Search the Community

Hi there! I didn't see the doc on Monday because my knee felt slightly better. However, it's not good now, so my husband is taking the day off to help me around the house and take me to the doctor! Thank you for asking!! We have a bunch of animals, and trying to care for them on my own is pretty impossible right now. It's crazy how different our sizing is! I wish we had a universal system for weights and measures. Maybe someday, but I'm too old to convert at this point. Lol. I hope you broke your stall!!!

I can't get over the 12 week pre-op diet. That's so crazy to me!!! I mean, I started off at 421 pounds and didn't have to do that. As for the gym, that's just how it is. Nobody cares who is in there. When we go, we have our own things we're focused on. I know for me, I just hope nobody comes over to talk to me lol It's good that you're starting slowly. Moving your body is essential. And yes, you messed up, but as long as you see it, admit it, correct it, and don't repeat it, you should be fine. You still have plenty of time to hit your target weight. How much are you suppose to lose?

Hello everyone. My name is Tom and I have been a lurker for years. I had my surgery 11-22-22 at 471lbs. I weigh 214, for the moment, as I continue to lose. What a powerful tool this has proven to be! I am so blessed and thankful I couldn't possibly articulate it. With that being said, I feel I could help anyone that needs it just based on my own research for years into nutrition, fasting, and the many diet plans out there. I would be happy to give my own anecdotal experiences as well through losing the 255 lbs so far. But the point of this post is for me to lean on some of the vets of duodenal switch. I am approaching maintenance phase in around 35-40 more lbs. Does anyone do low carb in maintenance? If so what does that look like? Am I right to assume for us keto is out correct? The fat would be an issue or maybe someone has tried it? My concern when asking about low carb, for me specifically, I have protected my pouch size. I can still barely eat a few ounces of meat or whatever. I could, and may consider, actively stretching it a little when I get to maintenance, but as of right now I am not sure I could sustain on just meat once I am down to maintenance. I have Bilateral knee surgeries coming starting in Jan. I have lost all this weight in the recliner due to health issues. I am lifting, once I hit 300lbs weight, hard 4 days a week. But 0 steps for the most part. That's important because my exercise will skyrocket once I am healed from the surgeries and I will need more calories eventually. Carbs and fat are obviously the most calorie dense so.. Any thoughts or advice would be appreciated!

Thank you so much! The pre op diet they have me on is 2 protein shakes and 1 meal 3-4 oz protein and non starchy vegetables. I hear other people are on a all liquid diet for 2 weeks.

I am a baby in my journey 10months today actually, but I reached my goal weight at 6months and I creeped down a touch more for about another month. I have maintained +/- 3lbs for the past 3ish months. I track every single day (eating 1700-2000cal a day), I prioritize protein (hit 150-200g a day) although lately its more like 225g of protein and that is WAY too much my stomach hurts lol so I am adjusting, keeping fat low (under 90) keeping carbs under 200g. I lift heavy (3 days lower and 2 days) along with cardio (running, incline walks, stair master), then 1 day where I do 40min HIIT work out then 30min of cardio. I have 1 rest day. I meal prep every week so all my meals M-F from pre-workout snack down to my last snack before dinner is prepped and tracked. I know what's for dinner every day as I make sure to plan for those. All the food I make is now lower in fat, higher in protein and the family doesn't even notice! Weekends I "indulge" I still track but notice I do not eat as much those days. I eat protein ice cream using my Ninja Creami or sneak in a few bites of my hubby's Ben and Jerrys. I do eat chips, fries, lettuce wrapped burgers, fried chicken **gasp!!** very small amounts but I do not deprive myself. This is a LIFESTYLE change not a diet. So I wanna go buck wild and get back to where I was but I also don't want to be a bird and never enjoy all the yummy treats. MODERATION IS KEY!! Eat healthy 85-90% and stay active, you won't have any issues!

