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I'm further out, so what you will be able to eat right after and what I can eat now are pretty far apart. What I can eat now, 1 year post revision surgery, is what I consider a normal amount. For example, last night for dinner, I had 2 chicken drum sticks, 1/2 a cup of french cut green beans, and 1/2 cup sauteed squash. It was delicious and I was satisfied and between comfortable and full. I ate that at 6pm and had my final snack at 9pm, which was a small handful (maybe 12 or 14) of lightly salted almonds and 7 colby jack cheese cubes. And I went to bed at 10pm. For breakfast this morning I had a 2 egg omelet with colby jack cheese and half a sliced avocado with my mushroom coffee. For my first snack of the day, I'm having strawberries and blueberries (about a half a cup of each) and a vanilla protein smoothie (mostly just because I find them yummy for a snack sometimes). For lunch I'm having a salad with cucumbers (3 sliced cut in half), bacon bits (just a small sprinkle), sliced grilled chicken (3 strips cut in half), spinach and romaine lettuce (about a cup), about half a handful of chick peas (aka garbanzo beans), and 4 tbsp of ranch dressing. No idea what I'm having beyond that today. But that gives you an idea of what is normal for me. Everyone is different, though. You have to see what will end up working for your body, your lifestyle, and your needs. It'll come in time, just be patient and trust the process.

Post Gastric Bypass RNY, I had something similar. Kind of a tight, sore thickness / heavy-feeling strip down my right abdomen. It took about a week for me to feel it. My care team also said it was basically healing pains, but also nerves & pain receptors coming back online after the 'physical trauma' of surgery. Definitely keep an eye on it to see if it changes or if you get other symptoms, but it's very likely to be your insides doing their job healing. (Honestly, if I overdo stretching/twisting even today at 12 weeks, I feel it in the same area -- just a lot better now)

If my math is right, you're already at 12% total weight loss. My program gives a range of 22-30% total loss in the first year or two (for gastric bypass/RNY; for sleeve it was lower) You're well, well, well on your way at only 2.5 months in. Be proud of yourself. And honestly? Even when the weight loss slows down and you feel like you're fighting for the next pound to come off? Be proud of yourself then, too. Cause it's your choice every morning when you wake up to continue making the healthiest choices for your own body and health. And you're doing it. There are gonna be stalls, and the first few months weight seems to come off a lot easier -- so it will likely get slower. But you'll get there -- we'll get there. We're all on similar journeys here, but each one is going to be different. ...And as other have said, while comparison can be good when you're looking to find support for stuff we're all going through, when it comes to exact numbers (inches, pounds, etc) it's not really healthy to compare. Everyone's starting from a completely different place, with different programs, different comorbidities, different ancillary health issues, etc.

Surgery is a stress on your body that often causes hair to fall out. Suppliments won't change it. My suppliments started with a basic multivitam, iron (slow-FE), Calcium, and B-12. The basic multivitamin is because the first few months we are often on a virtual starvation diet so it's to make up that deficiency. After the first few months we were expected to eat adequately to cover typical requirements. Iron, Calcium, and B-12 additionally because Bypass patients are known to malabsorb iron, calcium & B-12. Any and all other suppliments were/are in response to deficiencies in blood work. Times have changed in the last 20 some-odd years. I haven't. Good luck, Tek

