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What are you eating besides protein? Do you get fruits and veg every day? Does your diet have any fat in it? Make sure as you focus on protein that you also focus on getting a well-rounded, balanced diet and enough calories to keep your body going.
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Looking for low carb ideas. What’s your favorite?
ShoppGirl replied to ShoppGirl's topic in Regular foods (stage 4)
I went and bought cauli rice and zucchini spirals today and tried the rice again tonight. I’ve had it before but just remembered it not really having a flavor. Same thing this time but I added more sauce to my meal and it wasn’t bad. I had it with Italian sausage and peppers from the factor meals I ordered that are low calories not but low carb. I tossed the red potatoes and subbed in the cauli rice. If that’s what they are talking about when they say low carb, I think I can do it. Dinner was a hit. I added it to my list of things to try to make myself to add variety. I just need to find a low carb marinara sauce I’m guessing. Raos makes one that 6g carb. I added that to my cart with the Italian sausages to try to make that meal myself later this week. I am also going to pick up a spaghetti squash and the ragu bolognese sauce @Spinoza suggested at publix because they sell it already halved and I find that difficult to do. PS, I am not a big cook historically so fingers crossed it works out for me. Question? Has anyone tried the Italian turkey sausage to cut some of the fat too. -
November 2023 buddies
SomeBigGuy replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
@brandycsiz - I think its pretty common. I've deifinitely gone off track, mostly due to other health issues and stress outside of the surgery itself. I was able to walk several miles without stopping in December, then after getting Covid (and I'm assuming long-Covid now), if I go more than 3 miles in a day or try lifting weights in the gym, I get physically ill for 2-3 days afterwards. I keep walking 1-2 miles in the evenings after work, but the lack of progress and regain of weight is very discouraging. I tended to stress eat before, and to be honest, the surgery was a success because at least it limits the amount I tend to binge on when having a bad time. I still have those cravings, but at least now I can drink 8-12oz of water and delay eating. I'm probably on track with my diet 3-4 days per week, but have been overdoing it or eating too many calorie/carb-dense foods when I have an off day or when I see family, who aren't the most supportive. My mom likes to drop off Little Debbie cakes and other snacks on my porch twice a week as she's driving by, and it's straining our relationship because I throw them away immediately, and she sees that as me being ungrateful and disrespectful. I am 6lbs heavier than I was around 8 weeks post-op, so its really getting me down. After covid, I developed some issues with my heart rate. It drops down in the upper 20's to low 30s in my sleep and my blood pressure drops too low, but if it get it past 100bpm, my blood pressure spikes, and I get dizzy and almost faint. I'm trying to get in to see specialists, but I can't get in with a specialist for 5+ months just for initial consult. I have to drive 3+ hours to another area to try to get in sooner, but I burned all my leave time for the year with Covid in January, so I can't take the days off to travel. -
I agree witb others that a call to your surgeon is in order. Until you get to the bottom of it perhaps try the 5 smaller meals or shakes to up your calories a bit if you get too low. Although keep in mind that many people do have a bit of bounce back weight a while after they get settled so some will say a little wiggle room isn’t a bad idea.
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If you're allowed, I found heating up a serving of tomato soup with unflavored protein powder was much more satisfying for my dinner than a shake. Just check that the combined calories and carbs of the soup plus the protein is roughly in line with a meal replacement shake. I used the Tomato Basil from Pacific Foods with 2 scoops of Syntrax unflavored and it was right in line with a Bariatric Fusion meal replacement shake but with a hot and savory flavor instead of sweet/cold.
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Thanks for uour advice. I agree with you about the fruits and veggies. I actually didn’t realize there were carbs in them until now but I have always tended to give myself leniency with them in terms of calories, even when I was dieting thinking I didn’t get overweight eating fruits and veggies but I’m not sure if my post SADI body will agree or not I did leave a message for the dietician but so far she isn’t calling me back. I honestly fear that she may be like the rest of my team and be clueless about the SADI. People have mentioned in the other surgery forums not to be surprised if I run into situations like this just because it’s far less common but I am not going through with this before I have some answers. I just figured I will post as many questions here as I can from my list. I will try the dietician again this morning. I am Even going to see if they will let me see the PA before I see the surgeon in hopes she can answer some but I have a feeling my list for him is still going to be pretty long. The support staff just doesn’t seem to have the information yet. This one is less researched, there is less info available online and the risks are alot more serious though, i would be a fool to not take this seriously.
