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Liquids go through you more quickly so you tend not to experience your restriction. If you do feel the restriction or any pain you’ve either eaten too much, too quickly or eaten something that is too dry or too coarse. The goal is not to feel the restriction. At three weeks out you are still healing, hence the staged return to eating to not stress your tummy. A lot of nerve endings were cut & damaged & until they are healed you won’t get the same messages like for full. There is a big difference between eating until you’re full & eating until you’ve had enough that is what your body needs. Do you need that next bite or just want it. In time you’ll likely find your signals for full are different. Some sneeze or their nose runs - you just have to work out what they are for you. Hunger pangs & abdominal growling, rumbling, in most times are just your digestive system doing what it should - digesting food. Any abdominal pain you may feel is likely an excess of stomach acid which will settle in time (your body is still producing enough acid for the amount of food you used to eat plus a reaction to the surgery) . Were you prescribed a PPI to reduce the acid production? 13lbs in three weeks is a good rate of loss - averaging 4lbs a week. Can’t complain about that. As you started at a relatively lower weight (like me) you won’t lose huge amounts like on say My 600lb Life. They weigh 3 times what you do & so lose at about 3times the rate. I’d lost about the same amount as you at three weeks & my surgeon was very happy with my progress. Keep measuring, keep sipping. It gets better & easier.

Nope, sorry. 19 hours now. I really can’t wait. 2 weeks liquid was a breeze. So I feel like I’m ready for three more especially if I’m not at hungry.

I was hospitalized for three days with my RNY, and I spent every one of those 72 hours being profoundly grateful for my nurses. I don't even want to think about how horrendous those days would have been without their help.

Are you close to the hospital? Will you have someone to care for you? My surgeon does an overnight stay but advised he would keep me for two days as I lived alone - he wanted to make sure I was stable, had pain under control, able to swallow, sipping, moving easily, etc. ended up staying three days as my back went into spasm on day 2. Are they willing to let you stay overnight if you want to? Will your insurance cover it? Would you feel more comfortable with an overnight stay?

I had the sleeve in 2015. I lost about 90 pounds from my highest weight which was still a ways from goal, but over 7 years managed to gain back about 25 pounds. Early this year my hiatal hernia worsened and because of that and GERD my surgeon told me I really needed revision to bypass. My revision surgery was three months ago. I've done well with recovery with no complications. I've lost about 33 pounds since surgery and am about 19 pounds from goal. I will say that weight loss for me has been slower with the revision, possibly because I didn't have as much to lose. The surgery did take care of my hernia and GERD issues. I have not pushed the envelope with high fat or very sweet foods to see if I have any issues with dumping, but I'm told only about 1/3 of bypass patients do. Because of the change in the way your pouch works (less stomach acid and such) I have experienced a couple issues with dry or very tough foods causing what is called frothing or 'foamies'. It's very uncomfortable but passes in an hour or so. All in all I'm glad I had the surgery. I was having significant issues from the hernia and really didn't have a choice, but it's nice to be down in a weight range I never made it to with the sleeve.

Greetings @Im4miracles - Michelle, I got my sleeve surgery in 2016. I lost around 130 lbs During the time from 2020, I had gained some of the weight back. I also had severe GERD (where the GERD was so severe that I was vomiting my food almost everyday). I went back to my Bariatric surgeon in February, 2020 to revise my sleeve surgery to a Gastric Bypass with hernia surgery I have to admit that I had similar concerns about the Gastric Bypass that you do. I was concerned about the dumping syndrome and wondering if I could keep the weight off with revision to the bypass surgery. I got my Gastric Bypass surgery with hernia surgery in March 2020. It was the best decision I ever made for myself because in hindsight I don’t have this severe GERD anymore. Once I was released from the hospital, I didn’t have much pain and didn’t have to take my narcotic pain killer. At my 6 month post op appointment, my bariatric surgeon was extremely pleased with my weight loss progress because I had lost 124% of my original body weight. My current body weight is in the mid 130’s. I was really scared that I would experience dumping syndrome after my bypass surgery - which I did not. In my experience, I haven’t had malabsorption of my daily nutrition in my body. My bariatric vitamins don’t taste horrible (I take my bariatric vitamins daily). Fortunately, my tastebuds haven’t changed because of the bypass surgery. I can eat all foods that I had eaten before I got my bypass surgery. I no longer have to take the Protonix 40 mg because the bypass surgery cured the GERD for me. Lastly, the weight that I had lost from my bypass surgery hasn’t returned because I use my Lose It application (food journal) to budget my calories, I walk everyday for 30 minutes at a minimum, and I use the nutritional plate method (that my medical nutritionist told me about). The plate method is where you divide your plate in to three sections: first section is 50% of the plate is made out of fruits and vegetables (I typically have 25% of fruits and 25% of vegetables in this section), second section is 25% of protein food, and the third section is 25% of carbohydrates foods. Using the nutritional plate method I make sure I’m getting the proper nutrition. Michelle, I hope that what I’ve written has given you food for thought. I have successfully gone from a sleeve surgery to a bypass surgery without any complications and i am extremely happy about my weight loss journey, thus far