@draikaina8503 - It sounds like the struggle has been super real for you, and I hate to hear that you've had such a tough time. I didn't have a drainage tube because of the type of surgery I had (as far as I know, unless it was only used DURING the surgery itself). The staples are a pain; and bending or stretching too much causing pain is 100% something I empathize with you in regards to. I was really nervous about showering with them in as well, but honestly the warm water from the shower set to a gentle pressure did feel really nice. I also used the special soap they gave me when I washed my staple area lightly with a washcloth. I was afraid of using a loofah thinking it might snag or something. I also feel where you (and others) are coming from on the fluids and dry mouth - I still find myself super relieved when I can finally have a drink 30 mins after a 'meal'. I will say that as long as I keep my intake moist (super soupy purees or broths) that it isn't TOO bad - and I definitely have to watch how many ounces I intake for my meals. I eat slowly, but when the food tastes good and I'm eyeballing my protein goal it's HARD not to want to try to 'finish' my serving. I learned my lesson with my oatmeal this morning, though. It sat more heavily on/in my stomach after I ate than I expected and I struggled to have a few burps that relieved the weight and pressure I felt in my chest. Your mention of letting ice chips dissolve in your mouth helped me today - the cold really did slow my intake and provide relief. I hope you're starting to feel better now! I created a sort of 'routine' for my mornings that I think is working pretty well, though. I try to only have a sip of water when I first wake up and them immediately prepare my breakfast. With purees that are thick to the consistency of yogurt there's a trick where you basically just swallow your meds a couple at a time (if they are small) with a spoonful of yogurt/cottage cheese/medium thick puree. That's what I do to get down my morning meds, and as long as I don't overeat I go to have a brief warm shower afterward. The movements of me showering and standing help get my body to produce a burp or two, and putting my arms over my head when I wash my hair (yes, still some pulling especially on the left side so I have to go easy with THAT arm) does expand my torso and help my food settle. This also take sup some of the time gap I have to leave after eating before I can drink. Usually by the time I'm done with my shower, done drying, and have caught my breath it's almost time for me to be able to sip fluids again. @Pepper_No_Salt I'm still shocked that they sent you home from the hospital on the same day. Whew. I'm glad to see you're been feeling better each day, Moving on to strained soups was a biggie for me and I certainly can appreciate that having been one of your first planned stops! I did the same thing after I got my staples out. Today I am going to try to return to some broth for lunch and wish I had gotten more cans of chicken noodle when I went to the store. Maybe I'll try to season some of the 'cream of' soups I've got sitting around. My first try with them wasn't good, but then again they were room temperature then. Hopefully they taste better next time around! @ShoppGirl @Onemealplan @Greekmom4 @AndreaJD- Thank you all for the recipes and information! I tried my oatmeal yesterday with the whey protein powder a friend had given me and honestly - it was gritty, and I was disappointed. This morning I used part of a vanilla ensure and I used a potato peeler to slice off the exterior of three strawberries I mixed in with it and it was 100x better. I actually ate about 5oz of it super slowly and regretted that as it either expanded or wouldn't quite settle. I wasn't sick, but I was very uncomfortable for a while and had to shower and move around, then stand and take a couple of sips of cold water to initiate a couple of burps that provided some relief. Once I started to feel better I realized that the icy cold beverage helped me, and so I went ahead and had a sugar free popsicle. I took my time with it and found that the cold spreading across the inside of my chest felt very good and now I'm feeling much better. Has anyone had good luck finding an unflavored protein powder that doesn't feel gritty when mixed? Just curious - and if someone already answered this I'm sorry; trying to get caught up but not sit for too long! @CrazyDog&CatLady - Good luck to you on your revision and thank you for sending us all positive vibes for preparation and healing! Also, welcome to the thread! @ShoppGirl - I second what you said a thousand percent about using ALL the coping strategies you can to get through this. I'm having to completely re-learn my body, and in fact learning things about myself I never realized or understood before. The feeling of 'full' does echo my feelings of 'anxiety' and I've found that I'm extra sensitive due to that in the hour after I have a meal. I've also found that just like with the walking to get the gas worked out I also need to walk around a little bit after my meal to get my food to sit properly. Additionally, I'm learning the importance of remaining UPRIGHT until my stomach has settled past a meal. It's not even 'going to sleep too soon after eating, it's being at too little of an incline. I've woken up two nights in a row with heartburn in the wee hours that I can only attribute to drinking something maybe too fast before going to bed, or sipping at an incline rather than sitting up completely to deal with my dry mouth during the night. I do space my calcium out to later in the day and have been taking my multi w/Iron and ADEK about an hour after my breakfast. That seems to so far be working to stave off any nausea I would get from taking them on an empty stomach. Thank you for explaining about the B12 injections and congratulations on overcoming your anxiety giving them to yourself! Sorry if I missed anyone - I've hit my cap for sitting for the moment. Best wishes to all and encouragement to those who have surgery in the coming days! If I recall we have two having surgery tomorrow, yes? Another set of 8/21 surgery buddies? I'll try to recap and review later!

@Dchonlee I first went to the Bariatric clinic October 2023. I was 363 lbs. I had my gastric bypass surgery Feb 7th. I lost 79 lbs. from October to my surgery date. Since, I've lost 50 lbs. Right not I'm in a big stall, and I've actually gained a few pounds. I did find out I have an ear infection in both ears. Currently on meds to take care of it. So, i assume the gain is from that. But the stall is nearing a month long. I've lost a lot of weight since October. I know it's slowing even being only 4 months post-op. The stall is still concerning. But, in saying that. I can tell I have other changes happening. This is a marathon, not a sprint. Just keep doing what you're supposed to and you will be fine.