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I need help with this too. Also which veggies are okay and which are really not. When I had my sleeve I was just concerned with calories and protein. I think the idea was I could eat so little after my protein goal that I should be fine BUT…I could eat larger portions so that plan didn’t really work out so well. Anyways, apparently the SADI is mostly about the carbs so when I asked the dr what I could do for now he suggested low carb. Well the more I research, there are carbs in a lot more stuff than I realized. I can see them adding up to 40 pretty darn quick. But then there are the simple vs complex and the fiber offsets it but wait. Fiber IS a carb!! So do you count it twice? I posted the question In the DS forum but I’m still hoping for a response. I just need help understanding them. Is a carb a carb or are some really better and what do I count. Net carbs or total carbs?
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ESG January 2024 Buddies??
Marzy0153 replied to Marzy0153's topic in Endoscopic Sleeve Gastroplasty Forum
Hi @Allie727- I had my procedure done in January at Mayo Clinic in Minnesota. From what I’ve read online, compared to what they recommend for post-procedure guidelines, they recommend a pretty strict diet. Did the clinic provide you with how much food to consumer at each phase, along with how many calories? Here’s what they had me follow: - Weeks 1-4: Liquid diet (protein shakes + regular Gatorade). 60-80g protein, 64 oz liquids, less than 1,000 cals a day. I was probably only consuming 400-500 a day. - Weeks 5 & 6: Pureed foods (no more Gatorade). 60-80g protein, 64 oz liquids, 600-700 cals a day. A meal should be 2-3 ounces of food. - Weeks 7-10: Soft foods. 60-80g protein, 64 oz liquids, 700-900 cals a day. A meal should be 1/2 cup to 3/4 cup. I just started a regular diet/regular food today, 3/24. 60-80g protein, 64 oz liquids, under 1,200 cals (but I have a call with the dietitian in a week to see if that’s correct. A meal should be 1 cup to 1.5 cups. Like you, protein and water has never been an issue. I’ve never really felt restricted. I definitely feel full after I eat, but not sick-full at after eating. They also recommend you take at least 30 mins to eat. I found that if I finish my food quicker than that, I’ll get a stomach ache. I felt bloated earlier on post-procedure, but that slowly goes away. 6 weeks out, I had lost about 34 lbs at that point, but everyone is different!! Hope this helps! -
Great points. I don't have a lot of extra skin, so this doesn't really apply. I'd say, if I removed all that I have 2 or 3 lbs max. At my 1 year mark, in May, they will do a body composition test; so I'll know more then as to my muscle mass. My last test in November, I was right where they wanted me and hadn't lost any muscle since my 3 months test. I definitely don't have much fat left, just a bit on my thighs. This is why I'm concerned. My goal was 140. I've gotten down to 135, and bounced back to 136-137. I was concerned because I lost 4 lbs in a week after I started upping my calories to stop losing. Maybe my body was excited for the increase and lost more fat 🤷♀️
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March 2024 Surgery Buddies!
Emeraude replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
So glad your continuing to feel great!!! I've been able to get 2 Protein shakes & my water so far. But, that's about it. I can have creamed soups(strained) if I've met the shake& water goals. I'll probably have a bit more energy if I could get a littler more calories. Which creamed soups do you like? And that's a good point about the supplements. I haven't started taking them. My doctor starts vitamins 2 weeks post surgery. I bet that will help a lot! I need to order some. Was planning on getting chewable (all in one). Which type do you like? -
Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
It's a helluva journey and I'm thankful to be on it!
