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I think in general terms shorter cuts hide hair loss better - IF you do experience significant loss. I lost a lot of hair, in three distinct waves. Plus my hair grows (and regrows) abnormally slowly. I'm 28 months post surgery and my last phase of regrowth is just about below my ears now. I've had to cut my hair shorter than I normally would for about 18 months but I think I'll finally be back to my usual below shoulder length soon. Have to say it's been an opportunity to experiment that I would never have had otherwise! Maybe try new stuff if you need to?

A final update for this thread: I had my gastric bypass on Feb 21! Check in went smoothly. I changed into my hospital gown, got my IV inserted, and was given a number of medications to take before being moved to a waiting area where I got onto a gurney. The various members of the surgery team came by to introduce themselves and check on various things. Finally, the anesthesiologist came by and gave me "something to relax" via my IV port. A minute later, I was being wheeled into the hallway, and that's the last thing I remember until waking up in my hospital room. I never saw the inside of the OR, and I have no memory of the recovery area afterward, either. The surgery itself took much longer than anticipated, about 6 hours. I was fine and safe the whole time, but the surgeon ran into some issues with my small intestine and a small abdominal mass (sent to pathology and was benign) that required additional steps. Because of this, I was surprised to wake up in my hospital room and discover it was already 9pm when my surgery began at 1pm! My poor mom had been so worried because we thought it would take maybe 3 hours max. The nurses checked on me several times that night. I was able to get up to use the toilet on my own, and the only real challenge was the IV pole having to be dragged along. I was very fortunate that I ended up with no roommate. It wasn't technically a private room, but no one else was assigned to it while I was there. In the morning, my surgeon came by and explained what had happened during surgery. He was concerned because some of the stitches ended up under more pressure than he considered optimal, so he wanted me to do a swallow test before I could have anything by mouth, including water. They got me in for that and it turned out okay, so about an hour after returning to my room, I was brought a bottle of water and a cup of red sugar free jello. I have to say, it was nice to have water because my throat was dry, but I really didn't care about eating. I did because they told me to, and I know at this point I hadn't had a single thing in my belly for over 40 hours, but I just didn't care. I felt zero hunger. But I at the jello, and later they brought me a popsicle, another jello, and a chicken broth. I ate it all over the course of about an hour. It was fine, but again, I just ate it because they told me to. Because I got such a late start on fluids after surgery, they kept me an additional night, just to be sure. But on Friday morning around 9am, I was discharged. I had a protein shake when I got home and worked all day on fluids. I was tired and a little sore, but my pain had been minimal enough that I was only on Tylenol. It worked well enough that I only had a few moments of real pain, mostly when shifting position that required the use of abdominal muscles. I was fortunate to have someone staying with me for the first few nights home, and my parents kept my kids (ages 12 and 15) with them for the first week so I wouldn't have to worry about all their activities and food. It took a few days to discover what worked best for me, which ended up being hot tea (decaf and herbal) instead of flavored waters as I'd been having pre-op. For the first week, I've met my 64oz fluid and 60g protein goals most days, but as time has gone on, I've become completely turned off anything with artificial sweetener and every protein shake except Syntrax Nectar Natural, which I can still manage. I definitely wasted a lot of money on shakes I won't be drinking, but I'm glad I had them for the 2 week pre-op diet and to take the pressure off finding things to try when I got home. Yesterday, I was allowed to start soft protein foods. So far, I've had tuna salad (2 Tbsp), refried beans with a sprinkle of melted cheese (1/4 cup), and 1 poached egg. No issues with anything so far. Tonight I will be cooking some haddock with pesto for dinner. I go in for my 2 week post-op appointment with my surgeon next Tuesday and hope by then my weight will be a little lower. I lost 15 lbs on the 2 week pre-op diet, but my weight was higher by about 5lbs when I got home from the hospital thanks to the fluids and swelling, and I'm only just back to where I was the day I went to the hospital. Still, 15lbs in three weeks isn't bad. As for other incidentals, I have been taking Benefiber daily in my morning tea and it really has helped. I had the first BM (very loose and not a lot) before leaving the hospital on day 2, and have managed to go at least every other day since, and daily the last couple of days, so I'm very grateful for that. My energy levels have been decent, but it's only today that I feel like I don't need a noon nap. Going without caffeine has been a struggle, but I'm getting used to it. After all the wait, I'm so glad to have this behind me and be able to focus on a healthy future!

for most people, yes, gastric bypass greatly improves if not outright cures heartburn. Mine completely went away for the first three years. I have it occasionally now (I'm nine years out), but it's pretty mild and a couple of Tums (or something similar) will usually knock it out.

