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Nah. I don’t think losing too much will be an issue. I mean we can always add more calorie dense foods. Malnourishment is a possibility if you don’t keep up with your vitamins and get your labs done regularly though. Just have to be diligent. I have alarms set for all those times I mentioned that I eat a small meal and take a vitamin. 8am to wake up the. 9, 12, 3, 6 and 9 I eat my meals and snacks and take my vitamins. It makes it so much easier to just stick to that schedule. I keep them drinkable yogurts and protein shakes in the fridge for if I’m way too busy to stop and eat and that seems to work just fine for me. Just watch the labels on the yogurts because they like to sneak added sugars in there. I actually made my own the other day and plan to continue when I’m home because they are kinda pricey for the healthy ones. I just blended a container of vanilla high protein non fat greek yogurt, 1/2 cup unsweetened almond milk and 1/4 cup fruit. (I made it with fresh mango and it was really good but you can use any fruit of course). Ooh while I’m thinking of it, clear protein water and unflavored protein powder will come in handy during your first couple of stages to get to your protein goals. Not sure if you used them after your sleeve but they came in handy.

Hey, congrats on starting your journey! So, sleeve and bypass are both great options, but they work a bit differently. With the sleeve, they remove a part of your stomach, so it’s smaller, which means you’ll eat less and feel full faster. It’s a simpler surgery, and you don’t have to worry about rerouting your intestines or major long-term complications. But, it’s irreversible, and if you have or develop acid reflux, it might get worse. Now, bypass is a bit more intense. They make your stomach smaller and reroute part of your intestines. It’s great if you have diabetes or really bad reflux because it helps with those. Plus, people often lose weight faster. But the downside is you have to be super committed to taking your vitamins forever, or you’ll run into deficiencies. And there’s this thing called dumping syndrome if you eat too much sugar or fat, which feels awful. Honestly, it depends on your health and your goals. Like, do you have reflux or diabetes? How much weight do you want to lose? And are you okay with a more complex surgery if it gives better results? Your surgeon will guide you based on all that, so don’t stress too much now. Just go in with your questions ready. You’ve got time to figure it all out. Good luck at your consultation—it’s a big step, and you’re doing amazing by researching! i did the bypass and lost 20 kgs in 3.5 months Starting weight 109 kg and now 89 kg Also regain is harder with bypass. I suggest u keep reading and also there's more information on YouTube and tiktok

Going back a stage for a little while is never a bad thing. We are all different and heal at different rates. In a few days, maybe try a smaller portion, thinned out a bit like @Bypass2Freedom suggested. You can always supplement with protein shakes and just try new things when your home and don’t have a lot going on.

I am a little over 3 months post op sleeve. I have been stuck at the same weight for over a month now. I have tried everything the dr has recommended however I am unable to break the stall. My bloodwork came back and I noticed a trend that points toward iron deficiency. Has anyone ever been stalled like this started iron supplements and started losing again? I am concerned my body is broke and this is all I will be able to lose. I am hitting all of my goals protein calories water exercise and carbs. I just can’t lose anymore. Any help is appreciated!

What were the guidelines that you were given? If they just gave you a caiorie restriction I don’t see where that would be wrong but I would honestly double check with them. And as I said before keep in mind that you will have to do liquids for a while post op to and the shakes really do get pretty old so if your allowed actual food on the LSD I would choose that option. Up to you what works best though.

Congratulations, well done you I didn't set any specific goal but aimed for being in the 'healthy' bmi range but didn't worry if I didn't make it as I knew I would already be so much healthier than I was pre-surgery. I went a couple of kg lighter than now but felt it didn't suit my face, looked very tired and older, so I am trying to stick to the 64/65kg but tone up more. Your body will find its eventual weight and don't put pressure on yourself to achieve something that you may not be able to maintain as I think that is where a lot of us have failed in past diets etc., we set targets and don't meet them so get stressed and self sabotage or the other side, which used to be my big problem is that I would reach a goal and then think it had been easy to get there so no problem to eat or drink more as I could just get back to a diet again. Don't think of this as a diet but a lifestyle tool that you now use, keep up with your protein requirements and exercise and your body will do its best for you.

