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What about trying a GLP-1 versus surgery? Check out Dr Matthew Weiner’s Pound of Cure website, podcasts & you tube channel. He’s been speaking a lot about recommending sleevers with regain to use GLP-1 meds instead of a revision surgery. You may find it interesting & something to discuss with your surgeon as another option. PS. Out of curiosity what was your original starting point weight, your maintenance weight, and current weight?

I had a lap band placed in 2013 and ended up having it removed here in January. It up getting infected. Thankfully no erosion and just some scar tissue. The surgery to remove it was miserable for me tbh but at that time i started the process to revising from band to bypass. Thankfully that went through without a hitch and I had surgery on the 2nd of October. Initially with the band I lost over 100 lbs very quickly and felt so good. Went from 305 down to around 200. About a year after the band was placed I got my gallbladder out and I feel like that is when things kind of took a turn for me. I ended up having issues with the band so I just removed all the fluid after a year or so and just coasted through life with the thing. Things still getting stuck with it empty. Ended up gaining all my weight back and then some. Anyway, I just got the bypass on the 2nd and I am just overwhelmed with fear of not losing enough with the bypass as well as regain. Wondering if anyone has had similar experiences? On the pre op diet I lost 15 lbs and I have lost about 17 since surgery. I am almost 3 weeks. I read about people losing 30-40 right away. I worry im not on track even though I feel as if im doing well. I dont have any pain, my energy is good, i havnt puked at all since surgery (still on full liquids) and overall things seem to be doing well. I do need to up my protein (60-70 grams a day) but am able to get my fluids in. Time will tell I guess but would love to hear about others experiences. Thanks Brittany

It’s not particularly common but it does happen. I actually “eat” every three hours. Something small And I have seen others on here who eat every two hours but they are much further out from surgery than you and me. Also, this is something small and it’s all protein high protein food so if you log all of the calories and macros you can eat more often but still stay on plan. Maybe run this by your team. My nutritionist that I talked to you before my surgery did not think it was a good idea but the nurse practitioner said it was actually fine so long as I wasn’t eating more portion wise than I was supposed to while everything healed. I think the problem with it would be in the future as portions grow a bit if you’re eating five meals a day then you are eating five bits more instead of three bits that adds up faster. as long as you know that you’re able to control the portions and the quality of the food that you’re consuming your team may be on board. In the meantime, check in with yourself to make sure that it’s not what we call head hunger. Are you tired, lonely angry or bored or anything like that when you’re feeling hungry? If so, then talk to your team about that and maybe try journaling to get your feelings out or an alternative behavior such as working on a puzzle or craft or something like that. If that’s not it, there was a lady on here years ago that struggled with hunger that never went away, and she tried everything to get to the bottom of it. In terms of it being head hunger, and it didn’t seem to be she finally said that one thing that helped was warm liquid such as soup, broth, or tea or warm coffee. Another thing is there is not a whole lot of protein in one egg. I know your pouch is small and you can’t consume a lot food wise at this point, so maybe you need to supplement that protein with a little bit of a protein shake in between. I actually have what I call proffee for breakfast for that very reason. I am able to consume an entire protein shake over time with added chilled coffee and that keeps me full until lunch. Of course, don’t go against your teams plan without discussing these ideas with them, but hopefully something here helps. You have to remember that they give you a cookie cutter plan when you start out. But you are very individual and it’s possible that what they gave you just doesn’t work for you so make an appointment to talk to them sooner or email through your patient portal and tell them what’s going on. My suggestion would be to log what you’re eating and your activity and show them so they can have a better idea of what’s going on. I used a Fitness watch that is connected to an app on my phone for my activity and the Baritastic food app, which is free on the phone, but there are others as well. Also, pay attention to your mood or feelings because a lot of of us are emotional eaters. I know that I turned into food a lot of times out of just boredom. But also stress and anxiety. Basically, I realize this by sitting there with my hungry feelings for a few minutes and thinking about what had happened that day and whether it was particularly stressful or how I was feeling about it. If you really take inventory and it doesn’t coincide with emotions, though it is possible for the hunger to come back sooner, it has happened again just very uncommon. It will be easier to explain to your team if you have done a feelings inventory and tried a journal or really thought about if you were, I can’t remember there’s an acronym, but I think it’s stressed, lonely bored or tired. Something like that. After reading the comment above, it reminded me when I was early out. I did not eat food, solid food that often I had shakes in between. Also, yes, it is possible that it’s stomach acid too so ask about a PPI if you aren’t on that already. And please don’t just adjust anything without talking to your team because I don’t even know what surgery you had and everybody’s situation is different but you could run those ideas by them.