I'm on day 5 post-op and hot decaf tea and bone broth are by far the winners. I struggled all day yesterday with water and felt bloated the whole time, but got 16oz of hot bone broth down with little trouble. Today, I filled a 32oz thermal cup with hot tea and a dash of milk and finished it off in three hours without even noticing. It only got harder to drink at the last few ounces when it had cooled to lukewarm. I opted for warm chicken soup protein "shakes" today too because the sweet, cold ones sounded awful. I did have some luck with the Celebrate brand CLR protein water (pink lemonade flavor), although the taste is kind of intense and the price is shocking. But I bought 8 of them with the hope they might help in this early stage, and they do.

I crushed my thyroid pill and emptied the omeprazole and ursodiol capsules into a little bowl and mixed all three with 2 Tbsp of applesauce. It took about 10 minutes to get that down. I'm going to need to check with my primary care doctor because my blood pressure the morning I left the hospital was 92/54, so I have not been taking my blood pressure med since they told me to stop it the day before surgery. I need to go check it at one of those machines at the drug store later today.

I haven't lost any more weight. I've been going to the gym and even got a walking pad for Christmas that I use but it's just not coming off. I lift weights at the gym 2 to 3 times a week an hour at a time and do at least 2 miles 2 times a week while I'm at home. The last three weeks I cut my calories way down which sucks with how much I work out. For example I did an hour of intense weight lifting today and only consumed 1104 calories and 104 grams of protein. On average I'm only consuming 1300 calories and getting between 70 to 100 grams of protein. My food through the day consists of small meals or protein shakes from 6 am to 6 pm. Like a protein shake for breakfast, one after the gym on my lunch, some low cal soup, jerky, piece kf fruit, etc For dinner (around 7 pm) I have a majority of my calories, usually baked chicken strips or shrimp, etc with a side and then bed at 10pm.. It's just not coming off. I get I could've tried harder through the last year but man this is just tough. I can't even say I've gone down in clothes sizes any more. I just don't know. I do have a one year post op appointment on Tuesday and I'm terrified and ashamed that I have virtually nothing to show for it. What am I missing?

Did your surgeon discuss Gastric Bypass or the SADI or Duodenal Switch with you? With your starting weight, you might want something that gives you more than the restriction of the sleeve. Especially if you only lost 100 lbs with the band... All three of those surgeries have varying degrees of malabsorption which help you lose weight for longer and the SADI and DS are usually used in patients with a high BMI. But, not every surgeon is trained to do these surgeries. If your surgeon didn't offer them to you, I'd highly recommend finding a surgeon that will. The convo is worth it. Unfortunately I can't comment on how the sleeve feels vs the band, since I never had the band. I have a sleeved stomach (as well as rerouted small intestines) and for the most part it feels normal. Do NOT believe anyone who tells you that you won't be hungry post op. Some are lucky enough to lose their hunger for the first year, a few lose it permanently, but some of us never lose it at all. I woke up in recovery hungry and boy was I mad! LOL But my surgeon had warned me that not everyone loses hunger. The portion of the stomach that is cut out contributes to a number of hormones that can affect hunger and satiety... The rerouting of the intestines that the Gastric Bypass, SADI, and Duodenal Switch do controls a whole host of hormones too, some different than the ones in the stomach, this is why these surgeries are more effective at helping with comorbidities like diabetes and high blood pressure, and why they are a bit more effective for higher BMI patients.

