Search the Community

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.

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

Oh wow! I'm on full liquid for a week pre-op - I'm on day two today! So far I haven't wanted to claw anyone's eyes out (lol!) Like I said, I messed up on my first shake of the day yesterday and had one that had an insane 20g of sugar and 50g of carbs in an 8 oz serving! Since then I moved back to my 30g protein shakes that have 1g of sugar each; I had three yesterday and have had two today. I'm surprised that taking 100mg of colace morning and night hasn't had me running for the bathroom yet, so there's that! I had about a cup of sugar free jell-o yesterday throughout the day and have had about a half cup of it so far today. So far my plan is to shower with the Hibiclens Sunday morning, then when I get to the hotel that night. I'll wake up early Monday morning - no fluids after midnight at all - to shower again with the Hibiclens and head over to the hospital. Sunday is my normal sheet change day anyway, so that's good. I expect to be in the hospital for 2-3 days, hopefully getting released on Wednesday the 7th to ride home with my driver. I'll have my fella change the sheets for me at home again before I get settled in. Good thinking on packing light - I know I'll want warm comfy socks (I hate hospital 'socks' though they may make me wear them for traction, idk), the meds I am still allowed to take, and a robe that zippers all the way up the front. I don't plan to take a lot - I'll bring a set of earbuds in case I want to watch something on my phone to pass the time but other than doing the sip-sip-sip of liquids and restarting my Bariatric vitamin I imagine I'll rest as much as I can while still getting up as much as they prompt me to for walking around to work the surgery gas out. I figured I'd just toss a few changes of underclothes, socks, the robe, some comfy clothes to wear home, and meds in a backpack. Oh - And of course my phone charger. Can't go anywhere without THAT! You must REALLY be feeling it about now with your surgery tomorrow morning! Wishing you the very best!

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

There are some specific Bariatric journals on Amazon - I don’t know if something like that would help in the beginning?

"can already eat more than most people with a sleeve". Just because you can, doesn't mean you should. I'm never full on the quantity recommended by my bariatric clinics size/portion guidelines, but I still serve exactly what's on the plan. Could I technically eat more? Yes, but I need/want to lose the weight. There is nothing stating in science research people should eat until full. I prepare and eat 3/4 cup and walk away from eating more. Is part of your clinics program talking with dieticians and a psychologist to help with full vs. actual body nutritional need etc? Your impending sleeve will be the same. You can push the limits and be right back where you are. Start working now on sticking to measured/weighed portion control or you might find yourself right back at eating more than you should. Bariatric portion control is not a suggestion, but a requirement. If you want to become healthy and at your goal weight while maintaining it, its a lifetime of measuring what you eat and pushing away from the table - not eating until full. You will always have the ability to push the boundaries - take control of it now! 😁 Its a tough call and its great seeing you doing your due diligence researching and asking questions. Good luck on either your revision or your bypass! I'm sure you'll make the right decision for yourself.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

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.

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.

There is a dr who covers these meds from just about every angle in his podcasts. His name is Dr Matthew Weiner and he is a bariatric surgeon who prescribes the meds to patients before to try to prevent surgery as well as after if they can’t reach their goal or experience regain. He wrote a book about nutrition called pound of cure and if I remember correctly that is the name of his website as well. I subscribed years ago so I get emails about the podcasts and they cover a few things on each epksode but there is almost always something about these meds lately.

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

If only it was this simple! The exciting thing about the new anti obesity medication is the renewed efforts into researching the causes and solutions to obesity. We now know that some of these complex processes are beyond our control.

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.

Oh I’m so excited for you to have gotten your authorization. I asked my Dr yesterday about the Colace since I was there and he say I could go ahead and start it too. I don’t remember constipation being an issue last time but maybe it’s something in the protein shakes that can cause it when you have so many in the day? If you mean your bariatric vitamin I would definitely call. My book says to START them with the LSD. I’m obviously already on them because I had the sleeve but the book is for the general audience who hasn’t been on them for years. 😆 OMG the pincushion thing happens to me too. I wonder if our veins are harder to see because of our weight and that will get better. I have started to actually get a little anxious when I go because it’s always such an ordeal. They usually do a butterfly needle in my hand and then the girl always complains because it just dripping and sticks me again. This time I was like idk how long it takes veins to recover but I have surgery soon and they are gonna need a vein so please let it drip. It will fill up eventually. A friend of mine said they always have a hard time at drs offices and she has much better luck at stand-alone labs. Kinda makes sense since they do nothing but draw blood all day whereas a nurse only does it when a patient needs it. I assume you are allowed protein shakes. If so take your meds immediately as you finish one of those. I take my bariatric multi that way and it makes me nauseated without enough in my stomach but with a FULL shake I am fine. I tried to get in a hurry one time and took it when I had only finished half so I could get out the door and it came right back up but I have taken it forever with the full one and it’s fine. The protein in the shakes is actually quite satiating physically. It’s the head hunger that will get you and the jello does help with that. So do the sugar free popsicles if you are allowed those. It just feels good to sorta chew after a while. As long as you are conscious of the fact that you may be a little testy because of your diet you should be okay. You could tell your family ahead of time to tell you if they feel like you are not yourself if you think that would help. I am on day two and as long as I keep busy it’s really not THAT bad. Now ask me Again on day 16 and it may be a different story.

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!

My bariatric team and GP both suggested it when I hit a three month stall and was becoming discouraged and angry. I was prescribed Ozempic and it broke my stall the first week! I've lost 10lbs in one month so my stall is over. I stuck to my "diet" plan the entire time so some might just say it was nothing more than my stall finally ending, who knows? I receive the compounded version with B12 and its $120.00 a month without using my insurance (I didn't want to go through the hassle of pre authorization). So, its a possible option for you. I've had no side effects as of yet, I'm starting on my second month with a higher dose so I can't speak on the head cadence beat of the drum to EAT yet, perhaps its diminished a bit and my hunger has quieted. Your best bet is talk to your doctor they'll know what's best for you and it can't hurt to ask. I hope this helps. Good luck!