Hi guys, my name is Anna and I'm really glad I found this site. I received approval from my insurance earlier this week, there's just one x-ray needed and then I will be scheduled. My mom had the same procedure over 2 years ago, but she's more of a cautionary tale of what not to do. I have friends who have had it done as well. The hardest part of this process for me has been giving up cigarettes, and trying to lose weight on my own. I started my umpteenth weight loss journey November of 2022, and finally went back to see my moms doctor in January of this year, after chickening out a couple times before. No matter what I've done I have no been able to get below 300 since 2016. My highest weight was 374. The smallest I've been is 230 in my 20s after losing 70 lbs and keeping it off 2 years. Right now I'm chilling at around 340, have been for almost 2 years. I love the gym, I love swimming, I love being active. But I have a lot of chronic pain from back and neck issues, as well as arthritis and between that and depression, it can be hard to get out of bed some days. Last time this year I had just finished a 16 week fitness challenge at a local CrossFit center, where I learned to do a real push up, deadlifts and other strength and endurance building exercises. It was great, and I got down to 315. Then the program ended and about 25 lbs reappeared out of thin air (psych, I know lol). I am hoping that this tool is the missing puzzle piece I've needed. I know how to track, how to measure, how to diet basically. And I know how to exercise. What I've struggled with more than anything is portion and hunger. It's hard to stay in a deficit when your stomach feels like it's gonna eat itself if you don't put enough food in it- That being said I do know I want to focus on protein and fiber for fullness, and I'm working on eating smaller and more frequent throughout the day which is helping some. I guess I'm as ready as I will ever be. Am I the only one who has struggled with being a bit depressed about it all? Like I am mourning the loss of so much, including my stomach and the ability to indulge in a meal. I understand I still can, but it's not gonna be the same having a jr popcorn at the movies, when i had a good portion of a large gone before credits were over- ya know? Like people who don't struggle with their weight take a lot for granted. My whole life I've been big, and it has always felt like a punishment I didn't do anything to bring about. And society punishes you for being overweight/obese/plus size. Part of me feels like cutting out a part of my organs is another punishment I must endure because I am fat. I hope this makes sense, and these are just fleeting thoughts and feelings, mind you. I have a wonderful counselor I see weekly, and we have talked about this, among other things. But I wanted to bring it up here because I am wondering if anyone has struggled with this line of thinking? And if so what are some good things about the process to focus on? I know the outcome of the weight being gone and my appetite under control, and I want those things very much. But it's the actual surgery and the discomfort I know is coming after that trips me up. Thank you all for taking the time to read this, and I wish you all well ❤️

I'm always hungry. Always have been. Never had any reduction in the hunger hormone. So for me, it's about sticking to the plan, eating appropriate things at the right times, and ignoring the rest. For snacks, I like things that are higher in protein and fat. I love protein rolled oats with blueberries, raspberries, and sugar free syrup on top. I like to have snacks like smokehouse almonds, cheese cubes, and pepperoni or salami. I like to have a sandwich with keto white bread (I tend to go for mayo, mustard, lettuce, a tomato, cheese, and either roast beef or pastrami). I take every chance I can get to add avocado onto whatever I'm eating. Salads are HUGE for me. I love them, they're healthy, and I can put whatever I'm in the mood for on them. But the key is to EAT. You can't skip meals. Set an alarm if you have to, but you absolutely cannot miss meals. Especially not in the beginning after surgery.

Found a healthy recipe for Spring Rolls that are good. They are not super high in protein (around 5g each) but I just make certain to have a really high protein breakfast and lunch on days I’m going to have them. Anyways it’s from a bariatric site so I guess they think we don’t need the peanut sauce. I searched so many sites for a recipe for the sauce and somehow I didn’t even save the link but it’s so easy I can remember. It’s just equal parts soy sauce and peanut butter. I used the nut butter that is literally just fresh ground peanuts from the grocery and it is so good. If you don’t like salty you may want to use reduced sodium soy sauce but I actually like it and a little goes further with the saltier taste. I just mix up one tbsp of SS and one tbsp PB and that’s enough for two servings which is four spring rolls. Of course you can always just double or triple that if you like more. Here is the spring roll recipe if anyone is interested. https://www.bariatricfusion.com/blogs/recipes/bariatric-recipes-chicken-and-veggie-spring-rolls I mix up a batch of the veggies in a bowl and cut the chicken and measure. Then I portion enough of each for two rolls into each little baggy and I wait to roll them before I intend to eat (adding the avocado at the end) They were okay the next day but they stuck to the container so they fell apart trying to pick them up and then the second day the wraps were hard. Some days I just eat the filling with the peanut sauce. Honestly it’s almost as good without the rice paper. Today is the second time I have made them and I didn’t use any fancy cutting tools this time. I just cut them small with a knife and it was just fine. That site has some other good recipes for us as well. Enjoy 😊

