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I had my surgery on 10/8 (it was bypass but that post is so quiet... [emoji852]). Hoping to get discharged this morning. I have had no urges to consume anything but I'm making myself drink some warm decaffeinated tea right now. I just cant wait to be in my own bed! Sent from my SM-G960U using BariatricPal mobile app

Lol a diff article first. News > Medscape Medical News > Conference News > EASD 2018 Cutting Carbs in Morning Equals Better Weight Loss, Waist Size Becky McCall October 09, 2018 0 BERLIN — Restricting carbohydrate in the morning, in addition to a low-calorie Mediterranean diet, led to improved weight and fat loss, lower body mass index (BMI), and a reduced waist circumference compared with the Mediterranean diet alone, shows a novel but small study from Greece. Both diets had the same effect on glycemic outcomes in obese and overweight patients, a third of whom also had type 2 diabetes, but the so-called "morning carbohydrate restriction diet" produced slightly worse outcomes with regard to lipids compared with the Mediterranean diet alone. Dimitrios Tsilingiris, MD, from National and Kapodistrian University of Athens, Greece, presented the findings here at the European Association for the Study of Diabetes (EASD) 2018 Annual Meeting "The morning carbohydrate-restricted diet might offer certain benefits by favoring compliance...and the rapid weight lowering seen with this diet might be used in the induction of longer-term diets, or be an add-on feature in weight maintenance, even though it wasn't tested for this," he remarked. It is known that carbohydrate-restricted diets achieve rapid weight and fat loss, as well as improve cardiovascular risk factors and hepatic stenosis in the short term. "As such, they might be helpful in the management of obesity-related type 2 diabetes. However, these diets often have limited versatility and the availability of low-carbohydrate food can impair compliance. There have also been reports of long-term safety concerns with nutritional deficiencies and mortality," explained Tsilingiris. He described the rationale underpinning the novel diet, which restricts the amount of carbohydrate consumed before lunchtime. "Normally, overnight we fast and in the morning, with breakfast, our insulin rises and then drops again towards lunchtime. As insulin drops, the fat stores tend to mobilize and act as energy substrates," he explained. "Theoretically, inducing a lower insulin response after a low carbohydrate breakfast should mean we can prolong the low [overnight] insulin and fat mobilization state, resulting in a net effect on weight and fat loss." Session moderator John Nolan, MD, from Trinity College, Dublin, Ireland, pointed out to Medscape Medical News that there is a good biological basis for this experimental diet. "The approach to carbohydrate restriction around breakfast time is supported by the physiological argument that you would have less insulin and that might be the basis for the weight effects. Most people need more insulin at breakfast, so this is a distortion, but maybe it's a good one." "It's a very practical diet, and if [these findings] can be reproduced, then there could be lots of clinical implications. It's exciting, and it's something to watch," he added. Mean Calorie Intake for Both Diets Was 1300-1500 Kcal The study aimed to compare the effect of an 8-week "morning carbohydrate-restricted diet" to a standard hypocaloric Mediterranean-type diet (control) on changes in body weight, body mass index (BMI), waist circumference, and body fat mass (somatometric parameters). Changes to glycemic markers (fasting plasma glucose and HbA1c) and insulin sensitivity (homeostatic model assessment — insulin resistance; HOMA-IR), as well as lipid profile, were also monitored. In total, 70 patients (58.6% women) who were overweight or obese, around a third of whom also had diabetes, drawn from obesity and diabetes outpatient clinics in Athens were enrolled in the study. Participants were a mean age of 50 years and had a mean BMI of 34 kg/m2. Twenty-four had type 2 diabetes and had been on stable treatment for at least 3 months. After being allocated a daily caloric intake, each participant was randomized to one of the two diets: For the morning carbohydrate-restricted diet, participants consumed between 300-500 kcal of very low carbohydrate foods (for example, eggs, hard cheese, ham, sausage) divided between breakfast and midmorning snack. The Mediterranean diet (control) comprised 300 kcal of typical Mediterranean foods divided between breakfast and midmorning snack. The two diets were identical for the rest of the day and comprised typical Mediterranean foods; remaining calorie intake was divided into lunch (45-55%), snack (10-20%), and dinner (30-40%). Participants were asked to keep a stable level of activity throughout the follow-up period. Mean calorie intake was between 1300 and 1500 kcal/day for both diets. "From baseline to 8 weeks, both groups showed clinically meaningful improvements in somatometric parameters with statistical significance in both groups," reported Tsilingiris. However, there were also differences. "By study end, there was a mean 3.5 kg (7.7lb) greater weight loss for those on the morning carbohydrate-restricted diet versus the Mediterranean diet [P < .001]; and a difference of -1.05 kg/m2 [P < .001]; -3.21 cm2 [P < .001]; and -1.45 kg [P = .032] for BMI, waist circumference, and fat mass loss [respectively], all in favor of the morning carbohydrate-restricted diet," added Tsilingiris. And more patients in the morning carbohydrate-restricted diet group lost 5-10% of total body weight than in the Mediterranean diet group, both by end of week 4 and 8 (at week 8: 77.1% vs 31.4%; P < .001). Everyone in the morning carbohydrate-restricted diet group achieved loss of baseline body weight of ≥ 5%by study end compared with 65.7% in the control group (P < .001). Does Lack of Effect on Lipids Negate the Findings? With respect to the other measures, including HbA1c, the results showed no significant differences between the two groups. Finally, regarding the plasma lipid profile, high-density lipoprotein (good) cholesterol declined in both groups, from 1.28 to 1.21 mmol/L in the morning carbohydrate-restricted diet group and from 1.4 to 1.33 mmol/L in the Mediterranean diet group. But triglycerides fell a little, and to a greater degree, among those on the traditional Mediterranean diet, from 1.51 to 1.19 mmol/L, than among those on the morning carbohydrate-restricted diet, from 1.33 to 1.16 mmol/L. Following the talk, an audience member commented on the lack of any meaningful effect on lipids: "There is a modest beneficial effect on weight with the morning carbohydrate restriction, but the lipid results were less encouraging. So if we look overall, I'm unsure it is worth having a small effect in weight reduction versus a less beneficial effect on lipids." Tsilingiris and Nolan have reported no relevant financial relationships. European Association for the Study of Diabetes (EASD) 2018 Annual Meeting; October 4, 2018; Berlin, Germany. Abstract 193. For more diabetes and endocrinology news, follow us on Twitter and on Facebook. 0 Read Comments Medscape Medical News © 2018 WebMD, LLC Send comments and news tips to news@medscape.net. Cite this article: Cutting Carbs in Morning Equals Better Weight Loss, Waist Size - Medscape - Oct 09, 2018.

