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Thank you for replying. It seems like this first week has been dragging on and on.

yea I had buyer's remorse the first couple of weeks - but that ended quickly. I had my 10 years ago and it was the best decision I've ever made.

It sounds like your going to be very busy so maybe you wont be so focused on food. A part of my success is attributed to meal prepping- I meal prep every single week. Sometimes I meal prep meals for grab or go or I will meal prep items for those tempting nights at home where I want to eat cereal or something that is not so great instead of cooking. you will get quicker at meal prep too, I used to take 2+ hours now I can whip up my meal prep in 1hour. I also learned to not complicate it. Easy meals can be just as delicious! I bulk prep chicken breast, and ground beef, hard boiled eggs, wash and cut up veggies/fruits, make sure to have Greek yogurt and cottage cheese on hand, It does make life easier when your prepared! Also having better choice snacks stocked up in the fridge/pantry helps too! Cheese sticks, jerky, flavor packets for water (if you like that) protein shakes, protein powder, protein bars (recommend Built bar or fulfil bar), unsweetened almond milk. skinny syrups for coffee...theres more its just off the top of my head these things lol

It does stop sucking. The post op stuff is a beast.....a couple weeks removed from that and most everyone feels much better. First couple of days I distinctly remember the gasses causing some serious shoulder pains and other discomfort.

I had two strictures - at 4 weeks out and again at 8 weeks out. But I was told that they almost always occur during the first three months after surgery, so it's not very likely that that's what's going on with you. If it is, though, it's a super easy fix. Both times I felt like I had acid reflux. The first time I was puzzled since bypass usually cures that. After a couple of days of that, I suddenly couldn't keep food down, so I called my surgeon's office and they told me it was probably a stricture and they set up an appt, but they said if it got to the point where I couldn't even keep fluids down, to go to the ER (it never got to that point). The second time I knew what was going on because I had that acid reflux feeling again, so I made an appt to have the stricture "fixed". I never had any pain either time, though. It was an acid reflux feeling (which progressed to not being able to keep food down when I had the first stricture)

Sorry you are in so much pain. I have a B12 deficiency (pernicious anemia) and a some of your symptoms are what I suffered from before my diagnosis and now when my level starts to drop, though I was diagnosed about 12 years ago so way before my WLS. My anaemia cannot be managed through oral supplements or food (as my body does not break down the B12 sufficiently) but the bariatric multivitamin I take daily and dairy products do help maintain my levels in addition to regular B12 injections (every four to six weeks). I think getting a B12 supplement and multivitamins should be top of your list, if you don't already take them but obviously that is not going to solve all the issues you are having with hernia and such. Make sure you get an appointment with the bariatric team to discuss everything with them and request full bloodwork and then also keep the appointment for the ultrasound etc. Hopefully you will get some answers soon that result in a course of action that will treat the cause and end the pain.

I haven't had any issues with my sleeve. Out of the blue about a month ago I had what I thought was the flu, didn't throw up but had bad nausea and intestinal pain. Then I went to urgent care and they said I was dehydrated and gave me Zofran. I thought I was doing better. I was at work and had excruciating pain in the top right of my abdomen. And then it stopped. The next day I was so tired. Had brain fog. Could only eat soft bland food, lots of intestinal pain. I went to the ER 8 days ago and they said that I had a hiatal hernia and gave me more Zofran and bentl. And they just said to follow up with the gastroenterology department. They did a CT and found a teratoma on my ovary and my main dr said that that is what is making me so sick. I went to the gyn yesterday and he said no way this thing is making you so sick and said I should get a vaginal ultrasound which I can't get for three weeks. I had to apply for short term disability which isn't going to pay the bills. My main dr said to get in with the GI department and they sent in a referral. I don't live in the same city where I had my surgery. I'm wondering if anyone has had symptoms like this so far after surgery? If I eat or drink anything that is spicy or acidic or has a lot of fat or fiber it hurts so bad. My whole abdomen feels swollen. Even when I eat soft foods it hurts my whole abdomen. I'm fatigued, I have brain fog, I have a headache every day, it hurts to bend over to pick something up. I cry almost every day because I can't do anything and there are no answers. Maybe I should try to get into a bariatric practice here?

