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I agree with this. I'm about 4 weeks post op. According to my plan, I can start soft foods on Monday. But I've struggled with purees and eating too fast so I've gone back to liquids and protein shakes. I'm honestly kind of scared of moving to soft foods and even more scared of moving to solid foods. I think if you're going to use shakes and things to supplement your diet, Meal Replacement shakes are a better alternative to protein shakes as they also have more vitamins. While on my LSD, I would mix the chocolate slimfast with some chocolate protein powder and little skimmed milk to disguise the taste of the slimfast, but also to give it a little more protein. I would not WANT to live on those long term, but occasionally, I think can still have a place in the diet if you're in a rush or not feeling well enough to cook.

On the flip side.... I have to chuckle at the responses here. Most are from those that openly admitted to hating protein shakes and wanting "real" food. To each his own. Hahaha! I may be in the minority here along with @waterwoman I'm 1 1/2 years out and still drink protein shakes. In fact just last night. I made one that tastes just like a strawberry shake. Way healthier than eating ice cream. I think if you struggle with eating real foods early on like I did and still do on occasion, the shakes are a godsend. When I have a day where food does not agree with me I go to my shake to get my protein in for the day. Forcing food to meet a daily quota is bad if you can't keep it down or you end up making yourself sick. As for total meal replacements? It has it's place in this journey. For a time. Although I have drank my fair share of them, I have always tried the foods suggested for each phase. You will find that some days the food goes well and another not so much. And if not, I will revisit that food later on down the line and drink my shake. It's a long slow process but I've come to a place that most foods are tolerable for me now but I still have those days where my protein drink is my best friend. LOL

Even though plans are fundamentally the same, surgeons will have their own requirements many based on you, your health and your needs. Best advice is always follow the plan you have been given. Of course, if you are struggling with the plan, contact your team and discuss alternative substitutions you may be able to include. As for the pre surgical diet I was one who put on a keto diet for those two weeks. (I did about 2.5 weeks.) But I know a friend with the same surgeon, who had a higher starting BMI was on 3 shakes a day. Another, again same surgeon, was put on 2 shakes & one meal (protein & vegetable/undressed salad) a day. If you are concerned speak to your team.

You will need to strain it extremely well: no little bits of egg, tofu, scallions or anything which may be added. Straining through muslin may be best to ensure you get everything especially those wispy bits of egg. You can also strain pho, wonton soup, etc. They won’t have as much protein as bone broth if you were looking for an alternative to only drinking the shakes so don’t make it your main source if protein & nutrition during this stage. You’ll be able to eat it (without the tofu or scallions) in the purée stage. But always check with your team. There can be differences in plans. PS - congrats on your surgery!

I must admit, I am one of those people who is addicted to protein shakes and even eight years after surgery, they make up the majority of my diet. Do I think this is wise and good? Absolutely not. However, my blood work continues to turn out fine every year The human body is amazing and the amount of abuse it can take

No! No! No! Besides why would you? Let’s be honest. We enjoy eating. The smell, the textures, the flavours, the look and sometimes the sound of food ( like the crunch of an apple) is appealing & gives us pleasure. We celebrate with food. We share food with loved ones. We give thanks with food. Why would you sacrifice that to drink a protein shake for every meal? Yes, you may be prescribed shakes in your pre surgical diet and you will be prescribed them for usually 2 weeks after surgery. The pre surgery shakes are to increase your weight loss to improve your surgical success odds & to shrink your liver so the surgeon can see the surgical field more easily. Post surgery it’s to support your healing & not strain your digestive system (remember all those sutures & stables holding it together). Short term reliance on shakes. The goals of the surgery include you changing your relationship with food and establishing a healthy, nutritionally dense, sustainable way of eating. Drinking shakes for any extended period of time is simply not sustainable. It’s not nutritionally sound, only gives more power to cravings, creates new bad relationships with food and will highly likely result in weight regain & poor health. Key word here is supplement. If you are struggling to get your protein in via the real food you eat, sure a protein shake can be beneficial as a supplement to your earring. Same with any vitamin or supplement. If your body is lacking in specific vitamin or minerals, sure take a supplement but they should never be what you totally rely on to get the nutrients your body needs to function unless you have a specific medical condition that means you can not eat real, solid food. I never touched another shake after I began purées (start of week 3). My goal was always to get all the nutrients I needed through real food. And I do. I don’t even take vitamins now (except in winter when I have a dip in my vitamin D - I feel the cold so hibernate in winter & rug up if I have to go out so little sunlight for me then). Ask your nutritionalist, surgeon & GP. I bet they agree with all of us.