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6 Months post surgery, minimal to no weight loss
invisiblyhappy replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
Kind of yes and no. I met with my surgeon team and was told try to stay around 1000-1200 calories, 130g or less of carbs, and to be at least 80g of protein. They said they don’t know why for some people the metabolism reacts differently and changes greatly with surgery while with others the metabolic response is very minimal. They said obesity is a chronic disease that the body settles into. They said that the journey though is my own and that I shouldn’t be comparing myself to the substantial weight loss others have. I think it’s really hard to not compare sometimes though because many here get the surgery and become very healthy very fast. They are planning to meet with me again in about a month and will discuss various weight loss medicine additions such as ozempic, wegovy, metformin, topiramate, phentermine, mounjaro. It could take one or a pair of these medications together to get the metabolic rate to be where it needs to be for weight loss for me. -
6 Months post surgery, minimal to no weight loss
Andy85 replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
Have you had any answers about why you’re not losing weight? I have a similar start weight and haven’t lost since two weeks post op as well. I’m nearly two months in so not as far along but I feel like I can eat more than I should be able to so I make sure to count calories but still not losing any weight -
March 2024 Surgery Buddies!
Emeraude replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Hope everything went smoothly for you. How are you feeling? I had the sleeve 3/18! I'm working on getting 2 protein shakes& water in to stay hydrated. Not a lot of calories so low energy at the moment. -
Surgery was Mon 3/18.. questions
NickelChip replied to Rachael13's topic in POST-Operation Weight Loss Surgery Q&A
What else is allowed on your program? Some are more lenient than others. Mine allowed tomato or strained cream soups, for example. Although lobster bisque has got to be one of the richest soups I've ever encountered. It's so full of calories and fat, not to mention lobster is not as easy to digest as, say, flaky white fish. I honestly can't imagine eating this 4 days post-op. Greek yogurt would be a healthier option, or strained cream of chicken soup. So, the issue with coffee is caffeine, which dehydrates. If you said you were getting 64+ oz water every day, no problem, I might shrug at a little bit of coffee. Some programs allow a cup a day. But given that you're struggling to hit even a much more modest 48oz goal, I wouldn't drink something that is known to dehydrate you. Could you try decaf instead? I drink a 32 oz travel mug of decaf tea every morning and it goes down so smoothly, better than water, and counts toward my hydration goal. Ultimately, taking a bite or sip of something forbidden isn't as big an issue as why you're doing it. When I am tempted to do something not approved on my plan, I have tried to ask myself why, and get to the bottom of it, because what can quickly undo all your best efforts and intentions is not being in a healthy headspace. Is there something going on that will continue to drive you to push the limits, or lead to a slippery slope? That's something only you can know. I totally understand how boring and disgusting the options get that first week post-op. But it's really such a short time. For me, my program allowed soft proteins at one week post-op. That's really not so long to wait. Your body doesn't need much right now. If you're like me, you don't even experience hunger yet. So "needing" something different is mostly head hunger, which can get a lot more dangerous as you go along. Bending the rules now makes it a lot more likely you will bend them later, too. -
you can always increase calories to gain weight (or to stop a loss), but keep In mind that a vast majority of us experience a 10-20 lb bounce back regain around year 3. You might want to factor that in. I purposely went below my goal just in case I had a rebound (and I did...actually closer to 30 lbs for me...).
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Would I be right in thinking your nutritionalist is recommending a keto like diet? They are big on no root vegetables & no corn, peas because of their naturally high sugar content. (Potatoes are often a no because they are considered a starch.) I regularly ate carrot & sugar snap peas. I threw frozen corn & peas into soups, mince dishes, some slow cooked dishes, omelettes, etc, I usually just microwave my vegetables with a splash of water & a dab of butter but also will stir fry & occasionally roast (especially cauliflower with a little hummus & zataar to serve). I love vegetables & enjoy them best simply with salt & pepper but don’t be afraid to try herbs & spices. The only vegetables I don’t eat is potato, sweet potato & pumpkin (they tend to sit heavily) except a very small piece (bite or two) with a roast dinner. My thoughts were & are vegetables are vegetables (except potato). They are highly nutritious (all those vitamins, minerals & fibre) so a valuable addition to our food choices. And the little we eat, especially in the first months will have minimal impact on your calorie intake & weight loss. I mean 1/4 cup peas is 30 calories if you can eat that much. Plus the ‘sweet’ vegetables are naturally sweet so they don’t count towards your sugar intake. Certainly didn’t affect my weight loss or maintenance. I say eat your vegetables, just watch portion size & what you serve or add to them. Like no honey glazed carrots, sour cream or cheese sauces at least for a while.
