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I too am a fast eater, always have been. When I was at my highest weight I would eat so fast that I would get horrible indigestion pain on the right side of my stomach that would last 4 days. I still struggle with this, not nearly as fast as I used to be but I mentally need to remind myself to eat slower. During my first weeks post op I would set a timer for each bite, it took me ages to finish a meal. Nowadays if I'm really hungry I'll eat my first two bites really fast then my restriction reminds me to slow down, I almost always end up eating less that what I need to because of it, and then feel hungry again an hour later.

I'm just over two weeks post op. I was cleared for the pureed stage of foods, so I've been eating pureed foods since Monday. But no matter what I do, it just sits too heavy in my stomach. I feel too full despite eating the same volume as I did with liquids. There was a meal or two where I felt ok, but mostly too full. So I'm going back to liquids. Have I damaged anything by eating purees too soon? Have I set myself too far back in my recovery?

Today was my one month post op appointment and I gave her my phone with the summary of all my macros for the past week since I’ve been on soft food and a “normal” portion size (3/4 cup) and told her my current steps and she was really happy. I was worried that since my stomach was not operated on and I can tolerate foods and the larger portion of the range that I was eating too much for a month out and she said that with my level of activity I actually need to increase my protein a bit and the carbs as well and that my calories were fine to go up with that. She said that my loss is excellent and to keep doing what I’m doing just to increase my protein to 90g. She even said that I can add more veggies and some other foods as tolerated. I was worried about trying like asparagus and corn or rice paper (I’ve been craving spring rolls since I seen a recipe while on purée). I had already done my grocery order for this week and was going after there to pick it up so I added them rice papers to my cart for next weeks grocery run. I went ahead and scheduled my appointment for next month but she said that if I am still doing this well I can reschedule to my three month for my labs. I’m pretty excited! I did not feel like this after my sleeve. I feel like I have a handle on this, I am actually enjoying the healthier foods and the exercise. My energy's and my mood have improved tremendously. .

Well today was round 4 of my chemo and immunotherapy and steroids, etc. Messing with my tastes a bit on certain stuff Things don’t taste gross just not good. I came home and i did chicken breast with a little ceaser side salad and a tiny bit of spinach tortolini. I know that last one was not ideal but it made the meal go down easier if that makes any sense. I guess it’s a balance for now to get the rest of what I need in nutrition wise and it was cheese filled so still protein. 🤷‍♀️ I am about to go eat some mixed fruit now for my snack. I also did five miles walking and tomorrow morning I have yoga. I think that getting my nutrition and exercise is really helping my body deal with all of this because I did the stringer one up front so it’s been two months and i don’t have alot of side effects yet. The doctors are pretty amazed. Knock on wood I am able To keep it up because I had to do that BRAT diet for a week and I could feel myself getting weaker and my sleep was off and I wasn’t wanting to exercise. I am REALLY trying to keep to my habits as best as I can. I hope everyone else is doing well with juggling their bariatric journey with “life” as well.

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

Hurray!!! Gains have gone plus another 1.8lbs on top 🥳🥳🥳 Did a very happy bathroom dance this morning 💃 @ShoppGirlI knew exactly what you meant! It’s why I’m not too fussed if I have to complete the LRD over Christmas because it does away with the temptations for me. I think sometimes we eat more of things we shouldn’t over Christmas because it’s almost like it’s expected or excused? Or is that just me? @FifiLuxHow maddening for you 😡 It could be water retention though, especially if you have been eating foods prepared by someone else? My body does complain and take a couple of days to settle down after travelling so hopefully yours will be back to showing target (or below) on your scales in the next few days 🤞🤞 Half portion pancakes? Is there such a thing?? 😉 Off to the hospital to have my eyes checked in a bit. Hopefully this will be the last time as I’m no longer on the meds that can cause eye problems. Had bloods yesterday and the LFT is still high. Oh well, just have them done again in 3 weeks. I’m not worried about it now, covid and antivirals have quite probably contributed to my levels. I did try to explain to the Rheumatology nurse who rang but she didn’t seem to grasp what was trying to explain 🤷‍♀️ I’m sure if it was a massive issue, I would be in to see the Consultant 🙂 TFI Friday eh?

