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You’ll find your rhythm, it might take a while but you’ll begin to understand what works for you and what doesn’t. When I first started working out I was doing 2 hours of cardio a day. When I knew better I cut it to 50 minutes a day and lost more fat that way. I would train glutes twice a week if I could but I get too sore because I don’t eat adequately to recover and for them to grow hence the once a week. If you can train glutes twice a week and rest well between the sessions (say beginning of the week and end) and eat well then go for it, nobody minds a juicy perky booty lol. Shoulders are not large muscles so I would limit it to 3 exercises a week (shoulder press, upright rows, lateral raises) and 2 bis and tris exercises as these are smaller muscles. I didn’t meet my protein goals for over 4 months post op. At 6 months I upped my calories to 800 and at 7.5 months (now) I’m averaging around 1000 calories a day, give or take. I have some fierce restriction so my portions are very small but I eat frequently (every 1.5-2 hours when I’m not busy or distracted). On weekends I forget to eat and can go 6 hours between meals but on weekdays I try to stay consistent and eat every 1.5-2 hours. It’s very unlikely that you’ve messed up your sleeve, you’re losing weight and keeping active so it sounds you’re doing it just right. You might be surprised to find out that you might need to eat much more (1800-2000 calories) to maintain your weight! My brother was sleeved 3 years ago and to maintain his weight (mind you he’s really slim) he’s eating around 3000 calories and he’s not active lol. Not saying you should jump to 1800 calories overnight but maybe gradually start increasing your calories until you hit the sweet spot and your weight stabilizes. Track everything and keep a food journal and note down your weight changes (loss, gain, maintenance). Remember you are very active and you WILL feel more hungry than someone who isn’t. Your body is new to weightlifting and is trying to build muscle, and building muscle requires a lot of calories. At 4 months post op I started serious weight training again and I was able to up my calorie intake when I was failing prior to that, I am just much hungrier working out than when I am not. At 3 months post op I was barely getting in 200 calories a day. Don’t doubt yourself, you’ve done amazing!

hi all, I posted this in the pre op forum for June buddies, but thought I'd also post it here in case it helps anyone. Here's my experience so far after getting the Gastric Sleeve procedure on 13th June 2024... Immediately after surgery It was pretty rough for me, I woke up in a lot of pain, so much so that the nurses had to give me 30mg morphine for the pain. I was in a recovery room for the first 24 hours (standard procedure for the private hospital in the UK i went through) After the initial 24hrs I was moved back to my room where I felt a lot better. Even able to eat an ice pop and a small cup of Tomato Soup (sipping of course) and sipping Water every 5-10 mins. Week 1-2 I quickly moved onto the liquids phase, in which I must have taken in around 2-300 cals per day through Protein Shakes and watery Soups. I must admin this phase was the hardest for me, managing the pain meds as well as trying to drink as much liquids as I could in a day. It just so happened there was an international football (soccer) tournament on in Europe in my first 2 weeks' recovery so was engrossed in that! I also started walking 1 mile per day and upping that to almost 2 miles by the end of it. My weight loss was drastic in this phase but my word I was lethargic/got tired v easily and not up for doing much. Week 3-4 Puree stage - finally I felt I was able to get some proper food in me, and a few days after starting this phase, my weight slowed right down - the dreaded (but expected) 3 week plateau kicked in. I went around a week and a bit without any weight loss, despite me sticking to the recommended diet. I am not going to sugar coat this, it was a bit disappointing standing on those scales after a week, but I knew this would happen so meh I guess. Still walking 2 miles per day during this phase and now feeling I have a lot more energy. Week 5-6 Week 5 started with me starting to lose a pound every 2 days or so, so my body seems like it has adjusted to the inro of more foods for the 'soft foods' stage. I also started back at the gym doing some cardio work on top of my walks, and oh boy I have so much more energy for it! I am now around half way through week 6 and had my first appointment with my nutritionist and he is blown away by the progress I have made/am making. He gave me further chewing tips to make sure I am not overeating as I have been sick a couple of times when I've eaten too quickly and not realised I'm full/satisfied. He is now happy for me to start introducing more fibred meats and more complex foods, like a little Pasta and a little bit of rice, to test the waters. Struggles so far: Reminding myself I have a new stomach not eating what family members are eating e.g. Sunday dinner Eating too fast resulting in vomiting Extra attention from people who have noticed a loss in weight (47lbs and counting since pre-op liver diet). Since I've been overweight most of my adult life, I carried a lot of shame internally, so its in my nature not to talk about myself/get photos taken etc Wins so far Losing a lot of weight and all the benefits that go with it. Being more present with my family. Having the energy to do everything they want to do (I have a wife and 2 kids, girl 11, boy 7) Clothes! I have dropped from XXXL to XL already. Which was a surprise when I packed to go to a 5 day getaway with my fam in week 5 Mental health - the mental benefits come as such a relief. I no longer feel down about my weight (although I know I still have a ways to go) Confidence - generally just feel I can be more myself - hopefully some here will resonate with this. Would be great to hear of your experiences so far, especially if you had your procedure in April/May/June/July!