I definitely will post on here my thoughts on the HOKA brand. My husband just had the greatest idea to use bowling shoe covers so I can wear them around for more than a second without getting the bottoms too dirty. Especially since I am 3 weeks post op today and my husband wears his shoes in the house all the time 😩 I have swept the floors a few times but I know from looking at my socks that’s definitely not enough. Ooh and a lady in my in person support group also suggested that brand. She is a year out from sleeve and walks 5 miles a day at least and she likes them. The ones that they recommend for walking on their site says “everyday running/ walking”. I know some people wear running shoes for walking and it’s fine but one article I read said that running specific shoes are designed to be lighter in weight so they have far less padding. It’s fine for short amounts of time they say but for long distances they are not the best choice.

You may want to check the manufacturers website later once you are for sure settled on a vitamin to see if they are cheaper than Amazon A lot of them give discounts if you subscribe and it works out cheaper. I ordered mine to arrive a couple of weeks before I needed them and set them to auto ship just so I would always have them even if mail was a little slow or something Definitely remind yourself that them people who have a bad experience with the surgery may be louder but they are certainly not the norm These surgeries are considered relatively safe. The risks are very low. And maybe the risk of a complication of obesity doesn’t have a specific date but there are far more and they are far more likely than the risks of surgery

So I'm in the liquid phase, post op surgery and am a little over a week in and I miss food. I understand attachments to food is what got me here, but is it really wrong to miss food? I spoke with my therapist this morning and she said to be careful not to glamorize food. I'm not sure how to think about this. I told her I still want to enjoy food, or get enjoyment out of food later on. Am I wrong to feel this way? I understand it's more about fueling our bodies and of course I want the right foods to keep improving my health. But are we expected to never enjoy food again after bariatric surgery????? thoughts?? thanks

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

So i had my surgery last month. I am self pay as insurance will not cover. I paid around $18-19K. I had to pay before i could have the surgery. A couple weeks after surgery i notice there was a claim from the hospital on my insurance for that same surgery for around $40K. Which they denied since its not covered. I called the hospital to find out what the heck is going on. So i gave them my receipts showing i paid the Surgeons fee, Surgeon assistant fee, Anesthesiologist fee, Hospital facility fee, complication coverage fee, Pathology, psychological exam, and nutritional evaluation. all coming out to about $19K. So they told me they would figure out what happened and why my they did my insurance instead of self pay. Today i get a email from the hospital that they switched me to self pay and that i am owed a refund of over $3,000 which was odd because i am not owed anything. So i called and they checked and checked and said they gave me a discount since I paid cash lol. So i was like... ARE YOU SURE... Because once i get this money i am paying off my credit cards and you wont be getting that money back... and they checked and said i am good. So i should be getting some moolah back here in the next couple days lol. So thanks for that mistake haha.

Tomorrow will be day 7 post op and I seem to be fine with waking around the house. It’s just getting up and down that cause me pain. That and reaching I just learned while playing cards. I have a pretty light vacuum (a cordless Dyson) and I’m wondering if I would be crazy to attempt it. Ironic because I would probably tell anyone else to let it go but it’s really bugging me. Maybe I should just ask my hubby to do it. Although I’m fairly sure after all these years that he is allergic. We don’t have traditional gender roles by any means but vacuuming has always seemed to be mine. Anyways, has anyone else done it or asked their Dr if it’s okay at a week out. My instructions just say no bending or lifting 15 pounds. It’s technically neither of those I don’t think.

I wouldn’t trust any signals now either. Simply because many nerves were cut during the surgery, so signals either aren’t getting through, aren’t the same or maybe off. You won’t start to get these signals again until you’re fully healed (about 6-8 weeks). This is why it’s so important to follow your plan in regards to portion sizes and frequency of meals. Many do find their signals change. Well may be not change more you learn to identify and recognise what the signals really mean. Like a signal for being full (or had enough) might be sneezing, hiccups or a runny nose. We also learn to differentiate between head hunger (which usually used to drive us to eat ) and real hunger .Generally if you are craving a specific texture, flavour or food. Like many want to eat something crunchy during puree stage - that’s head hunger. Your desire for coffee is head hunger. Like @SpartanMaker said real hunger has different and unusual signals. I get restless and think something is wrong and then I realise I’m hungry. And yes, most times a grumbling tummy (hunger pangs) are just your digestive system working properly. It takes time to learn what these things mean to you. Just tread slowly and stick to your plan.