I'm scheduled for gastric bypass this Wednesday the 19th so the liver shrink diet has been tough for me alot of fatigue and dizziness, and start 48 hr all liquid tomorrow morning. Never been this weak before but I look forward to this as part for reclaiming my overall health and wellness! Prayers going out to all my fellow patients, 1 Peter 5:7 Casting all your cares upon him for he cares for you...

I was sleeved in 2017. Highest weight was 275. Lowest was 159. My 'settled' weight was around 165 and it was perfect. I gained weight after menopause and couldn't move it with resets or diets. I just had GSRe or Overstitch a few days ago, which is a noninvasive revision that allows you to keep your sleeve--- it's just tightened up again. The size of mine had expanded quite a bit. The restriction I have now mimics what I had immediately after my original wls. This might be an option for you too if you're not wanting to revise to bypass.

I can only tolerate eggs sometimes, mostly hardboiled. Also if something smells like eggs, I can’t eat it. Even if I already started eating, I can’t continue. It’s been this way my entire life so it might be a true aversion (even my children inherited my egg smelling abilities) but after revision, it became 10 times worse.

Thank you! I felt the username was well deserved. Lol yes I have tried everything and my brain is the problem, i can't seem to leave old habits behind or let them die. My biggest issues are snacks. I'm a snackaholic i love salty sweet crunchy gooey snacks and I'm having a hard time. Good luck to you also! You will do great! So glad I found this forum. I recently was listening to an audio book called the big book on the gastric bypass. Super helpful information and it lead me here as bariatric pal was mentioned so I figured I'd try it out. Nice to talk to other people in the same boat.

I too think that this will be a really good thing for you. In my program, their clinic's data shows that a sizeable portion of their sleeve patients needed revision after a few years. You're not alone -- the sleeve just isn't optimal for everyone. It's not a personal failure. Try your best to get that out of your head -- I know it's hard, I'm sure most of us here have a lifetime of blaming ourselves for our weight gain, 'failure' at prior weight loss attempts/diets, etc. For me, the side-effects of my RNY are part of what keeps me mentally on the right track. Part of my brain just reminds me "You didn't go through ______ to eff it up now for the few minutes you'll enjoy having downed an entire bag of chips. find a better way to get out of your funk." It sounds like you've done plenty of research these past months. Only you can decide if it's right for you -- which is an intimidating prospect for sure -- but your surgeon wouldn't be supporting you / suggesting it for you if he didn't think you'd do well with it. They're invested in your success, at the very least because it gives them better success rates to encourage future patients.

Howdy - I'm scheduled for July 2nd - it's coming up quickly and NGL, I'm nervous. I was planning on the Roux en-Y gastric surgery and since reading about the SADI-S (Loop) I've been wondering if that's a surgery option for me, or if it is solely a revision of the Classic Sleeve. Does anyone know this answer?

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

So I had the sleeve three years ago and gained my weight back. I am pending revision and the dr did an endoscopy and found a hiatal hernia and some gerd. He then ordered a UGI and a gastric emptying study to get some more information to decide which surgery is most appropriate. I just finished the gastric emptying study and after only two hours the food was completely out of my stomach which may explain why I always feel hungry a couple hours after I eat. I am hoping maybe there is a treatment to slow down my stomach emptying and I won’t even need surgery or if I do it will be more successful this time. I see the dr in a week and I’m sure he will have an answer but I’m just curious if this is truly faster than normal and if anyone else has had this issue.

@LisaCaryl Well done on reaching one-derland!!! Ugh, I'm on a short dose of steroids right now, too. A little risky with bypass but I had no choice because I got poison ivy over 90% of my face over the weekend and it turned into a weepy, burning mess. Prednisone was my only hope as I literally couldn't leave the house looking the way I did and I was afraid it would lead to scarring. From what I've read, taking the steroids for a short period of time has minimal lasting impact on weight. Just avoid salt and drink plenty of water. Keep an eye on your tummy for any upset as it can cause irritation.

