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@BlueParis depending how much milk you're using in tea and coffee, that's a decent source of protein. I don't know if you have ultra-filtered milk available in France (in US, the brand is Fairlife, like the protein shakes, but it's just milk that has been filtered to lower carbs and amp up the protein, not supplemented like the shakes). I started buying Fairlife milk and make a 1L thermal container of hot tea every morning, with between 125 and 250ml of milk in it, so my morning tea alone gives me between 7 and 13g protein. I would try adding a slice of smoked salmon to the bagel, but that's just because I love that combo. The omelet seems very healthy and the pannacotta sounds delicious. You might consider adding more beans/legumes to your rotation. I am getting so tired of meat. I've just ordered a vegan cookbook to help me discover new recipes that are based on plant proteins (not the fake meat, processed plant products but real foods). Maybe bean soups and stews, lentil curries? Your stall will break eventually, but in your case, because you're already at a "normal" BMI, it may be a lot harder and slower from here on out. Don't lose hope! After barely losing weight the entire month of May, I'm losing at the quickest pace since surgery, 9 lbs in 16 days! That's been a real surprise. I am eyeing my next milestone, which is 5.6 lbs away, the point where I will cross from an "obesity" BMI into just the "overweight" category. I have never looked so forward to being called "overweight" in my life! I'm also noticing I'm just not very interested in food. Even though I can technically eat a bit more now than in the beginning, I don't really want to. I'm not hungry and chewing is a chore. I'm sick of meat. I'm tired of thinking about protein. And while I do still enjoy going out for a meal, I am exhausted by looking at the plate and seeing 4 days' worth of food in front of me. I'll be going on a family summer vacation next week and have no idea what I'll manage to eat. We're going to amusement parks and water parks, so the typical fare will be pizza and hot dogs, which sound terrible. I'm stocking up on protein bars, which I find a bit better than shakes, though not something I want in my diet normally. But better than a hot dog! So if anyone has a favorite protein bar, especially one that won't melt in my bag on a hot day at an amusement park, please share!

Yeah, agree with @ms.sss -- everyone seems to get a slightly modified version from their care team, and it's best to just follow what directions they might give you. Part of this is also because different care teams also encourage different types and dosages of supplements, but also because everyone's medical history and starting point on their WL journey can have different requirements that need to be met. (Some of us have various co-morbidities like Heart issues, blood pressure, cholesterol, diabetes, etc...) For example, my schedule was: Day 1-2: clear liquids Week 1 & 2: Liquids & Protein Shakes Week 3 & 4: Purees Weeks 5-9: Soft Foods Week 10+: introducing more variety of healthy foods

Don't think of a 39lb loss as 'only', that is really good going in under three months. If you do a search in the forum you will see just about everyone has experienced a stall after a few months (some a few weeks) post surgery as our bodies cope with the changes. It is a question/concern that is raised almost weekly, if not more frequently, so you are not alone by any means. My stall lasted approx. 4 weeks and since then the loss as continued as a slow but steady pace, some weeks I lose nothing but I know I have done nothing wrong with my meals and it is all about the body trying to cope with and working out what is going on. I am sure this stall won't last much longer for you so don't worry and also don't worry if you have another stall in a few months time again.

Keep in mind that most nutritionists, it's their job to tell you to stay within certain limits that were decided by prior care teams who-knows how many years ago, based on individuals who could be much different than you. Those limits may be absolute BS, but they have to cover their own ass and give you these 'healthy guidelines'. In my care team, I have three different nutritionists I've seen so far. One of them seems very open, very with it, and all her advice so far has been really helpful. The other two have been absolutely useless. (Ironically, one is constantly looking at my food logs and saying things like "and where do you see that you could have added more protein here" even though I'm usually already in the 80-100g range -- and I DO NOT work out) For what it's worth, I think you're doing exceedingly well. Every time I see you post around here, I pay attention because you really seem to be in tune with your own body. If you're not having any protein over-consumption symptoms and your labs are good, I would take what's useful from the NUT and throw the rest away. (Are they sending you for bloodwork routinely, or has that fallen through the cracks too?)