I went through similar, op in July and only finally home from hospital start of November. While in hospital I found it difficult to hold anything down and was put on a feeding tube for a couple of months and then the second time I was put on a tube it was because I had a leak and they wanted to bypass the area so it could try to heal. I am also on daily medication for my stomach, have to take before I eat anything, and I have strong meds for nausea if needed. Over the last few weeks I have slowly started to increase the calories I take and exercise I do, gone from about 500 cal a day to approx 900 cal but for me the more important aspect is ensuring I get enough protein. I am able to now hold food down but it is hit and miss, like Sunday my dinner did not stay down but it was something I had eaten before without issue, it just depends. I have to push myself to eat three meals a day as I just don't feel the hunger (or interest at times). I don't sleep well and am exhausted all of the time which is why I have tried to push myself the bit more on food intake and exercise. I do see small improvements but I am not where I thought I would be this far out from the op and it can upset me at times but I try to focus on the good things. My weight loss as slowed down over the last 6 weeks or so but I am hoping it is just my body is still in recovery mode after going through so much stress since July. I would think your body is probably going through the same, a lot of trauma has occurred and it is trying to cope. Don't compare yourself to others, everyone has a different experience with the op and we all recover in different ways, just try to focus on the progress you can see in yourself. If your doctor is ok with how you are doing that is important and it will get better for you, just need time to recover and destress. Hopefully you will be slowly able to up the food intake or find a source of high protein that you can keep down. I don't know how you are on fluids but for me I can now take coffee again (even the smell of it turned my stomach for the first six months or so) so I take it with protein powder which means I am getting protein through fluids as well as the food I can eat. Same for collagen, I put it in my coffee also and it is another dose of protein so in two coffees a day I get 20g of my protein requirements. Happy to chat if you want. We can do this. 💪

we weren't allowed coffee on the pre-op diet, or for the first three or four weeks after surgery. After that, we could drink decaf. We weren't allowed "real" coffee until about six months out. But as others have said, programs are all different.

2 weeks, 1 month, three months & has been every 6 months for the last 2 years. The next appointment I have to make will be around my 5 year anniversary in May. Don’t know how long this will continue but it’s reassuring that they’re keeping an eye on me & are there if I need them. I actually look for ward to the appointment as I get on well with the doctor who does these appointments & we always have a good chat as well as the follow up.

I had one at two weeks post op, six weeks then at three months, one coming up at six months, nine months and then I'll have a one year and finally an 18 month. Then a required one time every year after that. Along with the yearly check ups I'll have a nutrient blood draw labs each year.

Wow four weeks! I thought the three I did sucked, I feel for you. Just keep telling yourself one more hour, one more day towards getting the healthy thinner body you want, need and deserve! My husband did the same thing for me..lol still does. Just remember you CAN do this, its just a small blip on your new journey and the results will be worth it. I added no sodium clear broth packets to my fatty liver reduction diet which helped, it was "hot soup" with flavor and 5 calories and was helping with water intake. Could have as much as I wanted and it wasn't plain water or another protein drink! https://www.amazon.com/Hormel-Chicken-Bouillon-Sodium-Packets/dp/B0077DMWO0/ref=sr_1_5_pp?crid=2OTVXLTYW0OD9&dib=eyJ2IjoiMSJ9.lQfKYERXvAhUropfp5TcloiXDN09ZoegzxDIPbqvPsdG2SFel1Y2bZSDa-edU5IODMVLcTFZN7J_gN1J76UWRJ5alR_86je9RVJ7FT5B8fLCIu-Gu7R1P9CR4QwfZLXQSmYDC2T6w1YEIitQSLjlj6dtcWr9e9jsWqXzvU0vEStk6z7EO14TcHw9L8V52hbuymxrnf7R0fRn-6u0Hfi7Zg6T2nbJ6hPrQT4cjccBJc3kbDGnNXGQ3wuSN1klYubiT2jVe3qUR5qmQ2XYpBGvIOL9iJQXcem-L96snZm7jSE._KgKbU2PA1ogwJ3vncdpxEFEDsXdAL0MfVmhXtWkCx8&dib_tag=se&keywords=kosher+chicken+bouillon&qid=1708370322&sprefix=Kosher+chicken+%2Caps%2C260&sr=8-5

An the other hand i want to be 200 pounds and ive had a hard time maintaining that I snore heavily and buy a lot of food out and on general want to stop being crazy about running after food im seriously confused surgery in three days feel like cancelling

Will do, thank you! I'll start it today. I can't have anything else in my diet. Just my three shakes (to which I add skimmed milk). Everything else adds calories and they said it's a complete meal replacement shake diet only, so unfortunately I can't have anything else 😞 Do you think things would still be okay if I ate maybe broth and soup but went on just shakes for the last two weeks? I just don't know.

I had one as a complication after sleeve surgery and it was found a month later when I collapsed at home and had to go by ambulance to hospital. The cause was suture failure. My symptoms then were weakness (could barely stand), fever, nausea with vomiting and abdominal pain. It is a rare occurrence so if you are not suffering with any of these I think you don't need to worry, you are just causing yourself unnecessary stress when you are already going through enough to deal with following surgery and coping with food planning etc. I also had other complications post surgery with pancreatitis and abdominal abscesses so basically anything that could go wrong did, I ended up spending three months in hospital over a period of four months. They closed the gastric leak by using clips and mesh via gastroscopy but that failed, twice. I now have a tube coil like thing that was inserted in order to drain fluid and hope that the hole will then have time to heal and close. The only information I was given in advance of the surgery about it was that it could happen but the surgeon did not go into detail and just said she had never had a patient have a leak, guess I am her exception if she will admit it to others in the future. No other details given to me such as cause/effect/symptoms.

