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August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
I’m curious. What did you make this morning. I have had had scrambled eggs and puréed egg salad so far. Well a few bites at least. I’m kinda scared to push it. I tried making real mashed potatoes in the food processor but that didn’t work out. They came out real thick and sticky. I added milk but it was still a fail. I’m thinking I will stick with instant for this couple of weeks just to be sure they are the right consistency. Tonight I’m thinking refried beans. I forgot to get salsa but I have fat free cheddar so that should be pretty good. I got my mug warmer today so at least it should be warm 🎉 -
Revision from sleeve to bypass due to GERD (Trigger Warning)
catwoman7 replied to CrazyDog&CatLady's topic in Revision Weight Loss Surgery Forums (NEW!)
morbidity rate is 0.3% with bypass - which is super low. These aren't the same surgeries as they were years ago. They're only slightly more risky than the sleeve. Complication rate is really low, too. The most common (other than dumping) is stricture, which happens to about 5% of bypass patients, and that's an easy fix - they just do an upper endoscopy and stretch it out (I had one of those). Dumping happens to about 30% of bypass patients, and you can prevent that by not eating a ton of sugar or fat at one sitting (most dumpers can eat *some* sugar and fat, just not a ton of it at one sitting). I've never dumped, and I know lots of other bypassers who've never dumped, either. yes you do need to take supplements forever because of the malabsorption "feature" (which makes it a more powerful surgery than sleeve). But you get used to it pretty quickly. I don't even give it a thought anymore - taking them is now just part of my regular morning, afternoon, and evening routines, Most sleeve patients have to take vitamins as well - although slacking off on them has more dire consequences with bypass than it does with sleeve. Missing a day here and there - or even a few days in a row, isn't likely to cause problems. But simply not taking them can cause huge problems over time. To be honest, cutting off 3/4 of your stomach and throwing it in the garbage doesn't really seem that less radical to me than stapling across the top of your stomach and re-attaching your small intestine, but I know that thought seems really radical to a lot of people, so you're not alone in thinking that. Although unlike the sleeve, the RNY is reversible (although they'll only do that in extreme circumstances), which seemed oddly comforting to me. I chose RNY because I had GERD prior to surgery - and it did "fix" that. I'm very happy with my decision - I've had a lot of success with mine and no problems other than the aforementioned stricture I had at four weeks out. I'd make the same decision today. -
I have always been a whole milk user. I can't say drinker cause before surgery I would rarely drink milk. Since the surgery I have been using it to make my protein shakes and overnight oats. In the last week I have been having tummy issues after drinking my shake or having my oats. Has anybody else developed an issue with milk after surgery. Now I need to figure out what to use instead of whole milk for my shake and oats. I am hoping this will be an easy fix.
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August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
@Averdra I don’t know much about Istanbul but is it a place that you would want to go to just visit? Perhaps if you get postponed you can make a trip out of it. Or can you change the place you go with the tickets. Sometimes things are not refundable but you can changes dates and itineraries. Also, check to see if it’s too late to purchase the travel insurance. I actually just learned that with cruises that you can still purchase it up till like two weeks out. Doesn’t have to be with the initial purchase. Certainly worth asking about. -
Usually depends on how much you need to lose to shrink the liver and make the surgery safe. I did the sleeve 3.5 years ago and I was a little smaller and only had to do a week of this same diet. This time for revision I had two weeks plus two days of clear. But you’re right. I was able to have a meal a day. It’s not much though just 3oz lean meat and a cup of veggies. I have seen some people have to do a full month. I am on day 15 of 16 now. It’s goes faster than you would think.
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Let's Talk GRIEF! An ongoing thread about bariatric grief!
NickelChip replied to Mspretty86's topic in Rants & Raves
It's not so much the particular foods I grieve, but I really miss not having to worry that something I eat will land wrong and make me sick. I used to have an iron stomach. Even through two pregnancies, I never had morning sickness. Now, I swallow a piece of broccoli that I only chewed 99 times instead of 100, even though broccoli was fine yesterday, and I'm in agony for an hour before it finally comes back up. But MsPretty, since you're from Texas you'll understand this one: I grieve brisket. I went to a local farm that does this amazing BBQ on the weekends and I was only able to eat 3 bites of brisket before I was full. So I took home the leftovers and I couldn't eat them because reheating the meat dried it out enough that it made me sick -
Even "mild" food allergies are horrible....