Hello All- i posted for the first time just about three years ago with some anxieties as a spouse with my wife prepping to undergo the gastric sleeve. I originally noted being concerned about our lifestyle changes, relationship impacts (I had heard all the horror stories) and most of all health concerns into the future. The community was incredibly supportive and I had learned tips and useful knowledge that helped me coach and support my wife through it. I am happy to say we are better than we ever have been and her self confidence is through the roof. However the MAIN reason the surgery ever was even considered was to get her diabetes that started while she was pregnant with our first child and got very concerning bad with our fourth has still stuck around and caused issues….. First- this is Life changing not just for the partner getting the surgery, but the spouse too. We used to be foodies and that all had to go out the door. Same with alcohol. Two bites and you are full, a pint and you are drunk. So activities, dates, etc. and new hobbies should all be prepared for well in advance. Luckily we are both athletes and coaches and this allowed to have an outlet that wasn’t our prior foodies and beer/ brewery culture pastime. Two- Relationship, anyone who tells you that this leads to automatic divorce/ break up is paranoid or lying. Out of her support group offered by our health network, I think only 1 or 2 of about fifteen women ended up separating and that was from the other spouse cheating. I have to say that in many ways, after four kids and all our activities, youth sports and coaching- it created a second honeymoon period for us and really strengthened our romance and relationship because we both focused on our health again jointly and the magnetism increased dramatically. Third- It might not fix the problem…. We did not jointly go into the surgery for cosmetic or weight loss reasons. It was the diabetes and the doctors said it was a solid shot to cure or mitigate the disease. It was for a while, but it keeps back up. despite healthy eating, despite exercise and coaching, despite the surgery- medications came back into the picture and so did the celebrity weight loss drug (which is really supposed to be for diabetes…) This has been keeping everything under control but is a case of the cure being as bad as the sickness. The side effects are brutal and definitely have a quality of life impact, but we both want to live to see grandkids someday….. Fourth- dysmorphia is VERY really. We are both naturally larger people. I was a lineman in high school and college and she was a softball catcher in high school and college and ended up also playing women’s rugby there as well. Even with the surgery she went from an XL to L but she got her college/ high school figure back and as such her confidence went through the roof and started dressing like she hadn’t in years. With the medication though??? Her figure, face shape, everything changed. Down to a Small or Medium. For almost a year and a half she hasn’t recognized herself in the mirror. It’s a double wham with the surgery and the medication. Between her best friends and myself (we have all been in the same friend/ team group since college) the support was to have fun with it and go with the flow. Instead of worrying about it (the dysmorphia) it was embrace the change. All new clothes she could never wear before, she’s been a redhead now and then blonde and still is. Cut her hair shorter, started wearing makeup (never really did)- all just to try and put a positive spin on it. I’ve been the spoiled recipient of having a brand new girl (don’t think I haven’t romanced and spoiled the you-know-what out of her), but at the end of the day it’s been mitigation of all the life changes. The last part has been the most detailed because it’s the most recent and to me has been the most impactful- NOT having the surgery do its intended purpose and the dysmorphia we’re both very difficult given the efforts and life changes made. We’ve done everything we can to make lemonade out of those lemons though. We had an anniversary vacation better than our honeymoon this past summer (she has always been way out of my league and these days it’s very much over the top- I feel incredibly spoiled) and we have made time to ride our bikes together with our oldest babysitting the kids and we come to each others games when we coach. I would tell any spouse; husband or wife of someone who is going to have the surgery and then or also do all the meds: 1. Support. It’s a huge deal and you need to show up. 2. Don’t get insecure about your relationship because of the surgery. If you are worried it means you might not have a great relationship to start with…. 3. You will need to change your life too. Because of my size and my weight lifting, I need a lot of protein and calories. I will never look like a Hollywood star (like she now does) and always an NFL lineman- BUT- if I bring a cannoli, pie or a full growler into the house in addition to steak/ salmon, etc it’s teasing and not fair. You will need to learn self control to support your spouse… 4. Inspire and come up with ideas for positive re-enforcement. If the dysmorphia or depression sets in, you need to find fun things to do, supportive steps to take and positive angles to keep things going. 5. If you are doing all this as a spouse, what about YOU??? Are you going to die a martyr? Take care of YOURSELF too. I go lifting 3 times a week, go fishing in season. And for my 40th birthday when she asked what I wanted?? I got us a long weekend on the Cape, bought her some dresses I wanted to see her in and sent her to get her hair, nails, toes, eyelashes, etc.. done. Said I wanted a long weekend with my movie star wife. It was a great time, kid free and continued to strengthen our marriage. Anyways- why am I writing this? Posterity? Self reflection? Not really…. I just want to give Spouses a roadmap. It’s a huge change and you need to navigate the waters well. If you do you will benefit as much as your loved one. Good luck.

@ms.sss I do love an ice-breaker 😂 must be the manager in me 😅 That sounds so nice - I have never tried lobster before but I am dying to! I am rather impressed that you had to open and clean it yourself, very skilled haha. It is a shame you had to miss out on yoga, but definitely for the best after eating the lobster! Hope the rest of your week is good

