastes soooo nasty! I gag and can hardly get it down. I have been taking it whole, but I asked the pharmacist today if I really need to crush it and yes is the answer. Tried tonight with protein pudding 🤮 what do y’all do? thanks!!

Hi everyone! Sorry for the information dump, I'm just incredibly overwhelmed right now and would love to hear any experiences you've had. I've been talking with my surgeon about all this. I just need to get some thoughts from other people who've been through it. I'm in my 20s, autistic and ADHD, and got the SADI early May. It's been 5 weeks. I've basically failed almost every instruction (except to lose weight, I've done great with that! I've lost over 30 lbs post-op). Like protein shakes. I'm very lactose intolerant, and intolerant to several fake sugars, AND allergic to yeast (which is in every soup known to man). After surgery I became intolerant to every fake sugar, even stevia. The three shakes I had managed to tolerate became intolerable post op. Two have things that burn my insides now, and one just makes me puke because it tastes gross without too much sugar for me to tolerate. So I tried a bone broth and then eventually foods (in line with the stages) to try and get protein. Lactaid didn't work unfortunately so no cheese, creamy soups, ECT. Meats are hard to tolerate. Eggs are ok, and vegan Greek yogurt, but after eating anything consistently (like every day) it makes me nauseous. I wasn't picky before surgery, and actually had a protein shake daily, so I wasn't prepared to find food I tolerate literally vomit inducing after a few meals of it. I have massive food aversion now. I get nauseous anytime I think of food, or smell food, though I manage to find something to choke down with my pills so I don't get more nauseous. I've tried to force myself to eat/drink things, but it always ends in dry heaving at best. Its mental, I'm sure, but I liked eating the same foods pre-op so that's confusing for me. Water was fine when I was in too much pain to sleep and had all that extra time, so the first week, but now I'm mentally and physically exhausted and want to sleep a lot. Or even just lay down, and with the GERD that means not drinking while laying down. With all the meals and the not drinking around them, I get 40-48 oz of water a day. I'm not exercising (another ding) so I don't actually seem to be too dehydrated? But once I hit the 40-48oz I stop being able to drink, even if I stay up 2 extra hours to get some more down much more slowly. It just makes me nauseous past the amt mentioned. I don't know what that's about. Also intolerant to the anti-nausea pills btw. For some reason they make the nausea worse and give me stomach cramps to boot, yay. There's more issues, but that's the gist. There's so much to juggle, and it seems like everything I try to fix my issues leads to nausea. How do you do all of this? And not go crazy? And please tell me it ends soon?

Does anyone have any personal experience using any egg-white powders for protein, specifically in cooking or adding to other foods in lieu of other protein powders? I'm looking at NOW's egg white powder and a couple of Canadian brands (Muskoka Mornings & Canadian Protein), but if you've successfully tried another brand I'm all ears. Do you find the eggy taste strong or mild when you use it mixed in other items? How hard is it to dissolve? What did you use it in? I've read mixed reviews on both aspects across a few different brands now -- some people saying it takes a lot of 'elbow grease' to dissolve and still has a strong eggy texture, others saying they barely notice it. Specifically, I'm having trouble getting enough protein at breakfast time. Due to my meds schedule, I can't have dairy/calcium until 10/10:30, but I eat breakfast around 7am. Usually it's a high protein cereal and almond milk, or lately oatmeal made with almond milk or water -- but the oatmeal is usually 6g of protein or lower, and the cereal nets out to about 8. I've tried adding my usual protein powders but -- of course -- most the ones I can stand are whey-based. Not to mention, the texture when added to my oatmeal is just ugh. (I've got so many texture issues lately, ugh). Basically I'm looking for another option I can add to oatmeal (sweet or savoury). ((I've tried peanut butter powder these past two days and it's good -- just not something I can handle every day. I'm experimenting later this week with some other seeds & nuts, but most of them are too high fat for me as the first meal of the day and just don't offer enough protein. I've also gotten some chickpeas, I've heard that mashing some up and mixing it into the oatmeal before cooking will work as it has a bland enough flavour to not stand out and will come out roughly the same as oatmeal. That's tomorrow's experiment XD)) Any opinions are greatly welcomed!!