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
Ok...so...when you have a food allergy, even a "mild" one, take it seriously. I'm allergic to peanuts and shellfish. With shellfish, it's literally life and death. I can't even be in the room when it's being cooked because the proteins in the air set me off. It's really that bad. I go into anaphylactic shock and I was told if it happens 1 or 2 more times, I could very likely die. So...no shellfish, which breaks my heart because me an crab legs...omg. Love affair for the ages. But peanuts.....that's not bad like shellfish. My mistake was comparing it to the shellfish. I was told my shellfish allergy is the worst case my doctor has ever seen. So comparing anything to it is not smart. But that's what my stupid a$$ did. I forgot that every time I eat something I'm allergic to the reaction gets worse. Well, I'll never EVER forget it now. I ate 2 Kind bars. I bought them because there was no mention of peanuts (ordered them from the Starbucks app). Only mentioned almonds. YUMMY!!! We love almonds. WooHoo!!! Hubby goes to get my Kind bars and my drink and comes back and tells me there's peanuts in them. I think "well, there's not a huge amount because there's more than 1 kind of nut, and my reaction has always been fairly mild, so I should be ok" (tingles in my lips and tongue, slightly nauseous and mildly light headed, but over in 15 or 20 minutes) so I figured I could eat them and deal with the reaction for maybe 30 minutes or so and then be on my way. WRONG!!!!! To be fair, hubby said I shouldn't eat them but I did anyway. Within 10 minutes of eating them, my usual symptoms set in. Ok, I was ready for that. Within another 10 minutes, the nausea got worse, I got super shaky, and the light headedness increased. Sucks, but still not the end of the world. 10 minutes later, the absolute sharp, stabbing pain in my stomach started. It hurt so bad I couldn't catch my breath and I couldn't stand up straight. It increasingly got worse and worse. I couldn't sit, stand, or lay comfortably at all. It took 30 minutes for it to get this bad. I dealt with it for an hour, then the throwing up started. And throwing up. And throwing up. OMG... Once I was done and brushed my teeth, I went and laid down and fell asleep until now (3:30am). I slept for about 6 hours (not peacefully, but still slept). I feel a lot better except I'm weak, tired, and a little nauseous still. Hoping to go back to sleep soon. But let this be a reminder that even MILD food allergies can escalate out of nowhere and become major ones. Anything peanut related is like the devil as far as I'm concerned. Now I know I have a major peanut allergy and will NEVER even think about testing it out again. Hoping to feel better soon because OMG this is absolute bull$%#t!!!. -
Had an appt with my Dietician and I am so peeved!
JeninBelg replied to AmberFL's topic in Gastric Sleeve Surgery Forums
Oh Dear- I hate it when the assigned health care provider is not up to the task -or even just a poor fit- my favorite example from my own life is when I was discharged a week after the birth from my daughter a d the doctor discharging said the following - you need to get this vaccination.. what is it- I do not know but it is standard at discharge ( it was for whooping cough and I had had my booster les than a year prior-) And then he said - oh and since you had a regular (ie vaginal birth) with no stitches you do not require any follow up- no dude I had an emergency c-section under total sedation after failed progression and now have a smiley face of staples i told him to leave and find me a doctor who could read a chart but since it seems you are nicer than I am, I would ask your surgeon- who you get along with quite well- to refer you to a registered dietitian (not just a ‘nutritionist’- as there is a difference where I am from)- preferably one with extensive bariatric experience you have a lot of knowledge but we all have blind spots - a good dietitian can be your nutrition partner in this journey. Good luck! -
Thoughts from limbo
Arabesque replied to buildabetteranna's topic in General Weight Loss Surgery Discussions