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

I finally gained weight!!! I'm officially at 180, and I like that. I feel better, I have more energy, and I don't feel nearly so run down and out of it. Still look super thin, but it is what it is. Now I'm going to work on maintenance since this is where I want to stay. I'm ok with 2 pounds in either direction, but I definitely don't want to drop below 178 again lol I got all the way down to 170 and it was just really bad. I literally don't work out at all anymore because I'm on my feet all day working 5 days per week. I increased my calories to 1700 per day (up from 1500), my carbs to 55 net per day (up from 40 or so), my protein to 100g per day (up from 80), my healthy fats to 80g per day (up from 50), my fiber intake to 30g (10 from supplements and the rest from food - up from 20) and upped my fluids to 120 fl oz per day (up from 90 - 100). I'll add my weekend workouts back in now (nothing crazy, just core and strength but on the lighter side, not heavy) so I don't gain too much now that I've figured out how to finally gain weight lol

Off to see The Pet Shop Boys! I’m a massive fan and it’s the final week of their world tour with a special 5 nights finale at the ROH. Whilst we’ve had a wander around Covent Garden previously, we’ve never been to the ROH so a whole new experience just for that alone 😊

I did very little exercise and lost on 1200 calories a day. I am maintaining on an average of 1500 a day. I still have a relaxed regime, I walk a few miles a week and work in a very busy charity shop once a week. I am retired so you can see work and exercise didn't help me. I still have a fierce restriction so the calories are ok for me. I once had a stall of 3 months and then dropped 7 pounds overnight. I began to think that I had finished my journey. Everyone is so different and its heart breaking if you compare yourself to others.

Not sure if you the same but for me when I eat carbs I crave carbs. If you are like that don’t do any food funerals immediately before your pro op. It will only make it that much harder. If you have to do food funerals then just do them a week earlier and eat lower carb the week before your pre op diet. It made it tolerable for me when I did my sleeve.

Almost 5.5yrs post sleeve and also have maintained below goal. I try to eat regularly & to a schedule. Helps me avoid unnecessary snacking and making poor choices because I’m overly hungry. I try to meet protein & fluid goals every day. I don’t track but check ingredients & nutritional content of new foods & recipes where I can and do random checks to ensure I’m not overestimating portions or calories, etc. I try to ensure I eat meat (yep I’m a carnivore), vegetables, fruit, dairy, and complex multi/whole grain carbs everyday. Add beans or lentils to various meals at times. I adopted a way of eating (not a diet) that is working for me & is sustainable. It doesn't stop me socialising or make it a challenge to make food choices. I do some sort of exercise almost every day (about 20 minutes a day total & not traditional ‘exercise’ but stretches & resistance bands). I weigh myself at least a couple of times a week. I can’t control every aspect of my life every day so I don’t beat myself up if I go off piste or decide to treat myself or can’t follow my regular schedule or can’t meet my goals or whatever. As long as it’s not the norm and a regular occurrence, I’ll be okay. And if something changes (ill health, the crap life throws at us, etc.), I’ll look at my options, make changes where I can or just work with my new reality.

I’d just use a blender too. Believe me, you’ll be praying for the purée stage to be over. It’s like food but not food, the texture & the temporary changes to your taste buds really kick making so much disgusting. It can be a struggle to find something to eat at times. Not worth buying a new appliance to use for two weeks. (Though if you haven’t got a blender they’re always handy to have 😉).

