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Thank you!! I lift heavy 3/4 days a week (legs/glutes, back/chest, arms/shoulders, strength and conditioning) and do Pilates twice a week. I also run/jog daily on the treadmill, I do HIIT once a week and I close at least 10k steps a day! That’s pretty much it! I focus on protein mainly and enjoy eating out on weekends.

Okay, so I had reached a BMI of 40 when I got the referral to the surgical team. But with 6 months of nutrition counseling and the 2 week liquid diet, the day of surgery I had a BMI of 36.3. I chose the bypass and I am very happy with it. My weight loss has not been the dramatic numbers you see with larger patients, but it's been stunning to me. I am almost a year out and am currently within 9 pounds of a normal BMI. I have not been this weight in 30 years and I firmly believe no amount of diet and exercise alone would have gotten me here. I would do it again in a heartbeat and wish I had done it earlier. With regards to the bypass itself, I am very pleased with it. I chose it over the sleeve because of GERD concerns and because my brother, who had the sleeve 15 years ago, has had a lot of regain that I think the bypass will help me avoid to some degree. I had some issues with vomiting for the first several months when I didn't eat very slowly or had something that was not the "right" texture for my picky insides. But other than that, I've been great. At this point, I can eat about a third to a half of a typical portion of most meals so I don't feel like I get funny looks or anything from people who don't know my situation. I do not experience dumping, which is sad because it means I can eat sweets if I want them without getting sick. And yes, I do want them, so managing cravings is my biggest challenge. I no longer care much for bread or pasta and I also don't eat rice. I do like a few roasted potatoes sometimes and I will steal a couple fries from someone else's plate but I won't order them for myself. I mostly prefer protein, veg, and fruit. And, yeah, sweets... My labs have all looked good so far (have to go get blood drawn next week ahead of my 1-year follow up). I feel fantastic. My one concern had been not being able to take ibuprofen because I was taking it a few times a week for pain. Well, within weeks of the surgery, even when my weight was still fairly high, my pain went away. I have had one time in the past year when I had a headache and wished I could take ibuprofen (and actually, I could have if I had really needed to because a single ibuprofen, or even one a week, is not a high enough risk to worry about).

I have never really been an oatmeal fan. Did try overnight oats once witb peanut butter and some other stuff and I liked it but i learned that that added up to a lot of carbs so I didn’t stick with it. Anyways it’s an option on this puree diet and I do have the rolled oats left in the pantry so I thought I’d maybe give it a go again. During purée stage or not, how do you take your oats? Hot or cold? And with what add ins?

Hi- I had surgery on 5/15/24... so I'm 5 weeks out. I struggled getting water in this weekend and ended up needing fluids. My mouth has been killing me and I thought fluids would help but nope! Now I'm struggling with get in protein because the only way I like protein is with hot coffee. I just feel like I'm failing! Support/suggestions... I'm all ears!

Just an update. My team had me start with a high ADEK chewable and switch to capsules when I got to purées. I started with the Procare health all in one multi with 45mg iron that I took after a protein shake in the morning and switched to the SADI specific one once I was able to drink the shake a little faster (just to make sure that there was a whole shake in my tummy with that higher level of iron) so it didn’t come back up. That seems to have worked I get my labs near the end of month so we will see what they say.

Good morning! Im 143 days into lapband revision to GB and down 41lbs. I had a 3 week plateau. I was not eating enough protein and was starting to snack. (Death in family , depression, weather is terrible) perfect storm for over eating. So anyway . .. if anyone is struggling my recommendation is to tell your team. They hooked me up with a counselor, im taking some depression meds to het me through this tough time, dietitian gave me some tips, and really supported me. I lost 3 lbs this week!! Hang in there and talk it out.

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.

Hey! 👋 I hope your post op went super well! Once you’re out of liquids it’s a whole new world! The feeling of fullness might start kicking in. I’m probably under on protein but my focus is hydration and getting protein from eat of my meals. I’ve add 3oz of protein in the morning after my coconut water before my walk and it’s doing good. My baby stomach just can’t handle water, food and protein shakes all in one day, it’s too much. So my doctors and nutritionist said don’t worry about it stay hydrated then protein. The video was neat! The hospital actually provided it to the doctors and they sent it to me. They recorded all the medical procedures. I’ve found that 3oz works really well for me 2/3 hrs . I weigh everything and I got some new cups.

Have you tried the protein waters yet? Some people like them better than the shakes. Also, if you have a recliner, some people find that mkre comfortable for sleep for a while.