Welcome. Yes, there will be many changes ahead but there will also be so many benefits and wins. And yes, it’s not uncommon to have concerns and fears and mourn what you used to do. (Yes, you may find the thread @summerseeker recommended helpful. At least in knowing you’re not alone in how you’re feeling.) I can only speak from my experience. Did I feel worried or grieve before my surgery or after? Honestly no. I truely had, had enough. And it all happened very quickly like not quite 6 weeks between seeing my GP for a referral & my surgery. Though I am someone who once makes a decision I stick to it. It’s interesting you should say you feel having the surgery is a punishment. I saw the constant dieting a punishment for gaining weight. I’d got to the point that nothing I did changed my weight. (Menopause did the final number on me.) I’m five years out. Do I think I’m on a diet now? No, this is just how I eat. Do I feel like I’m not eating enough? No, because I’ve learnt what I eat is appropriate for my needs and I used to eat way too much & way more than my body needed. I pretty much eat the recommended portion size of foods. Do I feel like I’m missing out on anything? No. There’s always alternatives, or you can have a small amount of what ever it is others are having or you used to enjoy. It comes down to how often you have it and how much you have. Plus you may find new things you really enjoy. Do I want to go back to eating exactly like I did before ? No. I mean that’s how I got to the weight I was & why I always struggled. Do I like to exercise. No & never really did before either (another punishment in the most part) so you’re ahead of me in that game. But I have found some things I do (little things like stretches and using resistance bands I do throughout my day) & I actually don’t mind doing them. A lot is of this is about learning & introducing new habits, new routines and developing a new relationship with food. Never be reluctant to seek the help & support of a therapist. Your head can be your greatest enemy. I do have a couple of little issues I deal with since my sleeve? Yes, I call them my quirks. I had a quirky tummy before my surgery so nothing new really just some are different & some are gone. Doesn’t stop me doing what I enjoy. PS And congrats on being able to do a push up. I’ve never been able to do a proper one. I can get down but can’t get back up again - tee hee! I do wall pushups though - stand about a meter away from a wall. -
@Justarwaxx, I echo what @ShoppGirl said. Before surgery, I listened carefully to every horror story people wanted to tell me, to make sure I was making the right choice. I even sought out stories online, because I wanted to consider all the angles. Now, however, I listen to my medical team for instructions and to you all for advice on how to make them happen. The thing is, everyone has an opinion on WLS. Everyone "knows someone who had it and... [insert experience here]." But you don't have to listen. I can drink quite a lot fairly quickly, too. I talked to the PA about it and she said that's normal and fine, as long as you're getting enough fluids. She said I may have more trouble as time goes on, because scar tissue hasn't formed yet. So I am choosing to be grateful that I am able to get my fluids in easily. I work from home and I'm kind of a homebody anyway, so I haven't talked to many people about my surgery. I haven't had many people tell me what they think I should do, but when I do, I listen politely and change the subject. You are absolutely right! Don't compare yourself to anyone else. Let yourself be happy you're drinking easily, and give yourself ALL the kudos for being on this journey. It sounds to me like you're doing perfectly. And thank you for suggesting hiding the scale. I weigh every morning and get excited to see if I've dropped, but that's a mistake and I know it. I'm going to hide my scale, too, and weigh once a week.
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Just had an odd experience
BlondePatriotInCDA replied to Bypass2Freedom's topic in Gastric Bypass Surgery Forums
I had the exact same happen to me and like you and I posted on here asking pretty much the same thing. I actually went to my doctor and she having had a bypass 5+ years prior wasn't sure what it was. I was given a heart monitor to wear for 7 days and then an appointment with a cardiologist all to be told I'm in great heart shape - "no worries". It was just dumping syndrome apparently. I hadn't heard or read it could present by just a racing heart. I had researched and read probably like you that dumping syndrome presented as the following: 1. Nausea 2. Sweats 3. Cramps 4. Possible diarrhea 5. Possible throwing up etc. Etc...A combo of symptoms So add to that, A possible racing heart only! I even thought at the time it could just be my new stomach being located closer to my heart so I was feeling it more!? Nope dumping syndrome! I hope this saves you some worry and doctor time! -
is 48 oz fluid enough?