My 26yo son just completed Robotic Gastric Bypass 6/7 - doing great! I had Open RnY Gastric Bypass Feb 2002

Heya! I am also in the UK and I had a gastric bypass almost 4 weeks ago, privately with Simon Monkhouse. I'd advise making booking a consultation with Simon (it is free!) and just getting some advice there! https://www.simonmonkhouse.com/ I honestly cannot recommend him enough

I'm so glad that I found this thread. I've been reading about the SADI-S as my surgery date approaches and wondering why I hadn't been told about this as being a possible option. Years ago when I started exploring WLS my doctor suggested the sleeve for me, and now that I've finally gotten in and far along in a program I've realized that my surgeon has been very 'it's up to me' in regards to which surgery I should get. I assumed (incorrectly, I now see) that I needed the gastric bypass rather than the sleeve because I wanted to 'lose a LOT of weight' but now that I'm reading more ... Maybe that isn't the way to go? I have family history of GERD, PCOS, and a lot of inflammatory muscular conditions/degeneration. Losing the ability to take NSAIDs is a big deal to me, and the family history of GERD has made me nervous from the start. Am I maybe acting too rashly? Isn't a Gastric Bypass still possible if you aren't happy with your results from the sleeve?

I've been stalled for 3 weeks. I contacted the dietician and had her look over my food logs on the baritastic app. She told me stalls can last a month, sometimes more. She went on to tell me I wasn't getting enough fiber. So, I bought some Flaxseed and going eat more fiber foods to see if that was the thing keeping me stalled. How many grams of protein and carbs are you getting per day? I'm curious, every doctor or nutritionist seems to have a variety of how they do things. I believe you had the sleeve which would be a different nutritional guideline than mine since I've had gastric bypass. It's frustrating to work on doing the right thing, only for a lingering stall. It has been getting really hot in Oklahoma. Mid to high 90's. I have a hot job as it is. Sweating all the time, I thought just by the heat and sweating I would lose a few pounds. It truly is a marathon

I have a cousin that had gastric sleeve 5 years ago. She's since gained weight back. But, she also didn't follow the guidelines that were set for her after the first year from surgery. I had gastric bypass in February. The past 6-7 weeks or so I feel like I'm hungry more often than I should be. At least that's what it feels like. Though, I do workout a lot. So, im certain that's most of the issue. Learning that my body is telling me to fuel is different from eating before. When I ate for any other reason other than just fueling what my body needs. Going from living to eat, to eating to live is a process. I hope you get the answers your looking for.

Hello everyone, I know that you've all seen a post like mine before. I'm exactly 9 days away from getting gastric bypass surgery. I've tried so many other things and have failed over the long term to keep off my weight. I'm at 436 (was 445), but the diet they put me on helped me lose a few pounds. I'm very, very anxious about the surgery. My mom had the surgery years and years ago when it wasn't as perfected and it didn't go well for her. She lost weight but had a ton of complications. My fear isn't really surrounding post op activities, but rather going through the surgery itself. I hope none of you think less of me, but I'm terrified. I'm even having nightmares about it. My wife got the sleeve a year ago and she didn't have outrageous pain or anything. She was quite doped up lol. I'm scared of going to sleep and waking up in immense pain. I guess that's the jist of it.

That is completely fine! So my bypass was around £12,100 and I pay it in monthly instalments for the next 60 months. So I paid a 5k deposit (you only need 10% minimum I believe for their finance), and my monthly payments are £150. I thought I couldn't afford it privately in the UK until I realised finance was an option, and it was affordable for me so I just went for it. I spent a while on the NHS waiting list and it was awful!