Officially 8 weeks and 2 days Post-op and honestly I'm pretty comfortable with my progress though a little disappointed with my hydration. The weight loss is steady, protein intake was a little tricky but I think I got it, and keeping up with physical activity has been smooth. Last month's first follow up with the nutritionist did get under my skin, I questioned returning to my previous vitamins vs these nasty Flinstones...and she went on and on about my calcium, iron and protein levels wouldn't be sufficient due to me not eating meat. I explained I had no problem taking additional calcium or iron IF necessary, and finding new ways to add my protein BUT I wanted to see how my bloodwork came back. She finally conceded in saying "well, you're an adult, if you want to take more vitamins that's your choice". I mean OBVIOUSLY it is my choice and her condescending tone is one of the many reasons I've never cared for nutritionist. Nevertheless, guess who's blood work is PERFECT?! In other news, I will say this ketosis stage, while extremely beneficial... it is giving me the "ick" with side effects, smells, body odor etc... I've introduced some carbs hoping things will balance out but it seems to be a slow process. Uranalysis confirmed I'm still burning ketones sooooo there's that. 🤷🏽‍♀️but when will these side effects end ? Speaking of introducing carbs... I had a small bowl (4 oz) of mac and cheese (chickpea pasta)... this is a true trigger food for me, but I ate it, I enjoyed it and I moved on... it wasn't until the next day, I was thinking wow, I really didn't "Want" another bowl... "I'm good". In the head scratching category... I overheard my co-workers having a convo about individuals on the show "My 600lb life"... DISCLAIMER: I say overheard loosely, there's 3 of us in a small room, they were speaking freely as we usually do but I had my earbuds on and wasn't a part of the beginning of the convo. While I can't say I've ever watched a full episode, I am familiar with the premise of the title as well as what "reality shows" really entail when it comes to production and I'm sure I've caught a snippet of an episode on a meme, commercial etc. They also do not know I've had a procedure. I digress, at some point in the convo, they were both giving their opinions on "how could someone let it get so bad"..." when your pants stop fitting..." "when you're out of breath walking from house to mailbox..." etc. and while I have no doubt that they did not have malicious intentions nor have I personally fit into any of these examples... I suddenly became very offended. I even thought to myself have I lost that much weight that this is how "skinny" people speak freely among you ? (The answer is no, regarding me... I've lost a good amount, but they've known me for several years...at my heaviest). I thought, are they thinking I'm really deep into my work and not paying attention ? (The answer is no, we always engage with each other based off of body language to get the others attention and they were engaging). The answer boiled down to, they were just ignorant to the reasons this could happen to someone and the fact that reality tv has a way of making people look and behave at their worse. So I chimed in with "As a fellow big girl..." and explained to them that food addiction is real, and it's real easy to forget that unlike, drugs and alcohol, people have to eat for survival/nutrition and if you are addicted to such it's easy to forget how someone can "let it get so bad", there are also health issues and medication side effects. They were both receptive and admitted that didn't even consider that thought. We went on to talk about the state of "healthy" food choices, labels, vending machines in schools and all. But I definitely walked away from that convo scratching my head because they are both thin and love to eat and not always the "healthy" stuff... so I'm thinking it didn't occur to you others JUST CAN'T do that. Anyways, it was an experience and I'm glad I had it.

Oh my gosh, me too! But: We got this!! I'm going to get my lab work done next week and I know it should look really good with as long a path I've been on to get to this point and all the vitamins I've been taking! I've been taking the Barimelts multi w/iron (dissolved crazy easily, best I've found) the Calcium from BariatricPal every other day, and some Multi-collagen Peptides w/Probiotics for like, two months. I also had to quit smoking cigarettes and with the help of Chantix I've managed to do it, and just passed my fourth month of not smoking! I use the Baritastic app for my food tracking. There's SO much to the process! I'm nervous and wondering if I'm going to end up feeling like a stranger in my own skin but I'm trying to keep focusing on my reasons for doing all of this - better health, longer life, better quality of life, etc. Feel free to message me; I can be bad about checking my emails but I found an app called Finch that is helping me keep track of everything, thank goodness, and reminds me to CHECK my email. Sorry for the delayed response!

Wow. I’m surprised you made it a week with the caffeine withdrawal headaches. I’m glad you didn’t have any issues from drinking it so soon post surgery. I am weaning myself off it now and I tried cutting back too fast the first day and woke up with a massive headache at 2am so bad that I downed some. I am down to my last day actually. I should be caffeine free tomorrow. 😁 and I start my preop diet the next day I THOUGHT I had more time between the two and I was going to do lower carb to sorta detox from those before preop but the office messed up and I got alot less warning. Oh well stuff happens I guess. Just trying to keep going forward. Anyways, I guess my point is that I definitely second the cutting caffeine. I did it further in advance with the sleeve and really wish I hadn’t cut it so close this time. It has been stressful thinking what if it’s too fast and I can’t get there. Especially for me being post sleeve because I can’t just take an Alieve and Tylenol doesn’t do anything for me. I can’t even imagine dealing with everything post op and having a withdrawal headache on top of it all.