I had one as a complication after sleeve surgery and it was found a month later when I collapsed at home and had to go by ambulance to hospital. The cause was suture failure. My symptoms then were weakness (could barely stand), fever, nausea with vomiting and abdominal pain. It is a rare occurrence so if you are not suffering with any of these I think you don't need to worry, you are just causing yourself unnecessary stress when you are already going through enough to deal with following surgery and coping with food planning etc. I also had other complications post surgery with pancreatitis and abdominal abscesses so basically anything that could go wrong did, I ended up spending three months in hospital over a period of four months. They closed the gastric leak by using clips and mesh via gastroscopy but that failed, twice. I now have a tube coil like thing that was inserted in order to drain fluid and hope that the hole will then have time to heal and close. The only information I was given in advance of the surgery about it was that it could happen but the surgeon did not go into detail and just said she had never had a patient have a leak, guess I am her exception if she will admit it to others in the future. No other details given to me such as cause/effect/symptoms.

Didn’t have one but I understood if you are to experience one it usually occurs in the first few days. While you need to seek help as soon as possible if you suspect a leak, they are usually repaired fairly easily via an endoscopy. You’ll likely be on antibiotics after to ensure any infection is cleared. I have three friends who’ve had sleeve surgery too & none of them at one either. They’re pretty rare I think like 1%. And even rarer if you have one in the years post surgery. Leaks occur because of a suture/staple failure, tissue decomposition, patient health prior to surgery affecting healing like a history of smoking or high blood pressure, food choices (not following your plan), excessive activity to strain & cause trauma to the area.

Nerves & feeling anxious before surgery isn’t unusual. You are doing something that requires many changes to you physically, psychologically & emotionally. And you don’t have any experience with any of it. I didn’t have any co morbidities at all before my surgery but I knew they would be in my future simply because I was obese. Being generally in good health bedside surgery puts you in a stronger place for your surgery & recovery so a plus. The very small portions are only in the beginning during the staged return to eating. As you progress you are able to eat more until you are eating what is a recommended & appropriate serving size. Not those large servings that are two, three or more times we been acclimatised to think of as normal but the portion size we should be eating. Doesn’t mean you won’t ever eat your favourite foods ever again either. In time you work out how much you can eat of that food & how often. Or you may make changes to the ingredients or the cooking method to make it a healthier & more nutritious choice. We talk about having to do the head work while we are losing. This is the most important step. Working out the why, what, when you eat & changing your relationship with food. Reflecting on what drives you to eat & the food choices you make so you can mange those cravings & work out a way of eating for the future that is sustainable, doesn’t restrict or limit you & allows you to enjoy your life as you want. This is the difference between the surgery and every other diet I’ve been on (& I was almost 54 when I had the surgery & had been on a lot of diets). I’ve never been able to lose weight & maintain it for any length of time like I have after the surgery. Yes, I work on it every day but it doesn’t mean I don’t or can’t enjoy my life or miss out on anything. A lot of it is routine & I look at it as not being on a continuous diet (so many negative connotations) but this is just my way of eating. Like how people who have food allergies or may be vegan or vegetarian eat & the food choices they make. Ensure you have access to a supportive therapist you can call on if needed & a helpful dietician who listens. This isn’t something you can really do completely on your own. Best decision I ever made. All the best whatever you choose to do.

I'm scheduled for sleeve surgery in three days, and I'm experiencing serious cold feet. I'm a 44-year-old male, 5'9" tall, weighing 270 pounds. I've struggled with yo-yo dieting for over 21 years, with my highest weight being 280 pounds and my lowest 198 pounds. I've had success with intermittent fasting and restricted calorie intake, but I've regained the weight. I suffer from mild sleep apnea, which causes heavy snoring and comes with its challenges. Thankfully, I don't have any other health problems, and I take medication that contributes to weight gain, though I doubt they'd make me fatter the 270 pounds than I am now; they just make it harder to lose weight. I'm feeling uncertain about the necessity of the surgery since I'm not extremely heavy and overall healthy. I'm also worried about only being able to eat small quantities in one sitting, and the idea of changing my body scares me. Yet Im also excited to get this option available

Thank you. I also took one gas x the night before and drank zero Gatorade with Mira lax the night before. The day of surgery I took another gas x and a sip of Gatorade with my morning pills. It is now day three since surgery and I am taking it slow, I have been drinking what I can in water and in broth and I have had decaf coffee in the morning. I also do the SF popsicles through the day too. I did try some SF jello yesterday and that sat okay so will have that done today to. I go the 26th for my post op appointment and see my nutritionist.