I've noticed my stomach likes to talk to me after I eat. Just can hear it like, digesting?? LOL! My husband has heard it standing next to me too! We just laughed! But should I expect this to be this way forever? Could be embarrassing if it were to happen when I'm with a client! 😬But luckily, I rarely eat right before I'm working with someone. Also, do raw veggies bother you at all? Sometimes baby carrots don't feel great but I love raw things because I'm on the go so much. Baked ones do better for me but have to eat them cold during the day and with a fork. I am usually in my car eating unless I do in the morning or evening. And wanted to ask about protein shakes. I almost cannot makes myself even drink half of one lately. So having grilled chicken most dinners and eggs sometimes. I can't mix anything into those. I drink water only lately. Thanks for any insight on these things! I hope you have the most glorious of Wednesdays!! 😍

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.

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.

I had a pretty nasty bout of blood in my stool which put me in the emergency room- I had lost a lot of blood. When the finally got the endoscopy done two days later- no active bleed. But it was depressing to say the least, and I'm no youngster at 70 years. So, I decided to stop alcohol. I've done it before- I was sober for about 35 years before I resumed drinking and went from 1-100 pretty fast. I know I'm an addictive personality, I found a program- outpatient intensive that will accept me-the real trick with this is what is called "after-care." I was never much for AA, but found groups where people can give feedback or respond to be extremely helpful. That will happen as p/o this program but it is short term and I've asked about aftercare options following the "intensive." I think my life will be better without the booze- it certainly was most of my adult life-- I got careless, figured WTF, and wanted something to calm me down. I don't like pot, it makes me paranoid. I used to drink tons of fizzy water. Can't really do carbonated drinks post surgery , I do stay hydrated and use sugar free electrolyte powder in my thermos. (Doesn't everybody have a thermos these days that they carry around? Sure seems like it). Anyway, the best path for me is the simple- abstinence and getting back to a mentality where a drink is out of the question. I gather than gastric bypass patients may be prone to shifting addictions but I already knew this was an issue for me before the surgery. Still working out at the gym-a life saver and seeing a "shrink" have both also helped, as has my internist. I'm hardly a moralist about this- if you can handle drink, fine. It's obvious that I'm in that cohort that cannot. Thanks for listening and for the feedback here. Happy this year to all.

I have the same concerns going into the holiday season; all 3 holidays in a row always feel hard and gluttonous. I'm going to avoid candy on Halloween and for Thanksgiving and Christmas, I'm going to ask for a salad plate instead of a big on and just take small scoops of what I really like; planning on starting with my protein first.

I hear you about the shakes. I found them sweet too and also very grainy so texturally off putting. I used to dilute the shakes to try to reduce the sweetness and had only one a day. Shakes aren’t your only source of protein if you’re still in the liquid stage. Bone broths, consommés, cream soups can all be eaten/drunk during this stage. I found the bone broths salty so drank cream soups ( just strain them to make sure there are no stray fibres or random chunks). I agree with @summerseeker’s suggestion to make your own shakes with milk, yoghurt, protein powder, skim milk powder and an unsweetened powdered flavour if you wish. You will likely find this sensitivity to certain flavours, textures and even smells continues for a couple of months. Your tummy can be pretty fussy. I described mine as a petulant, temper throwing 2 year old child. You may find you tolerate something one day but not the next. It does pass so don’t think you’ll never be able to eat those foods ever again. Multi vitamins can make you nauseous too. Make sure you take them after you’ve eaten or with the last few sips of your shake, broth, etc. Also if you have to take multiple vitamins spread out across the day when you take them. I’d take one multi in the am and the other in the pm to reduce the effects of the nausea. Also have you tried taking an anti nausea med to get you through this period. Your liquid stage will soon be over and then you’ll be on purées and that can be another interesting experience in finding something you can tolerate eating. It does get better and easier.