As others have said, absolutely not. Fruit, veg, and lean protein is essential to good health. I had protein shakes for the two weeks before surgery to shrink my liver, and for the first few weeks after as my insides healed. I would never want to rely on them beyond that. I can't even imagine how horrible and unfulfilling that would be. I've continued to have maybe one shake a day as a supplement when it's difficult to hit my protein goals. Tonight I'm having a protein hot chocolate from Premier Protein because it's chilly outside and a nice treat. But mostly I eat real, minimally processed foods. It's important to remember that supplements and vitamins and minerals are only able to provide the nutrients we know about, the ones scientists have discovered are directly responsible for diseases and disorders if you don't get them. But there are countless thousands of compounds in natural foods that we need and that are absent from shakes and supplements because they haven't been studied. The only way to get that is to eat a wide variety of real whole foods.

So did I. Hw:242 Sw:232 Cw:212 My biggest struggle is my protein and water. Pain in my left shoulder and neck area due to hiatal hernia repair

It’s possible whoever told you this meant short term as in the immediate preop and early post op period. Or meant you can supplement/augment protein needs with shakes in addition to food but your bariatric team will move you through food stages and require you eat actual foods.

to this question: i was told to have 3 protein shakes a day for two weeks (and that was all). that said, i HATED the protein shakes they told me to drink (too sweet, omg), so i maybe had 2 shakes a day for the first maybe 8 days, then went down to 1 shake a day until the end. (btw, after surgery, i found a less sweet protein shake, thank goodness).

Absolutely not. Not enough calories, carbs, nutrients. That's basically a starvation diet, and we don't support that here. You need food. For various reasons. The protein shakes are supplements, not complete meal replacements.

Hi guys, I wondered if any of you have decided to completely given up conventional food and have protein / meal replacement shakes instead post op. I have heard that this is absolutely fine to do as long as you are taking your supplements and drinking plenty of water. What's your thoughts/experiences?

It's not that we're trying to pick on you or force you to justify yourself. But honestly, what you're saying doesn't make sense. How is it your insurance covered your surgery and a panni but won't cover you for organ failure? How are you not in the hospital now? If your organs are shutting down, no way would they have just sent you home. I work in healthcare, and we've sent people to the hospital for way less than that. I would suggest eating carb and calorie dense slider foods. Mashed potatoes are great for that. Add sour cream and butter. There's a lot of stuff you can have that will add weight. I've been struggling to get my weight up, but adding protein shakes, avocado on nearly everything I can, slider foods, etc... And eat every 2-3 hours during the day and the evening before you go to bed. You shouldn't have to get up through the night to eat.

I had mine this past Monday October 28 I'm suffering from gas pain. My stomach hurts when I swallow my meds, protein and water. I hope it gets better soon. Wishing you a speedy recovery 🙏

How are you feeling? I had surgery on the 28th also. I still have gas pain that I can't get rid of. Also I feel pain after swallowing my protein or water. I hope you're feeling better