Yeah, it’s crazy. I actually just had surgery last Tuesday so I’m not even really a whole week out. I started back working on Saturday. Still takes a bit of work, but I am surprised I’m able to be up and out and active so soon.

I wish I could say from experience but I never made it to the maintenance phase with my sleeve and I’m early out from my revision. From being on the boards though it seems what most people do is to add like 100 healthy calories at a time and wait and see if that makes them gain and keep upping it until they find what their body is happy with. Of course if you level of activity or type of calories changes you may have to adjust so I think if you don’t choose to log your food daily you may want to at least spot check it like once a week just so you can see if your habits change gradually and keep on track for what works for your body. Congratulations on nearing maintenance!!

A new week beckons… Laid in bed this morning, just taking stock of how I’m feeling and I actually feel happy. It’s been a long time since I’ve had that happy feeling for no apparent reason. The first part of my WLS journey is completed and now out of my hands for now so I’ve mentally put that to one side. I’ve started back at the gym and I’M LOVING IT!! I know the gym isn’t everyone’s cup of tea but I truly enjoy it. I found something that works for me and can sustain it, which is really important for anyone trying to improve their fitness. I’ve been 3 times this past week and I’m not pushing it as yet, no matter how much the little devil on my shoulder is telling me to 😈 I’m aiming to go every 3rd day at the moment but will re-visit that in a few weeks time. Granddaughters party went as well as could be expected with other little kids there! I didn’t go mad food-wise - a burger, handful of mini sausage rolls, 1 Jammie Dodger, a cupcake and a small piece of cake. I actually threw a piece of quiche away which is a first for me and left the crisps, coleslaw etc alone! I know it may seem a lot but compared to what I would shovel away previously, it’s actually quite restrained! My body shape is changing, even if the scales aren’t particularly moving right now. I went through my gym stuff and tried on a pair of leggings that are size 18/20 and they fit! That was a bit of a surprise, especially as I couldn’t get them up my thighs previously 😮 Various other items are now ether too big or now fitting whereas before they were too tight. The jeans that were fine a few weeks ago? Can now get them off without unfastening them! I actually had to buy some smaller things this week. I’m not a fan of bras, they dig in and I find them uncomfortable. So I prefer the crop-top bralette type things (I’m a C cup at most) I’d noticed that I wasn’t feeling as ‘secure’ as I had before so decided it was time to update. I got a couple of vest tops with built-in support and a 3 pack of bralettes from M&S, all in smaller sizes and all fit - yay! It’s the simple things really that can give such a boost 🙂 Hairdressers tomorrow. I’m having a bit of a crisis with my hair at the moment. When I was accepted on to the Bariatric Pathway, I decided to grow my hair (all part of the ‘New Me’ vibe) Previously I had pixi-type cut and now it’s a short bob, just about at the bottom of my ears. However it’s lacking any body and looks really thin. I know my meds can play havoc, especially as I started a new injection back on November which can cause hair thinning after a few months. My hair hasn’t come out in clumps or anything, I’m just finding lots of stray hairs on things. I know that WLS also causes Hair loss, so I’m now floundering a little. I’m going to have a chat with my hairdresser and see what she comes up with but I’m really erring on the side of ‘chop it off’…sigh…it’s not easy being a woman at times is it?? I plan to tackle more of my wardrobe this week and get that thinned out. Has anyone else gone through their clothes and thought to themselves “what were you thinking?” Yeah, I’m having a bit of that. However it’s more of a case of I’ve bought something previously and it has remained unworn. This is what happens when you’re the size of a a house - you buy something because it fits, not because you actually like it. I definitely will be a damn sight more discerning moving forward. Have a fabulously productive week everyone 😉 Onwards and Downwards!

