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I had my surgery @23 years ago and there is SOOOO much I wasn't told. Here are just a few of them: * my hair would thin A LOT * I needed to take a multivitamin that included specific things like iron, copper etc. * I should eat a certain amount of each of these protein, carbs, calories etc. not just each less and healthier * the calcium needs to be citrate and spaced out to 3 times a day because your body can't absorb more than 500 mg at a time. * any pills need to be crushed I am in the process of trying to lose weight again to fix hernias from my gastric bypass (Roux en y) full cut. I have to keep telling my doctors "I was never told that"... it's very frustrating. BUT on a positive note I am learning so much and there is so much more available product wise to help me with my goals.

Hopped on the scale today excited to see how much I’ve lost (4weeks post op) to discover the scale reads the same as last week. I’m taking in less than 500 calories per day & meeting protein requirements. Was thankful to read from others that this plateau is common around 3weeks. Trying to stay positive but this was 🥲

so yeah, despite the produced fruits of my labours this AM, my snack of choice at the moment is: a handful of BBQ chips, a 5 chocolate covered cashews and 1/4 cup of regular roasted salted cashews. estimated 450 calories. (we'll see how much i eat of it, but most likely all of it will end up in me before the day is over...unless Mr. gets his paws in it...)

Are you male? I was on a pre surgery diet of 1000-1200 calories max (female) and that's fairly common...Men 1300 - 1500 max.. The amount of exercise I did didn't matter (I was very active). I started May and my surgery was in August.. I was under the impression those calorie limits were fairly normal, am I missing something here? On average not trying to lose weight is 1800 - 2200 (maintenance) based on age, height etc..Sooo dropping to 1200 would still be healthy but allow for healthy weight loss. Lastly, I understand you're training, but after surgery you will be on even less calories (I'm almost 9 months PO and I get 800 calorie and your swimming event is 2025 - post surgery..so you'd be on calorie restrictions then..what's the difference between now and then?. Training is about building endurance and calories shouldn't matter as long as you're getting what is recommended and the right macros. Yes, everyone is different but your dietician knows your current weight, goals and objectives. I personally would do as your plan dictates if you want to go ahead with the surgery. Once you go and do your own thing (which I'm assuming is why you need the WLS in the first place) its very difficult to stay on the program. I also realize that your swimming event is important to you, but you need to decide what is most important - the swim event or becoming healthy. Something to think on...

I would especially look at how much protein you are getting more than just the calorie count. Perhaps using protein supplements/shakes/powder as part of your intake for all that muscle you are building. Best wishes

I hope I don't come across as rude when I write this but everyone has different likes or dislikes and you clearly say you have never liked alcohol from the outset so good for you but the post does come across as judgmental. If someone likes to have a drink it is up to them as adults to do as they wish, be it too many calories etc. It is everyone's choice to make if they would like to have a drink (alcoholic or non-alcoholic) and deal with the consequences, if there are any like weight gain, reflux, dumping etc. Do you like eggs? I don't like the smell or taste of them so why do you eat them? Just making the point!

I gave up beer and i drink vodka in water and add crystal light. I only get the 100 calories from the vodka. However, you instant catch a buss and you can get drunk fast. Be cautious.

This situation is a catch 22 because no one knows exactly what the insurance requirements are and no one will tell us. The dieticians job is to help you lose weight, period. Whether that’s in your best interest or not is where it gets tricky. On one hand If you are in a supervised weight loss program (the six month requirement by a lot of insurances) they are trying to see if you can lose the weight on your own before they approve it. So in theory if you lose too much they could deem you not a good candidate for surgery. On the other hand, every pound you lose the heathy way should make you that much more fit for the operation (not if you malnourished though). Plus, if you really can lose it without surgery obviously not putting your body through surgery would be ideal. if the dieticians way is something you have never tried before and when you try it you feel like you can do it, losing weight without surgery is obviously preferred. BUT, just because the insurance company sees progress and decides that you should be able to lose it based on the trend doesn’t mean they are right (they are not doctors and should not be making these decisions IMO). I know myself I have probably lost 1000 pounds in my life but that’s because I have always lost a few and gained them back but never got near a healthy weight. Whether you have tried everything, including the dieticians way, only you know. I had sleeve three years ago and my high weight was 235 and I’m taller than you. So I was lower BMI as well. On surgery day I was 220ish and I was fine but I did not start losing until my pre op diet began. During my 6 month supervised diet I did follow the diet they set out for me to the best of my ability BUT the cheat days basically offset my progress so I didn’t really lose anything. Now I am considering revision and there is not any weight requirements as far as I know but I started at like 245 this time anyways so I’m not as afraid to lose a little. I asked him what I should do and he said to keep my Carbs below 40 for now (I am most likely having the SADI so carbs are gonna be most important post surgery). Well I am losing but less than a pound a week so no one is raising any eyebrows at my loss. Anyways If I was in your position I would reduce my calories by like 100 at a time and see how I felt after a week adjusting to that. (Mayne you can get to 1200 with the dieticians help and maybe you decide that you want to try it once the dieticians way before you decide). On days like you four hour swim I would ask the doctor their opinion because 1200 calories does not seem enough for that level of activity. I think if it was me, I would stick to eating healthy choices for now. Try out new, healthy recipes and get used to the food you will need to eat post surgery. I would try to get to the 1200 because they are the dietician but portion wise I would cut my calories slowly to get there and see how my body reacted at each stage. (Just be honest with yourself about whether you really need or just want the calories) if I was really losing more than ever before and it seemed like something I could sustain, I would then re-evaluate whether I should be jumping into major surgery just yet. But if I decided that i couldn’t do it on my own and for sure wanted surgery i would talk to my doctor about how much they would like to see me lose to be fit for surgery.