You definitely have a serious issue, but I don't think it's your weight. Your weight isn't going to kill you, at least not at the size you are right now, but your mental health might. And it certainly is robbing you of the joy in life that you deserve to experience. That's tragic. And unfortunately, surgery or weight loss isn't a cure. Gaining weight can take a toll, both mentally and physically. I understand, because I went from 5'6" and 127 lbs at age 16 to weighing 225 lbs by age 32 and hitting 250 lbs by 49. I tried many diets. I exercised. I worked with a dietician for about 7 years and tried many medications, including Saxenda and Wegovy. I developed high blood pressure and became prediabetic. For 33 years, I gained weight, lost a bit for a while, and kept gaining more. But I also lived a fairly happy life. I got married, bought a house, had two children, started a career I enjoyed, traveled to lots of places I had always wanted to see, learned new hobbies, spent time with friends and loved ones. Was I frustrated that I had to buy clothing in the plus department? Yes. Did I sometimes look in the mirror and feel sad at how I looked? Absolutely. But that wasn't my identity and it didn't dictate what I allowed myself to do or experience. Feeling like your life is destroyed, that life is a cruel joke, and reaching a point where you do not wish to continue living is an extreme and unhealthy reaction to gaining weight. It's a huge red flag that something else is going on with your mental health. That, in my opinion, is way more pressing to take care of right now than reducing the size of your body. I had surgery because I knew it was what I needed for my health. It would clear up physical issues and help me live a longer life with more activity and less pain. I did it because I loved myself and I knew I deserved to get every ounce of joy from life that I could. But a year ago, 80 lbs heavier than now, I loved myself exactly as much as I do today. I don't love myself any more now because I'm thinner, even though I do love how I look. And I love myself now way more than I probably did when I was downright skinny in my youth. There's no magic number on the scale that makes you worth loving. You're worth that at every size, shape, and age. I'm not saying to give up on losing weight or on getting weight loss surgery. If it's important to you, you can find a way. There are some amazing and affordable self-pay surgery options available in Mexico, for example. You could start saving a little bit of money each month now if it feels worth it to you. I hope this won't happen, but if you continue to gain weight, you will eventually qualify for surgery through your health care. In the US, it's at a 35 BMI with comorbidities and at a 40 BMI based on obesity alone. I assume the standards in Canada are similar. But no matter what you do, I would encourage you to find help with your mental health and self-image. You deserve to be happy with who you are and not to have how you feel about yourself be based primarily on something as arbitrary as a number on the scale or the tag inside your jeans.

Officially 8 weeks and 2 days Post-op and honestly I'm pretty comfortable with my progress though a little disappointed with my hydration. The weight loss is steady, protein intake was a little tricky but I think I got it, and keeping up with physical activity has been smooth. Last month's first follow up with the nutritionist did get under my skin, I questioned returning to my previous vitamins vs these nasty Flinstones...and she went on and on about my calcium, iron and protein levels wouldn't be sufficient due to me not eating meat. I explained I had no problem taking additional calcium or iron IF necessary, and finding new ways to add my protein BUT I wanted to see how my bloodwork came back. She finally conceded in saying "well, you're an adult, if you want to take more vitamins that's your choice". I mean OBVIOUSLY it is my choice and her condescending tone is one of the many reasons I've never cared for nutritionist. Nevertheless, guess who's blood work is PERFECT?! In other news, I will say this ketosis stage, while extremely beneficial... it is giving me the "ick" with side effects, smells, body odor etc... I've introduced some carbs hoping things will balance out but it seems to be a slow process. Uranalysis confirmed I'm still burning ketones sooooo there's that. 🤷🏽‍♀️but when will these side effects end ? Speaking of introducing carbs... I had a small bowl (4 oz) of mac and cheese (chickpea pasta)... this is a true trigger food for me, but I ate it, I enjoyed it and I moved on... it wasn't until the next day, I was thinking wow, I really didn't "Want" another bowl... "I'm good". In the head scratching category... I overheard my co-workers having a convo about individuals on the show "My 600lb life"... DISCLAIMER: I say overheard loosely, there's 3 of us in a small room, they were speaking freely as we usually do but I had my earbuds on and wasn't a part of the beginning of the convo. While I can't say I've ever watched a full episode, I am familiar with the premise of the title as well as what "reality shows" really entail when it comes to production and I'm sure I've caught a snippet of an episode on a meme, commercial etc. They also do not know I've had a procedure. I digress, at some point in the convo, they were both giving their opinions on "how could someone let it get so bad"..." when your pants stop fitting..." "when you're out of breath walking from house to mailbox..." etc. and while I have no doubt that they did not have malicious intentions nor have I personally fit into any of these examples... I suddenly became very offended. I even thought to myself have I lost that much weight that this is how "skinny" people speak freely among you ? (The answer is no, regarding me... I've lost a good amount, but they've known me for several years...at my heaviest). I thought, are they thinking I'm really deep into my work and not paying attention ? (The answer is no, we always engage with each other based off of body language to get the others attention and they were engaging). The answer boiled down to, they were just ignorant to the reasons this could happen to someone and the fact that reality tv has a way of making people look and behave at their worse. So I chimed in with "As a fellow big girl..." and explained to them that food addiction is real, and it's real easy to forget that unlike, drugs and alcohol, people have to eat for survival/nutrition and if you are addicted to such it's easy to forget how someone can "let it get so bad", there are also health issues and medication side effects. They were both receptive and admitted that didn't even consider that thought. We went on to talk about the state of "healthy" food choices, labels, vending machines in schools and all. But I definitely walked away from that convo scratching my head because they are both thin and love to eat and not always the "healthy" stuff... so I'm thinking it didn't occur to you others JUST CAN'T do that. Anyways, it was an experience and I'm glad I had it.