SleeveToBypass2023 replied to Fars's topic in POST-Operation Weight Loss Surgery Q&A
By about 12 weeks out (3 months) you should have a much easier time hitting your fluid goals. You're doing pretty well. Try getting some nausea meds, drink ginger tea, if needed add a ready made protein shake to your normal diet to not only boost your protein intake but also your fluids (it's a 2 for 1 deal with those). -
August Surgery buddies
Hiddenroses replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Hello! Short update from my phone -- @draikaina8503 - 60g of Protein is what they told me to aim for once I'm active, and yes - the more the better, but they said during this stage it's better to not push my stomach and to still focus #1 on hydration. Since I got the Genepro it's been a lot easier to hit between 50-60/day, for sure. Mind that it states on the back that for macros you should treat it as 30 (or 35, not looking ATM - per scoop) even though Nutrition Facts read as 11. Oh, and the 1-2 month timeline - Yeah she said it would lessen between 3 wks and 1 months but the fatigue and occasional tenderness with certain movements does last up to another month for some. @ShoppGirl - That recipe sounds great, thanks for sharing! I may try that in the morning. I've also had luck with egg drop soup (added a half scoop of Genepro to bulk the protein), I did add a little bit of crumbled ground beef to my ricotta bake for more protein (made my own marinara out of garden tomatoes from a recipe I found) and today made Unstuffed Cabbage Rolls, which was basically shredded cabbage, diced tomatoes, diced onion, and ground beef simmered together, seasoned with salt and pepper. Oh, and I had success as well with pureed roast beef lunch meat, cream cheese, and sauteed bell peppers and onions as a sort of pureed Philly cheese steak filling. Wish I'd had mushrooms to add! So sorry about your A/C!! I hope it gets fixed swiftly! -
I did the Hello Fresh and it saved a trip to the grocery and they add a little variety to your menu but there is still a lot of prep In my opinion. They send you like one carrot and one small onion, etc. Whatever is needed but you still have to cut it and do all that. I would Rather just do grocery pickup and get exactly what I want if I have to cook. Pre surgery I wanted to see what the post op diet would eventually be like post SADI and I did the factor 75 low carb meals for a while. They are not cheap but they were really good and of course super convenient, cheaper than ordering in and actually healthy. They are fully prepared and refrigerated not frozen so they retain the flavor. For a family they will actually be a little more economical because the bigger the box the cheaper they are. Plus it’s a way for everyone to get something they actually like. Some people don’t like splurging on food but we all have our priorities. I like to think of food as just as important as medicine because eating right now Is preventative medicine. If having those meals will help keep you on track and budget permits then by all means go for it!! I ended up doing a bigger box plan to start and then reduced my plan because you get like 50% off or something like that for the first order. Of course they are perishable so no more than you can eat. I just had them for all three meals a day for the week so I could try several and then cancel if I didn’t like it. Keep in mind that some of them say they are good less than a week so when you get them eat those first. I just set reminders in my calendar for when to order or skip and when to cancel if I wanted to. Because they will send it automatically and you get stuck paying for options you don’t even get to choose.
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Report Your WINS ..What is your today's win??🥇
NeonRaven8919 replied to Mspretty86's topic in Rants & Raves
My win is I haven't had Red Bull or either type of energy drink for a week and I don't even miss them! I'm sleeping better as a result. It was a vicious cycle, couldn't get enough sleep, needed large amounts of caffeine, couldn't get enough sleep! -
August Surgery buddies
Greekmom4 replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone, I am 7 days post-op. Today, I was able to add 1 protein shake to my clear liquids. Taking it a little slower than normal to get my fluids where they need to be. My nurse advised me to go at the speed my body will allow. Tomorrow I will add the second protein shake and see how that goes. Maybe then I will be able to start adding some puréed foods. I was also advised to take my Levsin to prevent stomach spasms and Zofran for the nausea. Also taking Omeprazole. Holding off on the vitamins as they can cause nausea. As far as gas, it was mostly the first 3-4 days and now just infrequent burping. Because it is an inert gas, there is no smell. But the family found it hilarious. lol Getting up and down, and walking is getting easier. Believe me that is a great thing. The best tip from my nurse is that right now the full time job is getting in your fluids and walking. -
"Gym" is not a dirty word