Any surgery twins? Had surgery on Monday, June 3rd- Monday. HW- 273 Before surgery- 234 CW- 230 So far, week one has went well. I haven’t felt any hunger until today. I’ve been able to meet my goals daily 💪 so far! I am on full liquids currently and haven’t had any nausea or vomiting. Some soreness/tenderness but not any extreme pain. Wish me well and give me your best tips for success!

What struck me here is not really the macros and much as how different the calories are. The thing is, no calculator is going to tell you what the calorie count should be. My suggestion would be to simply track your existing calories for 1-2 weeks to see where you're at now. I assume your looking to maintain based on the fact you are showing to be at goal. If that's not accurate, then we might need to make some adjustments to what I'm about to propose. At this point, you can completely ignore anything a calculator spits out in terms of calories since by tracking your calories at your current weight, you know exactly where YOU need to be to maintain. Let's say for the sake of making the math easy, you determine that 2000 calories is working for you at maintenance. Skip the calculators and do this: Protein should be somewhere between 1 and 2 grams per kg. If you are inactive, 1 gram is probably minimally sufficient, but if you are very active or shooting for body recomposition, then you need to be closer to 2 grams per kg. 1.5 to 1.6 g/kg might be a good target if you are working out, but not super active, or are not really trying to add any muscle. The next thing to determine is grams of fat. If you are just maintaining, anywhere between 1 and around 1.5 g per kg is probably fine. If you are actively trying to lose or recomp, it would be better to be closer to 0.7 g per kg. Carbs is next and really will just be the rest of your calories, vs. a specific number of grams. Here's how that looks in practice: Again, just to beep the math simple, I'm going to stick with 2000 calories at your current weight of 170lbs, which translates to about 77kg. If your goal is body recomp, then 2g/kg should be your target protein, which equates to 154g per day. 154g at 4 calories per g equals 616 grams from protein per day. Fats when doing a "recomp" would be 77 x 0.7 = 54 grams of fat. 54 grams of fat at 9 calories per gram would be 486 calories from fat If we subtract 616 and 486 from 2000, we'd get 898 calories from carbs. This would be roughly 225 grams of carbs per day. A few notes: This is all based on research, but I also am not "carbophobic". My personal experience is that sufficient carbs are needed to fuel workouts. Some people have success with fewer carbs and more fat. I have no problem with that approach if it work for you. If so, feel free to adjust fat up and carbs down. Either way, the protein is the key, since you'll need that to build muscle. If recomp is not your goal, feel free to run the numbers with lower protein and correspondingly higher fat and carb numbers. Don't go lower than 0.7 g of fat per kg. You need a minimum level of essential fatty acids to stay healthy. In terms of how to change this if you are working out more than you are today, it really comes down to both the types of workouts (endurance sports virtually demand more carbs), but also how vigorous your workouts are. If you are trying to lose weight, I would recommend eating back at least half your calories from your workouts. Any less and you're likely to feel too rundown to put the proper effort into the workouts. If you just skate through workouts, then you lose a lot of the benefit of them. If you are trying to maintain or recomp, then you really should eat back all the calories from your workouts.

Weight loss success is roughly 80% or more about your nutrition and 20% or less about exercise. No gym required! So if you don't like the gym or can't fit it into your schedule, really hone in on the nutrition for now and add whatever body movement you CAN manage every day. Meet yourself where you are, not where you think you should be. If you only walk 1500 steps a day, set a goal for 5,000 a day and don't expect yourself to be running a marathon next month. If you're already good about walking, kick it up by putting on some ankle and wrist weights while you do a 15 minute dance video on YouTube to get your heart rate up and build some strength. Or buy a set of resistance bands and do those a few times per week. Culturally, I think we've become convinced you have to "go to the gym" to see results, and it's really not true. And if you only have the energy to focus on one thing in these early days, start with nutrition because that's where you will see the most lasting results. You're still healing right now and your body is not ready for grueling workouts at this stage.