I'm sorry I haven't replied until now. Just got on here yesterday and wasn't on my computer so couldn't see everything well. My life has been so so busy since I first came on here! I had 14 dietitian appointments and other visits while working extra to help my clients get ready for Christmas then surgery was on Dec. 2. So just been crazy. Just now on regular foods. Having trouble with liquids and protein myself. Making tuna salad meal prepping this evening for tonight and tomorrow. Tuna and eggs helps. And I'm getting better at drinking all day but wasn't before and was struggling a lot. I always drank a lot when I ate food so this is a whole new world for me. And also I've noticed my tastes have changed so much! Have yours?

Yea. Just start with the times that you naturally do actually eat anyways and then pick other times that are convenient from there. I also do a proffee in the morning (just protein shake and coffee to make an iced coffee like drink). I really am not a breakfast person but I have to do vitamins 5 different times a day so I do that with my soluble fiber mixed in and take my multivitamin once I get that down. It’s fast and it’s liquid too so it’s a good start to the day getting fiber, protein, fluids and my first vitamin done. I like the premiere protein caramel and I just mix it with some chilled coffee. I use the whole shake in a tall cup and add coffee the rest of the way but I am one of those people that are asked if I want some coffee with my cream and sugar so adjust as needed. But for sure, start with the snacks. They are a must if you have reactive hypoglycemia. Then add alarms to remember to eat those snacks. Maybe around 1 if you haven’t eaten yet you need to get something soon or have one of your snacks to avoid the 2-3pm issue. Hopefully that will help.

Just want to let people know I finally broke this horrible 2-3 months stall. I was so desperate and nutritionist said my weight was stabilizing and ask me to add starch…. It made it worse. So what did was cut going to the gym from 3-4 hours a week to 2 hour a week. Exercise too much also made me hungry all the time. Then I also went back to basic and have only protein and slowly adding vegetables and fruit. I dropped 10 lbs in 2 week. Today I am no longer in the obese category and now have BMI 29.9. I am just so very excited.

I never In my life heard the Words Cottage Cheese used so much until I entered the Bariatric community. MY GOSH cottage cheese never was what I called a tasty cheesy treat lol. As time went on I see that cottage cheese packs a lot of protein and I have slowly started to enjoy whole Milk cottage cheese. How do you use cottage cheese? What are your recipes? Do you even like cottage cheese? lol it is an aquired taste for sure 😂😂

Yes. I’ve had the same email since dial-up. I’m nervous about the liquid diet. I’m basically broth & protein drinks. I live alone so I’m in the process of getting rid of all my food. Best of luck with the surgery. Let me know how it goes.

Well today was crazy but I still managed to stay on track with my nutrition. I just finished eating dinner since I missed lunch and had to eat it late. I wasn’t really hungry so I just ate some chicken breast to get my protein. The good news is that my calories were way lower today so that should help offset the fact that I didn’t do any exercise.

I am year out and I still struggle with this. We have to think that we did not get obese by eating till we were satisfied. We overate for the taste, or craving. I do give into cravings and there are days where I blow it, but its life and its not going to be linear- lots of ups and downs. I don't think its something It will ever stop. I track as well, and it keeps me accountable. I just am working on my relationship with food, where I will enjoy the foods I love but in moderation. Also, having that 80/20 mentality is good too. Make sure to get movement in and make good choices. Remember this is a lifetime change not just for a moment change My best advice is to really take this time when your really restricted to work on that food relationship, work on small goals food or exercise. Your doing great on protein but maybe a goal is to come up with a delicious recipe that fits in your day? Or walking around the block. Starting small has really really helped me

