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I have a ton of random stuff. Umm I have a home made flax “oatmeal” I mix with protein powder. I keep it in a canister near my coffee maker for “fast meals.” A scoop, add hot water from kurig, go. I make almond porridge when I need filling comfort food: 3 tbs almond meal, 1 tbs flax meal, 2/3 cup water. Boil till thickness I like, then take off heat, wisk in one egg and 1 tbs butter (beat like mad so the eggg e corporates without cooking and leaving pockets of cooked egg). I make a ton of crustless quiches and freeze slices. Quiche seems had, but it is super easy to make and often cheep. Its mainly eggs, milk, cheese, and stuff a veg and or meat in it. I use them to “dispose of leftovers.” I can make 4 in an hour and have breakfast for a month packed in my fridge.

Fantastic.. maybe pack some protein snacks next time? I've been missing meals too these days but I'm also not working out .. my period was so painful this time n I had meetings during my gym times but at least my cals are good. Last night I got home late n had pcs of Filet Mignon lol same story different protein. Hopefully we can go back to routine soon

So I have what I think is Dumping Syndrome or Reactive Hypoglycemia and it is seems like it is caused by 2 things. Taking a shower and exercise. For some reason after I take a shower at night my sugar crashes so bad I have to take glucose tablets to bring it back up. I don't take hot showers (I hate being hot), just warm and it doesn't happen all the time but often enough that I found a pattern and it doesn't happen when I take a shower in the morning only at night. It also happens after I exercise. I eat dinner at 5:00 p.m. I wait at least an hour, hour and 1/2 and I am not a gym rate that I am doing it for hours - 30 minute treadmill, 10 minute rowing machine (I had a total knee replacement so I do this for my knee at a slow pace to get the bend in) and 3 sets of arm exercises with free weights. Literally there are times I have to stop while I am exercising because I can feel my sugar going down. There have been times it has crashed as low as the 50s. I have talked to the doctor about this and the physician's assistant said have protein before you exercise. Well I am having dinner before I do, which is always a protein vegetable and a small amount of carbs. Has anyone else had this issue? I want to exercise but I am afraid every time I do that this will happen and it happens more often than not. I have taken to as soon as I am done exercising to just automatically taking 2 glucose tablets which is adding extra sugar in but in order to have it not crash on me. Thanks in advance for any responses!

Getting back to the OP's question about what do do: If they really feel they are accurately logging and are also having a hard time eating less, then the option would be to take steps to increase metabolism. Yes, GLP-1 drugs can do this, but there are other options. First, would be adding muscle mass from strength training. Estimates are that each pound of muscle increases calories burned per day by roughly 6 calories, Each pound of fat contributes ~2 calories burned per day. This latter fact surprises some people, but fat is metabolically active tissue. It's just that muscle is more metabolically active. If someone were to gain ten pounds of muscle and lose ten pounds of fat, that would lead to an increase in BMR of roughly 40 calories. That doesn't sound like much, but it adds up over time. If you also add in EPOC (Excess Post-exercise Oxygen Consumption), from the strength training needed to add muscle mass, then I'd estimate this would over time lead to ~400-450 extra calories burned in a week. That would lead to a loss of ~6 pounds in a year even while eating the exact same amount of food. If this is not a sufficient amount, then one can always reduce calories a bit as well. Alternately (I know this will sound counter-intuitive), but the OP might well want to consider UPPING their calories a bit for a while. Our bodies were designed to upregulate our metabolisms slightly when calories are available and downregulate it when calories are scarce. This means our bodies can maintain weight at a wide range of calorie intake. If we're constantly in a calorie restrictive diet, our bodies do downregulate metabolism to keep us from what it perceives as starving to death. What I'd recommend instead is going up 200-300 calories per day for about a month. After this "diet reset", drop down again to 1200-1400 for no longer than 2 months before cycling back up again. You can keep this cycle going on indefinitely. One of 2 things will happen here. Most likely the OP won't gain anything during the increased calorie intake diet reset because their metabolism will increase to compensate. However, when they start back at the ~1300 calorie range, their metabolism may not drop immediately, meaning they'll lose a little bit in the following 2 months. If they do find that they gained during the diet reset, but fail to lose when back in the diet phase, then worst case it shouldn't be more than about 2 pounds (less than 1% of body weight). This isn't likely, but even if this does happen, it will at least tell us that 1300 won't work for weight loss for them and they'll need to go lower. I'd also be remiss if I didn't come back to exercise here. I mentioned that low levels of exercise (30 minutes of cardio), really are not going to do anything toward weight loss. It's obviously going to be different for everybody, but current research seems to suggest that the tipping point is about 400 calories per day. What I mean by that is if you can burn OVER 400 calories in exercise in a day, the body can't suppress your metabolism enough in other ways to keep you from going net-negative for the day. Said differently, you'd need to do something that burns more than 400 calories before it "counts" for weight loss and the only part that counts is the part above 400 calories. Unfortunately, 400 calories is A LOT for most people. The good news is the heavier you are the more you burn, but even at 215 pounds, you'd probably have to run over 3 miles to hit 400 calories. Keep in mind, this would just be to break even, so if you're actually trying to burn more calories this way, it will take even more. I'll use myself as an example here. I'm not trying to lose weight right now, but I have found that if I run over roughly 28 miles in a week, I tend to lose weight. If I run less miles, I maintain. Do the math, and for me that's right at about the 400 calories a day mark. In my use case of one, I'm pretty close to the statistical average as shown in the research. Best of luck whatever you decide.