I do wonder if I will lose anymore. I hope not lol I look too small in my opinion. And thank you! I am having a rough week, still working out but I have been eating sugar free chocolates and for some reason I am not having a lot of self control. I am due for my womanly time so I am blaming that. But stepping on the scale this was a happy surprise!

Congrats on the mega stall break! I don't know if you can get kale where you are ... I promise this is so much better than it sounds it's like crack health food. I was like a bit bleh when i heard about it ... But air fryer kale chips. A lot of Kale, salt, oil Wash kale, take out the big middle stalks, put in a big bowl with some salt and a tablespoon of oil and massage. Put in preheated airfryer at 400F for 3 minutes, shake, back in for 3 minutes. Delicious. Will catch up properly later!

I did 2 things preop that helped immensely: 1) this may sound weird but i guessed i’d be in a little pain from the incisions so a couple of days before going into the clinic i move everything i figured i’d need in the first week post up to middle shelves in my kitchen/fridge : cups, scales, protein shakes and powders etc. And thank god i did because i had abdominal muscle pain (like i’d done 10000 crunches) and was told not to bend down for a while. 2) i wrote out « meal » plans from what my dietician provided in order to clearly see what time of day i’d eat (protein shakes) and drink (water). I’m the kind of person who needs a set plan that’s clear and that i can follow because i was lost the first few days. I wrote out 4 weeks of meal plans and i varied the shakes and purées and soups so i didn’t get sick of one specific one (never ate the same one 2 meals in a row and alternated with the next day). Not sure it actually helped my experience but it did help me see clearly mentally 🤣

Greetings, So I really hit a low point with some financial stress that I went through with a small business I have and reverted back to my old ways of dealing with things - very poor food choices over a couple of months. I feel terrible, but I am ready to get back on track. However I have some concerns. I am able to eat anything and even drink at the same time now - a year and a bit out from surgery. I don't get the "foamies" if I eat too much, etc. I don't get the full feeling that I was still getting right before my crash. What I am saying is - I am worried that the "tool" that was supposed to help me is no longer there to help keep me in check. I know the stomach can't be stretched to what it used to be, so I am fine with that knowledge after doing some research. However I am wondering once I go back to eating properly, drinking more water and getting my protein - will things go back to how things were prior to my 2 months of screwing up or is that probably gone forever now with feeling full, etc. Like I never had the surgery. I looked into a pouch reset - but it seems there is a lot of misinformation out there. That this is not a real thing from what doctors have said - like drinking just shakes for a week again or whatever will NOT reset your pouch. I would appreciate feedback on the above and if anyone went through something similar - what was your experience to get your sleeve back on track. Thank you very much. HM

Hey and welcome to the June buddies thread I am just over 2 weeks since sleeve surgery and yes, the first 2 weeks were difficult. That chewing sensation is what I was craving and actually got some great advice earlier in this thread. I started to chew on sugar free ice lollies and made sure I had ice with my liquids, so I could crunch them. Other than that, not a lot you can do until you're on the next stage. All the best for your journey