One week out of gastric bypass surgery, I was a bit down. Tired, sore... so decided to watch something to lift my mood on TV. What normally would make me smile, chuckle or laugh wasn't happening. I thought. Oh no! Have I lost my sense of humor already with all of the hormonal changes happening? Shirley not Post whatever makes you happy. I'm sure many here would love to smile with you

Pic on top...my senior year of high school (prom) when I was 17. Pic on bottom...a couple of weeks ago at age 46. Face is older, but body is pretty close. Just sayin.....😏😉

Here are some pictures of my before & after (just of my back at the moment as I am most confident posting this!) Before liver reduction diet: Taken just before my holiday about a week ago!: **I know I need a new bra, this one is KNACKERED** And a fun little guest appearance taken today, featuring these denim shorts which pre-surgery would not go over my lower thighs:

Hey all, so I’m in the process of getting a revision I have the Lapband wanting to remove it and getting the Sleeve. I have BCBS of MA. How was the process for you guys. What where your requirements, and how long did everything take meaning the whole process and the approval time. I went 2 weeks ago to my consultation, did the nutrition class then my ecg that same day now waiting for to talk to a psych. And the place is taking long I already called bcbs it’s in my network and also got my copay these ppl are taking long I’m ready to start my new journey

Hey everyone! I’m reading though all the post and it’s interesting how similar and different our experiences are. Can’t thank you all enough for sharing because sometimes I feel like it’s just me lol. This is my second week of puree foods and I can now move into soft. However I can only hold 2oz of food every 3 hrs and I drink nothing but water with electrolytes in between. I’m thinking soft foods might be too heavy for me. How much is everyone having of foods? I tried 30z of scrambled eggs yesterday took me 1 hr to finish lol. I accidentally had matcha 🍵 tea the other day because I forgot it had caffeine, silly me but my stomach did just fine. Granted it was the tip of a teaspoon with some milk. So this week I’ll be slowly adding dry decafe coffee to my morning warm cup of milk here and there. Oh homemade blended and straining apple, carrots, ginger is wonderful! I have about 4oz of it a day. I do feel “full” it’s a heaviness in my chest. I’m also still feeling discomfort here and there with purée foods as they go down my esophagus . Anyone else? That mental hunger hasn’t gone away and I know it will be a while before it does but I’m such a foodie that all I want is to “taste” food on my pallet that not the same everyday. I’m not doing artificial sugars, I’ve never liked them. My new stomach still doesn’t and nor does my pallet. I’m just going to keep sugar low as I always have. Savory foods is my achilles heal lol. I think because I’m not focused heavy on extra protein in between foods I’ve not had issues with consipation. Take care of yourselves and just try one medication at a time. My stool is “lose” but not watery. I go every other day. I’ve started vitamins but very slow and they are so sweet I have to force myself to like it. They are the Berimelts. I have a vacation coming up in two weeks, which I’m excited for! Mentally preparing myself for only having 1 taste of the food my husband and I decided to get. We have the same taste and always share or split plates so I’m not too worried about deciding on what to eat. I’m nervous about restaurants pushing food on me or asking if I didn’t like something or why we are ordering for one. If anyone lives in the UK please let me know if that’s uncommon. I know in the states when I said no water with my meal post surgery they looked at me crazy. I’m bummed that I won’t be able to enjoy beer or pub food in the UK but that’s just the way it is. Hope everyone is having a good recovery! ❤️‍🩹 I will say I’m so happy to be out of the liquid phase that was the worst for me. Also I didn’t drop any weight during the liquid phase that was my stall, funny enough because they say week 3, but not for me it was week 1 and 2. Now I’m dropping weight and down 20 pounds. (Yay) they said you’ll lose about half of your ideal weight within the 6 months so I’m on a good track. I do weigh myself daily and the scale is dijital so it records everything. I highly recommend those. Take care everyone!!

Has anybody else seen weight gain after surgery? I’ve been a little lazy to count my macros or weigh myself daily, but I did today and noticed I’ve gained 3 pounds. It’s so weird.