@melissa i am on a low fat high protein (definition-eat nothing) for two weeks. I am struggling and its only day 4.

I am another fan of eating mostly food made from scratch as soon as you can post op, but honestly if you can't meet your protein goals that way then shakes are one convenient way to do it that doesn't require much mindwork or second guessing!

As much as it would be great if we could reset our tummy to the loss of hunger phase after surgery we can’t. You can reset your thinking and your head though it’s not easy. Start by going back to tracking everything you eat and drink & maybe keep a second record of what you were feeling at the time you ate or drink to see if there are any specific emotions (boredom, frustration, anger, sadness, happiness, stress, etc.) driving you to eat or any events that occured or situations you were in (Friday morning tea at work, socialising, at the movies, a sporting game, holidays). Identify things you ma have let slide: portion sizes, protein intake, food choices, fluid intake, snaking, etc. check your activity levels. Then make a change. Drop a snack or work on reducing your portion size. After a couple of weeks make another change or two like increase your activity, or increase your fluid intake or swap out some food choices to better ore nutrient dense lower calorie options. And so on. Gradual changes are much easier to adapt to and adopt and always seem more achieveable. Become more mindful about your eating. Are you eating because you need to eat (real hunger) or just want to eat (head hunger - associated with emotions, situations or events). Eat slowly to allow time for your full/had enough message to register (takes at least 20 minutes). Slowly work your way back to how you were eating when you were first maintaining. You’ll get there. All the best.

hank you both so much — I honestly do know the rules and I really am trying to trust the process. But I just have this lingering question I need to ask — maybe for peace of mind more than anything. If I’m doing everything I can — eating clean, prioritizing protein, tracking, moving my body, staying consistent — will I definitely reach my goal weight eventually? And also… is regain really that easy? I hear people talk about it a lot and it scares me. Is it actually hard to regain weight after bypass if you stay mindful, or is it something that creeps up even if you're doing your best? I know everyone's different, but I'd love to hear some honest thoughts from those who’ve lived through it.

My purpose of doing this surgery so late in life (I'm 46) is to be healthier. I have multiple co-morbidities including hypertension, left ventricular hypertrophy, sleep apnea, CKD 2, and hyperlipidemia. There is a family history of stroke and cancer, including colon a stomach cancer. I meet with my surgeon for the second time Tuesday. The staff said the surgeon wanted to meet with me because had questions, but that did't make sense because they've responded to my questions. The only new information was from my EGD pathology report. My EGD found asymptomatic HP negative gastritis. The GI Doc didn't know what may cause it but tossed PPIs at me and I will learned Tuesday if I need another EGD or what. If I have contra-indicators for Sleeve Gastrectomy I'm considering backing out of surgery because that means my only option, anywhere would be RYGB. I'm afraid of having a remnant stomach that could continue down the path of inflammation. Apparently I was on the path to stomach ulcers. Maybe I'm being unreasonable, I'm just afraid of my remnant stomach being a time bomb. I'm also concerned about dumping, not being able to take NSAIDs, and perhaps having to change my other medications. I've committed to having a procedure including buying vitamins, typing protein shakes, losing weight in advance, learning more and more about the procedures, my relationship with food, and continuing to exercise with my personal trainer, and attending support groups. But I have this fear of RYGB and maybe it's silly. I know people, good friends, with RYGB. I get the sense they like the results, but not the down sides. One even told me they are surprised hospitals still perform RYGB because of the issues they had. I don't really know what I'm walking into on Tuesday and I am nervous. I've been taking 80 mg or pantoprazole daily. I learned my insurance company will only pay for 90 pills, so my refill was tricky. I don't know how longer I will have to take it or what that all means, and i don't know what impact all this will have on the surgery (if any). I'm terrified of having come this far, made peace with the decision to have surgery, over come the shame, had to deal with the doubts and fears of other people including my own spouse to find myself with the possibility that it's all a no-go. I won't have surgery until the fall, and normally the second appointment with the surgeon is closer to the the surgery point. Even the program staff weren't sure why it was being scheduled. My RD follow up, last week as also much sooner than it should have been, and after the meeting the RD said it wasn't the actual required follow up. I'm left scratching my head, being coming anxious, and I feel some slight indigestion which is wild since I've been on the PPI since early last month. I doubt my experience is unique so I open to learning from others. I'm currently on Zepbound and losing weight, but it's expensive with insurance and the insurance could decide to not cover even with the insurance and a coupon it's about the amount of a car note every month. So that's not sustainable for the rest of my life. Ia also need to lose more than the 20% max it would get me to. So if surgery is a bust, I I don't know. The gastritis is a contra-indicator for Endoscopic Sleeve Gastroplasty and it's not covered by insurance anyway. Thinking about all of this makes me kinda nauseated.