Thank you so much! I actually use Parrot Pal app to track my calories and it gives me an average each week of my calories and protein! That’s the number it generates for me from all my tracking, which I do pretty religiously. I’ll try adding a little more cals it’s just hard because I can’t fit in a lot each day. Thank you again.

I’ve been having the same problem. I started putting 1 tsp of psyllium husk in my protein shake. It thickens it up a bit but after about three days I had relief. I stopped for a couple days and got plugged up again. Just a thought😊

A very high protein diet can do that. I'm a bit surprised your doctor's office didn't cover this with you. It's primarily due to a significant reduction of fiber in your diet. i strongly recommend starting some fiber supplementation and in addition, consider the following: You may need to take a regular dose of a stool softener such as magnesium hydroxide or polyethylene glycol If needed, consider a stimulant such as senna or bisacodyl Acutely, If you're still having severe issues getting things moving, a saline enema may be needed. Otherwise, regular does of the above should be sufficient It can take a while to get all the above dialed in. Keep in mind, you're likely to need some or all of the above until well after surgery since your fiber intake will be really low until you're eating regular foods again.

Thank you for your questions. My dieticians said anymore protein and bodies can't process it so it ends up being a waste unless I'm a hard core body builder / marathon runner athlete. They balked about going up even 100 calories...plus protein doesn't register as feeling full for me, it never has long term. I can drink a 26gram protein drink and nothing. Whereas carbs fill me up, so its a constant battle..or it was... It was agreed that I should start Glp-1's. I've been using this tool for the last few months and all I can say for me they're amazing. The constant mind food harassment has stopped! I no longer feel hungry all the time unless its nearing meal time. Plus my scale is finally showing downward progress - 20lbs+! Again, thank you for asking and your kind words.

Good morning all! I am struggling. Surgery was 10/01 and I have been dealing with morning nausea. It sucks. I can’t really eat or drink anything till 10am ish and the through of protein shakes and yogurt 🤢. Please tell me I am not the only one experiencing this. It’s causing me to NOT hit my goals for water or protein. UGH

Dr Matthew Weiner has done a few podcast and has been speaking about regain with sleeve on his social media a lot lately. May be worth checking them out if only for some information to consider. He does prescribe GLP -1s for many of his sleevers and says this is a path many will have to go down as regain is common with sleeve. Have you been in contact with your surgeon (if they are still practicing nearby) to discuss options? Have you considered revisiting your dietician too. May be worth tracking what your eating and drinking too just to ensure your not missing something. It’s easy to become complacent about food choices, portion sizes, frequency or meals, etc. or not meeting protein & fluid goals as time passes. Have you had any medication changes? What are your activity levels like?

Hi guys I didn't realise how obsessed with food I was until now! Head hunger is the worst for me and I am very always having to push it away! I eat 3 small half cup meals a day, I get in at least 70g of protein and at least 2 litres of fluid. A lot of it is due to my old bad habits like sitting in front of the TV, looking in shops for nice food, going out for the day. It was all focussed on what I would eat! Does it get any better? What was it like for you? Are you still going through this? Thank you!