Congratulations on your weight loss so far! I bet you are feeling amazing! I definitely empathise with the low energy - especially early on! I feel that mine is only just starting to get better 😂 I am going on holiday in September, but I am trying to put off buying clothes until the last possible moment! How is your eating now? I am free to eat "whatever" I want now, but find that I am struggling to manage anywhere between 6-11 mouthfuls. The bariatric nurse says I need to be having at least 20 mouthfuls per meal! Eeek. All that being said, definitely loving feeling healthier, more confident, and more happy!

I also think that all the stages reiterate how serious this kind of surgery is too. It certainly isn’t for the faint hearted or those wanting the loss thinking this is the easy way. My first group session sounds very similar to yours. The nurses said right at the very beginning that jabs like Ozempic or Wegovy were not available and you could see that some were disappointed. My next group session is in August so it will be interesting to hear from others at that session. We were given a lot of reading matter to familiarise ourselves with the whole process and encouraged to contact the Bariatric department if we had any questions or concerns, which I found reassuring.

Ooh. What about the protein shots they sell right here on bariatric pal. Maybe they would be better for you.

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.

Yeah, there's a definite bias of information (unintentionally, of course) when you frequent bariatric spaces. I've been on this board almost a year, and I really enjoy it, but at five months post-op, one thing I've noticed is the vast majority of people who were posting regularly a year ago, or even 3-6 months ago, are not here any more. That's a lot of diverse experience that goes away, and I would guess that the people who remain are a combination of those who are the most dedicated (possibly to the extreme), those who get the most out of social interactions, and those who experience the most complications in their journeys, along with people who return after several years to get back on track because of significant regain or needing revisions. The people who are hitting their goals easily, losing weight at an average pace, eating and exercising in a way that isn't particularly noteworthy, maintaining within a reasonable weight range, and generally living life without stressing about bariatric issues, quickly become underrepresented voices. So it's easy to start thinking that the average person struggles a lot at every stage, can barely eat or drink for months, exercises like they're training for the olympics, tracks every bite of food and never strays from their macros every day of their life, experiences all the most severe complications regularly, and will gain back all their weight plus some if they even dare to glance at a piece of bread or a dessert on someone else's plate let alone allow a bite to pass their lips. It's easy to become very obsessive about it (raises hand: yes, that's me). And in a situation like after surgery where a lot of things change at once, sometimes it feels like the more you can control and anticipate, the better. At least it does for me. But my advice would be, especially when you are feeling particularly anxious about something, to think about whether there are perspectives you aren't getting that might reduce your anxieties if you were able to hear from them. Like, if there were 20-30 people who used to post in your surgery month group and now you're down to 4 or 5, what might those other people say if you asked them about the thing that is worrying you? My guess is, if they're not posting anymore, it's usually not because they're suffering in silence.

I have no guidance or experience to offer for the surgeon selection aspect as I went through the public insurance system where I live and once you go to the obesity clinic and they accept you (high BMI etc.) then the government takes care of the costs for pre-op testing, surgery, post-op tests and consultations. I did get a list of their surgeons to pick from, which I did and met her a few months out but then she didn't do the op for some reason and no-one ever had the decency to tell me, I only found out after the surgery! For the vitamins I was told to take the special bariatric ones just for the first year and then after that it was ok but if anything showed up in future blood tests to possibly start taking them again. I am only a year on from my surgery so I have decided (for now) to continue with the batch of bariatric vitamins I have at home and then just switch to basic over the counter ones going forward and not panic if I miss a day or three!

Happy Friday everyone! 😁 Hope we are all doing well! It is bloody hot in the UK today so I am doing my best not to melt in my office 😩 My bariatric nurse has flat out told me I need to be eating more, and I am really struggling to get on top of this. She tells me to aim for 20 mouthfuls per meal 😥 I will keep pushing myself by eating more frequently, but I would love to introduce more fruit into my diet. Are there any fruits which I should stay away from to avoid dumping with the bypass? I know berries are like the gold standard, but I am a bit nervous about other fruits! So far I have only had some raspberries and kiwis 🤣

I just got my labs and EKG today. I’m really hoping that’s okay because the lady put four of the little sticky things under one of my boobs. They have always put them on both sides so that was weird. The dr looked though and didn’t say it was bad or anything. I actually just had one like a month ago but they said they wanted the labs to be within a month of the surgery so I said let’s just do it again just in case. I don’t want anything to push my surgery date. Im trying to get back into the habit of taking my vitamins too. It’s really hard to remember them. I take the procare health multi and bariatric advantage calcium chews but i did try the bariatric pal ones and they aren’t bad. I just want to ask the NP about them before I make that switch. I bought the bariatric advantage chewable multi for the first month. That’s awesome to hear about the smoking. I quit a while ago and it’s definitely an accomplishment. I remember it being kinda freeing that it was one less thing I always had to keep track of and worry about. And now I don’t now how I ever was a smoker. I smell it and it takes my breath. It’s so weird. I meet with the NP tomorrow to verify but I think my liver shrink diet is supposed to be a week long. If so, that means next week I will do a low carb diet to prepare. That’s not required but I just don’t want to go from eating like I do now to the LSD. If I’m correct, I will be starting that process this Tuesday. I am trying to tie up all my loose ends by next week. I don’t want to have anything extra to do the week I am on the liver shrink diet. I figure I will take that time to get my house in order. Every surgery I ever had I sit here and look around at what I could be doing if I wasn’t physically restricted so I hope to get it all done this time.

I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control.