Hello everyone, and happy Sunday! I'm feeling quite a bit better now that my body finally evacuated what was bothering it. I'd kind of forgotten about the Milk of Magnesia I'd purchased, and yesterday it came to my rescue. Those protein shakes (30g) are no joke, especially if you're taking any medication that slows your digestion further. Yesterday afternoon, even after getting past the constipation, my body just wasn't feeling like much intake, either liquids or 'food'. I found myself getting full after only an ounce of the chicken noodle soup broth and a few teaspoons of yogurt. I struggled for the first time getting my fluids in; I think I had gotten lax about the sip-sip-sip method and maybe was trying to drink too much at once when I drank. It's definitely hard to resist the urge to go back to gulping, especially when the beverage it cold and satisfying, and I feel dry mouth creeping in. Tomorrow is technically my puree day but I skipped ahead just slightly to try to move away from those heavy protein shakes. I realized I'm very sensitive to the texture of my scrambled egg and had to recook it, pre-mixed with about a half tablespoon of skim milk, and instead of the butter he'd initially tried I just used a very light splash of olive oil. That gave me the light, moist scrambled egg I was looking for. I reread my book and while it suggested you might want to start with just egg whites I just couldn't make myself hold to that. I am trying to get better about spacing out the 'not drinking 30 mins before/after' now that I'm beginning to eat some actual food. That's a very hard thing to do, honestly, because I'm noticing that no matter how much I chew without a drink the food just feels kind of stuck in my throat for a bit. I can see now why my friend said she found drinking a broth type soup in the morning 'primed' her stomach for the day. @draikaina8503 & @Pepper_No_Salt - How are you two feeling? I hope that your surgeries went smoothly. @Pepper_No_Salt I'm glad you can mix in some variety with additives to your plant based shakes - I was close enough to losing my mind during the pre-op diet so I think that being limited further would have driven me over the edge! I'm going to look up that PB2 you mentioned because I'm curious about it! (Back to you, @draikaina8503 , just saw your post-op post!) Oh my gosh I hate that your body did that to you RIGHT before your surgery. Mine at least gave me two days I'm very glad they kept you at least another night! I hope they are helping you keep your pain managed. Yeah; it will definitely take some walking to get that gas pain to leave but in the mean time don't be shy in asking for those ice packs and your pain medication! Sometimes managing the pain, then walking with the ice pack is the only way to work it out - at least that was my experience, and I've heard the same from a few others. Thinking back, one thing I wish I'd done while in the hospital was be a BIT more squeaky - I remember now that when my Mom was in the hospital I had to shove a bunch of pillows behind her back when I put the hospital bed up at an incline so she could get a good enough angle in bed to safely sip liquids. I think that would have helped me tremendously, because I relegated myself to using their recliner a lot just so I could be upright, and it didn't work very well AT ALL. Hope you're starting to feel better! (Coming back to you @Pepper_No_Salt since I now see your post-op post!) : Oh my gosh I feel you on the cold drink thing! I was a bit grumpy when I asked the nurse at my 10 day post-op and she casually said, "Oh, room temperature is mainly just the first few days because foods of extreme temperatures CAN cause uncomfortable cramping'. My fella covered his mouth to hide his snort of understanding at the look I gave him, having had to hear me whine off and on for ten days about how I'd give anything for a COLD drink of something. Figuring out the sips is tricky. They gave me little medicine cups that hold about an ounce and for me, sipping one of those 2-3 times felt about right at first. I'm sure this is another one of those things that depends on the person. I also alternated one ounce of gatorade/proper (they had brought me a kiwi watermelon that elicited heartburn, the berry was ok if I went slow - Also weirdly orange gatorade zero goes down better than watermelon, guess its all based on the acid and flavoring? @draikaina8503 - I read where you discussed being pretty limited on the shakes due to dietary restrictions. That's rough It's very cool that you write the same genres as me - I, too, have given Nanowrimo a try but never seem to stick with it to the finish line. Maybe I'll try it again this year! I'm glad you mentioned it. Yes - I meant to follow up all week long on making sure I was on the waiting list, and lo and behold... it's Sunday, and I never did. I'm bad on a good day at executive function, so during stressful times like this recovery - whew. I need to add it as a task to my Finch app so my mind stops blanking on it. I hope they were able to do your full surgery with no complications. @Singingbarista - I hope your recovery is going well! I didn't feel too terribly at first but I am suspecting more and more based off of people's feedback that I almost certainly had a nerve block that took a good 4-5 days to completely wear off. The achiness has built over time, and I hope that is different for you! @AndreaJD - Yay! Another writer & Nanowrimo participant! I guess it isn't too surprising that several of us writing folks would find one another on a forum, but I still think it's really cool. Superhero fan fiction sounds fun; I'd say that some of the powers my characters have are very overlapping, like magic