I'm so relieved to see that I'm not the only one flagging here and there. I was doing great up until about midway through last week, going on my walks and trying not to look at the scale because I REALLY wanted to see it tick from just above 300 down into the 290s - finally I weighed in and was SO frustrated that I sat at like, 301 for several days. I'm still there now, too. Another thing - I had bought a pair of size 22 jeans and they fit great so I bought a couple pairs of size 24 I found at a thrift store and was heartbroken when they didn't fit! I'm coaching myself as to the reality that the size 22 I'd bought were super wide leg all the way up vs the ones from the thrift store that were more 'fitted' - being the reason they didn't go up over my thighs. I can see the 'bat wings' on my arms, constantly am having to shift my rings around, and am losing in my back/bum area but my thighs are still my problem. I looked up some exercises I have been trying to do to promote a strong core and hopefully reduce visible belly fat/ excess skin in the thighs and arms, but I backed off some on my exercise over the weekend for sure. Per my Fitbit my average is still high, but I feel awful if I don't get in at least 5k steps per day now. I know I'm getting ready to start my period any day so HOPEFULLY after this comes and goes my weight will have another significant drop. @Justarwaxx and @ShoppGirl - You are both doing so great! It's always nice to pop back on here and see your updates

No thanks would be ideal hut if your family and friends are like mine and just won’t let up sometimes a little white lie Iis in order. What i did with my sleeve at Thanksgiving and Christmas was just to take the food, eat my tiny portion say it was delicious and tell them I will be hungry in another hour and I plan to finish it at home. (I tossed whatever my hubby wouldn’t eat but it spared them feeling as if I didn’t enjoy it). There was WAY too much food so it would’ve ended up getting tossed anyways. Even after leftover week. If you haven’t told anyone about your surgery you can just say that it’s delicious but your stomach just feels a bit off and again take a plate with you to eat later and give it to someone who can have it. If it will tempt you though, just say no thanks and be persistent. I was actually thinking about a holiday dilemna too. I am always invited to an annual cookie day. Everyone brings their supplies for a recipe and makes like 2 dozen cookies and the host makes tons of sugar cookies the night before for the kids to decorate while the cookies are baking. It’s a while day of eating junk, drinking and smelling cookies. I don’t think I can do it this year, I’m too early out. I think I’m just gonna be honest since they do know about my surgery. Tell her I will pop by and say hello but I am not gonna stay.

Try not to be too discouraged at your "stalled weight loss." Your body has undergone a lot of change and just needs time to catch up and adjust. If you're following the recommendations, I'm guessing the stall will only be for a week or so. That was my experience. I am 7 weeks out from my RNY, and I had a "stall" as well, which lasted about 5 days. Since that point, I have had a pattern of staying the same weight or even increasing a pound or two for 3-4 days of the week, and then having a 2-3 pound per day drop for the other days in the week. As long as I am trending down, I don't care how I get there. Also, I'm curious about your not tolerating foods past soft. I had immediate trouble when I tried to advance to meats, and had testing done which revealed a surgical stricture. My body had reacted to the surgery site by closing down too much. I had an endoscopy with dilation and am doing better. I do still have to really focus when I eat to not eat too fast or too much. When my pouch gets too full, I get chest pain, which is just me feeling that stretch of the pouch. We all will experience differences in our bodies. I think it's really important that we all listen to our bodies and learn our new subtle signals in order to have success.

I had my roux-en-Y bypass in 2009. I was 5’7” and weighed 253 lbs. I had lost about 50 lbs. Then my parents began a two-year decline with an extremely complicated two years of dementia (both at the same time!), gout, broken back, shoulder, and ribs, triple valve replacement, gall bladder surgery, a search for a geriatric psychiatry bed which never came through, and multiple moves from assisted living centers, rehab centers, memory care centers, and nursing homes. There were at least a dozen ER visits over those two years. My self-care routine devolved. I developed ulcers. Five years after the surgery I went through a severe depression and started vomiting a few times a week. Two ER trips with bleeding ulcers. Deepening depression. In 2018, had surgery to remove the ulcers. I continued vomiting and dropped down to 146 lbs. I’m down to 5’4” tall because of scoliosis, a side effect of Parkinson’s I was diagnosed with a few weeks ago. I had the roux-en-Y procedure redone last week. I’m trying.