Weight loss surgery success journey stories are important because the written word enables us to connect on an emotional basis with others. Telling our journey stories is a way to build a deeper level of understanding. Thinking about and creating our stories regarding our life history, life experiences, and influences on our lives can be related to family, friends, acquaintances, and even strangers. Everyone has different, exceptional life experiences with unique and special stories to share and teach others. My own story is one of redemption and salvation – but my redemption involved turning away from religion, and my salvation came from science. I was born and raised in a religious, conservative Christian home in Charlotte, North Carolina. My parents are both immigrants from Taiwan, and they moved to the United States in the 1980s. Their command of the English language and understanding of American culture were poor. Their acclimation to the United States was heavily dependent on their participation in the Charlotte Chinese Baptist Church. The Christian Baptist church is where my parents first initially met each other. They dated for a short period of time before they made the decision to get married. After marriage, they gave birth to me as their first born, and two years later, my younger sister. As far back as I can remember, my family attended Sunday services at the conservative Christian Baptist church on a regular basis. I was indoctrinated into being a conservative Christian by my family, friends, teachers, classmates, schools, and the conservative Christian church we attended. I was taught to believe in Jesus, Virgin Mary, and the existence of heaven and hell. We prayed in church, and I was taught to "give my life to god" and to avoid "sin." I was taught homosexuality was a sin and that LGBT people went to hell. My parents forbade my sister and me from dating, and I was told by my family, church, and teachers to save my virginity for marriage, which meant premarital sex was a major taboo. When I was in middle school, all of us girls were enrolled in the "Best Friends" program, an abstinence-only "sex education" program. The program merely consisted of "just say no" if boys wanted sex. Throughout my entire childhood, I unfortunately endured extreme domestic/family violence and experienced severe physical, verbal, emotional, psychological, spiritual/religious, and sexual abuse, incest, trauma, and molestation perpetrated by my conservative Christian father. My conservative Christian father was a very active volunteer at church, and he was highly respected by fellow church leaders and members of the congregation. However, he used his outward acts of service for the church as a deceptive mask to harbor many deep, dark secrets behind closed doors. My father was a chronic alcoholic and domineering, psychopathic perpetrator of horrific violence. He was a sadistic sociopath who derived sick pleasure from abusing my mother, my sister, and me in every way possible: physically, verbally, emotionally, psychologically, spiritually/religiously, and sexually assaulting, molesting, traumatizing, and humiliating us. My father weaponized the Bible as a tool to repeatedly abuse, assault, control, molest, terrorize, threaten, and violate my mother, sister, and me. He claimed the Bible justified his abuse, violence, and mistreatment towards us. He was a gun owner who threatened on countless occasions to murder the three of us and burn down our home “to destroy the evidence," so our bodies would never be found. Both my parents constantly warned I would be sent away to a foster home, where I would be treated far worse by strangers if I ever told my school teachers or complained to authorities about the horrific abuse and violence that was taking place at home on a daily basis. As an innocent young child, I wholeheartedly believed every word of my parents as I did not know any better. A middle school classmate noticed a bruise on my arm and asked me about it. I confided in her about the abuse and violence being perpetuated by my parents against me at home. She was sincerely concerned about my safety and worried about my well-being and told our homeroom teacher, who in turn, informed the middle school guidance counselor. After lunch, I was pulled from algebra class and asked to speak with the guidance counselor. Out of my irrational fear of being removed from my family home, the only place I'd ever known, I lied and said I'd injured myself by accident. At the time, I thought I was in trouble because I'd never been removed from class. I wanted only to return to math class to avoid missing any important class material. Back when I was an innocent child, I still believed in a just and merciful God. I used to kneel at my bed every night and fervently pray to God to kill me in my sleep. I desperately wished to die so I would not be forced to endure another day of extreme abuse and violence. It's heartbreaking for me to think back now about how I started seriously contemplating suicide when I was a young child. I did not wish to live and did not want to continue enduring the horrific abuse I experienced as a child at home every day. No one seemed to care about or love me, not even my own parents. I felt absolutely trapped in this living hell at home. As a child, my parents would not allow me to seek mental health care since doing so would reveal their abuse and violence towards me, and they knew they would face severe legal repercussions. My immigrant parents came from a conservative, traditional Asian culture and attached a very negative stigma to psychological services. They viewed patients who sought mental health treatment as "crazy." At the age of 18, I was finally able to move out on my own, and I left my hometown of Charlotte, North Carolina to attend the University of North Carolina at Chapel Hill. I began to meet and learn from people of different races, ethnicities, socioeconomic classes, religions/non-religions, with family backgrounds and histories that were unlike the oppressive, conservative Christian culture I'd grown up with. I was exposed to new, fascinating ideas, thoughts, and perspectives from my university professors and fellow college students. I learned about liberal. progressive Democrats and the concepts of socioeconomic and racial injustice, diversity, equity, and inclusion, women’s rights, and more. I was exposed for the first time to secular ideas. I began questioning the existence of God at this juncture. All the rules and regulations I'd been taught to follow by my conservative Christian family and church as a means to salvation had brought me nothing but painful despair and misery throughout my entire life up to that point. I was exposed to an entirely new world in college in which I learned that I had value as an individual as well as learning critical thinking skills, philosophical logic, and scientific