NeonRaven8919 replied to NeonRaven8919's topic in General Weight Loss Surgery Discussions
I'm supposed to get down to 111kg (244lbs) I started at 123KG (271lbs). I've currently lost 4kg (9lbs) since July 15th. My weight has been fluctuating between 118kg and 120 kg for about a week now. I think the other thing about the 12 week diet is I am an NHS patient so it's taxpayer funded and it's a teaching hospital so they are more strict on guidelines before surgeries but also I think they are trying new techniques. I was also asked is I wanted to take part in a trial about dental health on this new pre-op diet which requires everything from blood to a stool sample. I don't mind taking part except now the pretty Spanish periodontist knows I poop! -
This may kind kinda crazy but have you tried just walking in your house. I have been doing an outdoor walk too now but I started with little five minute walks back and forth in my house from one end to the other. At first I wasn’t really logging them, just trying to prevent blood clots but I decided to start wearing my watch that logs my activity and five minutes is a quarter of a mile!! Work up to four times a day and that’s a mile right there. If you get to where you can do 20 minutes at once then you can probably make it around the block. It is hot but I have been going just before it gets dark and I walk in and jump in the shower. I’m telling you it feels so good to get started and being outside and the endorphins from the activity are so good for your mood. I talked to my therapist today and she is amazed at how great I am doing. I know that I’ve still got a ways to go and I may need encouragement to stick with it since one week it isn’t exactly a habit yet. But I am so proud of myself and that is an amazing motivator. This is coming from someone who hasn’t exercised at all in YEARS. You just have to get past that first time and it gets so much easier. Just set small goals so that you can achieve them and that should keep you going. If you don’t have one, these watches are pretty great too. It’s almost like a game trying to beat yesterdays goal.
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I started watching the videos last summer when I first started the path toward surgery. I learned so much, and by now I've watched all the videos at least once. There's one on keeping the weight off for good that I go back to over and over to remind myself of the changes I need to make. I've watched all the podcasts, too. There's so much information and I feel like it's coming from a very trustworthy source. Last August, I read Pound of Cure. I did not start with the two-week metabolic reset diet, but I decided I would eat 16oz of non-starchy vegetables daily, cut back significantly on bread/crackers and cheese, switched my regular wheat pasta to chickpea pasta, and stopped drinking diet soda (my only regular source of artificial sweetener). I didn't count calories, cut back on portions, skip sweets, or do anything else that would have felt like a diet. I just made those relatively easy changes that I thought would address some of my biggest issues, and over about 6 months, I lost 13 lbs. There was never a time before when I lost so much weight by doing so little, so I'm definitely a believer that these changes work. If you're up for the challenge, the 2-week metabolic reset might be a great way to kick-start getting back on track. He explains it in his book, but there's a free PDF you can get from their website with all the pertinent info (scroll way down on the page to find the link): https://www.poundofcureweightloss.com/nutrition/.
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Mid-week Checkpoint
AmberFL replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
this is a great idea! way to be ahead of the game!! For this weeks meal prep I did: Breakfast Sausage "McGriddles": Macros: 257cal 8.4g fat Carbs 13g Protein 28g Fiber 2g Serving size 2 regular or 1 biggun! I dip mine in 1tbls of lite syrup. 1C of Kodiak protein pancake mix 1C of egg whites 1/4C reduced fat cheese 16oz of Jenni-o Turkey Sausage Makes 6 Big muffins or 12 regular size cupcake size Then I bought of fruit, so I washed and cut it up put them in zip lock gallon bags for our lunches Veggies: broccoli, carrots that are washed and cut up Chicken breast that I cooked: I have been making wraps for lunches and then I use it for dinners Yogurt bark: Dannon lite and fit strawberry cheesecake yogurt and fage 0% yogurt, sprinkled strawberries on top and 1/8C of granola; spread on parchment paper and put in the freezer for a couple of hours then I took it out and broke it up and its in the freezer. Cottage Cheese Brownies (THESE ARE AMAZING!): Macros 79cal Fat 4.1g Carbs 19g Net carbs 2g Protein 6g Makes 6 servings (I baked in a 8x8 pan but I will do these again in muffin tin) 3/4C cottage cheese (I used 2% good culture) 1 egg 80g of swerve sugar 1/2 tsp of instant espresso powder 1 dash of salt 45g of Cacao Bliss or raw cacao powder (not Hershey's) 40 Dark Chocolate chips (I used Lillys) -
I mean, at this point I give up trying to figure it out...