Since 2014 I have been gaining weight. I've gained 75 pounds. I was 150 at 5'7 inches tall and at that time I was relatively inactive but ate normally. A decade later I'm 225 and 34 and have not been able to lose. I cut out sugar, I joined a gym and got a dietician three years ago. I have still gained ten pounds per year. I've been tested for PCOS, Cushing's and Thyroid disorders and they have found no evidence. I eat less now than I did ten years ago. I love in Canada and rely on government healthcare. They won't approve me for gastric bypass. They gave me ozempic last year and it was a nightmare and worsened my IBS. I didn't lose weight I gained another 12 pounds on that drug. I'm out of options. This has basically destroyed my life. I haven't dated in ten years. Tried to commit suicide twice three years ago. The weight gain never stops. It's awful. I'm not doing it to myself. I don't over eat. I exercise, I go to the gym, I don't eat sugar and I just butt. It's a cruel joke this life.

Here's my one-week update after making some adjustments! I've been focusing on protein-rich meals and keeping my intake under 1,000 calories, leaving a bit of room for those extra nibbles. My protein has been between 70-100 grams, and guess what, ladies? I lost 2.2 kg this week, bringing my total loss to 16 kg! I'm so thrilled—I feel leaner, lighter, and fresher, with no hunger cues at all (which feels strange, honestly). If all goes well, I’ll be out of the 90s in just two weeks, which feels like a dream come true!

Sure. She was concerned that I was eating too fast when I told her that I was eating my meals within like 5-10 minutes. She said that I can't do that with the surgery because not only will I be miserable with vomiting and diarrhea and nausea and the like but I likely would undo the gastric sleeve surgery. She said I should aim for eating my meals in 20-30 minutes preferably 30-40. This seems like an impossible goal for me especially when I see her again in just 2 weeks. She also wants me to savor each bite and focus on the food or something like that. I don't really understand it to be completely honest with you. Mostly I just wanted to work on eating slower over the next two weeks so that when I do get the surgery I don't get sick and undo the surgery and "pass" with her so I can get the surgery. I can fake my way out of the mindfulness part of it or just tell her that it won't work for me and if it's a crucial part of the surgery than maybe bariatric surgery isn't the right option for me.

Yea. I figure that I go over my protein goal on days by two or three grams so that one random day wont kill me. I try to do a shake or a yogurt but I don’t force myself too much.