Hi everyone, kinda new here but I figure I should share my personal experiment in the guys room since it involves "strange" elements. I’ve noticed my cut stalls whenever the late-night dopamine loop hits: doom-scroll, snack, repeat. Decided to run a one-week reset to see if trimming *stimulation calories* can help actual calories. **Reset checklist** □ 8 p.m. screen cap: phone goes in desk drawer, watchface only. □ 90 % whole-food rule (any “fun food” must fit before 2 p.m.). □ 3-min cold rinse after workouts. □ Picked up a silicone cage to keep wandering hands + browser tabs in check. (if you're wondering where it goes, the cage is from a funny shop called lockthecock so I'll let you figure that out) □ Lights-out meditation playlist, then bed. **Tracking** • Target intake: 1,950 kcal • Steps: >10 k daily • Sleep (Oura): aiming +45 min average • Craving score (1–5) each night **Starting numbers (Day 0)** Weight: 164 lb Waist: 31.8″ Sleep: 6 h 05 m avg Cravings after 9 p.m.: 4/5 I’ll loop back on Day 4 with a quick note (good, bad, ugly), then final results on Day 7. Anyone tried something similar—phone jail, NoFap streaks, cold therapy—to rein in nighttime nibbling? Drop tips! Cheers

I differ from what SpartanMaker says, I wouldn't try any more of the options that are out there. Obviously you first need to recognize that obesity is a disease and it never goes away. You tried to starve yourself to death and the body will automatically save every morsel you put into your body and store it as fat, especially on a 300 calorie diet. Increasing the calories is not necessarily the fix either, you need to look at the foods you are eating. Is it protein heavy or are you still eating salads, which are carbs by the way? Are you thinking that a baked potato is a veggie, it is not it is a carbohydrate, then add all the stuff you put on the potato. Diet wise, you may be choosing the wrong foods. And certainly the amount. You passed out probably because your glucose levels went into the basement with such a low calorie intake. I agree with SpartanMaker, and seek out a Bariatric center that has a whole host of options. Surgery is a tool that the obese person uses and it is a life long commitment to make lifestyle changes. You may need to see a therapist and nutrition expert both to help you, and maybe they have other options other than going straight to surgery, but for certain I feel you need better education on what is an appropriate "diet", and not all "diets" are really diets but ways to spend more money that is just wasted. You obviously have the willpower and stamina to take hold of a new life, it won't hurt to inquire. I would also urge you to watch some of the YouTube videos from BariNation, they have Podcasts with bariatric physicians and other healthcare providers every week and most recently there was discussion about Obesity being a disease and using something other than weight or BMI (Body Mass Index) to determine if someone is obese. My plan has always been to go the cautious or conservative route first. In my case I jumped right in and happy for it. I had an excellent surgeon and team that all worked together to ensure I had a good experience and did. Never had any pain with my surgery, and have had good results so far and today is Post op week 3, day 1. I wish you the best in your journey to seek out further information and a good bariatric group!!

Something else I do is bring tuna or salmon handi-packs to lunch with a plastic fork and eat that right out of the package, and a piece of fruit. There are so many options of those handi-packages too. I have also done the 3 compartment lunch boxes with a protein, a fruit and a veggie to give me variety, you can stuff those boxes in your lunch box and have them always available for you in the refrigerator. Those boxes were a life saver for me, I just do my meal prep during the weekends or when I am off. Have a great day.