1kg a month is perfect right now. Instead of thinking in terms of a specific number you should be losing, think in terms of a percentage of your overall weight. This has an advantage in that the actual number to shoot for drops as your weight goes down. The ideal amount for most people would be one to two percent per month (and certainly no more than three percent). This is right where you're at. Believe it or not, slower is actually better here. The faster your weight loss, the more likely you are to be causing your body to decide you're starving to death. When this happens, your body starts doing things that slow down your metabolism to try to keep you from dying. Of course we know intellectually that we're not actually dying, but your body's metabolic regulation system doesn't know that. It's an amazing system, but it was designed before we had almost instant access to unlimited amounts of highly palatable foods. Thanks for clarifying on the new goal. 65kg sounds like a good goal for now and there's nothing wrong with adjusting up or down even more as you get closer to that. Regarding diet, calories and macros, I'd obviously tell you to defer to your dietitian, though I will say I'm very surprised by the recommendation to lower your protein. When dieting, there are literally hundreds of studies that show the advantages of eating more protein. You should know that overall, I personally am not a huge fan of tracking calories. I know that some people here seem to do so effectively, but for me it just does not work. As I mentioned, most of us aren't very good at actually tracking calorie intake accurately. Even more important to me, none of us have any way at all to know how many calories we are actually burning in a day so tracking intake is only showing you one side of the energy balance equation. Plus, energy expenditure can be highly variable day to day, so even if you did somehow know the exact amount you burned today, it's not going to be the same in one month or one year from now. With all that said, if tracking is working for you, don't change it. Do keep in mind that you may have to reduce calories as you continue to lose since the biggest contributor to metabolism day-to-day is body size. Regarding exercise, I'm going to recommend you stop thinking of exercise as part of your weight loss goal. It simply doesn't work. I don't say this lightly, nor to discourage you, simply to state fact. We have a huge amount of evidence now to show that our bodies tend to slow down in other ways in response to exercise. This is something called the constrained energy model. On a practical level, exercise is still critically important for your overall health. In addition, we do have a lot of data that shows people that have lost a lot of weight are better able to maintain the loss if they exercise on average 1 hour or more per day. In short, do it because you'll feel better, because you'll live longer, AND because once you reach goal, you'll have a much easier time keeping the weight off. I think I can speak for most of us here on this board that we have experienced the exact mental anguish you're feeling. It's normal to worry and let doubt creep in, so know that you are not alone, Mental health is not my area of expertise, so my advice will always be please seek help from a mental health professional if you think you need it.

Traveling to Peru after surgery sounds like an amazing adventure, especially with all the nutritious food options available there. Just make sure to check in with your doctor about any travel-specific advice and ensure you have your medications and necessary supplements packed. From my experience, keeping snacks that align with your dietary needs can be helpful. I recently stayed at the westgate in Branson, where they offered great amenities for guests with specific dietary needs, which might be something to look for in your accommodations abroad.

I think when you go on vacation if you just tell them you had stomach surgery they will understand. Don’t have to get into what it was specifically. Just says special diet prescribed by doctor. Or even it’s delicious but I already ate. All they really care about is knowing that it’s not because you are dissatisfied with the food. I was a savory person before my sleeve too. I had kind of a unique change to where I craved sweets which was another of the things that contributed to my regain. It’s pretty uncommon according to my dr. Post SADI I don’t feel like I am craving sweet as much. Perhaps because I know I can’t have the sweets I really would want but hopefully because that reversed itself again. We shall see. I know that I have been craving fish tacos which is really weird for me. I barely even ate fish pre surgery or post sleeve. Just made myself like once a month because I know its good for me. I don’t think the caffeine restriction is really about how you will feel when you have it. It’s more about affecting your healing and I think I also heard something about it causing irritation or GERD.

So glad to hear you're out the other end of the surgery OP. My advice is prioritise your fluid goals for the first week or two. Honestly vitamins and protein goal and almost everything else can be caught up on later if you can't make them right now.

Got the cheesecake flavor and made it with fair life and it’s so thick and sweet I can’t have more than a teaspoon sofar only savory option is Panera broccoli cheddar soup from which I pick out the veggies and have 4 oz

To further this protein 2.0 has a drink with electrolytes and 15g protein. They have it at Walmart and Amazon.