I would definitely switch up the tomato soup. That can cause havoc on your stomach. 29 pounds in 2 weeks is awesome. That's about where I was. If you look at my signature, you can see I was someone that responded EXTREMELY well to the surgery. But even with that, I had to learn to manage my expectations. Stalls happen. They're real, they suck, they will continue. It's important not to obsess over the number on the scale and pay attention to NSVs (Non Scale Victories). How are your clothes and rings fitting? How is your mobility? Are you able to get off any meds? Can you fit in booths and chairs with arms better? How do you look? When stalls happen, stay off the scale for a while and pay attention to NSVs. In the beginning, you lose the most weight because of water weight, inflammation, and your body's general "OMG wtf just happened??!?!" response to the surgery. The rate of the loss WILL slow down. It's inevitable. That doesn't mean it won't be a success. It just means that you have to change your expectations and relearn the process for what it is, not what you saw on tv or read online that it would be. The higher your bmi and starting weight, the faster you initially lose weight. As your bmi and weight get lower, the weight loss slows down. That doesn't mean it'll stop, it just gets slower. Be very mindful of what you eat, how much, how often. Pay attention to actual hunger vs head hunger. Avoid slider foods. This is the stage where you work on your mindset and relationship with food. No cheating. No alcohol. No junk food. Stick to your diet religiously. Listen to your body.

Wow. You have certainly had your plate full. I’m glad to hear that you were able to get a revision now though which hopefully will get you back to where you want to be. How are you feeling after a week?

Such good advice above. I so love this forum. 😍 OP I hope you can judge yourself less and forgive yourself a few lapses - you are human, as are the rest of us. You have done the best thing you could for your health and have gone to enormous trouble (and expense?) to do it! We ALL have slips and do things that we know aren't good for us. If we can look back and analyse why we did what we did then sometimes that can help us avoid the same mistakes in future. I am 3 years post sleeve and I carry protein-based snacks wherever I go - usually nuts or seeds in little packs that I can carry in my bag. If I am hungry (and I do get fierce hunger at quite short notice a couple of hours after eating) and I'm in danger of eating something I shouldn't, then I will eat those. I know they will help stop me eating the rubbish that my head wants but my body doesn't need. It works a bit for me so I hope will help you. I never leave home without them. In addition I have stock phrases to 'explain' (not that I have to but - yunno) why I am not indulging in the delicious sugary fatty rubbish along with everyone else. I learned those phrases here. Oh I ate before I came! I'm just not hungry right now. I'm doing strict keto so I'm avoiding sugar at the minute. And so on. IME people completely lose interest if you say 'a thing', LOL. I wish you the best of luck. You've stumbled a little this week, that's OK, it's a marathon not a sprint. I hope you can use some of the resources suggested above. It's hard. It's hard every day, even after WLS. Take one day at a time and be kind to yourself. We are all here for you.

Hi, Mspretty86. I love that you reached out. I forget about this forum. My surgery was April 16, and I have lost 71 pounds. I lose in chunks and then remain plateaued for weeks. Very strange, yet the scale shows a trending down line. My body feels weird. My skin is losing firmness as the fat cells diminish. I feel like I may have something else going on though. I do have more energy and less pain, which is huge for me. I'm curious how others are doing?

Did they not put you back on the schedule at all? I would’ve figured they would give you an appointment but then call you if they had a sooner one due to a cancellation. Also, At this point you have been on that diet for 6 weeks, right? I would call and make sure that it’s okay with your doctor that you continue on with that same diet. Some of these diets are only designed to be short term.

My brother & SIL had one from their kids that they barely used, so they lent it to me. I used it once and was frustrated with the clean up lol. I ended up investing all of $30 (CAD) in a handheld immersion blender off Amazon -- mostly because I'd wanted one for a while anyway. It was super useful but I have to admit that after the puree stage, I use it maaaaybe once a week.