https://www.sciencedaily.com/releases/2018/10/181009210738.htm

I advise not buying things before hand, but in the case where you are on your own, only buy things that are very bland/mild and don't over do it, your intake is going to be greatly reduced, you can plan out meals in advance based on what you are supposed to consume size wise, post op for me, I could eat chili, 1 can equaled out to like 9 or 10 servings. The other side is, with the limited amount you'll be consuming, things get old quick. That 1 can of chili didn't even get finished because I was so done with chili after 6 meals of it....

I'm 6 weeks out. I'm having no issues getting water in, but eating is a whole other story. I'm really struggling. I'm lucky if I eat one small Okios 15g protein yogurt a day. I have tried new foods, but 95% of things tend to cause pain in my stomach area, and then about 10 minutes later, I'm vomiting. I'm almost scared to even eat anymore. Does anyone have suggestions for me? Do you all use Genepro or Isopure? Yogurt and Potatoes are really the only thing my stomach likes. I'm getting scared because I know my body is not getting enough nutrients.

I take Melatonin and it helps Nature's Bounty Melatonin 10 mg, 45 Quick Dissolve Tablets https://www.amazon.com/dp/B00DP2U1EU/ref=cm_sw_r_cp_apa_O1AVBb011MF9M

Let's take a look at these: #1: most patients will lose 10-15 lb on any substantially low calorie diet, whether solid or liquid. #2: liquid or solid is irrelevant to protein content, though lean meat and green veg will have better nutrition than most any protein drink. #3: liquid or solid diet is irrelevant to change in liver condition - it's the carbohydrates, or lack thereof, that counts. #4: how does one gain a /mental awareness of calories, portion sizes and ingredients when restricted to liquids? #5: so this is just a test or challenge for the patient? #6: it only takes a few hours for the stomach to be empty for surgery, not weeks. This is why most gastric scopes or surgeries simply require no eating after midnight prior to surgery. #7: unless one has to buy a proprietary diet product from the surgeon! Overall, I prefer bariatric surgeons who know their way around obese patients and who prefer their patients to be as strong and healthy as possible going into surgery - which multi week fasts don't do. If a surgeon is intimidated by fatty livers and needs help in working around them, then by all means do everything necessary to make him feel comfortable when he is rootin' around on your insides, but he should also do everything to help the patient feel comfortable with the process - at least let them have some steak along the way!

I'm scheduled for my sleeve surgery on 10/29. I live alone so I will be taking care of myself on my own. I was wondering what you all would suggest that I have around me while I recover. I already have all my meds so I'm good there. Are there products that you used that really helped you or maybe soft foods that you had available. Right now I'm feeling a bit unprepared and could really use some advise. Thanks in advance.

You look stunning!! How were you able to treat hairloss?? HW 230 SW 218 (10/4/2018) GW 130

So I’ve been stalled for a few weeks. Starting a 10 day pouch reset tomorrow morning. It’ll be a good way to refocus myself. Anyone else doing one currently? I’d love some support Bypass on 7/10 Lost 63 lbs so far

Your're doing so great!!! This gives me so much hope!!! HW 230 SW 218 (10/4/2018) GW 130

And my friend Kathie ditched on me, now I need to find alternate transportation. If I can't do Friday , I can't be assured another until post Thanksgiving, and possibility January 2019. So I am racking my brain.

And I really,really need to do this. If I miss Friday , they can't gaurentee another appointment. until after Thanksgiving, and possibly,January 2019. So I am even thinking of high school classmates, church , just don't know who I can find.