Hey everyone! I’m reading though all the post and it’s interesting how similar and different our experiences are. Can’t thank you all enough for sharing because sometimes I feel like it’s just me lol. This is my second week of puree foods and I can now move into soft. However I can only hold 2oz of food every 3 hrs and I drink nothing but water with electrolytes in between. I’m thinking soft foods might be too heavy for me. How much is everyone having of foods? I tried 30z of scrambled eggs yesterday took me 1 hr to finish lol. I accidentally had matcha 🍵 tea the other day because I forgot it had caffeine, silly me but my stomach did just fine. Granted it was the tip of a teaspoon with some milk. So this week I’ll be slowly adding dry decafe coffee to my morning warm cup of milk here and there. Oh homemade blended and straining apple, carrots, ginger is wonderful! I have about 4oz of it a day. I do feel “full” it’s a heaviness in my chest. I’m also still feeling discomfort here and there with purée foods as they go down my esophagus . Anyone else? That mental hunger hasn’t gone away and I know it will be a while before it does but I’m such a foodie that all I want is to “taste” food on my pallet that not the same everyday. I’m not doing artificial sugars, I’ve never liked them. My new stomach still doesn’t and nor does my pallet. I’m just going to keep sugar low as I always have. Savory foods is my achilles heal lol. I think because I’m not focused heavy on extra protein in between foods I’ve not had issues with consipation. Take care of yourselves and just try one medication at a time. My stool is “lose” but not watery. I go every other day. I’ve started vitamins but very slow and they are so sweet I have to force myself to like it. They are the Berimelts. I have a vacation coming up in two weeks, which I’m excited for! Mentally preparing myself for only having 1 taste of the food my husband and I decided to get. We have the same taste and always share or split plates so I’m not too worried about deciding on what to eat. I’m nervous about restaurants pushing food on me or asking if I didn’t like something or why we are ordering for one. If anyone lives in the UK please let me know if that’s uncommon. I know in the states when I said no water with my meal post surgery they looked at me crazy. I’m bummed that I won’t be able to enjoy beer or pub food in the UK but that’s just the way it is. Hope everyone is having a good recovery! ❤️‍🩹 I will say I’m so happy to be out of the liquid phase that was the worst for me. Also I didn’t drop any weight during the liquid phase that was my stall, funny enough because they say week 3, but not for me it was week 1 and 2. Now I’m dropping weight and down 20 pounds. (Yay) they said you’ll lose about half of your ideal weight within the 6 months so I’m on a good track. I do weigh myself daily and the scale is dijital so it records everything. I highly recommend those. Take care everyone!!

yesterday's smoked salmon avocado salad was so yum, i made another one...this time i added more stuff just cuz. salmon, avocado, strawberries, dried cranberries, gouda, brocollini, and....pumpkin pie!! haha, it was the last slice leftover from (canadian) thanksgiving last week hahah...didn't end up eating any of it anyway (and none of the brocollini either for some reason), but ate maybe ½ of everything else. 704 calories for the plate...not gonna adjust for what i actually ate cuz im most likely gonna finish the rest later. isnt it so colourful and pretty????

Had my surgeons appointment this afternoon and all went well. I’d dropped another kilo since my dietitians’ appointment a couple of weeks ago - yay! The surgeon was lovely and very approachable. The surgeon asked if I’d chosen a particular surgery and asked my reasons for it. I told him “Bypass please” and explained my thinking. He was happy and didn’t see any reason why I couldn’t have the Bypass. He then explained absolutely everything to me as we went through the consent form plus drew a couple of diagrams for me so he was extremely thorough! I felt very at ease and confident in what he was explaining. Obviously it helped that I had guidance from this forum plus had done wider reading too so nothing was a surprise even when he was explaining things that could go wrong and what steps they take to rectify any problems. It was comforting to know that they seem extremely pro-active in sorting things out and they don’t leave their patients to flounder on their own should they need help. So, next steps…the MDT meets weekly, generally on a Friday, so my case should be heard next week. He said that none of my tests have flagged anything up, the dietitian was happy with me plus I was taking some proactive steps myself so there shouldn’t be any issues and I should progress through to surgery. I asked how long the wait was without getting a cancellation and he said 20 weeks from now so that will mean mid to end of January next year. I did stress that I would be more than happy to take a cancellation which he noted. The only problem, he said, was making sure that I still had 3 weeks to complete the LRD as sometimes the cancellations are too close to the actual day of surgery. I’m feeling happy generally with everything. I’ve done all my stuff so now it’s down to the hospital. I have my granddaughters birthday party tomorrow, our anniversary dinner on the 15th and then I’m free and clear really. I feel I can relax a bit now. I’m as prepared as I possibly can be short of actually having the surgery! So exciting isn’t it??