Well then crunch the numbers with your surgeon (costs, outcomes, risks, etc) and choose the best. After all you want the best option for your money (present and future)

It’s interesting how things vary @DaisyChainOz my pre-op diet only has one stage. It’s three OptiFast products, any non-starchy vegetable, no sugar, no carb, 1 tsp oil, 100g protein.

so tonight I am just having tomato soup, with protein powder and beef stock powder, it's quite nice!😋 I haven't had store bought tomato soup since I was a kid and it was a Sunday night special with bread and or crackers l😂

Timely seeing this thread topic. Hair loss concerns here as well. Not simply from weight loss, but from getting older and fighting the DNA that threatens to thin my hair severely. I tried the head shaving thing a few years ago and it wasn’t for me. Got outa the shower looking like I had been in a cage match. Bleeding from some new cut all the time. Some dudes rock the bald look. I will do it if forced to, but in the meantime I am gonna throw money at it and hope for the best. Currently taking daily vitamins, iron, fish oil, potassium and started the collagen caplets this morning. Protein intake is good. Drink BCAA’s daily, too. I really noticed it when getting a haircut recently. The gal cutting it was cracking jokes about trying to work with my Donald. I was laughing, too….but geesh. Dis getting ta be serious bidness.

Omg. I have a short little clawfoot tub in my bathroom. It’s a tiny bathroom and was just a builder grade tub/shower and I wanted to update it and it was cute at the time. Well I am tall so I already am too tall for it really, but I could use it whenever we put it in. At my high weight I couldn’t even get the water all around my body, though. There were parts of my body that never even got wet if I got in and then ran the water after. Now I can fit again. I still forget I have that option most times but it is nice to have a choice.

I had a similar experience last year when I flew back after surgery. I was a bit worried about the long flight, but I opted for a First Class seat, which made a huge difference. It’s not about luxury, but the extra space and ability to adjust the seat really helped with comfort. I think staying in San Diego for a few extra days is a good idea—around 5 days sounds reasonable to me, as it gives you more time to heal before the flight. Affordable First Class Travel options are out there too, so you don’t necessarily have to break the bank for a more comfortable trip! The key is taking it easy and making sure you’re not overdoing it.

My journey towards a healthier weight began with a decision to take control of my health and well-being. At 102 kg, I knew I needed professional guidance and support to navigate the complexities of weight loss. Before the surgery, I had extensive consultations with the medical team. They took the time to understand my medical history, lifestyle, and weight loss goals before recommending the gastric sleeve surgery as the most suitable option for me. The day of the surgery arrived, and although I felt nervous, the surgery went smoothly. After the gastric sleeve surgery, the first days were tough as I adjusted to the changes. Gradually, I felt improvements in my energy and mobility. It was a journey of ups and downs, but I emerged stronger, prioritizing my health more than ever. As I embarked on my post-operative diet and lifestyle changes, I was supported by the dietitian service. They worked closely with me to develop a personalized nutrition plan tailored to my needs, ensuring that I received the essential nutrients while promoting healthy weight loss and long-term success. Over the next year, I witnessed incredible transformations in my body and overall health. With each passing month, the numbers on the scale decreased steadily, and I noticed improvements in my energy levels, mobility, and self-confidence. As I reached my goal weight of 67 kg, I couldn't help but feel an immense sense of pride and gratitude.