I got several boxes that are for Bariatric patients that have 3 compartments, one for the big protein and then the other two for veggies/fruits and carbs. I go to work with one for each meal every day I go to work and I have what I am allowed to eat and that's it. When it is gone, it is gone. If I get hungry later, I may have a snack and that snack is a Protein shake. I like Premier Protein, and through Amazon you can get the variety pack and they have "sweet" ones that curb the urge to go to any vending machine or reaching for the chocolate on your bosses desk. Or mine. I prep for the whole week on Saturday and Sundays. I will bake chicken and then weigh out the appropriate amount of chicken and put it in the box, then the veggies and then the carb. I have them stacked in the fridge so when I pack my lunch, I just grab one or two and 2 Protein Shakes and I'm set for my long day. Hope that helps!

Yes, I already have my food plan for my 2 week post-op period as well as the 6 week period after. My bigger worry is the full Bariatric diet while I go back to work and making sure I can stick to something tenable.

@Dub That was an incredibly moving story. One thing I have learned is that therapy is important and community is therapy. To deal with being mindful and keeping the focus, I attend groups several times a week through BariNation. It has my people, like this forum does but with medical/psychological experts and meet ups with others. Just being and sharing helps keep from the regain as well. I spend less on food now, so I use that for my membership. My health has improved, I feel better mentally and emotionally, and feel useful again as I get treatment, and am helpful with my fellow Bari Friends at BariNation. I have yet to get what I get from BariNation anywhere else, and believe me I have searched and today I am calm and happy because as I said, community is therapy, and once you find your people, you know you are where you belong. This forum is good, but it isn't live. There is so many life lessons we will deal with as we live our lives and we need the capacity to handle those that come our way. Have some love for yourself and just try it. Be mindful and help to minimize stress through compassion and fun through BariNation.MN.CO

Did you have any psychological input during your Tier 3? (I don’t know if you had to go through Tier 3?) I had about 4 sessions with an NHS bariatric psychologist, but I believe I’ll still be having a Tier 4 psychological consultation to sign me off 🤞 for the MDT. Also, two weeks post-approval for the LRD! That is AWESOME! I think my trust tends to do the two-week milk diet. Even though I currently eat fairly low calorie keto, I think the milk diet would help lose a bit of pre-surgery weight at least. 💗

Hello, Wendyjane! The NHS is the National Health Service - socialised tax-funded medical care provided in the United Kingdom. The tier system is basically various levels of care for varying conditions. For those seeking weight management help through the NHS. Google AI summarised it really well for me: Hospitals are grouped into governing bodies (trusts), and each trust, I believe, decides how to invest in the tiers, which in turn impacts just how much and what kind of support is given. For example, when I went through Tier 3 in my trust, I was given 1:1 virtual support (zoom meetings) once a month for a year with a nutritionist to help me implement healthier lifestyle changes, and during that time, I also met with an NhS psychologist for 3-4 months to work through any issues I may have regarding food and mental health. I really enjoyed the support I received from my Tier 3 programme (“Weigh Ahead”). I was also held accountable for my weight, blood pressure, and body measurements. Tier 3 aims to help you lose 5-10% of your total body weight in order to be referred to Tier 4. The current Tier 3 service in my trust now allows patients to receive prescriptions for Ozempic and Mounjaro to help with weight loss. (I’m sure you can imagine I was sorely sad to find out I missed that opportunity! Whereas I think the injectables will be available to me only in Tier 4 and from the bariatric surgeon?) Also, in Tier 4, if you so desire to go forward with bariatric surgery, then you have multiple appointments with various consultants: the bariatric dietitian, bariatric nurse, bariatric psychologist, the anaesthetist, and finally the surgeon. Once your appointments with each of these completes, then they meet together as a “Multi-Disciplinary Team” to discuss each case and decide if that patient is a good candidate to go forward with surgery. If yes, you’re then placed in another waiting list. According to my trust, I am not meant to gain any weight from the time of my Tier 3 referral until surgery. This has been really, really challenging… and at times, frankly speaking, exceedingly discouraging. I hope this helps as an explanation. ☺️

