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This was at my bariatric surgeon's office, so I'm not sure if I can see anyone else for my yearly blood work and follow ups. At this point, I'm not sure I even want to bother anymore. As far as the carbs go, I can't tolerate more than 10-12 carbs per sitting and no mare than 40-45 total per day before I get sick. And by sick, I mean SICK. Light headed, stomach pain, nausea, vomiting, shaking, serious fatigue, headache, It's like I went from being a carbaholic to my body almost not being able to process them at all. And there doesn't seem to be much difference in the type of carbs, either. Although bad carbs send me over the edge almost immediately, long before I get anywhere near my limit. But as far as actually going over the limit before getting sick, my body doesn't care if it's good or bad carbs. It just doesn't like them. Period.

After having my surgery cancelled last month due to the abrupt closure of my hospital's bariatric practice, I have a new date at another hospital in the area and can hardly wait for the time to fly by. I'm scheduled for gastric bypass on February 21. Any other February peeps out there?

I took a nutrition online class at my community college 2 years after gastric bypass and I wished I had learned more sooner. Food blogs, peer support is great, but college courses hit differently. Knowledge from that class sparked a health and mental health change in me. It’s not about protein or what supplements are trendy, it’s about what your specific body is lacking and needing. I get routine labs done 2-3 times yearly, which is more than recommended. I quit seeing my bariatric surgeon and my medical doctor prescribes only what vitamins show up that are low or needing more. That changed the bariatric fatigue I’d get and I’ve never felt stronger/healthier. Getting another doctor on my care, continuing health education and following my blood work are all things I wished I done sooner.

Hi Everyone I am in desperate need of tips on how to take my vitamins. I have tried 4 different brands that my surgery office prescribes (i live in Europe so may not have the same brands as other areas). They are all bariatric patient specific vitamins. I have also tried different formats of the vitamins: powder/ gel capsule/ hard pill … neutral or flavoured. And i just can’t take them. Every time i swallow a pill it feels stuck inside my throat and makes me cough and splutter and i feel it stuck for ages. When i break open the capsules and pour the powder over something i gag so badly because of the taste that it makes me feel sick for hours. The powder that you mix in a a drink is so disgusting that i heave when i try to force it down I do take them with food during a meal but it puts me completely off my food once i struggle to get them down. I don’t know what to do anymore - does anyone have any ideas or tips on what i can do or on any vitamin brands available in Europe that have the correct composition for vsg patients ? I need a high iron supplement due to genetic form of anemia. 🙏🙏🙏

@ShoppGirl I hear you. Yes I saw the articles from HSS and a few others that quoted that amount, but I've found that sometimes things like this often become an echochamber, even among doctors and other healthcare professionals that should know better. All it takes for this to become the "standard", is for a 50 year old medical textbook or two to print this (based on old data or beliefs), and an entire generation of doctors come to accept it. Look no further than BMI as an example of a well meaning, but ultimately wrong calculation becoming the standard by which we judge obesity and you can see how this sort of thing may not be based on science, but on "generally accepted knowledge". Back to the subject at hand. We do know that RMR can and does increase during recovery, but the amount is not always the same and is highly dependent on both the injury/illness, as well as the individual themselves. As a general rule of thumb when talking about athletes like @AmberFL, the number of calories needed during recovery is typically a little higher than maintenance, but quite a bit lower than what they might have needed when working out. That said, we also need to recognize that Non-Exercise Energy Thermogenesis (NEAT) can vary by many hundreds of calories between individuals. This is important, because even though RMR may increase, it's logical to assume people will have a concomitant reduction in NEAT when ill or injured. The net effect of that may mean the calorie balance may not really change that much if at all. Here's an example: Let's use a 3 factor calorie model, meaning RMR, NEAT & Exercise. (I'm going to ignore TEF for now since it won't make a lot of difference here). Let's assume an RMR is 1500, since this is around the average for all humans. Let's also assume a NEAT of 600 for a total calorie burn before exercise of ~2100. I've selected this since it also is fairly close to the median. Obviously these are just averages and every individual will be different. At an RMR of 1500, if we use as an example a 25% increase due to illness/injury, that would mean the new RMR would be as much as 375 calories more. We would expect NEAT to drop in most people when ill or injured because they tend to sit/lie down a lot more, walk less, etc. Especially in people that have a high NEAT amount to begin with, a drop of 375 calories per day or more is easily within normal ranges when they don't feel good. The net result in our "average" person here is that while their RMR went up, their NEAT went down by the same amount, thus completely negating any need for additional calories. At the end of the day, like you pointed out, we all have to decide for ourselves what we believe and what we think is right. I'm certainly not opposed to anyone consulting with their doctor regarding nutritional needs, as long as you recognise that most doctors get, at best, a single course in nutrition in medical school. Many get even less. I'd tend to suggest a Registered Dietitian instead, especially when dealing with chronic or acute injury or illness. Full disclosure, my background in this area is in nutritional needs for athletes, not people that are unwell. The flip side of this is that I find there are very few RDs that have the requisite knowledge to properly coach athletes, since so much of their training goes into how to help with weight loss, or assist with the nutritional needs of diabetics, cancer patients and the like. We also know that there are some really lousy RDs out there as well, so caveat emptor. (Otherwise, why would we see some of them trying to get very active bariatric patients to stay on an 800kcal/d diet.). Any RD that does that is, i'm sorry to say, an idiot. I'll close by saying that I don't doubt you in the least that you needed to up your calories by a significant amount due to cancer and chemo. I'm sure you recognise that's really in a different league to what most people are going through when recovering from an injury/illness or even surgical procedure. In your case, you have both the fact that cancer cells are effectively using calories that should go toward healthy tissue, as well as the fact that chemo is incredibly destructive to the rest of your body. Best of luck.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