Hi all! New to the forum and this site. So, I just had roux en y gastric bypass on Monday, and I'm feeling a bit lost, scared, and anxious. I'm so worried I'll never be able to enjoy some of my favorite foods again. I guess I didn't realize that gastric bypass was so restrictive. My Dr recommend it because I have trouble with heartburn and said this would be a good option. I guess I'm just looking for encouragement - if I know I can have some of my favorite foods at some point down the road, I'd feel a lot better, but everything I look up seems like I can never eat again. Do any of you have experience eating any of the following foods sparingly, or are they gone from my life forever? Tacos, mac and cheese, ice cream, chips and queso or guac, falafel, pad thai? Please know I am aware these are not healthful food choices and my love for these foods got me to where I am today, but can I ever eat them again in any capacity? Thanks for your kindness to this emotionally struggling newbie. I'm scared I made the wrong choice and just reaching out to the void for people who have experienced these panicky feelings. Thanks!

GLP-1 receptor agonists are now being studied for alcohol use disorder so that maybe an option for our population. https://www.npr.org/sections/health-shots/2023/08/28/1194526119/ozempic-wegovy-drinking-alcohol-cravings-semaglutide https://www.niaaa.nih.gov/news-events/research-update/semaglutide-shows-promise-potential-alcohol-use-disorder-medication https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371247/

I'm wiped out! This morning I went with my husband to get him settled in for his neck lift. I drank about 10 ozs of water while waiting. After he got to recovery i came to the apartment and drank some tomato soup and protein shake. They are concerned that I haven't pooped but I'm thinking there's nothing in there. The nutritionist told me to drink papaya puree with water. The doctor told me to do laxatives if that doesn't work. Our coordinator came and we went to the central market to get souvenirs and papaya juice. I've been sipping it and it has no sugar so it's very much just fiber and water. 😆 Will report back on the results. 🤣 🤣 🤣

Your team should have an after hours number for urgent issues. If you call it may be an option for the on call surgeon if they didn’t give you a direct number. If you can’t even drink water and it’s keeping you from work that sounds urgent to me. How long since you have kept down any liquids? Were you able to keep down liquids at first and now you can’t? I assume they wouldn’t have released you from hospital if you weren’t drinking fluids. How far out from surgery are you. I don’t see any information on your profile.

Well done OP for nipping this in the bud. I regained 7kg last year (3rd year after my surgery) and I had to diet for months to lose that again. I am now back to tracking everything. I too got complacent. Alcohol crept in. I wasn't exercising NEARLY as much as I had. No more. It took too much effort to lose, I do not want to have to do that (all) ever again. Far too comfortable at my new weight. So far this year I have maintained by sticking to the surgery rules - protein first, veg second, carbs third by a long way. Everything crossed I can stick to this!

It's going okay so far. I'm down 22 lbs. since my initial consult in late November, 5 lbs since I started pre-op diet on Jan 1st. They put me on a no-carb, protein-fruit-veggies-only diet to start with. I start my full liquid diet on the 13th, which I will be on for two weeks before I switch to clear liquids only. It'll be a challenge, but I think I'll do all right. Good luck with everything!

I did 1 protein shake but stretched it over the course of the day. then 1 6 ounce piece of lean meat at night. Celery as a snack and zero sugar gatorade that you can mix in water. good luck, you are only at the beginning and its the roughest part.

My pre-op diet was 12 WEEKS of milk, skimmed milk powder or protein powder and soup.

Basically eggs lots of different ways, and soups and stews. I loved adding lentils to lots of dishes at the soft food stage. And yes - loads of minced pork, beef, turkey, again in as many different ways as my family would tolerate. That list above from @AmberFL looks amazing. It ended up lowish carb eating focusing on protein too. And as much home cooking as possible so you really know what you're getting!