Hi, NeonRaven! Thank you so much for your reply and sharing your experience! I find it so helpful to hear how other NHsers have experienced the process since it seems so much more elongated from the U.S. process. And you make such a good point about the London privilege - now it makes more sense why I’ve seen more internet presence and response from London NHSers. (And quite a few from the far north of England as well!) About three or four years ago during my annual diabetic review, my nurse had suggested bariatric surgery and that gave me a lot of hope - she was able to refer me for Tier 3. I had my dietitian appointment yesterday and it went really well! It was about 30 minutes and went over the Tier 3 lifestyle changes, continued lifestyle changes (balanced meals, regular exercise, blood sugar monitoring, weight maintenance, etc), medications, and then any questions I might have. She was very positive and said she would be recommending me to go forward for surgery when the MDT meeting happens 🥲 (once I meet with the next consultants - psychologist, anaesthetist, bariatric nurse, and surgeon - how soon? No one knows.) Needless to say, I am so relieved, so happy, and so excited to be moving forward even if it’s one step. I’ve found out that my hospital trust now does their “one-stop” clinic as separate virtual appointments, rather than in-person. (So, perhaps it will be quite some time before that MDT meeting?) And then the endoscopy and ECG will be done at the pre-op assessment once a surgery date is confirmed. I am so glad to hear your NHS experience has been so good and positive. I am so sorry to hear about your mother's complication and her passing, but it is so hopeful to hear she was able to put her diabetes into remission (that’s one of my big hopes!) Congratulations on your weight loss and wishing all the health and success! 💕 PS - funny enough, I have not had any group sessions whatsoever in this process. I am wondering if I’ll have a group session with the bariatric nurse?

Nope tea wont make you loose an ounce. A bit off topic, I have never drunk tea, the one cup I remember drinking was after giving birth. It was sweet and wet and I was drained. I saw as a child what tea did to my parents cups, yuck, no thanks. I drank the only other thing available, corporation pop. 1950's english slang for water. Them days, coffee came in liquid form called Camp Coffee. It was made from chickory. One time mother was ill and dad made a meal and used this as gravy browning. {we like brown gravy here} We ate it because it was this or nowt. It was a week till mother worked out what we actually ate. So, after my rambling, I come to the point. Here I am sat in Greece drinking Iced Peach tea like it was going out of fashion. How my tastebuds have changed. This will defo not make me loose weight as it comes with a lump of baklava at this bakery. It would be rude not to.

Still looking for ways to use up all the smoked chicken! Last night it was a Southwest-style salad with some of the smoked chicken. Tonight I'm planning on loaded baked potatoes with BBQ smoked chicken. I also made some Jambalaya style soup and added smoked chicken to that. I froze most of it, but perhaps weirdly, I like soup as a post-workout recovery meal, so I suspect I'll be eating a lot of that most weeks!

As a general rule, the effects of supplementation of any kind on weight loss will be extremely minimal. If I had to hazard a guess, I'd say for most people, 90-95% of weight loss is calorie intake alone. Other factors like exercise might make up a few percent, and supplements would be down at the bottom of the list probably only making 1% or less of the impact. Since 1% might mean something like 20 calories a day, you can see how it would be really easy to overcome that effect just by eating a tiny bit more. Keep in mind there is no overcoming basic physics. If you want to lose weight, you have to consume fewer calories than you burn. Things people worry wat too much about in my opinion instead of placing the focus where it matters on calories: Types of diets: Things like keto, low fat, low carb, intermittent fasting, etc. may help with compliance, but otherwise make no appreciable difference in weight loss. Bottom line, eat the way you want as long as you meet your nutrient goals and eat less than you burn in a day. Exercise: Exercise is critical for overall health and fitness, but as a general rule, you are not going to lose much if any weight from exercising. The reason is that your body is really good at stabilizing your overall calories burned in a day/week/month. What I mean is that studies show that for the most part, your body will slow down other processes to "make-up" for the exercise calories you burned, so whether or not you exercised won't actually mean you burn more calories per day. Exercise CAN help in weight loss for some people, but as a general rule, you'd probably need to be doing something that burned more than 400 calories a day, every day for you to see any impact at all. One place where exercise really comes into its own is in weight maintenance post-weight loss. Here the data is super clear. Those that exercise at least 1 hour per day were significantly more likely to maintain their weight loss than those that don't exercise. Supplements: As I pointed out above, at best, supplements might have a very small impact on on weight loss and this impact is really easy to negate by simply eating more. Typically weight loss supplements fall into two categories: Thermogenics (things that increase metabolism), and Appetite Suppressants. Some claim to have both effects. Without going into too much detail, the vast majority of thermogenics work simply because they are stimulants. Caffeine is the most well known and well studied (and frankly probably the most effective), but since you already are a coffee drinker, you're pretty unlikely to get any additional benefit from switching to another source such as green tea. Appetite suppressants are really a mixed bag. These sometimes work for some people, but again, the effects are really small. This is a little old, but I still think worth taking a gander: https://pmc.ncbi.nlm.nih.gov/articles/PMC8406948/#:~:text=A total of 1945 participants,morbidity%2C costs or patient satisfaction. It's a meta-analysis of the impact of green tea on weight loss. The conclusion they came to after looking at 15 different studies: "Green tea preparations appear to induce a small, statistically non‐significant weight loss in overweight or obese adults. Because the amount of weight loss is small, it is not likely to be clinically important." Best of luck.