If you have a phone or some sort of Alexa device try setting a recurring reminder to remind you daily. Or maybe regular alarm clocks have that option now. Don’t overdo it but just get into the habit of doing something. Start with what your physical therapist recommended. They are very knowledgeable and know where you are currently fitness wise. Also, if the physical therapist is too far. See if the bariatric physical therapy specialist could set up your program and do your evaluations but you can go to someone local just to do the exercises. They usually have someone evaluate and change your exercises ever so often and the other people there just help you do those exercises in between. So in other words, The specialist will decide what exercises you need to do and send those records to someone closer for you to do them more often. Not certain if that’s something that they like to do but it couldn’t hurt to ask. You Can break your exercise up too. My watch actually tells me to stand up every hour and I will walk around the house a bit. Before I got it I would do a little extra walking when I went to the restroom or got up to get a drink. It’s just something you do a few times a day so a little extra adds up. You could do your bands then. Or when you eat your meals you could do them. Just divide up how much they want you to do for the day so your not doing too much. It doesn’t matter when or how you do it or where you are starting from any little bit is progress. I wouldn’t necessarily recommend walking too far by yourself if it’s been a while since you have done it though. When I started I would go alone but I did wait until my husband was home from work and I took a phone with me so if I needed to, I could call him to come get me. Even still I just go around the same block over and over so I’m not far from home if my knees start hurting me. Sounds like your team is taking good care of you. I think you will do just fine.

@draikaina8503 I had a drain with the SADI. Then again it could’ve been because it then gallbladder removal. I just came from my doctors office. I woke up with a cramp in my right calf and didn’t think much of it but it was still bugging me at like 2pm and the more I thought about it it’s kinda weird when I didn’t do anything yesterday. Plus it is only on one side. Good news is She doesn’t think it’s a blood clot. She ordered an ultrasound to be safe I’m just waiting for them to call me. She thinks it low magnesium. The typical bariatric vitamins don’t contain it but with SADI we need it I have the SADI specific vitamins but haven’t started them yet because they are higher iron and I can’t stomach them without being able to eat more food at once. So she called me in an rx for separate magnesium to take until I can take the other rx.

Do you like seafood? I mean have you tried it post surgery. I didn’t like it presurgery. Would occasionally have a little Mahi just because I knew it was good for me but never really liked it. Post surgery I usually eat seafood at least twice a week, I also have things with ground turkey such as a Mexican skillet, meatballs or turkey taco filling (I just do the meat and toppings without the taco shell or the lettuce). The lettuce would be fine of course but it just takes up valuable room. I also do things with lean beef such as chili. I will also do a “pasta” dish once a week which is either the ricotta bake which I make with a protein and veggies added, zucchini noodles with fresh basil pesto, or a low carb Italian bake that I found the recipe for online although I make mine with turkey sausage to cut the fat a bit. There are quite a few bariatric recipe sites that have some great recipes. I did like 3 weeks of all different recipes. You can also do like a white chicken chili or southwest chicken with peppers and onions. Just so your don’t have to eat just plain chicken nuggets. If you don’t love to cook the southwest chicken and the chicken chili are recipes from seasoning packets so they are fairly simple if you have a Walmart the southwest ranch is a street taco seasoning from McCormick and the white chicken chili seasoning is by McCormick as well. Those two and the McCormick tex Mex chili are three of my favorite meals that are relatively simple and the chili Freezes well so I have been doing a double batch and then use my souper cubes to freeze single servings. The chili does have healthy carbs though so of course be mindful of that. I am allowed some carbs because I’m pretty active but I still budget for them by doing pretty low carb for breakfast and lunch on days I know the plan is chili is for diner.