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i lost 10 lbs in the month after reaching goal. and then another 5 or so lbs in thr 2-3 months following. the fear of losing too much weight is a common concern to those who reach goal (or are nearing it) it doesn't last long. slowly up your calories if you can...if u cant now, trust me, you will have no problem later. if you continue to lose weight over months (not weeks as its way too soon for concern) and you dip below 18.5 BMI and your doc/team is concerned , then that will be your cue to be concerned. otherwise use this time to figure out what YOUR maintenance calories are (not what is recommended to you as we are all different and require different calorie intakes) and enjoy and bask in your success! congrats!
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I kept losing for almost another year after I reached my goal. It began at a similar rate of loss as I was experiencing but gradually got less & less until it stopped. Over that time I increased my calorie intake (added more & more snacks) & my portions got a little larger. I was eating about 1300 calories when I initially stopped losing but eat about 1500/1600 to maintain at about the same weight now. Like @Spinoza, I’m a believer in our changed set point. This is the weight my body is happy at & this is the weight it wants me to be thanks to the surgery. Could I eat my set point up? Yes, if I wanted. I mean that’s what we did before - ate our set point higher. Our original set point wasn’t an obese weight. Don’t forget you may initially stop at a lower weight than you expected but it may give you wriggle room if you experience the bounce back regain around years 2 or 3. Give your body time to resettle. Lots of things change when your weight starts to stabilise. Just give it time. Slowly increase those calories. Get in touch with your dietician for ideas of what you can add or how you could adjust your current eating plan. Good luck.
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6-10 Week Out Restriction Feeling
Arabesque replied to PandaMom1977's topic in Post-op Diets and Questions
I’d give the smaller a meals ago @NickelChip & @PandaMom1977 I know a few who did 6 small meals versus 3 larger meals. I was able to have one snack a day a couple of months out (can’t recall exactly when now) & I still snack now to get in calories & protein. One snack is my leftover breakfast. May be try making your plan approved meal but eat it across two sessions. It may help you get over this quirky, fussy tummy stage plus until you can eat a little more in regards portion size. Oh yes the protein shakes were awful. I discovered yoghurt drinks. So much nicer. Make your own by simply blending yoghurt with as much milk as you need to make it a drinkable consistency. Add whatever flavours you like. My high protein yoghurt brand (Australian company but they don’t make them anymore - grrr) made the ones I drank & I’d get 25-35g protein depending on the size. -
I can’t really answer your question. But I can add that Meds can definitely change how they react post surgery. Idk about right away but I was on a med for years pre surgery. Has to go off of it after surgery because it only absorbed with a meal of at least 300 calories or something like that then I went back when dinner could be 300 calories and all of a sodden I had terrible side effects from the medicine I never had the first time. Dr said that happens.
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What about Turkey Jerky? I found some snack packs at Walmart (they are actually called Turkey sausage bites) that have 10g protein for 120 calories. The pack is pretty big too. I’m not super good at macros but it’s 7g fat and 2g carbs??
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You can take my advice with a grain of salt since I've never been in the position of losing too much weight and am only 4 weeks post-op, but I think at this point your best bet is to ignore calories and just listen to your body. Eat if you're hungry, don't eat if you're not, and focus on nutritious food. Your body will stop losing weight when it feels like it. I agree with @Spinoza that I think the surgery gives you a new set point. It's best to just see what that is and only worry about it if it's so low that it's unhealthy. More than likely, it'll bounce back up on its own if it's too low for you to maintain. But better you bounce up to where your goal was initially than put the brakes on now and then bounce up 10 lbs higher than you wanted in a year.
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I've been eating my recommended calories for maintenance, but still losing. I'm hoping it's just my body is just settling in. I feel good. I look good. I just don't wait to get any smaller. I'm about a 22 BMI, rn.
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Struggling to stop losing
BlondePatriotInCDA replied to LindsayT's topic in Gastric Bypass Surgery Forums
Its just like doing a keto diet for life, you each week up your carbs until you fall out of ketosis than back off by 5-10 grams then maintain that carb load for life. You do the same for calories, increase by 100 for two weeks, still losing..tack on another 100 each few weeks until weight loss stops, now you've found your maintenance calorie load.