I am doing well, it was a bit touch and go the first 3 days with pain and constant nausea but I've hit day 6 and I feel like i have hit a new stride. I feel good. Hope those who have had surgery are doing well! ♥

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 a revision so I hwe sleeve 3.5 years ago and it did tend to go in spurts for me too. A few days with nothing lost and then a couple of pounds drop. Or a week or two worth 3-4 pound loss. Apparently that’s not at all uncommon.

Thank you all so much for replying and your comforting words. I can’t believe how nice everyone else. I was almost dreading reading replies because I just knew I was going to see a mean reply but everyone has been so nice and supportive about my emotional rant. Lol. I can’t thank you enough. Yesterday I went to a church service and sat on the bench and I just felt so big and uncomfortable and stuffed. I felt bigger than everyone on my row and probably was. Then I got home and ordered food for my kids and I and ate such a big portion and I remembered all over again exactly why I want this surgery and seeing your words confirmed it. Especially when @DaisyChainOz said “Only you can know if it’s worth it to you”. I really needed to hear that and I’m feeling like it’s really worth it at this point. I really can’t keep feeling like this. I guess if food is always going to be a thing, I’d rather it be a thing while I’m thin and more comfortable in my body. It’s also hard bc I’m not telling a lot of people. Not to be secretive, but bc I know many people won’t understand and I really want this to be my choice without the extra noise and opinions from people who don’t know what it’s like to feel trapped by your own body. I pray for no issues & that I end up being like everyone else in a few months asking myself why I didn’t choose to do this years ago. Can I ask a couple more questions though? Will I ever be able to guzzle water again? Lol. I just love ice cold water after a sweat or when I’m thirsty, just the feeling of chugging ice cold water, will I ever be able to chug a cold glass of water or will I need to sip it forever? If so, that’s fine, I just want to prepare my mind for what I’m giving up. Also, I know a couple of you are only a few weeks in, but has anyone lost too much weight? Not medically but lost too much personally? I’m afraid of getting to a size that’s too small. I don’t think I’ve ever desired to actually be skinny, I just want to be normal/average.

Sorry I haven't reached out sooner - glad to hear you are out the other end and you are doing okay ❤️ Congratulations! TMI!: I had to have the pessary when I was in the hospital as I just couldn't poo 😂 It did work but I ended up having this strange explosive bowel movement that had lots of old blood in it - proper freaked me out but a nurse told me it was normal and was just residue blood from the surgery. I wish she had warned me about this prior to it happened so I wasn't so concerned about it, but IF anything like this happens, don't worry too much! But either way, apparently doesn't happen to everyone. Definitely keep away from the scales for a bit as a lot of people find that their weight is a bit higher immediately post-op so just wait until you have healed! My surgeon didn't want me weighing myself until at least 8 weeks pot-surgery (I lasted about 4 weeks 😂) Hope you are well ❤️

You’re not going to feel the restriction until you are much further along in your healing (takes around 6-8 weeks) & eating solid foods. A lot of nerves are cut or damaged during the surgery so messages simply aren’t getting through or are distorted if they do. The staged return to eating is to protect your recovery and to ensure you don’t damage your healing digestive system (think of all those sutures and staples holding your tummy together- I believe it’s around 12inches of sutures+staples with a sleeve. You should only progress your stages if your surgeon advises you to. It’s also one of the reasons why we’re advised to eat slowly and are given portion sizes we should stick to. Also remember that liquids go through the tummy much more quickly than solid food so you don’t really get full in the same way as you know sipping your shakes slowly. Purées go through a little more quickly but nothing like solid foods.

BariLife Just One multivitamin with iron - this is once a day multivitamin BariLife Bari Bursts calcium bites - 3 of these a day