Hello! Just a short story of how I got here! 8/2012, I underwent the Gastric Sleeve. I went from 230 lbs to 140 lbs. I had a hiatal hernia repair during this surgery in 2012 and again in 2021. Every since I had the sleeve in 2012, I have had reflux. Within the last few years, it has increased, severely. It did a little better when I had the hernia repair in 2021. However the hernia has returned and the GERD is even worse. I wake up quite often gagging on stomach acid. Sometimes waiting to go to bed three hours after my last meal/snack, will help SOMETIMES. A lot of times, I have to sleep sitting up. I am taking Protonix 40 MG twice a day for many many years. If I skip a dose, I regret it! I, unfortunately, have gained quite a bit of my weight back. Once I started gaining, the front desk clerk at my Bariatric doc's office told me I didn't need to come back. I kind of felt like I got kicked out of the program!! So it just got worse after that. Because of the severe GERD I am having, I bit the bullet and went back to see my bariatric doctor. I was ashamed because I lost 90 pounds after my surgery but have gained 60 of it back. He didn't seem to say much about that. However, he suggested that the best way to get the GERD under control was to revise my surgery from the Sleeve to the Bypass. I have concerns! I am worried about the diet and will I screw up again? I am worried about mal absorption, dumping syndrome and all the other complications that can come from the Gastric Bypass. I worry about how the vitamins will taste (silly I know, but if things taste nasty, I have a hard time eating/drinking). What if I can't stick with it like I did the Sleeve? This is a permanent surgery! I am scared but I feel like it is necessary to relieve me of this terrible GERD. I could end up with Barrett's Esophagus and worse, cancer of the esophagus. Would really appreciate outlooks and suggestions! Thanks in Advance, Michelle

I’m three days away from surgery and I’m so nauseous from protein shakes and broth. I’ve been doing the liver shrinking diet since May 1st and I’m just over this. I don’t even want to drink anything but water.

I would call. If you haven’t had any struggles on the liquid phase perhaps they will add a purée phase between the two. Most of us have a purée phase anyways. Or, like I suggested before maybe they will at least let you have another protein shake. The extra protein shake should help without technically advancing your diet. They do fill you up for a good 3-5 hours. I know because even at a year out I still have one everyday for breakfast and depending on when I wake up it keeps me full till noon. I would choose food instead if it didn’t keep me full. But just three a day it may not keep you full long enough. If that makes sense.

Dinner-super juicy and good. (Home cooked on the grill in the backyard) Cheeseburger w lettuce/tomato I had three fries. (Not pictured), also dipped in ketchup. Best part-on paper plates so no dishes!!

My stay is three nights. I am in mexicali Mexico. Mine is a revision . After surgery in the past the sore thoat was really bad. We drove almost 4 hours to the border. Left our car on the US side and was picked up. Since we have been here before checking the hospital out I am not as nervous as I thought.

We are driving almost 4 hours and I am going to MX. I just want to be prepared but they did suggest a heating pad and drinks for the way home. I am just worried I will not like what they give me. I know I am over prepared. I stay in the hospital three nights. They do three leak test. One during surgery. I am here in MX so far so good. The interpreter met me to go over the pre op but I had done most of it when I was done here two weeks ago. They gave me an antibodic to take and Ativan to help me sleep. Went the pharmacy and picked up some meds. Waiting for the morning.

I keep putting off working out but I have been planting a lot of flowers and working in the yard so I would think that kind of counts. My weight hasn’t budged for almost four weeks. It is very frustrating. I don’t eat much at all and when I do I normally end up getting sick later. I feel like it has been three very LONG months. I am just now starting to bounce back from horrible depression and anxiety.

Regardless of weight loss surgery, 7 days a week doing weights seems a little over the top (unless you a doing some type of combo upper/lower splits). While cleared two weeks post op, it doesn't mean you should be doing the same routine and particularly the same weights as prior to surgery, even if you felt okay. You aren't getting a lot of nutrition and you are unlikely to be able to sustain the intensity Take a step back, give your body time to heal. Do some walking for another couple of weeks, not big power walks. Consider moderation. At the most for weights two to three days per week per muscle group for a few months once you get back into weights. Don't burn yourself trying re-establish pre op exercise baselines immediately.