thought. However, the years of abuse had left many scars. I sought help from a psychiatrist who finally diagnosed me with major depressive disorder (MDD), generalized anxiety disorder (GAD)/panic attacks, and complex post-traumatic stress disorder (C-PTSD). My psychiatrist prescribed antidepressant and antianxiety medications for me, and I also began intensive psychotherapy. I sought out trauma-focused mental health counselors and therapists and successfully completed countless mental health treatments and therapies for my healing and recovery. I discovered the abuse and violence I experienced during my childhood was not my fault, and I was not to blame whatsoever despite what my conservative Christian family constantly told me. I also learned about concepts and techniques such as self-care, emotional regulation, and developing healthy boundaries. The mental health treatments I received included Cognitive Behavior Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR) therapy, Somatic Experiencing (SE) therapy, Dialectical Behavior Therapy (DBT) group therapy as well as medical treatments such as Transcranial Magnetic Stimulation (TMS) treatment and esketamine treatment. In addition, I attended support groups for survivors of childhood abuse and incest, sexual assault, rape, and religious trauma. My journey back from the brink had finally begun. However, I was about to take a huge and very dangerous detour in my journey of healing. Food was my drug of choice back then. I used to binge eat massive amounts of food to desperately fill the empty void of nothingness I felt within and to cope with my feelings of depression, sadness, worthlessness, hopelessness, guilt, shame, fear, emotional numbness, fatigue, exhaustion, migraines, stomachaches, anxiety, panic attacks, nightmares, flashbacks, difficulty with focus and concentration, and other symptoms. I preferred unhealthy junk food and fast food that provided me with momentary comfort. I gained prodigious amounts of weight. The antidepressants I took increased my appetite, causing more weight gain. The weight gain made me feel even more depressed, and the depression made me eat ever increasing amounts of food, which became a vicious cycle. I developed social anxiety and hated going out in public because I feared strangers bullying and taunting me for my appearance. I am 5 feet, 6 inches tall, and unbelievable as it may seem to most people, at my maximum, I weighed a staggering 321 pounds at my highest and had a BMI of 51.8. I was super morbidly obese, extremely unhealthy, and unfortunately, developed many serious, chronic health issues over the years. Due to the excess weight, I used to get winded easily and ran out of energy very quickly. I could not stand or walk for more than a few minutes before I began experiencing excruciating pain in my back, forcing me to sit and rest before I could stand and walk again. I suffered from numerous chronic, life-threatening health conditions, which included high blood pressure, high cholesterol, pre-diabetes, obstructive sleep apnea, chronic back pain, knee pain, non-alcoholic fatty liver disease, hiatal hernia, and others. Since I have a family history of even more severe health issues such as stroke, heart disease, diabetes, and cancer, I saw the writing on the wall. My super morbid obesity was literally killing me, and my future seemed bleak and hopeless. Due to my ever growing weight and developing serious, chronic health conditions which made my life excruciating painful and miserable physically and psychologically, I still had suicidal ideation, conducted detailed research on methods for ending my life, and even began to make active suicide plans. Fortunately, President Barack Obama successfully passed the Affordable Care Act, commonly referred to as “Obamacare.” Obamacare was the first time in my life I had the opportunity to obtain health insurance as an adult. Luckily, I also discovered Dr. Peter C. Ng, MD, FACS, FASMBS at Rex Bariatrics and their amazing UNC Rex Health bariatric surgical team in Raleigh, North Carolina. On Monday, October 6, 2014, I underwent a form of bariatric (weight loss) surgery called the duodenal switch with Dr. Peter Ng at UNC Rex Hospital in Raleigh, North Carolina. Thanks to Dr. Ng and his compassionate bariatric team at UNC/Rex Healthcare, my recovery was finally back on track. Science, not religion, literally saved my life. My closest friends volunteered to help me many times, and they're absolutely critical to my success. Cathy took me to all my doctor’s appointments and was my biggest cheerleader. Joni was another amazing mentor and took excellent care of me at home while I was recovering from surgery. I would not be alive today if it weren't for Barack Obama, Dr. Peter Ng, Cathy, Joni, and other dear friends. I learned how to eat a healthy diet and began an exercise regimen to help take off all the excess weight. I worked tirelessly and pushed myself to the limit in terms of my diet, exercise, and lifestyle transformation. It was very difficult to say the least, but I succeeded, not through prayer or faith in God, but through hard work, sheer will, grit, perseverance, determination, and tenacity. Ultimately, I lost 191 lbs – a weight loss I'm very happy and pleased to report I’ve maintained to this very day. I now weigh 130 lbs, which is exactly what I weighed when I was 18 years old, and I have a very healthy BMI of 21.0. Since I've lost and kept off such a massive amount of weight, I no longer have any of the aforementioned health issues; they’ve all completely resolved themselves, for which I am very thankful. I eat a healthy diet, am physically fit, and lead a physically active, robust lifestyle. My friends lovingly refer to me as the "Energizer Bunny." I am happy and healthy now. I continue to take antidepressant medications and to see my psychiatrist and therapist because major depression is prone to relapse without ongoing treatment. I've developed a strong, iron-clad support system of compassionate, caring, kind, empathetic, generous chosen family and loved ones, all of whom I'm incredibly grateful to have in my life. I do not begrudge faith to people who take comfort in religion; however, the toxic form of Christianity that consumed my childhood nearly ended my life. I was saved by science and human compassion. My will to keep fighting came not from a belief in a reward after death, but from learning of the inherent value each of us has here on earth while we are alive and breathing. I visited my bariatric surgeon Dr. Ng for my annual follow-up visit last year on Wednesday, October 1, 2024. I received my blood work test results, and my labs were "perfect." Every year, Dr. Ng laughingly tells me my blood test results are better than his own! Dr. Ng is, without a doubt, my favorite surgeon since he literally saved my life. I’m exceptionally grateful for him and his expert surgical skills in performing