Getting up does kinda seem like a chore when it’s painful and you’re not hungry or thirsty anyways but it’s good to get up to avoid possibility of blood clots. When you do get up try walking a bit further than just to the kitchen too. You will see that you can do a bit more each day. Don’t rush it, of course but do get up enough to prevent clots. My goal was every hour but if I’m being honest I didn’t quite make that. Also, don’t forget to do your spirometer thing. The walking, spirometer and fluids should be the priority. Protein and vitamins are important but not nearly as important as the others. Take each day at a time this first couple of weeks. You will get in your groove soon enough.

I'm now 6 days post op and woke up feeling "normal" for the first time in 6 days. As in, not immediately in pain, actually ready to get out of bed and start the day. I haven't really bothered much with food since I don't want it and just want water. I went for a walk today and started to feel a little dizzy and then realised I wanted so food so I went home and had a protein shake. Dizziness was gone and I felt better. Getting water in all day. Then about 6 hours later, I had the same feeling, had some soup and it was gone. I genuinely have no idea what hunger actually feels like. I think forn39 years I just assumed I was hungry because I wanted to eat. How do I know when I actually need to eat anymore?

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 😊

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!

Okay so look at the macros and see if this fits your plan. It may be a little high in carbs for some if you’re not very active but this recipe is probably my favorite out of my two weeks if soft foods so I thought I would share. It’s called south of the border chicken chili from the McCormick website. I added onions and garlic because I like them in everything but this is super simple and high protein. You may want to leave out the corn and do more beans or tomatoes if your tummy is still fussy but I haven’t had any issues with anything and I’m allowed to start incorporating more foods so I’m having it with the corn and so far so good 🤞 My pot made a little over 7 one cup servings which Baritastic calculated at 25g of protein (12.5 if you can only do a half cup) and 26g carbs (but part of that was the onions). I needed more protein for the day so I opted for the shredded cheese on top. Anyways, it’s chicken, bell pepper, white and black beans, canned tomato and corn with a seasoning pack from McCormick. I can’t finish the whole cup so I’m gonna have it again for a snack but I really love it. I hope it freezes well. https://www.mccormick.com/recipes/main-dishes/south-of-the-border-chicken-chili

I'll do my best to help, but I'm going to have to start by asking some questions: When you say the weight is "barely coming off", can you be more specific? How much in the last week, two weeks, last month? Can you clarify what your goal weight really is? In your profile, you're showing that you're currently at 78kg and your goal is 75kg. That's only about 6-7 pounds, not the 33-44 you listed. I'm thinking you probably have a new goal and have not updated your profile, but it's important to understand what you really are trying to do. When you say you are "eating pretty well", can you give some examples of what a typical day looks like? What is your daily caloric goal? What about protein, fat and carbs? How are you determining your what you caloric and macronutrient intake should be? How are you tracking your intake? Do you weigh everything in grams before it goes into your mouth? Let me explain why I'm asking these questions. Typically when people are struggling with weight loss, we see a few common issues: Unrealistic expectations. Especially if weight loss early on after surgery was easy, people tend to think it will continue that way until they reach goal weight. Unfortunately, that's not how this works. The heavier we are, the more we'll lose at first. The closer we get to goal, the harder it becomes. It can take months just to lose a few pounds if you are already pretty lean. You also have to really have your nutrition dialed in at that point.. I won't get too deep into the physiology here, but there are multiple reasons for this and it's 100% normal for this to happen. My point is that you may be right where you need to be. It's hard to know just that just based on what you posted above. Eating more than you think. Study after study shows that almost everyone thinks they eat less than they really do, even those that log their food using calorie tracking apps. It's sometimes simple things like those little tastes while preparing a meal, or that handful of nuts they forgot to log. Others, they just guess at calories because accurate tracking is really hard. Burning less than you think. Most people have absolutely no idea how many calories they actually burn in a day. We often use estimates based on height and weight, but these can be off by may hundreds of calories depending on age, lifestyle, percent body fat, etc. Further, your calorie burn isn't the same all the time. It can vary by hundreds of calories per day even before you consider exercise. Speaking of exercise, we drastically overestimate the impact of exercise calories. For the vast majority of people, the calories they burn in a day don't actually change all that much due to exercise. Blaming things outside your control. It's natural for people look for causes for problems. If we take ownership of the problem, we can then take steps to correct it. It's when we place the blame on something we perceive to be outside our control that we can run into serious problems. Let me give you an example here. We can't escape simple physics. If you burn more calories in a day than you consume, you'll lose weight. Eat more than you burn and you gain weight. If I take responsibility for this, then it means I need to eat less or burn more to lose weight. I realize that's easier said than done, but without first taking responsibility for the problem, I'd have no hope of fixing the issue. If on the other hand, I were to say "I have a slow metabolism", I'd essentially be saying this issue is outside my control, even though the solution is the same as before: eat less than you burn. Thinking a particular diet/macronutrient is more important than calories. I noticed you hinted at that in your post. Calories are king here. Specific diets that emphasize one or more macronutrients can help, but they never trump calories. I can go into more detail later, but this post is already getting overly long so I think I'll stop here. Please provide some additional detail and I may be able to provide better guidance.