No fruits on veggies at all? Wow, that's really restrictive. If you also can't eat any seafood, then really about all that's left is dairy, meat or grains. About all I can come up with would be: Yogurt, especially Greek style (Make sure to avoid any flavors with chunks) Protein supplements /drinks (duh) Mashed cottage cheese (small curd) Ricotta cheese Mashed beans like lentils or alternately low fat or fat free refried beans. Add some grated cheese if your plan allows this. (Of course culinarily we classify these as vegetables, so maybe they don't want you eating this either???) Pureed meats like beef, chicken, or turkey (I personally couldn't stand this) Canned chicken breast, mashed up well. May also need to add something to make it moister? Cream of wheat Grits Baby oatmeal (since it's all ground up) Mashed potatoes (or do they consider this a vegetable too?)

Thank you! I'm know my husband’s favorite Podcaster lovvvves the paleovalley bone broth protein powder, but we haven't got any of the unflavored for me to taste. Anything with flavors (i.e. stevia, monkfruit, sugar alcohols, etc.) makes me ill. I'm just trying to get some things on hand to try after my surgery.

Wow so restrictive on the veg, did the doctor tell you why? I have never heard of that before, I was made have veg from day one on liquids by way of soup. If your bariatric team are not going to allow you veg (fruit I can understand being a no) then surely they should provide you with a bit of a menu guide, my team gave me recopies and food lists for each stage, and veg and even fruit were allowed throughout by way of a slow reintroduction. In the puree stage I had a homemade bolognese (though it had tomatoes and bit of carrot) and chili con carne (again has tomatoes but pureed right down so might be ok for you depending on why you are so restricted) and the kidney beans are a good protein, dhal. What about some hummus, can get different flavoured ones to kick up the flavour a bit? Omelets that you can then add seasoning/spices to?

So I’m 5 weeks post op and have only lost 13 lbs. I feel stuck and wondering if that’s normal to lose only that amount in a month? I feel defeated as I only have protein shakes for breakfast and lunch while I’m at work . but dinner is where i incorporate a soup or broth. I just don’t know if I’m doing this right? I’m supposed to be in the pureed stage and then go into soft foods next week.. I need advice on how to help my weight come off faster /better.. this has been a crazy mind game for me ..

I absolutely welcomed the pureed food phase, because by then I had been on liquids only for a month. I cook dinner every day for my family so I just took tiny portions of meat and veg (and teeeeeny tiny - like a teaspoon - portion of the carb) and blitzed that with extra liquid/gravy/whatever to make my little meals at the start. I so loved the taste of that food after so many weeks on non food. I didn't focus on protein then, only on getting in my fluids. My team hadn't stipulated any specific protein goal. I am very lucky in that I haven't experienced any digestive issues at all following my sleeve. I know that many people do develop intolerances, both temporary and permanent. Hope you enjoy your transition to proper food OP.

While usually used for males, it is also used for females with the issue. I’m not sure if it has ever been used for post surgical telegenic effluvium. Typically it lasts 3-6 months. Sleep helps, protein in the diet helps, stress reduction helps, keeping up with iron,zinc and biotin/b vitamins helps, omega 3 fatty acids in fish or flax oils, sulfate free shampoos, gentle brushing/washing, avoidance of sulfate free shampoos. Tricoaphere F kit, hair top peptide serum or bontress pro serum, reducing hair length. :/. Pardon I’ve been reading about this because I love my hair. It’s the only pretty thing I’ve had for so long now. I’m worried I’m going to trade it.

I do like milk! I just feel like it isn't helping me with the 70g protein/day thing, especially if I struggle to meet fluid intake.

I tried lots of pureed foods but as I had already had issues with food smells, the look of pureed food was not for me. I managed home made thick blended soups with lentils and cheese for the protein. It was an unpleasant time for me. On here I heard about protein yogurt and puddings. Life savers. Just do the best you can because it isn't the best time of year when there is so much food around.

I pureed many different family dinners - just whatever was being made for everyone else! I loved them because they smelled and tasted of actual food after 4 weeks on nothing but protein shakes. They're not for everyone though - mine were smooth baby food texture and lots of people just don't like that. I still used shakes to meet my protein goals for those 2 weeks, or at least get close.