Not judging at all, but how do you guys tolerate the taste and smell of alcohol? I don't get the joy in it, the joy in being buzzed, in daily drinking. Like...why? Again, not slamming your choices, but how did you get to the point where it was enjoyable enough to do it often? I drank 3x as a teen and absolutely despised it (did it because I was at parties and was trying to fit it). Then as an adult, I figured I'd willingly give it another try, to see if my opinion changed at all. It did. I hated it even more. Never touched the stuff again. I read through this thread, and honestly, I don't understand why you guys like drinking so much and why some refuse to give it (and the calories) up after the surgery. How did you get to the point that you liked drinking that much? Just the smell of alcohol is enough to make me leave.

If you don't eat, your body will think it's starving and it will hold on to every little calorie, every bit of fat, everything to protect you. That will be what causes you to gain weight, or at the very least, not lose. You have to learn to walk that fine line between eating enough to stay healthy but not too much to cause weight gain. It's a learning curve, and takes a while to figure out. But you'll get there. Just make sure you get your protein in first, then carbs (from veggies and fruits), HEALTHY fats, and enough calories. The first 2 weeks, I never had more than 600 calories per day. Weeks 3 and 4 it went up to between 800 - 900 per day. Weeks 5 and 6 I was around 1000 per day. Once I was completely cleared for all exercise, I went up to 1100 - 1200 per day on non work out days and between 1300 - 1400 per day on work out days, depending on what work out I was doing that day. You absolutely HAVE to give your body the fuel it needs to survive and thrive. The point of the surgery isn't to starve yourself into being skinny. It's a tool to teach us to make better, healthier choices and stick with them.

Wow. Every cell in my body is telling me that this new regime is so wrong. I have no idea why anyone would want you on such a low calorie diet. It seems to me she wants you to diet the weight off rather than have the surgery. Did you ask why ? You are on the lower weight for the surgery. Loose much more and you may be too low to meet the criteria. My maintenance diet has me on 1500 calories and I don't exercise. If I worked and exercised as I did in my younger days, I would be on about 2200 - 2500 cals a day. You need to be fit and healthy for your surgery. Such a low calorie diet is too restrictive. Why is the diet not more future proofed, for learning new habits, like less carbonation, less sugar and less carbs. These seem to be the goals that are set by others who have to do a pre op diet rather than a pre op liver shrink diet. I hope others will wade in and help you here because to me its madness

Your plan should list the foods you are able to eat & those you need to avoid at each stage. It should also say how long you stay on each stage. If it doesn’t, contact your team & ask for more specific information. Your tummy lets you know pretty quickly if you’re not ready. It may be discomfort on eating, a feeling of heaviness, you may regurgitate what you’ve eaten. It’s a lot of trial & error honestly. For example, most plans tend to advise 2 weeks on each stage. Some people stay a little longer on a stage or go back a stage simply because we heal differently & their tummy just isn’t ready for the foods (texture & density) on the next stage. Some foods are on the avoid list because they can be hard to digest by your healing tummy (bread, pasta, rice, seeds, fruit & vegetable skins, etc.). Other foods are off the list because of their nutrient content & calories (many plans are no starchy vegetables for e.g..). There may be foods on your list your tummy can’t tolerate (chicken breast, eggs often are a struggle few a while). Your tummy can be fussy while healing & the temporary change to our taste buds &/or sense of smell can make foods extra sweet, extra salty or just plain disgusting. Textures can be off putting too at this time. Many of us ate the same meals or rotated through a small selection especially in the first couple of months. One because we eat such small portions there’s lots of left overs. Two, because our fussy tummy & you can’t tolerate a wide variety of foods. Three it means you don’t have to think to much about food & what your going to eat & you know how much protein & other nutrients you’re getting with each meal. I still eat a lot to routine & often have the same meals & I’m almost 5 years out. It’s not that I can’t eat a variety of foods it’s just easier sometimes (or maybe I’m lazy LOL!). I struggled in purées to find foods that tasted good because the taste or texture was awful. Thank goodness for runny scrambled eggs, milky rolled oats, yoghurt & soups. In soft foods I ate a lot of minced meat dishes - savoury mince, meatballs (rissoles in Australia), bolognese (no pasta), etc., slow cooked stews, thick meat & vegetable soups, omelettes. Try some savoury egg muffins (add cheese, mushrooms, onions & other pre cooked vegetables you like) & a lot of people swear by ricotta bake (someone will have a recipe they’ll happily share).