the duodenal switch bariatric weight loss surgery on me, and I’m also tremendously thankful to the entire UNC Health Rex medical team. Sunday, October 6, 2024 marked a significant date in my life; it was my ten-year surgiversary. In case you aren't aware, a surgiversary is the anniversary of a surgery, most commonly associated with bariatric (weight loss) surgery, a medically necessary surgical procedure which profoundly changed my life with the best possible outcome. I’ve been grateful and fortunate to find peace, bliss, happiness, and joy in life without the need for religion or belief in a god or higher power. I absolutely love my life, and I'm beyond excited and thrilled to experience all the fantastic joy and happiness that life has to offer. I finally love and truly believe in myself. I'm an outgoing, hardworking, highly energetic Taiwanese American leader and activist. I’m self-employed and work tirelessly at multiple contract and freelance paid positions. My roles include working as a private military defense contractor with the U.S. Department of Defense by assisting active duty U.S. military personnel with their Mandarin speaking skills at a U.S. military base, as a Mandarin speaking private tutor, as an independent film & media contractor for Rob Underhill Productions, as a freelance writer & editor, and as a social media marketing manager. I'm a multicultural individual with a global mindset. I'm known for my values and strength of character: ethics, integrity, perseverance, resilience, and tenacity. Brimming with confidence, commitment to excellence, fervent drive to succeed, innovative thinking, and positive, can-do, go-getter attitude. My passions and strengths include professional networking, social media marketing, event planning, business development, communication, leadership, writing/editing, and team building. I'm well-connected politically and socially including CEOs, VPs, C-Suite executives, elected government officials, directors, leadership, management, business owners, entrepreneurs, physicians, attorneys, engineers, sales & marketing, real estate brokers, creatives, musicians, artists, innovators, and other powerful community leaders at local, state, and federal government levels, U.S Department of Defense (DoD), Fortune 500 companies, and nonprofits in Raleigh/Durham/Chapel Hill/RDU/Triangle, North Carolina, United States, Taiwan, China, and elsewhere around the world. I'm passionate about personal growth, living a fulfilling, purposeful life, and highly value community engagement. Most importantly I love volunteering, inspiring and motivating others, “paying it forward,” and having a positive impact on the community and world around me. I spend much of my free time performing charity work, volunteering at my alma mater UNC-Chapel Hill, promoting business owners, and volunteering and canvassing for Democratic politicians and elected government officials at local, state, and federal levels of government. I'm active in volunteering with many nonprofit organizations, mainly secular and non-religious, although I've cultivated and maintained dear, loving friendships with Called to Peace Ministries, a Christian-affiliated nonprofit organization that provides advocacy, education, support, and practical assistance to domestic violence survivors. In addition, I love volunteering to help people who are struggling with their own weight loss challenges, and I always hope my own story will inspire them. The causes I hold closest to my heart are ending domestic violence and abuse, ending poverty, promoting secular humanism, critical thinking, and science education, advocating for separation of church and state, supporting mental health advocacy and research, supporting social, economic, and racial justice and diversity, equity, inclusion, and helping people who are overweight and obese in their journeys to lead healthier, more physically active lives. I'm extremely active politically and have volunteered countless hours for Democratic political candidates' campaigns in Wake County/Raleigh/Triangle/RDU/RTP, North Carolina with their successful election and re-election to elected government office positions. In addition, I'm very active in the secular humanist movement by participating in local, state, and national meetings and conferences with my favorite organizations including The Freethought Society, Recovering From Religion, American Humanist Association, and countless others. I also enjoy volunteering for other liberal, progressive organizations that support ending domestic violence, advocating for mental health, women's rights, gun control, comprehensive sex education, socioeconomic and racial justice, diversity, equity, inclusion, and more. I enjoy cultural arts such as traveling domestically and internationally, learning about different languages and cultures, attending plays/theater and comedy shows, visiting museums, and going to concerts and hearing live music. I've traveled all over the United States, Canada, Mexico, Caribbean, and Asia including Taiwan, Japan, and Singapore. I'm physically active, love adventure, and enjoy experiencing nature and being outdoors. I love spending time in nature and exercising outdoors, especially hiking and ziplining. I've also done parasailing, flyboarding, canoeing, kayaking, sailing, cruising, whitewater rafting, and been given countless opportunities to experience many other awesome adventures I'd never received before. I absolutely live life to the fullest. This is the happiest I've ever been in my entire life, and I want to help others improve their lives and feel the same joy as I do. If I can do it, you can too! Even if life seems bleak and dark and you feel like quitting, DON'T GIVE UP! I promise you, life gets better; I'm living proof of that! I suffered through countless seemingly insurmountable adversities, barriers, challenges, and obstacles in my lifetime, but I also became a more empathetic, compassionate, loving, and kind human being. I'm a resilient and tenacious survivor and thriver. I'm an unstoppable force of nature to be reckoned with; there's absolutely nothing in the world that can stop me. My experiences have made me absolutely fearless: I fear nothing and no one. My long-term goals are to become a published best-selling author, a highly sought after public motivational speaker, and to give TED talks. I want to speak to audiences around the world about my journey, grit, perseverance, resilience, determination, strength, and tenacity, and to inspire and motivate others to do the same. Thanks so much for reading my story; feel free to share if you’d like and reach out to me if I can help! I attached a photo of Dr. Peter C. Ng, MD, FACS, FASMBS and me at UNC Rex Bariatrics Healthcare taken on Wednesday, October 1, 2024. (10-year surgiversary celebration of my duodenal switch, a bariatric surgery that Dr. Ng performed on Monday, October 6, 2014)