Well I had a revision (no surgery on my stomach) so I won’t even talk about portion. Also, I’m pretty active (2-3 hours of at least walking) so take this with a grain of salt but my calories are around 900-1000, protein is 90 plus, net carbs are 60-70, sugar is usually under 20 but my max is 30, fiber is still too low but around 10-15 with the fiber powder, fat is 20-30, water is about 80, and calcium is usually around 1800 or above. I was told that calories alone don’t mean much at all and carbs and fat depend significantly on what kinds of carbs and fat. Carbs from fruit and veggies are usually fine in our portions and healthy fats like olive oil, avocado and nuts or low fat dairy are okay too but you do have to measure of course and not have them multiple times. It’s when you get into the processed stuff that you have to watch them numbers so much closer. They sneak things in. I have noticed that the low carb stuff is usually really high in fat. My goal is to keep it to Whole Foods as much as I can. So far I have had the occasional low carb wrap, Turkey jerky, yogurt drinks, and quest potato chips in terms of packaged food. Ooh and that burrito wrap I had to seriously budget for. But I mean like twice or three times a month. Your team will have the best info for what’s right for you though. So many things make these numbers different for everyone. Did you ever find an app that you can access to log your food?. It has really helped me. Usually when I sit down to have lunch, I enter my breakfast, my lunch and play around with ideas for dinner and snack and see how that works out in terms of macros. I always have fish and frozen low carb veggies that I can pull out of the freezer if I am too high for the day. I found these burritos that supposedly freeze well I wanted to make but they used a real tortilla. They do not have the big ones in the low-carb version. I looked everywhere but I needed the bigger one and order get enough protein. I wanted to make those four nights in a row but every time I entered them I was going over on something. I finally was able to have them last night but all I had was my morning proffee and five egg whites with pico de gallo for lunch. Then I added a little bit more cheese because I was 2 g low on protein. Anyways, it makes it so much easier to be able to plug these things in and you can delete and try something else if it doesn’t work or add or subtract snacks. The only thing that I do not enter, but I always allow myself to have. I kind of learned on the preop diet was the sugar-free popsicles they’re actually 15 cal I believe but they were free foods on my preop diet and I keep them that way in my mind. It keeps me thinking that I’m never going to be not allowed to have food. Mentally it somehow makes me think that I don’t have to starve. I can always have something.. I actually really enjoyed them the tropical flavor ones on my preop but I haven’t wanted sweets very often since. I have had them a couple of times when I wake up late wanting something though.

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.

If anyone likes Waldorf Salad, this was a good one. I made half the recipe but added one Skinless chicken breast (pretty big, 6.9oz after it was cooked) so I used the correct amount of yogurt. Low calorie, high protein relatively tasty dinner is marinating in the fridge ✔️ Some of you may want to peel the apple and leave out the walnuts of course, maybe even omit the celery (I just chopped it really small) and I know most of you guys can’t eat quite as much as me volume wise but for the halved recipe with the added chicken it makes two 1.5 cup servings and that’s 207 calories, 25g protein, 17g carbs. I will probably end up having half for dinner and the other half later for a snack. I figured if I find something I like maybe someone else will enjoy it too. Here’s the link. https://skinnyfitalicious.com/healthy-waldorf-salad/ If anyone else comes across healthy recipes that aren’t bad. Please share. I am really trying to commit to this. I didn’t try this hard with that sleeve and I’m hoping by finding a variety of healthy stuff I like that this time will be different for me. It certainly feels different so 🤞

Right. That’s where my biggest dilemma is. I don’t know when I enter it into Baritastic if I should use 3oz for the cooked chicken breast or 4oz for the raw chicken breast The calorie difference isn’t my concern. I would just enter the 4oz and be done but for protein that’s like 8-9g difference. (Really not sure why 1-2 oz is 9g difference but 3-4 ounces is 8g but that’s a whole other issue).