If you follow your plan, you won’t put on weight. You are consuming so few calories & even when you progress to purées, soft food & then solid food, you’ll still be eating so few calories & such tiny portions, that again you won’t put on weight. Not consuming calories, not meeting your protein goals (or at least being close to it) will actually be doing you more harm. Affecting your recovery & healing, putting your body into starvation mode, being nutrient deficit, etc. These will impede your long term health & weight loss. May be get in touch with your team & ask if you could see a therapist to work through this fear of eating. You don’t want to swap one set of poor eating habits with another & create new health issues. Trust the program. It works.

Hi all! I am not scheduled for VSG yet, as I am still waiting to get my mental health clearance. That’s the last thing I need before getting the surgical team approval and insurance approval. I met with my dietician recently and she’s encouraging me to start immediately on 1200-1300 calories a day. My surgery could be MONTHS away (who knows because there’s pieces to fall into place before that?) I’m already on 1500-1700 calories a day, which is fine and works ok. However I feel very nervous about going to 1200 calories and being able to function properly at work (my job is semi physically demanding), and being able to maintain a vigorous exercise schedule. I asked the dietitian if I can eat a little more on days when I work out and was emphatically told “no”. With no idea when I’m going to have surgery, it feels risky to my body that I could hurt myself if I’m not eating enough. I understand after surgery that I will have to take time off from exercise. For reference, I am hoping to participate in a four hour swim event on January 1, 2025 and have been training for it. Does anyone have thoughts on my concerns? Is this normal to go this low on calories without surgery even being scheduled yet? I could be waiting for several months.

The 1st few days are rough. Consentrat on protein and liquids right now. The protein shakes can be counted as liquid. The first few weeks I only got between 700 and 900 calories day. Just don’t go on a binge. I need a bunch of crap and you will be fine.

I’ve had this feeling before but it lasted a very short while. Your body needs the calories to survive and weight loss will still happen. Your stomach is not that same anymore and you won’t be able to eat the same amount or the same types of food anymore. That feeling will pass in due time. You’ll be okay! Just make sure you follow your surgeon’s directives ♥️

I had bypass surgery April 4. I've been getting my recommended water and was put on a clear diet when I was discharged from the hospital. This means I can be drinking clear protein shakes, broth, etc. I haven't eaten anything or drank anything containing calories since leaving the hospital. I'm afraid to eat. Not because I think I'll get sick but because I went through with this surgery to lose weight and I'm afraid any food will prevent weight loss. I didn't have this feeling before surgery. Is this normal?

I’m not doing great on protein 40g a day max I reckon … no shakes. Need to work on that once I get back home on Wednesday. The thought of a shake makes me want to vomit tho … and I couldn’t even manage one falafel at lunch … don’t really eat meat. Maybe I’ll try eggs. Tempted by cheese but that’s just a calorie bomb…

WOW! I'm thrilled to see the feedback on this topic. It's comforting to know others journeys, especially on this topic. Fireball is my drink of choice...I know, lol. But it's just been my PIC for years now.....also Budweiser. But I know now after surgery that I won't be able to tolerate a bud and also holy crap calories. I figured I'll wait until summer to try a beer with everyone. I won't lie, I have had some fireball already and been just fine. I didn't experience a difference compared to before surgery...However, I noticed my "buzz" didn't last very long as i felt sobered up quickly before bed. Either way, I don't want to give up drinking...therefor I won't force myself to because hell, that's just another hurtle. I'm going to enjoy this process and if drinking weeds itself out of my life, then that's fine too. Thank you all so much for giving input!

i started using soda water with my vodka and/or gin when i found out that tonic water had as much (if not more!) calories than a regular coke. as for bubbly, i started drinking it (i.e., perrier) instead of plain water to meet my water goals around 3-4 months post op. the literature i received told me i shouldn't drink carbonated beverages, but i did anyway and when i told my NUT what i was doing she didn't have any objections since i experienced no adverse effects. personally i like how carbonated drinks make me burp, cuz sometimes i need a little help to release some gas. but that's just me. ymmv.