I'm going to ask to have an ultrasound and see if they can see anything and if not, schedule another colonoscopy (just had one a year ago, not due for another 2 years). I'm going to look at what you mentioned (never heard of it) and see if I can get it here and if it helps. Also, if you've pooped 6x in the last 3 days, you could probably give your body a break for a day and if you don't go at all, take the medication again. After a hysterectomy, you want to make sure you go regularly and keep the poop soft and/or a bit runny for the first 2 weeks at least. Well, I had to be cut open, so maybe that was more for me. But I found it helped A LOT because the muscles really hurt. I imagine laparoscopic would be similar like with WLS since we needed to go easy with the pooping for a while after that, too. Definitely don't let yourself go too long without pooping, but if you're going more than twice per day, you might want to back off just a little to give your body a break and not get dehydrated.

Nickelchip im sorry I had to chuckle very loudly when you stated you could chew a peice of broccoli and be in agony. That is the same way I feel about chicken for some reason it feels like it gets stuck in my chest and I want to throw it against the damn wall. Some days me and chicken can have the perfect love affair. Ohhhhhhh heaven heaven is Brisket and again I'm with you! *sighs. This is my birthday week and I'm already fantasizing about the bar b q I will eat; To only get full on a few chomps 😡

If this experience taught me anything it was that the human body adapts - i was panicking my first week out of surgery i knew i wasn’t drinking enough broth and water and tea included. But my dietician just said you’ll see your body adapts as long as you keep sipping when you can - you do the best you can listen to your body. The internal swelling is no joke - you can feel perfectly fine on the outside but imagine the healing going on inside. You’ll actually be able to feel it go down a little each day and the restriction won’t be so harsh. I hit none of my hydration or protein goals the first few weeks 🤣 and i felt sooo bad about it but in the end it really isn’t the end of the world as long as you try to the best of your ability

I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

Well, it wasn’t exactly an AI generated recommendation. It was an AI generated summary of all the articles that applied to the question I asked Google. So basically One of the articles them gave that recommendation is below and you can read the full article of course and determine whether it’s a reputable source and applies to you. I agree with not going by a cookie cutter approach regardless of where it came from. Especially the Internet, but it logically does make sense to me so it would definitely be worth talking to your doctor about and asking for a specific plan for you. I know for me, my body is fighting cancer and processing chemo right now which both increase metabolism. Currently I’m logging like 1000-1500 cal more a day and still losing (albeit a little slower to appease my doctors). It changes your metabolism when your body is fighting something and it does burn more calories during times like this. How many that would be something your surgeon may be able to help you with a refer you to someone who can. I am very fortunate that I am at a big fancy breast center and they have an oncology dietitian that is helping me throughout all of my different treatments that I have in store for me over the next year to keep me on track for both that and my bariatric journey. i think the most important part would be to just be mindful of the fact that healing does require adequate nutrition and not to be at too much of a calorie deficit because yes, we will heal like we did from our bariatric surgery but that doesn’t necessarily mean it was the ideal circumstance or that we we’re healing as fast as we could have. I know you are itching to get out and back to your activity asap as I would be and good nutrition is very important for faster healing. I’m not saying that means you need to eat as much as you were eating when you were working out like crazy, but if it was me, I would focus primarily on fueling my body to get better faster, without gaining of course, and really focus on the weight loss once I was back on track (it won’t be that long). I mean if you can lose a bit great but if your body is screaming out for nutritious food it’s probable that there is a reason. The nutritionist that I am working with would not give me a specific calorie amount instead she told me to still try to avoid cookies and chips, but to eat when my body was craving nutritious food and she checks in with me every week to see how I am doing and make tweaks Does your surgeon have a nurse practitioner that you could talk to if you give them a call? Or was your dietician from pre surgery very helpful (mine was worthless 😂). Maybe you would get a more in-depth response from them than your surgeon who’s always super busy.

Heya! I think this entirely depends on the plan you have been given by your surgeon/nutritionist/provider - maybe just check with them! A lot of people's LRD plans are really different, depending on start weight, country, etc. For example, I am from the UK and I was doing my LRD for 2 weeks, 800 calories a day, but with meal replacements only e.g. New You Plan, Slimfast etc. Most people say don't worry about taking vitamins etc until after surgery - also depending on how you take them. I was not allowed to take tablets until 3 months post-op, so my vitamins were dissolvable/chewable until recently. I started taking my vitamins from the day after my surgery Best of luck!