100% this! I bought a lot of bariatric versions of things that I think helped me mentally before surgery, because feeling like I was preparing made me less anxious, but that I truly did not need. This includes portion plates and special containers, not to mention way too much protein powder and things like jello packets I've barely touched 5 months out.

I am going to recommend something I personally subscribe to, which is the online support groups through the Pound of Cure Weight Loss's nutrition program. It's $49 per month and you get unlimited online groups and classes, including groups run by Dr. Weiner, the bariatric surgeon, and Zoe, the registered dietician. They are both so nice and really helpful in answering questions and offering thoughtful advice. While he's not in your area (the practice is in Arizona), I know he's one of the few doctors out there who is happy to take patients who had surgeries elsewhere. If you're not already familiar with Dr. Weiner's book Pound of Cure, I can't suggest it enough. I bought it from Amazon last summer and it helped me start turning around my nutrition while I was waiting for surgery. Their podcast and video series on YouTube are also invaluable.

Oh Dear- I hate it when the assigned health care provider is not up to the task -or even just a poor fit- my favorite example from my own life is when I was discharged a week after the birth from my daughter a d the doctor discharging said the following - you need to get this vaccination.. what is it- I do not know but it is standard at discharge ( it was for whooping cough and I had had my booster les than a year prior-) And then he said - oh and since you had a regular (ie vaginal birth) with no stitches you do not require any follow up- no dude I had an emergency c-section under total sedation after failed progression and now have a smiley face of staples i told him to leave and find me a doctor who could read a chart but since it seems you are nicer than I am, I would ask your surgeon- who you get along with quite well- to refer you to a registered dietitian (not just a ‘nutritionist’- as there is a difference where I am from)- preferably one with extensive bariatric experience you have a lot of knowledge but we all have blind spots - a good dietitian can be your nutrition partner in this journey. Good luck!

@Hiddenroses i am taking the chewable calcium from barimellts for now but will be switching back to my bariatric advantage chews because they taste like candy and I’m addicted. , I am doing the bariatric advantage chewable multi with ADEK and low iron for now and I have the SADI specific all in one vitamin from pro care health for later which has the ADEK, a higher iron content, and some other things that we need but I need to be able to consume a little more first. I used to take their regular multi post sleeve with 45mg of iron after a full protein shake but this one has 60mg iron, plus when i’m sipping slowly as I’m supposed to to let my intestines heal it takes almost an hour to get the whole shake down which I feel like at that point half of it is out of my stomach and I don’t want to vomit. (The iron is what makes you vomit without food). At my one month appt I will ask to see if it’s safe for me to drink A little quicker. I Know after my sleeve as my stomach healed I naturally started drinking a little faster by then so I’m guessing I can. i love that you’re creating new recipes and figuring out what works. Just FYI, I was told no strawberries Yet. I guess the seeds can get stuck in the incisions. Actually I was told nothing with skins or seeds. Although it sounds delicious and could be a go to if you don’t feel like cooking or are in a hurry later down the road. Oh yea everyone, for future reference this has some pretty good ideas for adding into cottage cheese. https://www.popsugar.com/food/cottage-cheese-stir-ins-27035442 You know I actually have never even tried cottage cheese which is why I was searching for ideas. I am picking some up tomorrow after my dr appt but I need to come up with ideas that I can add during purée to mix in with it if anyone has any ideas.

True for most, but as I said I have two friends who didn't have bariatric surgery and have been able to maintain their GLP-1 weight loss. One for a year and a half and the other for 10 months both quit taking it. They said it can be tough but they maintain by eating right and getting their steps! So happy ending for them! There will always exceptions to the rules.