HI all, The surgery itself went well, the GERD is gone and my hiatal hernia has been repaired, however, I am dealing with terrible constipation (so much pain!), stomach cramps, and nausea (especially when trying to drink protein drinks or any zero sugar drinks). My surgeon has me on stool softeners, Miralax, and Smooth move tea, and Zofran for the nausea to help me to drink and consume more protein (they say I am in protein deficiency). They also want to get me an IV infusion to up my fluids intake with the hopes that will also help with the constipation. Mostly I'm just mentally and physically exhausted from it all. I know it will all be OK and a resolution will come eventually (whether it's a few weeks or months though is why I'm kind of worried about it all), but in the meantime I am at my job and uncomfortable sitting in my desk chair, feeling like I'm cheating my time because of how much I spend in the ladies room, and so close to a breaking point (there are other work issues) that I just want to quit so I can stay at home and convalesce in bed with my pets for a few more years. LOL I have lost a few pounds, which is a bonus (SW 286, last weigh-in was Sept 17 and I was 279, I think I'm probably below 275 at this point) since the surgery wasn't to lose weight but to fix the acid reflux issue. But I kind of feel like I just traded one problem (GERD) for another (constipation) and it's really dragging me down mentally. I hope everyone here is doing well and not dealing with any major issues post-surgery! Christine

I was sleeved in March of 2015 (HW 405, SW 357, LW 238, sustained 260 for a few years), had some regain where I hit 315, so I went on a hybrid Optifast/Numetra diet through a program at Kaiser (my then insurance in California). It worked well, I dropped about 50 pounds and was happy with that, but then I had some mental health issues including some passive ideation, so I decided to move across country (technically back home) to Delaware and share a living space with my brother and his wife and pets. Since that move I've gained back the 50 pounds I lost, I have another hiatal hernia, and severe acid reflux/GERD so now I'm on the path to revision to bypass. Thing is, I never wanted bypass, that's why I had the sleeve in the first place, the reworking of my internal plumbing scares the heck out of me! I've known a ton of people who've had it with no issues, but I've also known a couple who passed away from complications (granted, that was 20 years ago, and I know things have improved medically since then). But the idea of having dumping syndrome, and malabsorption, and needing to take vitamins and supplements forever - UGH - I'm freaking out!! 😨😖 I have an anxiety disorder (SAD & GAD) and my anxiety has been through the ROOF the past few weeks! My surgery date is August 26 - 13 days from today! - and I started my pre-op diet the other day (Monday), but part of me wants to cancel everything! However, there is a part of me that can't wait for the relief from the GERD. I guess I'm not asking for anything here, mostly just venting my anxiety. 🤣

I feel like you're exactly right and your post was really well worded. I bet that's what the therapist meant as well - and boy oh boy are you on target with an 'adjustment period' being needed when you're used to turning to food for comfort! I had a couple of weepy episodes during this week quite unexpectedly when I didn't even feel hungry. Maybe it was the thought of an upcoming major surgery (I've never had major surgery) but I also think it was the sense of 'forced control' and the knowledge that I couldn't turn to chocolate or pizza to make me feel better, even if I wanted to. Maybe I was kind of 'mourning' the lost of that coping mechanism -- but I do think the fact that my taste buds are changing is going to be helpful, personally.

once you get that far out, you have to play around with different calorie ranges to figure out about how many calories you need to eat to maintain your weight, and how many to lose. That range really varies for everyone depending on sex, age, activity level, metabolic level, how muscular you are, what weight you'd like to be at, etc (e.g., you can eat more if you're fine with weighing 180 lbs as opposed to 130 lbs). I can maintain my current weight by eating about 1600 calories - although I can eat a bit more if I'm exercising a lot. To lose, I have to go below 1600. And since I'm pretty close to a normal BMI, I'd have to eat quite a bit less than 1600 to lose a somewhat noticeable amount each week (otherwise, I'm losing just a couple of ounces - and it's hard to distinguish that from normal fluctuations). There are some women on here who can eat 2000 calories to maintain, and others who can only eat 1200. It's really sort of trial and error given how far you're out from surgery. Maybe start with a range - like 1300-1500 and do that for a couple of weeks. If your weight isn't budging, drop the range down by 100 calories. Rinse and repeat until you start losing weight again. P.S. if. you're losing inches but gaining weight, it could be that you're putting on muscle. Or if you've recently started doing more and/or heavier lifting, it could be that your muscles are holding on to more water (since they need water to repair themselves). If that's what's going on, once your muscles are used to that level, your weight should start dropping again.

Best wishes to you. Please let us know how you’re doing in the coming weeks!