Gastric Sleeve Surgery is October 28. I've waited over 25 years for this. Finally doing something for myself. Self pay and by myself. (My husband is supportive but is a junk food/fast food junkie and "can't" change that. He's 5'11" 180 lbs. Eats enormous amounts of food daily. It's not always easy to watch. (Like the two huge plates at my son's wedding, two cupcakes, and doughnuts." I'm forced to use a restroom at work that is through the kitchen, constantly heavy ladened with junk food and snacks. Yet here I go. Started the process April 11, 2024 at 314 pounds. HW: 350 SW: 314 CW: 262.8 GW: 120 Surgeon requires a 14 day liquid diet. 4 protein shakes a day. 64 oz of water or other liquid (broth, SF popsicles or jello, etc). Haven't had food since Monday and the days of hunger pains have been the same amount of days. I'm tired. My son's "wife & kids" aren't speaking to me. The wedding was a lot of mutual acquaintances staring and whispering without speaking to me. My husband and I sat alone with everyone else as far away as they could get from us. His one childhood friend got drunk and was belligerent towards me. I felt so alone. Kept it together and got out as soon as I could, without eating. Took today off because I'm just struggling to get through the day until surgery. No one knows it's coming up except work, because they have to know. I feel so alone in this. And just want to be past the hard stuff and eat again.

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

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

Just be careful to not just change to all electrolyte drinks. I thought I was doing good because I found one that had protein and electrolytes in it. Post surgery and I went to see my nurse practitioner because it was causing muscle cramps and she said too much of that electrolyte can deplete your magnesium, which causes cramps and eventually other things too. I’m sure that a few won’t see that, but I was drinking them all day because I thought I was doing the right thing getting in more hydration and my protein.

Breakfast, lunch and dinner today. Breakfast- wheat toast with laughing cow cheese, strawberries and a protein coffee. Lunch- a mini raspberry danish. I actually made 2 dozen last night. Baked a dozen and the other dozen are in a freezer bag ready to bake when I have surgery in a couple weeks. There’s leftover jam in the fridge for toast/french toast later this week. (That’s what I get for using all 36oz fresh raspberries I’ve bought the past week!) Dinner- I picked up some vegan chicken on clearance so we had that in rice bowls. I ended up eating about 3/4c fluffed rice, a total of 1 cup cucumbers, about 1/2 cup carrots, and little less than 1/2 cup of the stir fried “chicken” with onions, epis, and garlic in it and 1/2tbsp of sesame seeds. I didn’t eat the seaweed and the grandbaby ate what I didn’t. Also had a protein fiber bar as a snack. Might have another protein shake before bed but honestly, I’m not hungry.

Well I’m early out yet so I’m sure the hunger will be back soon enough. If only it could stay gone forever!!. Yea the chomps does make minis too but they don’t come in the pepperoni flavor and that’s my favorite so I just do half and save the other half for later (I literally have a box of ziplocks in my car for that purpose). It’s 12g protein and 80 calories though so I do half of that with either a baby bell light or a Sargento mozzarella stick which is another 5g protein for 45 or 50 calories. 85 or 90 calories for 11g of tasty protein on the go is pretty good in my book. I will have to try the mini archer beef ones for something different.

Yea. She can prep some things for you. At first you will be on all liquids and once you get to puree you will be eating tiny portions. By the time you get to regular food you will have dropped a significant amount of weight and may be surprised at how much better you feel. I have a tremendous amount of energy now. I haven’t exercised in 20 years but now I’m walking daily, doing yoga twice a week and just tried a cardio/strength class today that I think I’m going to keep doing as well. I started at a lower BMI than you so you may not be doing rigorous exercise right away but you will be able to do more than you can now for sure and each day you will be able to do a little more and more. You can always supplement with protein shakes anytime too. Sometimes if I’m on the run I will have a shake for lunch even though I’m back to regular foods and I have one mixed with coffee every morning (that’s pretty good by the way if you like iced coffee I make mine with decaf). Perhaps you and your wife can cook together once you’re physically able and while you’re learning. I did that with my husband for a while before he got too busy with work and it was actually kinda fun. Anyways, I’m really excited for you on this journey. This surgery is life changing. It takes a great deal of work and commitment but it’s well worth it.