TORe is a relatively recent revision for RNY. Essentially, they go in through your mouth and esophagus and stitch your pouch and the opening to your pouch back into the tight little basket It was when you first got gastric bypass. I’m looking into it as I was very successful for 20 years, but regained most of my weight in the last three from life, stress and menopause. Has anyone had an experience with this?

It can be challenging when your taste buds are against you but it is a great opportunity to try things you haven’t before or give food you didn’t enjoy in the past another go. I wasn’t hungry or interested in eating either (for 8 months or so). So I ate to a routine to ensure I got on my required nutrition. It helped to change how I looked at eating - not for comfort, to make me feel good/better, if I was bored or …. but to fuel my body. Eating to live not living to eat. Was also when I began asking myself if I needed the next bite or just wanted it. Never forced myself to eat all my portion if I didn’t need it or thought nope, no more. At two months, I was eating only all real food & eating a wide variety of meats. Some vegetables were challenging but steamed green beans, cauliflower & cabbage were good. I could add tomatoes, celery, capsicum, onions, mushrooms to any slow cooked soup, stew, minced meat dish. etc. About a month later all vegetables were fine. Didn’t touch shakes from purées. Aim for three meals a day & maybe one snack. (I snacked on fruit or yoghurt.) Check with your dietician to see what they recommend for you. Try to avoid falling back into the old habit of eating if you have head hunger.

Day 9 on the liquid diet. My greatest disappointment so far has been a batch of "natural" jello that didn't remotely taste like lime. My biggest treat has been tropical flavored Popsicle brand sugar free popsicles. I literally yelled at a robot when I had to call FedEx after they mis-delivered an order from Celebrate that had three new flavors of meal replacement shakes in it. Do not mess with me when I'm hungry and sick of fake cappuccino flavored shakes that don't actually contain caffeine! The robot transferred me to a human and I was much nicer.

If you don't already have some bariatric cookbooks, I can highly recommend these three of the several I bought: Bariatric Meal Prep Made Easy by Kristin Willard The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner The Easy 5 Ingredient Bariatric Cookbook by Megan Wolf All three have sound nutritional advice as they are written by bariatric experts, as well as some really nice recipes. They talk about portion sizes and what to aim for nutritionally as you go through the honeymoon period and into maintenance, and even give you different portions for different phases. None of the books give specific calorie goals, but that's rather standard with many programs. The focus is often for you to discover what works for you and not get sucked into a dieting mindset by counting everything so closely you drive yourself crazy. But the basics are generally to fill one half of your (small, child or luncheon sized) plate with a 3-4oz portion of lean protein and no more than a 1/2 cup serving of starch/grain, and the other half with non-starchy veg. Consume 60-80g protein. Drink at least 64 oz water. (Apologies for not having the metric measurements). Using a small plate is a really great visual cue. Check out the Portion Perfection plates, which are 8-inch melamine and printed with exactly how much of each food goes where. If you need to retrain yourself, this is an easy tool to use. They have bowls, too. (All the books and the plates can be found on Amazon in the US). Going back to liquids is extreme. I would think it would be sufficient to go back to three meals per day as described above, and either no snacks or only fruit and veg or a protein shake as a snack if truly hungry, and make sure you weigh your portions and get all your water in every day. The other thing is to look for processed foods that have crept back into your diet and get them out of your house. You can't be tempted by what isn't there. Good luck to you!

2oz is equivalent to 1/4 cup of purée. My plan was 1/4 - 1/3 cup (2-3ozs), three times a day from purée so pretty much like your plan. Honestly I couldn’t eat any more than that but I was a no hunger & no appetite person. Sometime around purées I added a high protein yoghurt or yoghurt drink as a snack to boost my protein intake. But check with your dietician, maybe you can add a high protein yoghurt as a snack too. If you are experiencing real hunger. Never hurts to ask.