Gurgling stomach is completely normal before and after bariatric surgery! It doesn't mean hunger it means its digesting! I too never feel "full" and have never had the honeymoon phase of not being hungry. Just be aware you're this way and be vigilant in your eating and portions. We're all different, just stick to the plan you were given and have faith it will work!

What you described; occasionally light headed when standing up...racing heart, all with different foods and quantities was what I was and still am going through - exactly as you described. As I posted before my cardiologist said its dumping, the Bariatric surgeon said dumping combined with low blood pressure and/or dehydrated for the dizzy aspect symptoms. I do notice and am more aware of the coalition of less water consumption = dizzy upon standing or just in general now. He did say to try to slow down eating as it might help. The issue I have is I don't have 30 mins to casually sit and eat my food all the time - to eat "aware" or "mind fully." Sometimes I'm lucky to just get my protein down! I will say that once I had both doctors associate it to dumping I paid more attention to it and when it is happening, after I eat I can associate it directly to eating now. So I'm going to say they were right - its dumping. Good luck with the cardiologist.

So I'm in the liquid phase, post op surgery and am a little over a week in and I miss food. I understand attachments to food is what got me here, but is it really wrong to miss food? I spoke with my therapist this morning and she said to be careful not to glamorize food. I'm not sure how to think about this. I told her I still want to enjoy food, or get enjoyment out of food later on. Am I wrong to feel this way? I understand it's more about fueling our bodies and of course I want the right foods to keep improving my health. But are we expected to never enjoy food again after bariatric surgery????? thoughts?? thanks

Hello! My name is Zach, and I am a 2nd year medical student conducting a research project, "Evaluating GERD symptom alleviation following robotic Roux-en-Y gastric bypass surgery", which essentially seeks to evaluate the efficacy of robotic gastric bypass surgery in relieving GERD symptoms. I was interested in minimally invasive surgery long before starting medical school, and decided to spend my past summer working alongside a bariatric surgeon in my hometown. While working with him, I noticed how many of his patients stated that their GERD had resolved after undergoing robotic gastric bypass. My time there was limited, so I was not able to really share this survey with his patient population. Below is a link to a survey that follows the guidelines outlined in the official GERD health-related quality of life questionnaire. I would greatly appreciate your help with this! My goal for this survey is that your responses will allow me to publish a paper from an educational perspective, illustrating how efficacious robotic gastric bypass is at alleviating not only weight loss, but symptoms of GERD as well. While I hope that all of you have had nothing but success following your surgeries, I understand that this is not always the case. I would love to hear all of your various experiences and perspectives, whether they are positive or negative. This survey below is entirely anonymous. You should not be asked to sign-in to Microsoft in order to complete the survey, and I will not have access to your name or any other patient identifiers aside from your age. When you first open the link, you will see information regarding informed consent. After agreeing to participate, you will then see seven screening questions. After that, you will begin the actual survey, in which you will answer questions regarding various symptoms before and after your surgery. This survey should take about five minutes of your time. Survey link: https://forms.office.com/Pages/ResponsePage.aspx?id=5CBDHRt_fk2_8ubn-Q2YhAxSQabe5PdIrhihxZU9cCZUQ1hSQjE3WkozVEFHTUQ5N0RTNERSMUNPMy4u If this type of post is not allowed, I understand and apologize! I hope to have the opportunity to share your experiences with this survey and shed some light on the relationship between gastric bypass and GERD. Thank you all in advance!

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

Hello August Buddies! It’s the final countdown for me. My surgery date is August 2nd. Nervous and excited. I be the very first of us to have surgery done. I’m having a gastric sleeve. I was very good with the post Bariatric diet. Didn’t really phase me too much but right now during the liquid phase. I am feeling hungry in the afternoon. However, I’m keeping my eye on the prize and of course, the most important thing is to have a successful surgery and shrink this liver. That’s keeping me motivated. Thank you all for posting it. It’s really nice to see a community that’s all going through similar experiences.