I had my first drink a month or so out post op. During my losing phase it was pretty rare as the calorie content just wasn’t worth it to me. Like ms. sss I had my worst ever dumping during this time off a delightful drink called a Cocoa Puff martini-like laying on the cold tile of a bathroom floor because it was the only place I could get even slightly comfortable hour of misery dumping. Now I’m a semi-regular drinker. A glass of wine about 3 nights a week, a cocktail or two on date nights with my guy. As long as it isn’t derailing you I think it’s fine.

Thank you so much ! I was kind of waiting for some weight to fall off that exercising felt comfortable but maybe that’s what’s keeping me in trouble. After meeting with my nutritionist she told me to be around 1100 calories and under 130g of carbs. I don’t get anywhere near that number in carbs but I’m paying attention at least. My body genuinely hurts and aches so exercise has always been something I wanted to throw on the back burner.

I've seen many different recipes for pizza crust using chicken and turkey. I use ground chicken or turkey to make the crust mix with prok rinds to make the crust base easier to mold. My weight loss has been slow. According to my scale which could be off a couple pounds. I've lost 30 lbs since Feb 7th. I eat small snack size meals 4 sometimes 5 times a day. My goal is 90 G of protein a day but I typically hit 110-115 G. Carbs I'm supposed to stay near 30 g. But I typically hit 40. I always log on the baritastic app. I exercise each evening. Rowing machine with light weights. Im sure I'm trading some muscle weight with fat loss. I think our bodies are so used to eating more calories, that it's a shock and the body needs a lot of time to adjust. I've lost a lot of inches in my waist. So that's a plus. It's going into the right direction a lot slower than I expected. Which my doctor has said is normal. This evening im going to get an IV with vitamin Infusion to see if that helps with me feeling exhausted in the evenings.

PCOS is absolutely something that will make this harder. I have it, and I've had to fight for every pound lost. PCOS causes, among other things, weight gain without the real ability to lose the weight. It just holds on to it. While there's no actual "pouch reset" per se, there is the option to get back to basics with what you eat, how much, how often, and how you move your body. It's more resetting your mind and reminding your body what it's supposed to do and not do. For me PERSONALLY, on non work out days, I eat around 1100 - 1200 calories, 25-30g of carbs, 50g or less of HEALTHY fats, and 60-70g of protein. I will drink 64oz of fluids typically. On work out days, I eat 1300-1400 calories, 40-50g of carbs, 55-65g of HEALTHY fats, and 80-90g of protein. I'll drink 90oz of fluids per day, with at least 20oz being either a Propel electrolyte water or a Gatorade Zero. For work outs, I started off small in the beginning. I walked on the treadmill, rode the exercise bike, did water exercises. Once I lost my first 60 pounds or so after surgery, I started adding in walking around my neighborhood and light arm weights. When I hit 100 pounds down, I increased my arm weights to full blown weight training, added in core/strength training, and kicked up my cardio. While I still keep to my eating schedule, I change up what food I eat based on the kind of work out I do that day. And I switch it up, meaning I don't do cardio on Monday, core training on Tuesday, weight training on Wednesday, etc... I change up the order I do my work outs and what types of core exercises I do or cardio I do, etc... Keeping my body confused about what I'm doing each day makes everything I do more impactful and makes more of a difference. I also make sure to take my multivitamin every day, I take a collagen & biotin supplement, I take a fiber supplement (on top of the fiber I eat because constipation and I are old frenemies at this point), I take coq10, echinacea, and I am sugar free as much as possible (or at the very least, no sugar added, and when I need a sweetener, I use monk fruit sweetener) and salt free (if I absolutely need it, I use pink Himalayan salt). I also drink green tea every morning for my caffeine as well as because it's a mild appetite suppressant (sometimes I have one at lunch, too, if I'm just dragging at work, but that's on top of my normal fluid intake).

When I first had my sleeve surgery, I was losing pretty rapidly. BUT, I had a LOT to loose. If you look in my signature, you can see my stats. The bigger you are, the faster the weight comes off. It also depends on what you eat, how often you eat, and how you move your body. The more you work out, the more calories you need. The less you work out, the less you need. If your body thinks it's starving, it'll hold on to every single bit of fat, every calorie, to protect you from starving to death. Maybe think about walking more, swimming, not so much heavy work outs. Lower your calories (try going back to your post surgery calorie amounts of 1000 - 1300). Look at your sugar, salt, carb, and fat intake and start adjusting/lowering it. Are you getting enough protein? That should be key in all this. And hit your fluid intake. Minimum of 64oz per day. For now, limit your alcohol and soda intake, if you drink either of those. Kind of do a reset on your body AND mind and get yourself use to doing things the post surgery way again.