I'm a London, UK based NHS patient. I've only just found your post, but I've added some hopefully helpful waffle to your original post. I don't have experience of Portsmouth hospitals (only their seaside touristy spots) but in general, I've had only good experiences with the NHS treatment I got. The psychologist visit is usually just a formality because I don't think a ten minute phone call is a really good gauge of someone's preparedness for a life altering surgery. If they NHS has already gotten you past the referral stage, I would imagine, you'll just need to wait until they can find a surgery slot. I was approved in July of 2024 and told that "unless the moons and planets all align, you will likely get your surgery Spring 2025" I guess the moons aligned because two weeks later, they called to tell me it was time to start the 12 week milk pre-op diet and I was scheduled for October 2024. You will probably not have a 12 week pre-op diet. I was told this was a test group trial for University College London Hospital and because I had NAFLD. Don't be too nervous (easier said than done, I'm sure) and congratulations! You've made it this far! You can do this! We're all here to support you!

This is such a great perspective, I'm gonna try to reframe it as an opportunity during those long weeks. And to remember that I will feel very differently about food post-op than I am right now during liquid diet. Thanks for the advice & words of encouragement!

Routinely knock out 60hr weeks. I think I took three weeks off after the sleeve and that was largely due to a massive abdominal hernia that was repaired at the time of the sleeve surgery. It was my 3rd such repair...and has held up great these last 9 years. You may be able to flip the script......and make those 80hr weeks your best weight loss weeks. There is going to be a time when the protein shakes are the ticket...then maybe those small foil packs of tuna and salmon. Food won't be an issue that occupies your thoughts. You'll laugh at the vending machines and shoot 'em the bird. Make sure you buy all your necessary supplements & shakes and tuna packs and load up your desk or locker. Having those on hand will be one more way to keep food off your mind. You'll not be wondering what you are going to have for lunch every day. You'll have that covered. 8 weeks will be a great amount of time to recover and acclimate. You'll lose a pile of weight in those 8 weeks, too. Those 80hr weeks are going to feel much, much shorter from this point forward. Congrats. Go kick some ass. You got this.

I am set to have my gastric sleeve next week (hooray!), and it has me thinking about my post op diet. I’m currently working a very demanding job, where every other month I’m working 80 hour work weeks for a month at a time. In the next few months I will also be starting night shifts as well (anticipate 3 months of night shifts per year). In preparation for the surgery, I’ve taken two weeks off pre op, and am taking 8 weeks off post op, but my biggest worry is the time after that. Last year my worst food months by far were the long hours working, where I felt I had very little time to do anything, much less prep food. Does anyone have experience with working long hours and how they kept up with their post op diet?