Hi all, I am 3 weeks post-op, and I don’t have any calorie guides from my nutritionist. She only focuses on protein intake and low carb options. In the past I have used calories as my main indicator and am struggling a little with diet conceptions now and after the transition periods without them. I have a goal of 60 g of protein a day and 1-1.5 l of liquids for hydration. I was just wondering if anyone has daily calorie guidelines that they can share?? Tia!

Hi and welcome to the forum! I got mines on Thurs 13th and currently in first week recovery. I can’t lie I have really struggled so far with the pains and aches since the surgery. The liquid diet isnt great for me so I am looking forward to chewing something. Anyway good luck and I hope you find something that works with your new stomach

I got it on the 5th and an anesthesia newbie like you. Recovery has been smooth so far except for a belly button discharge and odor which the surgeon says happened bc the nurse cleaned it too vigorously maybe. Fingers crossed for that to resolve with clotrimazole. liquid phase for 3 weeks .how are you doing with your fluid goals

I would assume that your medical team will provide you with the stages they would like you to go through. everyone one here were given widely differing sets of instructions post op, so it may get a little confusing with all the differing accounts. best to pick one program (easiest one would be the one provided by your team) and follow that. remember they are guidelines, so if you are unable to do a stage or meet a goal or have issues, do something else. don't force it. and get in touch with your team with that said, here was mine (almost 5 years ago): week 1: clear liquids week 2-3: full liquids week 4: purees (i skipped this one, i just did full liquids for another week because purees were YUCK! lol week 5-6: minced ...after that i was cleared for everything/anything (just reminded to chew alot).

I don't think it made a difference to how much came out but it made my hair softer and kept it in good condition which meant I could go longer between washes. I was taking collagen every day as well, still do. The only vitamin I am no longer taking is the bariatric hair one as felt I did well with the three month supply.

Lots of nerves were cut during your surgery so the messages/signals you used to feel around your eating rather aren’t getting through or are distorted. It’s why it’s so important to stick to the portion sizes and timing for eating/drinking you’ve been given. It takes about 8 weeks to fully recover from the surgery & the nerves are healed. It’s then too that you may start to feel your restriction (a tightness across your upper chest). It’s a good opportunity to become more aware of more subtle signals around having had enough or too much to eat or drink. I still ask myself do I need the next bite or sip or do I just want it & I’m five years out. Also when your signals do come back you may notice they’re different. Sneezing, runny nose, hiccups, etc can all be your new signals for having eaten or drunk enough. A gurgling tummy,or hunger pangs aren’t in most cases a signal you are hungry. They’re usual a signal that your digestive system is working. I don’t know why but the gurgling & growling seems much louder after surgery. Mine are very loud & yes I still get them (it’s happening now). I say I have a poltergeist in my tummy, rumbling, grumbling, squelching & rattling the chains. My younger nieces & nephew think it’s hilarious! All the best with your recovery.

I was given cream of chicken soup with bits in it at the hospital day 1 after surgery. I was still hopped up on anesthesia at the time and called a nurse in to question why. She took my spoon and looked at it, then said the bits weren't big enough to cause a problem???? I thought well...it is a bariatric hospital so I ate it. It did taste wonderful and thankfully nothing got stuck in my incisions but I still question it. In fact a relative of mine recently had WLS and on a phone consult within week 1 with same hospital nurses, was told to try a bit of bread for nausea??? I immediately remembered the soup they gave me and am now really questioning the nurses at that hospital and their knowledge of care for bariatric patients. I tried calling them to inquire about their iffy advice but never heard back. I need to call my bariatric team nutritionist to give them a heads up. As for OP question about salty cravings. Soup. Bouillons, strained cream soups and my fav... egg drop soup strained from a local Chinese restaurant. I even used a Vitamix to pulverize any bits that could cause problems later on. Good luck on your journey @Sami2209.

I'm 4 years out and have maintained a stable weight for over 2 years. I've taken a lot of cues from the WLS veterans on this forum because I'm acutely aware that a lot of WLS patients experience significant regain, and I live in fear of that because I've gone through a lot to lose 200 pounds and I don't ever want to go back to obesity. I learned early on that one of the keys to long-term maintenance is closely monitoring and tracking weight, and taking action promptly if it starts to creep up. I weigh myself on a daily basis (usually more than once a day). My weight can fluctuate quite a bit, sometimes by 5 pounds within a single day, so I consider my normal weight range to be 135-140 pounds. As long as I'm within that range, I don't give it a second thought. I may be outside of that once in a while, but I don't worry about it too much unless I stay outside that range for more than a couple of days. I've continued to track everything I eat and stay within a calorie limit. Five years ago, I would have been horrified to imagine tracking my food long-term, but I actually think it makes weight maintenance more sustainable. I could probably get away without tracking at this point because I habitually eat healthy, low-calorie meals, but much like having a financial budget, having a calorie budget allows me to prioritize and make conscious decisions about what I want to consume. If I'm tracking my food, I know whether I have room in my budget for a treat today, or if I want a specific treat, I can make sure to leave room in my calorie budget. I think this is really important because I don't have to go off track or have an out-of-control "cheat day" to eat what I want. I eat healthy foods most of the time (with the occasional treat within my calorie budget), and I've completely overhauled my diet. I've gotten the sense that one of the pitfalls that can lead to regain for WLS patients is that we can rely on our restriction for the first year or so to limit our calorie consumption, but if we continue to eat high-calorie foods like fast food and highly processed snack foods, once the restriction is weaker, we can eat enough calories to regain the weight, and/or eat around the restriction by having multiple smaller portions of high-calorie foods. I eat a lot of vegetables and salads, lean protein (chicken, pork loin, seafood), and legumes, and avoid sugar, refined carbs (rice, pasta, bread, crackers), fried foods, and other calorie-dense foods like cheese. I've discovered a lot of healthy foods that I love eating, so I don't feel deprived with delicious low-calorie meals. Initially, I was very strict about weighing and tracking every bite of food, but I've gotten much more relaxed about it and I just eyeball things that are negligible. I still weigh and measure things with higher calorie density like meat or oil, but I don't measure lettuce because even if I underestimate, it will be a 10-15 calorie difference at the most, and I log half a tomato instead of weighing the exact number of grams. This is another reason that weighing myself is key -- I know that if I'm maintaining a stable weight, my guesstimates must be close enough. Exercise wasn't a huge part of my weight loss strategy; I didn't do any exercise at all for the first 75+ pounds, and then I just did YouTube videos at home. Exercise has become a huge part of my lifestyle in maintenance, though. Not only do I do cardio at home on a daily basis and a minimum of 15,000 steps per day, but I also take fitness classes including strength training a few days per week.