Hey everyone! I'm 2.7 years post op. I've maintained about a 140 lb weight loss. I have a lot of loose skin and I honestly feel like I can't fully enjoy my body until I get some of this skin off. The problem is I can't afford it. I spent everything on the surgery (insurance didn't cover) and I'm not making much money right now because I decided to go back to school. I am currently living in Texas. I would love to know how some of you paid for your plastics. Was it hard to make payments? What options are there usually? I'd like to get my belly skin, breasts and arms lifted. I am just looking at arms right now and just that alone is $14000. I just need any ideas or out-of-the-box suggestions. The weight loss surgery and weight loss/maintenance was one thing, but making this next step happen feels impossible sometimes.

Haha, I totally get that feeling! It’s like your body gives you a mini celebration with a quick drop, then goes, "Alright, let's take a break now!" 😂 But it's awesome that you’re seeing a steady loss over time—that’s the real win. And that Baritastic app sounds like a game-changer, especially with the line graph to track trends and measurements! I’ve also found keeping everything in one place super helpful instead of relying on random paper notes. Speaking of tracking, I think I might’ve had one of those "high restriction" days today. I always hear people talking about them, but I hadn’t really experienced one until now. It was so strange—I wasn’t hungry or full, just couldn’t eat much at all. I had breakfast at 11:30 a.m., and by lunch at 4 p.m., I had to force myself a bit. By 7:30 p.m., I couldn’t manage dinner at all, so I ended my day with a quick scoop of protein. Not sure if that’s what others describe, but it was definitely an off day!

As a bypass patient, there is really nothing that's off limits for me. I pretty much eat anything I want to, just in smaller portions. Some people have to be a bit more careful due to dumping syndrome, but I've been pretty lucky in that dumping for me is really rare. It's happened once in 2 years when I significantly overindulged on pretty much pure sugar with no fiber or protein to moderate things, It was not fun and I definitely learned my lesson! One other thing I'll say is that my tastes have changed. For example, I just don't really want much red meat, so I now eat a mostly vegetarian/pescatarian.

Lots of great advice here but I will add my experience with having done this before and just having a revision that exercising and eating clean makes it so much easier. My mood and energy level are so much better this time and head hunger is pretty non existent so far (part of which is a greater metabolic change witb the more aggressive surgery I’m sure but when I don’t exercise as much or I eat processed junk I can feel the difference part of it may also be that I’m just too darn busy to think much about food). For me carbs crave carbs. I learned this after my sleeve but I wasn’t super careful with it. I’m not taking about the better carbs from fruits and veggies, but the processed type. Eating even a smaller portion is a slippery slope for me so I will avoid these as long as I can and if I do have them I know I will have to white knuckle it a few days through the cravings. I make all my food from scratch and freezing food has made it possible to not cook every night. I freeze small portions and I have a note in my phone if what’s on the freezer by date. When I wake up and look at my calendar as I’m drinking my proffee (chilled coffee and protein shake) I decide if I have time to cook and if not I pull a bag out of the freezer and put in the fridge. Then when I get home I put it on the counter or defrost in microwave if necessary time wise and make a veggie to throw it together. A really nutritious and yummy dinner done in 10-15 minutes and bonus, a lot less dishes. I started walking early out and added group classes that are offered at my community center and now i am up every morning walking first thing. I actually put on exercise clothes after my shower and sleep In them and first thing I’m already dressed and ready to go for my walk. ooh and the support groups that my team offers are great in addition to staying very active on here. I actually met a walking buddy there and we walk together down by the river once a week, the day that I don’t have group classes and we cheer each other in in addition to the once a month in person support group meeting. I also chose to tell more people this time. Some were against it but I educated them and now they are starting to come around about it. I think it will be easier fir me to say no thank you to food when everyone around me knows my goals. The first time I did this so many people would say to me you’re doing so good. You can have one slice of pizza or one brownie but the problem was this was my family and I was around them several days a week so just this one became just three or four. I actually told them that when I see pizza or brownies, I already want one bad enough on my own. I don’t need someone else tempting me. I think they got it. We’ll see. I guess if they do it this time.