Stop. Stop, stop, stop, stop, stop. Take a deep breath. In fact, take three. Working yourself into a frenzy isn't going to help anything. Now let's evaluate. It sounds like the scale at work is accurate based on your "test" of it. Try your scale at home again, and if it's wildly off, chuck it out. It's broken. So, with that being said, it sounds like you're 235 lbs. Now we have to figure out why that is so we can begin changing it. First of all, as a 5'5 woman, 1200 calories is hardly a deficit in the long-term. It may be initially, but your body will adjust, and your metabolism will slow to compensate. Nowadays, it may even be a bit more than you need. My surgeon, who was a pioneer in bariatric surgery and has done thousands of procedures, said that most people only need 1000-1500 calories a day. There are obvious exceptions for athletes and whatnot, but generally speaking, that's the rule for both men and women. Now, I know you don't want to hear me simply tell you to eat less. However, if you can find a couple hundred calories to cut out from your current diet, it definitely won't hurt. To me, it sounds like your body found a comfort zone with 1200 a day and whatever level of activity you have, and it stopped dropping weight as a result. Just to be sure though, are you POSITIVE you're only eating 1200 calories a day? There are hidden calories everywhere. Passing by the candy dish at work a couple times a day, oil in the pan, a glass of wine with dinner, cream and sugar in your coffee, etc, will all add up. Now, as someone who just got himself out of a stall by doing this, here's going to be my biggest suggestion. You've heard it before, it isn't sexy, but it works. Cut whatever amount of carbs you're eating by at least 50% and get rid of anything made with flour or sugar entirely. You're only supposed to be eating 1000-1200 calories a day, and you can't afford to spend them on starch. You may feel like crap for a week, but I guarantee you that you won't feel like crap when you see the number on the scale going down. Plus, it's also incredibly easy to end up eating far more calories than you intended when you're eating this stuff. It takes most people 3-4 bites to eat a 200 calorie serving of pasta.

I was told to eat three meals a day from the start of the 4th week onward, and when I say I was "told", I mean they really hammered it into me. Whenever I talk to the nutritionist at my surgeon's office, it's the first thing she's asking me about and the last thing she's reminding me to do.

Certainly the physical limitations do help. But the real benefit was giving me the time to reassess what I ate, how I ate & why I ate. To make new eating habits. My appetite really didn’t start to come back until well into my second year & my restriction still works at three years out. The boost to my extremely slack metabolism also helped & while it’s not as fast now as it was during that first year, the reset certainly helps me to maintain. One of the biggest changes was when I finished a diet in the past I went back to eating the same way I always had so the weight would come right back. This time I didn’t go back to my old habits. I eat very differently now. I worked out a way to eat that is right for me & is enjoyable, nutritious & sustainable (the longevity of being able to stick to it). I could be very restrictive about what & when I ate in the past & spent a lot of time thinking about eating or not eating. The restrictive aspects of those old diets weren’t sustainable & felt like I was punishing myself. A lot of my relationship with food has changed. I don’t feel like I’m missing out on anything. I still enjoy food - flavour, texture, etc. but that adage of eating to live not living to eat is very real for me.

Hi Vivis, I am six weeks postop. I had a stall in weeks 2 and 3, but I started to lose again in week 4. It was tough. However, despite the stall, my total weight loss, as well as average weekly weight loss to date, is on track with statistics I have seen. So, please do not worry. The posts above are awesome and wish I had them a few weeks ago! I am writing to add that it was comforting to me during my stall to read as many prior posts as I could about the "three-week stall." Type "stall" into the search engine above and there are about 17,000 reassuring posts! Every post made such a difference to me.

Yeah, I've tried three different brands. They said I could take the flinstones, but I only find the chewables, and I want a pill

I am taking them till the day if surgery but after surgery I should wait three weeks. I have chewable multivitamin for after surgery.

Actually, because I was dealing with a lot of hunger, my surgical center said it would be okay for me to eat plain, non-starchy veggies between meals, but because of my travel (and also my dental issues!) I have had a lot of trouble doing that. It's been drilled into me so well not to graze, so I think I've just been eating a lot at meals (Not A LOT, just ... maybe 3 oz of meat, 3 oz of veg, but it still hurts, especially fruit and salad, which I love). I am going to try to slow down some more, see if that helps. The other thing I'm struggling with is how nauseous I get from my multivitamin. I would say about once a fortnight I will actually throw up. I've tried three different brands, and the best I've found is to take it with a heavy snack before bed. This week it's been low sugar trail mix, which I never ate before surgery, but seems to work well for me now.