Ugh. Getting back on track after vacation is harder than I thought it would be. I have no desire to cook and I'm craving snacks and sweets like crazy because I know they're in the house. I had done a thorough job of getting all the snacks and candy out of the cupboards leading up to surgery, but with the kids home all day for the summer, I've bought some things for them, and we also brought home stuff from our trip. Resisting the temptation when it's just in the next room while I'm working is HARD, especially because having a snack was often the way I would deal with avoiding a project for work that I didn't want to do (I work from home). Add on top of that the beginning of hunger returning and an increase in how much I can comfortably eat in one sitting and it's a battle. Plus the weather has been miserably hot so if I don't get out to walk first thing in the morning, it's not happening. Needless to say, my weight has bounced up a pound this week. So frustrated!

the SADI is a fairly new surgery and isn't very common - which is probably why the office staff isn't that well versed in it. Although if the surgeon is going to be offering that surgery, they really need to get the office staff up to snuff, because they're the people you're usually going to see when you're there as far as red, purple, yogurt, and fudgsicles, they're probably talking about the day or two before the surgery, and not the regular pre-op diet that many of us have to do for a week or two before the surgery. I've had about four surgeries, plus a couple of colonoscopies, and having a completely liquid diet for the day or two before with nothing red or purple is pretty standard with any procedure. They don't want anything in your G/I tract (that's why they say only liquids), and red and purple fluids look like blood on the equipment they use, so they tell you to avoid anything red or purple.

I am 1 year post-op (exactly today!) In the months after the surgery, I have not had any significant issues with taste or food aversion. There were a couple of changes with foods that I used to love that, now, I could take them or leave them. I travel a lot for business, and when I am away from home eating in restaurants, I have started having experiences where certain foods taste like... seafood. I *hate* seafood in all forms, and always have. Meat is the most frequent problem, especially beef (except ground beef which is fine). Chicken is never a problem. I was just in China for 3 weeks, in many different cities, and everywhere I went, things were tasting fishy, especially meat. It wasn't just that something was prepared with fish sauce - I checked. Over and over and over again in city after city and restaurant after restaurant. (I have traveled to China before and loved the food; this time not so much.) But this wasn't just China - it has happened in other places as well - just not as often as in China. Now that I am back home with my normal food and normal recipes, there is no problem at all, however, at home I eat primarily chicken so maybe I would have an issue with beef tasting like seafood here too. Of course, I will discuss this with my doctor at my 1-year post-op appointment, but I am curious about other people's experiences with taste-related changes.

That's wonderful!! You did it!! How is it going? Still keeping up with the vitamins and hydration? How frequently would you say you use the protein shakes as opposed to eating mechanical soft foods, etc? I'm trying to figure out how many I ought to plan on needing for the weeks up to and after my surgery at the beginning of August.

Back from vacation last night and had a great time. We spent 2 days at the waterpark at Great Wolf Lodge, then drove to Hershey, Pennsylvania to visit the amusement park, followed by a trip through Lancaster County (where many Amish people live). I did what I could to meet protein goals and make healthy choices at restaurants, but I also allowed myself some sweets and tried not to stress about it too much. Weighed myself this morning and was down one pound since last week. Overall feeling good and looking forward to getting back to a more normal schedule, although I have a bit of a break from work until next week. A few random travel tips: Always make sure you are getting your food prepared the way you want it when you order. I saw a photo of a salad with grilled chicken on the menu, but I didn't realize it could also come fried until that was what the server brought me. She didn't ask which I wanted (she was new), and I just assumed it was grilled. A simple, "That's with grilled chicken, right?" would have saved me having to try to peel away all of the fried breading. If you must order fast food when on the road, a small cup of chili from Wendy's has 16g protein and 240 calories. I believe it's 22g carb (6g of which is fiber). They also have some nice salads. For a long car trip, bring a gallon-size thermal jug of ice water and keep it in the back to refill your smaller water bottle. Individual packs of edamame, beef jerky, and nuts made great portable snacks to get in some extra protein, and Quest protein chips are delicious! I also found protein pretzels in a gas station convenience store and they were good, although not as high in protein as Quest (which they also sold there).

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.