Sleeved 10/5/18

Did it show up more recently? IE was it not there for the last 10 months?

9 times out of 10, searching answers the questions being asked... that's why searching should be your first step in finding answers before posting. This way, the site doesn't get clogged up with the same questions over and over and over (which is exactly what's happening). Pretty sure most folks here (those of us that stuck around) are quite accommodating with providing answers, even to those questions asked a million times. I've been around, on and off, since 2011. I've seen the exact same question get asked more times than I care to count. That said, this side of the forums (rants and raves section), and this thread (SMH), are *ALL* about venting frustrations.

I know this is an old post, but I wanted to thank you for sharing. I really REALLY needed to hear this right now in my journey. I was sleeved almost exactly 3 years ago. Everything was awesome for the first 18 months. I felt amazing, I got within 9 lbs of my goal weight by 12 months out. I was training for a 10K... then a lot of major life changes, as well. I'm a single mom. Have been for 11 years, so that part wasn't new, but I had my heart broken again in early 2017 (devastated, really), 2 changes of job/career in less than 10 months following that, problems with my teenagers, and a pretty major depression brought on by another heartbreak that I fought for the better part of 6 months recently. I turned to alcohol to numb myself since I couldn't turn to food and, as you can imagine, that did not go well for me. Tons of empty liquid calories and no motivation to exercise or eat right... when I did eat, it was small portions but I was losing the battle to get enough protein and water. I don't list this as excuses, because I know I need to own my poor choices. And I want to start over. I initially lost over 115 lbs and maintained in that range for nearly a year before it fell apart. I've gained back about 85 now. I have been beating myself over it and hoping that its not too late to turn the ship around. I still have the tools... Thank you for letting me know its not out of my reach. I'm trying to get back to basics this week with protein and water... and also am 1 day alcohol free (which doesn't sound like much yet, but I'm motivated to keep going)

My sister-in-law had RNY over 10 years ago and she is still doing really well. Of the two surgeries, RNY is the gold standard and has the best results long term. You never hear of someone going in for a revision from RNY to sleeve, just saying.

I smoked a few cigarettes a day for about 10 years and quit several months ago. Within a week of quitting, your lungs feel SO MUCH BETTER. I used to wheeze walking upstairs, thinking it was due to my weight... nope. Now I can sprint up steps and not be out of breath at all (and I am still pre-op). You really have no clue how much it affects them until they start healing themselves. Now, on rare occasion, I will have one cigarette if I am out with friends and I immediately feel wheezy and awful. Good luck to you!

this one is not on this board, Its on the myfitnesspal food log. Just give me 10 days challenge round 55 https://community.myfitnesspal.com/en/discussion/10699300/just-give-me-10-days-round-55 Post your daily weight and add little comments along the way of how your day went. Post everyday to let us know how you're doing! Copy and paste the days in your response--tell us how much you lost and other non scale victories (NSV) you'd like to share.

Just curious if there are any active Weight Loss Challenges going on in the forums right now (ex: "Fall Challenge" etc) I've tried searching for about a half hour now and not having a lot of success. I was sleeved 10/5/15 and last week was my 3rd "surgiversary" I've been struggling over the past 18 months (depression, alcohol, etc) and gained a BUNCH. I'm out of that fog now and recovering, and now I'm trying desperately to get back on track with my weight, too. I could really really use the motivation and accountability those challenges offer, so I'm hoping someone can link me to something. Thanks! Chrys Pre-surgery weight = 254 Low weight (December 2016) = 138 Current weight = 223 (told you it was baaaaaad ) Please wish me luck. Going back to basics and scared I may have ruined everything.

Hi All, So I am 10 months PO and I have a small bump/ball like item in my abdomen, maybe a little up and to the side of the large incision area. I had a CT scan a couple of weeks ago and everything showed up fine. Has anyone else had this? I asked to be put back on Protonix, as I think this started happening a little after the 3 months I was on it right after surgery... and my doctor just put me on Hyoscyamine to see if that would help as well. I dont have pain... it's just a annoyance as if I am leaning to the right side too long it's like HELLO! I'M HERE!... and then I readjust and it goes away. Thank you!

11 months post on 10/07 159-160 lbs (don't weight often so can't tell for certain) About 1000-1200 cals daily Lots of Fluids, LOTS lol Intermittent fasting, (follow our thread!) No more before photos, there is only the after party

March 19, 2018 checking in. I am doing well for the most part. I am way below my goal weight which I am not sure how I feel about. My doctors goal was 200, mine was 185, and I am 174. I am debating if I should just get down to 170 and see how I feel. Everyone keeps telling me to try and gain a few pounds back. How do I do that in a healthy manner? I eat plenty and I exercise 5 days a week. I am 89 lbs down since surgery and 112 overall.

Oh! All i could think of was 🎶 somewhere over the rainbow🎶 when I saw this... Enjoy life, do 10 jumping jacks, grudgingly have some kale, partake in *cardio*, eat a carrot, stress less- Balance... Aloha!