What struck me here is not really the macros and much as how different the calories are. The thing is, no calculator is going to tell you what the calorie count should be. My suggestion would be to simply track your existing calories for 1-2 weeks to see where you're at now. I assume your looking to maintain based on the fact you are showing to be at goal. If that's not accurate, then we might need to make some adjustments to what I'm about to propose. At this point, you can completely ignore anything a calculator spits out in terms of calories since by tracking your calories at your current weight, you know exactly where YOU need to be to maintain. Let's say for the sake of making the math easy, you determine that 2000 calories is working for you at maintenance. Skip the calculators and do this: Protein should be somewhere between 1 and 2 grams per kg. If you are inactive, 1 gram is probably minimally sufficient, but if you are very active or shooting for body recomposition, then you need to be closer to 2 grams per kg. 1.5 to 1.6 g/kg might be a good target if you are working out, but not super active, or are not really trying to add any muscle. The next thing to determine is grams of fat. If you are just maintaining, anywhere between 1 and around 1.5 g per kg is probably fine. If you are actively trying to lose or recomp, it would be better to be closer to 0.7 g per kg. Carbs is next and really will just be the rest of your calories, vs. a specific number of grams. Here's how that looks in practice: Again, just to beep the math simple, I'm going to stick with 2000 calories at your current weight of 170lbs, which translates to about 77kg. If your goal is body recomp, then 2g/kg should be your target protein, which equates to 154g per day. 154g at 4 calories per g equals 616 grams from protein per day. Fats when doing a "recomp" would be 77 x 0.7 = 54 grams of fat. 54 grams of fat at 9 calories per gram would be 486 calories from fat If we subtract 616 and 486 from 2000, we'd get 898 calories from carbs. This would be roughly 225 grams of carbs per day. A few notes: This is all based on research, but I also am not "carbophobic". My personal experience is that sufficient carbs are needed to fuel workouts. Some people have success with fewer carbs and more fat. I have no problem with that approach if it work for you. If so, feel free to adjust fat up and carbs down. Either way, the protein is the key, since you'll need that to build muscle. If recomp is not your goal, feel free to run the numbers with lower protein and correspondingly higher fat and carb numbers. Don't go lower than 0.7 g of fat per kg. You need a minimum level of essential fatty acids to stay healthy. In terms of how to change this if you are working out more than you are today, it really comes down to both the types of workouts (endurance sports virtually demand more carbs), but also how vigorous your workouts are. If you are trying to lose weight, I would recommend eating back at least half your calories from your workouts. Any less and you're likely to feel too rundown to put the proper effort into the workouts. If you just skate through workouts, then you lose a lot of the benefit of them. If you are trying to maintain or recomp, then you really should eat back all the calories from your workouts.

Lots of people have posted about food, so I’ll tell you my behavior changes I make. I measure my protein on a scale. My personal dietitian told me 4oz protein per meal, or diabetic protein count 20grams. I record it either online in a phone app, or write it down. I can eat as much raw veggies or baked, or steamed veggies as I like, but only at meals with protein. No root vegetables due to sugar content. I drink 2litters of water, sometimes more during the day. I take my vitamins daily. Three meals look like that, then I’m back on track. If I’m hungry, one boiled egg before bed. That’s what the dietitian told my 5’10 son too. When we really want results we share and compare information to hold each other accountable, including weighing in on the scale. I watch the glucose goddess online for tips and recipes, and Dr. Weiner. In maintenance the fruit, nuts, seeds, cheese can come in one once quantities- those are “extras.” Alcohol is only for maintenance, just major holidays. Recap; weigh/ measure food, record it, share with a trusted friend or family to keep yourself accountable. Your dietitian should be telling you what a portion of protein is for you specifically.

Yea. The one I ordered says spicy lime I think. It says mild so that should be good for me. I’m excited to try it. I plan to have all of my options and do some taste testing.

I'm on day 3 of my pre-op liquid diet. My surgery date is the 30th. Three protein shakes a day, and I can blend fruit (apple and/or berries) with some protein powder for a smoothie and also non-starch veggies for pureed soup. No sugar, no carbs, no dairy. Thank goodness for my Magic Bullet and immersion blender! It's going okay so far. My cravings are all head hunger because the liquid diet is keeping me full. I'm also having doubts every day. I know I need to do this because whatever I lose, I will just gain back and then some. I've lost 60 lbs. over and over again for the last 15 years. I can never keep it off. So, this surgery isn't necessarily to help me lose as I know I can do that on my own, but to help me maintain loss and keep it off for good. There are so many things I love that I am looking forward to doing, things my weight has been preventing for most of my adult life. Shopping "normal" sizes, traveling, socializing, horseback riding. I just need to focus on my long-term goals.

I didn’t read all the replies but 800 calories doesn’t sound like a lot until you break it down and supply your diet with nutrient dense foods over energy dense ones. Here’s what I would do for an 800 calorie day- Breakfast- 6tbsp egg whites, a medium diced tomato, 2 cups of fresh spinach and 1oz reduced fat cheddar with 1/2 cups blueberries Lunch- a tuna packet mixed with 1tbsp light mayo, on one slice 35calorie keto bread with 2 cups salad greens and half a cup sliced cucumber afternoon snack- protein shake dinner- chili made with 1/2 cup canned kidney beans, 1/2 cup tomato sauce, 1/4 cup diced onion, and 1/4 cup diced bell pepper dessert- 1/2 cup nonfat plain greek yogurt mixed with sugar free, fat free pudding mix. Total count- 803 calories, 77g carbs (24.5g fiber), 16g fat, 95g protein