I am just over 3 months post op and I am struggling with feeling sick all day long. I’ve lost 95lbs already. My dr has done different tests and everything comes back normal. I struggle to eat when I feel so sick. Try to get protein in but struggle to get anywhere close to what it needs to be. Has anyone else experienced this.

Wow, I never thought about that as an option, but it makes total sense. It's definitely not something that was talked about in my nutrition class or the doctor's office. Great job on figuring that one out!

I'm 1 month poat op and to be honest I get hungry the most is before bed. Like I literally go to sleep hungry. Not sure if it is really hunger and I don't know if I am eating enough. My dietician recommended 8 meals a day and I reach around 6 so perhaps I must add a final snack before bed like some Greek yogurt or a protein bar hmm.. I am just worri3d about calories

Tomorrow will be a year since surgery, I've lost 62 lbs since the surgery, a total of 100 lbs since the beginning of the journey. This started for me with gastroparesis, hiatal hernia, and bile acid reflux with normal GERD. All of that is now better and other than a slight hiccup (hernia repair in November) I've done very well. Overall the first few weeks are still a blur, and life just got easier as the months passed. I continued to walk and work out, and the difference is amazing. My feet feel better, my back feels better. I have plantar fasciitis, and have had spinal fusion at 2 levels, so that is an incredible relief, the pain is much more manageable now. I used to get relief only from NSAIDs, now tylenol works well. My prediabetic situation is now gone, my A1C went from a 6 to a 5.2. I've recently discovered I can have a bit of chocolate or regular cookies, any more than a bit and I'll have sweating, nausea, etc. It's not that bad for me, but not pleasant which is actually helpful. I can eat anything I want to, but I don't feel driven to eat the things I know I shouldn't eat. Head hunger is a thing but I deal with it by eating protein and if it doesn't taste good, I'm not physically hungry. Not to say I haven't had a few slippery slope moments, I have, but it's much easier to get back into the good habits now that I've been doing it for a year. I just feel like myself again, physically I feel normal again, and that is life altering. I wear stupid cute clothes, mostly thrifted because I didn't know where I would land, but I think I'm there now. I loved trying different styles and colors from what I've been wearing, and now I'm back to my style, just different sizes. I wear softer colors, loose and comfortable styles, and I just feel good. I have to say that this site, and the people on here that take the time to answer questions and discuss the experience has been extremely helpful, so thank you!!!! Happy New Year everyone!

Hi guys I just thought I would check in with you all and tell you of my progress, trials and tribulations! I'm nearly 6 weeks post-op and I am still adjusting to my new life. I am doing very well all things considered, except that one of my surgical sites reopened and is not healing properly, don't worry I am having medical support from the doctor and nurse, I just feel a bit down with it to be honest. I'm type 2 diabetic and my glucose levels have stabilized which is awesome! I lost 2 stone 1lb in just under a month which is amazing, I did stay the same last week which was disappointing but I guess my body needs time to catch up! I'm struggling mentally with self-imposed restrictions and triggering situations like food shopping etc and I wondered if you guys could help me gain some clarity I am one of the unlucky ones that still experiences real hunger and it is definitely not head hunger. I need to eat around every 2 hours, I am getting all my protein in and my fluids and I'm eating around 700 cals a day. My problem is that when I feel real hunger I panic and I don't know why! I have had lots of therapy and I am in a very good place now after many years of struggles with my mental health. I guess I was expecting not to feel hungry like most other people, and that was the case until about 3 weeks ago! The self imposed restriction is calorie counting! I am conflicted about whether I should be counting the calories in non starchy veg such as sprouts, cucumber tomatoes, gherkins, beetroot etc and fruit such as blueberries, strawberries, raspberries and satsumas. Should I be counting calories at all? I'm eating around 700 cals a day at the moment. I am committed to eating healthy and do not crave junk food anymore which is awesome! I go for whole foods mainly and low carbs. Previously when I have given myself restrictions before I have done great for a few months then fallen off the wagon. I know it is different this time as I have a new tool, but it's taking my brain a while to catch up! I know that I am at the early stages at the moment and still learning my fullness cues and practising a fair amount of control, I used to eat mindlessly, now I think about everything that goes in my mouth. What do you guys think of this? I also worry that my weight loss will stall and I know it's only been a week so far and its not a stall until 3 to 4 weeks, but I have seen it so many times on lots of forums and it worries me a bit to be honest. I know that no one really knows how their weight loss is going to go as everyone is unique and I need to stop overthinking things but its so hard when I have done it all my life! Did any of you guys have similar worries or concerns in the early stages and did it resolve itself? Any advice would be great! Thanks in advance x