Thank you everyone! I was prescribed ursidol but unfortunately that had some unpleasant side effects for me so stopped taking it after three months. I'm 7 months post op now. Thank you for your input!

Hello all! I want to get my lapband removed because of acid reflux issues. I had LB done in 2001. I saw a surgeon who listened to my complaints and agreed that I should have it removed & recommended getting a gastric bypass to help me lose weight. (I had hoped to get the revision done at the same time but he will only do two separate surgeries three months apart.) I have two concerns. He never did any tests to confirm problems with band and didn't even do a short physical exam when I met him for a consultation. (I thought he would want to feel where my port was and look at the scars from the past surgery). He told me that he'd have his insurance specialist work with my insurance. I didn't think my insurance would cover the removal but they have. The surgery scheduler called me yesterday and surprised me by saying that my insurance approved the procedure and did I want to schedule it in four days! I was shocked. I figured I would need to do the liver shrinking diet for at least a week. Am I being overly concerned? Is the lapband removal such a simple procedure that no prep is needed? The doctor has good reviews and was nice when I saw him. Thank you in advance for any insight/opinions anyone can give me. Holly Sent from my Pixel 4a using BariatricPal mobile app

Not every one develops gall stones after weight loss surgery. Many actually had them already. They are caused by high cholesterol or high bilirubin levels & can develop during menopause. As you lose weight cholesterol, which is stored in your fat, is released as you lose weight & can cause stones to form. They found a stone at about my 6/7 month mark after a ultra sound to check my liver function. Don’t know when mine formed as I was menopausal before my sleeve, my cholesterol had gone from a steady for years 5 to 5.6 as I lost weight (it’s 4.1 now) & I have high bilirubin. I won the lottery of causes. Never had symptoms before my first attack 25 months after my sleeve surgery. I had my gall removed about two weeks later. The gall removal surgery recovery was similar but different to my sleeve. After sleeve, I had no gas or pulled or strained abdominal muscles. I had a lot of gas pains & muscle strain affecting my movements for a good week after the gall surgery. But no restricted diet, constipation or diarrhoea, no swallowing issues of course so that was a plus. My surgeon used the same incision sites he’d made for my sleeve. I was home the next day. Same weight restrictions for lifting & same no driving for a week again. He sent me home with some opioid pain meds but I didn’t take them. Did take one nurofen, with his permission, on day 3 but no pain meds at all after that. Just put up with the gas & muscle pain. Haven’t heard about a potential for weight gain. I have gained 2kgs in the last five months but continued to maintain my weight for 6 months after the gall was removed. I attribute the weight gain to starting a higher dose HRT & working on increasing my protein in that same five months. Plus I’m at the 3 year mark & there is always a potential for weight gain during that 2 or 3 year mark. Since my gall removal I don’t absorb protein well anymore which was unexpected & is likely just me. We tried medication (creons) for 3 months which didn’t seem to help hence my increasing my protein intake. I’m back on creons to give them a longer go. I am noticing my hair is thinner (not shedding like after the sleeve) & my nails are weaker because of the protein issue. The other odd side effect of no gall is I have random diarrhoea attacks. Usually every 2 or 3 weeks. Almost like there’s a build up acid, which the gall used to regulate. It irritates the bowel & causes the diarrhoea. My sister in law is the same & she hasn’t had weight loss surgery. My aunt says if she eats anything fatty she gets nauseous. Not everyone is prescribed meds for gall stones after surgery. Personally, it seems odd to prescribe meds to dissolve gall stones before you have them. I did ask my surgeon about dissolving the stone after my attack but he said: if you grow one stone you will grow another so it’s best to remove the gall. I have three friends who have had sleeve surgeries too within the last 4 years. None of us were prescribed urisidiol or similar & I’m the only one to form a stone. But your surgeon must have their reasons for doing so.

Yeah don't beat yourself up, everyone has stalls and times they go up a little, as long as overall it's trending downward you're good. I'm attaching three charts I got from my MyFitnessPal app showing my weight fluctuation over three periods of time. First is over the past month, next is past three months, finally is the chart starting two weeks pre-surgery, just to make it easier to see the spikes. Unlike most here, I weigh myself every single day. I know it's not recommended but it works for me, and it lets me really see all the little fluctuations and stalls that happen all the time. I don't stress about it so it works. Give yourself more time, at least a few months, before you start getting worried.