use. It would be awesome if you could get some productive writing done during recovery but I also wanted to encourage you not to be too hard on yourself if you can't. My mind feels muddy and I feel drowsy far more often than I would like. I know I'll probably feel SO much better in about a week, but it's sure hard not to be impatient. I also wanted to mention that I didn't have much trouble at all getting my fluids down at first, either, and that's definitely not a bad thing. My nurse told me there will be good days and harder days, and yesterday I definitely experienced that. It was the first day I didn't make my fluid goal, like I wrote above - and I tried to push it in the evening but that was a bad idea. The Berry Propel I drank a bit too quickly before laying down (should have waited longer, d'oh!) ended up giving me heartburn that woke me up around 3am. It's all trial and error, I guess. Dang - wish I'd thought of having tomato soup pre-op! No idea why I didn't - now it'll probably be a while before I dare due to potential acid reflux. Ahh well! I'm going to try some of that blended Progresso Chicken Noodle in my puree stage I think if it passes the 'book check' - it sounds amazing. @Averdra & @caseyash30 - Are you two still surgery twins on the 21st? I'm trying to backtrack and I know that you said there were possible concerns do to a potential Covid case, @Averdra. I hope that's smoothed out for you! I realized while I was doing my recap that I never mentioned - traveling to Lithuania sounds so exotic to me, as a resident of the Midwestern U!. The furthest I've ever been is Alberta, Canada! Not that you would get to go sightseeing or anything; I get it. I know a lot of folks from the US travel to Mexico for their surgeries. Very cool that you were another WoW OG! The game sure has changed a lot, hasn't it? @caseyash30 - How goes the pre-op diet? Are you getting nervous or eager as the date approaches? For me it all just felt really surreal. @Onemealplan & @Greekmom4 - Tomorrow is my 14 day post op! I was paying close attention to your discussions about puree - because to be honest, I'm kind of stumped on this particular stage. I just managed about half a scrambled egg and a couple of teaspoons of my sugar free Chobani and I just feel so full. The whole time I was eyeballing my sugar free gatorade, thinking how ready I was to just be through with food so I could set a timer to be able to start hydrating. As it is, I have hiccups from the two tiny sips of Gatorade I allowed myself just to make the egg not feel stuck in my throat. I know everyone's experiences are going to vary significantly; the friend I have who had surgery previously said she had a lot of luck sipping the French onion soup mixed, especially in the mornings. She's two years post op and doesn't seem to have trouble eating small servings of most anything she wants now, minus much fried foods or rich desserts. She had a full gastric bypass, for reference. She told me that ricotta was a big win for her because it could be blended and made either savory or sweet, depending on if you chose vegetables or fruit, and also said she really enjoyed refried beans through the puree with mild seasoning to make it more like a taco. I have a gastric sleeve cookbook that offers a lot of different smoothie varieties. Other than that - I'm just not sure what sounds appealing as a puree, despite the nurse saying 'you can puree almost anything but stringy / dense meat!' I can see how the chicken or tuna salad would work - tuna just scares me for some reason. I wonder if I'd be able to do a salmon salad instead of tuna salad. Also - @Onemealplan - Yeah, I tried having my fella puree me some canned kidney beans on Friday, just to test the waters, and they didn't settle well for me. I can't say they are what caused me to have trouble passing gas and extra trouble with my constipation - it seems unlikely since I skimmed away the 'shell' and only ate probably a teaspoon and a half worth, but I just don't know. It tasted great to me, but just made me nervous. This is probably in part because I've dealt with IBS and beans of that sort along with ground beef or tomato sauce with too much basil were trigger type foods for me. I concur on the puree'd meats sound distinctly unappetizing. I'm hoping I can get away with mashing cooked salmon or something like that. Wooo! I did it! I hope I didn't miss anyone - I feel caught up finally! Now, to go rest with my ice pack.

She told me she deliberately didn't tell either one about the other med because she didn't want them to say she can't have both. (I just asked her, to be sure, and she confirmed my suspicions that she didn't tell either one). What was of most concern that I found was that tirzepatide can lower bp and phentermine can raise it, which kind of plays tug of war with your heart. I also saw that taking both together can increase dizziness, weakness, and bring on severe headaches (she suffers from migraines already). I showed her all this and she said "well, I only plan to b on the phentermine fo 6 months, but I'm going to stay on the tirzepatide for at least a year, so if I can just make it through the 6 months on both,. I'm golden" So, I guess as long as she's not worried, and if there's doctors out there that are actually prescribing both, I won't worry too much. I definitely won't alienate her by going on and on about it. I took my concerns to her, showed her what I found, and now I let it go. She's my bestfriend and I love her (friends for 42 years in September) so I just want what's best for her. She supported my surgery and revision, I can support her in this. I just don't want anything bad to happen to her by taking both of these meds together.