Lilia_90 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
So I follow this fitness guru who’s very very well read on everything health and fitness. His client success stories are insane and what they all have in common is that they keep the weight off. His first and foremost advice is to walk 10k steps and eat at a slight caloric deficit. His clients literally follow that and drop tons of weight. He keeps telling people that if they don’t want to lose too much weight or slow weight loss they need to not exceed 10k steps a day. I see a lot of messages directed to him from people working in the health industry who complain that their steps are beyond 30k which is insane and he always tells them to never drop their calories below 2000 for females (sometimes 2500 depending on weight and height). You probably walk a lot and you are definitely at a calorie deficit which is causing this inadvertent weight loss. I would say get even a cheap sports watch (huwaei is a good one) to get an idea of what your daily step count is. Also you might think you’re working out twice a week but it seems you’re working out daily doing your job. -
Diet drinks 1 year post op
catwoman7 replied to Willnotgoback's topic in Gastric Bypass Surgery Forums
there aren't any calories in Coke Zero, so it shouldn't make you gain weight, but carbonated beverages can irritate some people's stomachs (which is why surgeons don't allow them the first few weeks or months post op - and some surgeons "ban" them for life). I drank Diet Coke occasionally before surgery, but then didn't have any for at least three years post-op. I tried one once while I was at an airport and after a sip or two, I dumped it out. It tasted like chemicals (which basically, it is...). After all that time away from it, it tasted awful. So that was that - haven't had one since. I do drink flavored carbonated water a few times a week now. I still can't drink things that are highly carbonated because after nine years out, carbonation can still irritate my stomach. I can handle mildly carbonated drinks, though. But then again, if faced with a beverage that's too carbonated for me, I just let it sit there for a while until it flattens out enough for my stomach to tolerate it. -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
So I got another Steri strip off and my belly button looks funny now. My husband said he’s guessing it’s caused by some swelling I still have which is also why he thinks one of my incisions looks sort of dented in. I certainly hope so. I mean the scars I can deal with (although the belly button one is pretty thick unfortunately). I don’t plan to be wearing any bikinis anytime soon anyways but the weird belly button I don’t think I can get past. Went to my crochet/ knit group today and it was even easier than last week. I felt up to stopping by the fresh market after to just scope it out. I really thought I remembered it having more lower calorie/ low fat stuff. I mean they do have a much better variety or produce and seafood which is good and they have some convenience foods that are healthy-ish (like they have steamer bags of cut veggies that look delicious but they have butter or another sauce in them) things that look like they will be awesome for maintenance but maybe not quite yet. They do have like fresh prepared stuff that’s relatively healthy and would be a really good alternative to take out like salmon and veggie meals that are already prepared and Turkey meatballs as well as a Turkey meatloaf . The ingredients in the meatballs aren’t too bad (it prints on the sticker but she printed one for me to read ahead). It doesn’t have nutrition info though. I just really thought they had more fat free in like cheeses and all that. They do have lots of cheeses and dressings and all that just not a lot of low fat or fat free. Anyways, last week I just did the crochet group and came home and crashed because it zapped my energy. Today I did the store too and I’m not feeling exhausted.it really has gotten better day by day for me. Hopefully at this point I can just stay up and get back on track a little with my sleep schedule. That afternoon nap has been making me stay up later and later and then I want to sleep in. I am not sure if I mentioned but I ordered some Walking shoes. I am going to try to walk around the neighborhood and see if I can handle the heat as well as the activity. I think I’m going to start in the evenings since I haven’t been getting up early but hope to eventually switch it to mornings to get it done for the day. Pretty excited still for Monday. Not sure what I’m going to have with my snow crabs yet. I would normally have a potato or rice. Maybe some grilled squash with onions. Those are pretty soft. -
Two weeks is the usual length of the pre surgery diet. But there are difference in what format the diet actually takes. Some are all liquid like yours (can be shakes or milk based drinks or other liquids) or two shake meals & one meal. Mine was keto. It, as @ShoppGirl said, can be influenced by your staring weight & how much weight they want you to lose to reduce the size of your liver before the surgery. It may be your general health status. It can also just be your surgeon’s preference. My two friends & I were each on a different pre surgery diet but all were two weeks long (2 of us had the same surgeon .) Each of us were in different places (health, weight) when we began.
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Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.