I actually don't know how to cook my wife takes care of that to be completely honest. I told her if I ever lost sny weight that I'd be interested in learning so that I could make some things to eat while she is at work. Right now I am so heavy and out of shape that I cannot do pretty much anything by myself anymore and I need her help with everything. But if I lost 150 pounds I might give cooking a try and see what I can make. I definitely do not want instant food anymore so she is probably going to have to prepare me something to eat while she is at work for the first few months. I can make my own protein shakes but that's probably going to be it.

I wish I could do lean meat. I love chicken and fish. no sugar jello and the no sugar popsicles are actually really good. I'm just craving savory filling foods. Like cheese and pizza. All the stuff that put me in the position to have surgery in the first place. I think if I could eat the lean meats, I would be fine. My favorite meal of all time is a salad with chicken on it. But not being able to have anything, to me is just a recipe for disaster. It's turning me into an angry person. Trying to work full time, school full time, mom full time and go through a divorce. Let's just say the poor guy at Les Schwab got an ear full today. And the ex wasn't happy when I told him he wasn't my priority.

Yes. 5-6 Protein shakes and clear liquids. Sugar free jello, sugar free popsicles and low sodium broth(which is disgusting). That is it! I think it is ridiculous. I am trying my best, but it is not easy. I would love to have just a bite of anything!! They said I could have 1 bite of protein, but I know I won't be able to stop at 1 bite. Especially after not eating food for a week now.

Hello! My dietitian has been preparing me for the pre op diet for months now. I started it on 10/8. My surgery is on 10/22. The first few days weren't that bad, but around day 4-5 I was really hungry and craving my go to foods of cheesy-type stuff. I missed just being able to eat savory foods. I reached out to my dietitian and she said I was ok to drink some pickle juice and even eat one. It has helped tremendously. She even said if the craving is too much I could eat a small piece of lean protein, as the pre op diet is really a liver shrinking, high protein, low carb diet. I have stuck to just a couple pickles, but it is really hard. I suggest keeping in contact with your care team. They are very helpful. This diet is not easy. I am struggling and just want to eat a bowl of macaroni and cheese! Good luck on your surgery!

First time posting here! Surgery date is 10/22. I'm currently doing my 2 week liquid diet and struggling. I miss eating good tasting food. I'm not a sweets person and these sweet protein shakes are tough to drink. And I can only handle so much broth. Highest Weight: 395 Starting Weight: 261 Goal Weight: 180 I'm terrified I will be the person that doesn't lose any weight. I haven't told too many people about having surgery for this reason. I know my love for food is what got me to this point in the first place, but what I would give to have a plate of delicious nachos right now!

The only way I can tell I am hungry is that I am tired or dizzy. Rarely do I actually feel hungry. I actually eat every 1.5-2hours. Small high protein snacks through out the day with 3 smaller more balanced meals (veggies, fruit, carbs ect). Its super important to feed your body so you can sustain workouts, working, or life lol I would try and make it a habit of eating more often. idk if you like to meal prep but egg cups for bfast, lunch chicken salad or a bowl of some time, snacks can be yogurt and granola, cheese stick and jerky...

It *could* be hypoglycemia. To prevent that, you're supposed to eat something about every three hours. Preferably a protein if it's WLS-related. Even a thing of yogurt is fine.

No I can’t do pasta or rice so I’ll have zucchini noodles if I want a pasta-like experience. Otherwise I just have the sauce (with whatever protein) alone. PS I planted my basil in a pot on my deck. Have chives & parsley too. You can keep the pot in a sunny spot in your kitchen too.

Okay. I don’t know that much about it, but it’s still appalling that any medical professional would just leave you to figure out some silly app while you were having any kind of blood sugar issues that they should’ve prevented to begin with. My guess is they probably have some kind of protein right next to the orange juice if that’s what people need. They have a little refrigerator with stuff like that in it. Stuff that they don’t want to have to go to the cafeteria for. It’s the same place They put the sugar-free ice pops for people who had bariatric surgery. I know because I didn’t like the flavors that they had and they asked if I could have my husband bring me a box and they said yes they were just put my name on them. And even if they didn’t have anything the Least they could do was order it for her. You learn a lot about things when you spend five days there walking laps around the halls

This explains the reaction from the WLS center from my recent bloodwork. I had fasted like they had asked and my blood glucose levels were at 70. That’s the cutoff within normal range. I’d never had a problem fasting before surgery, and was never diabetic. This must be a more common post WLS issue. I also asked why one apple slice can make me dump? The answer was that I’ve fine tuned my body for only low glycemic levels so little bites can send it spiraling. The doc and dietician said to eat protein to counteract it, and to pair (whatever) with protein. It was the same response Catwoman got.

the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version)

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.