You poor thing doing this without much guidance from your team. First of all, DO NOT let anyone give you advise who is not a medical professional or someone who had your surgery. Who knows what they are comparing it to. For one thing most people thing all the surgeries are a Bypass and they are all the same, and second who knows how far out this person was. On top of that, liquids pretty much go right through once the swelling goes down. One month post sleeve i Was practical bacK to drinking my normal one gallon of fluids which is twice what they recommend as a goal!! This time it’s really not a good comparison since they didn’t operate on my stomach but I am up to 3/4 cup of food per meal. My book says 1/2-3/4 cup. All I know is that I feel fantastic. I am losing at a steady pace and exercising too which I never did before. I know it’s hard not to compare but honestly we should take everyone’s advice with a grain of salt because your doctor is the only one who knows all about you and your circumstances as well as your surgery. Make sure that your nutritionist has worked with bariatric patients before or you will most likely be wasting your time though. Did you call and ask your team if they can get you in sooner?? Corrected to add actually I just realized you did not have a sleeve or bypass either. Honestly you need to get advise from someone who had your surgery. We can cheer you on and relate to many parts of all of this but I know I for one am not very familiar with your surgery at all.

Hi everyone, new to Bariatric pal but excited to be here. I’m a few days out from my surgery on the 22nd and I’m starting to feel nervous. Hospitals have never bothered me in the past but for some unknown reason I’m fretting over having to stay this time. Hoping this anxious feeling passes quickly so I can enjoy the journey.

I was supposed to have my surgery Dec 28 last year. I had the option of taking a last-minute cancelation the Monday of Thanksgiving week, but when I told my mom (whose help I needed with my kids), she was totally against it. Said I would ruin everyone's holidays if I had a terrible recovery and kinda made it all about everyone else. So I gave up the date, even though it pained me to do it, because I didn't want to be selfish. A couple weeks later, my hospital discontinued their surgical program and canceled my date. I was devastated. I had to rebook with a different program, which was still affiliated with the parent organization of my hospital, but unfamiliar to me. I didn't end up getting my surgery until February. It was very stressful and I was pretty angry with myself for not choosing what I wanted instead of what other people wanted me to do. Having said that, it did all work out for the best in some ways. Apparently, the November surgery date would have been right after the doctors at my old program were told the center was closing, so maybe that would have meant the surgeon wasn't as focused going into my surgery, which could have been dangerous for me. And I would have had to do all my follow up with a different program, which would've been awkward. And I appreciate that I knocked out my deductible in February so have had full coverage of all my tests and appointments all year. I actually have a biopsy I have to get done next month (not related to bariatric surgery) and that won't have any out of pocket costs, so yay for that. On the other hand, my recovery was pretty much text book, so all my mom's worries over me ruining the holidays with a terrible recovery were baseless. I was pretty self sufficient and back to about 80% functioning by the end of the first week. And 8 months post-surgery, the holidays are rolling around again and guess what? I still can't eat more than a tiny plate of turkey breast, a few green beans, and a bite of pumpkin pie. I still won't be baking a million cookies or drinking a pint of egg nog. So, whether it happens this year or next, your family will have to figure out how to navigate around your new normal. If it were me, I would decide based on what makes financial sense (your deductible, etc.), what works for you with time off work, and would probably avoid the two weeks right before Christmas just because you will need some time to recover in peace without holidays adding to your stress. In retrospect, waiting until February wasn't such a big deal, though, so if you do have to wait, it will be okay. Just make sure you do it for yourself and not for everyone else.

I was given cream of chicken soup with bits in it at the hospital day 1 after surgery. I was still hopped up on anesthesia at the time and called a nurse in to question why. She took my spoon and looked at it, then said the bits weren't big enough to cause a problem???? I thought well...it is a bariatric hospital so I ate it. It did taste wonderful and thankfully nothing got stuck in my incisions but I still question it. In fact a relative of mine recently had WLS and on a phone consult within week 1 with same hospital nurses, was told to try a bit of bread for nausea??? I immediately remembered the soup they gave me and am now really questioning the nurses at that hospital and their knowledge of care for bariatric patients. I tried calling them to inquire about their iffy advice but never heard back. I need to call my bariatric team nutritionist to give them a heads up. As for OP question about salty cravings. Soup. Bouillons, strained cream soups and my fav... egg drop soup strained from a local Chinese restaurant. I even used a Vitamix to pulverize any bits that could cause problems later on. Good luck on your journey @Sami2209.

I am a huge fan of these new meds because: they work and it’s moving the research of obesity forward instead of continuing to moralizing it. For our population, it’s not clear whether or not this a life long commitment because there are no current trials for this. https://onlinelibrary.wiley.com/doi/full/10.1155/2022/6820377 (section 2.9. Potential Roles of GLP-1 RA on Prevention of Perioperative and Postoperative Complications of Bariatric Surgical Individual) https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30157-3/abstract GRAVITAS Trial from 2016-2018