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Guys I'm not liking myself. I feel "fat" it's so weird how I feel .. I look myself in the mirror and I c that I've gained weight but on the scale I was losing weight and just stalled for 2 weeks (well gained 200g) so I'm just feeling shitty. I feel like I'm able to eat more (not as much as pre surgery ) but more... my husband almost smacked me to snap out of it lool and he said I was delulu n I'm not seeing myself .... I'm trying to watch my food and I'm between 1000 to 1300ish cals and maintaining 70 to 90g of protein. Sometimes my carbs are over but I won't say too bad. I'm almost 6 months post op

^ This. Post bariatric surgery eating is really hard! Never let anyone tell you that bariatric surgery is "the easy way out"! Regarding your protein intake, let's start with an understanding of why a protein-first diet is recommended post-surgery: Primarily, we are hoping to stave off something called muscle catabolism. This is when your body basically breaks down your own muscles. This happens mostly but not entirely to meet your daily essential amino acid needs. If we eat enough protein, this significantly reduces the amount of muscle mass your body will burn. That's important because the more muscle you have, the higher your metabolism, meaning you'll burn more calories even at rest. Most scientific literature suggests that 60 grams per day of protein is sufficient to meet your essential amino acid needs and thus hold off the bulk of the muscle catabolism that happens while on a weight loss diet. Note that some muscle catabolism is inevitable and no amount of protein intake is going to prevent that. The second reason protein is important is because protein is filling and relatively slow to digest. Studies have shown that eating more protein than the 60 grams per day minimum can help you feel more full. That basically will result in reduced overall calorie consumption. For this, amounts between 1.6 grams to 2.2 grams per day per kilogram of ideal body weight have been shown to be effective. For example, if 60 kg was your ideal body weight. protein intake between 96 and 132 grams would be suggested. I'm not sure what your surgical team told you, but since you're already getting over the 60 grams per day minimum, I'd say you're doing fantastic! As you get further out from surgery, you'll probably want to consume more, but keep in mind that all it's really doing is keeping you full longer. It's not going to sabotage your weight loss due to excess muscle loss. TL;DR: You're going fine on protein, don't sweat it.

I had my sleeve procedure on Jan. 21st, I feel as if I have conquered some areas - cruising along through gas pain, learning how to eat/drink, and my vitamins!!! BUT I notice I have high anxiety regarding my protein intake, my exercise, food variety and my weight loss and feeling hungry an hour or so after meals as well as some constipation/diarrhea. I stress about not getting enough protein when it seems like I am getting enough in protein shakes (at least 2 shakes w/ 25 or 30 grams) and food (20g w/ yogurt), right now I'm only walking but very slow paced with upper body, and now on phase 3 that's leaving me clueless on getting again enough protein and variety where I should be avoiding high fats, sugars, carbs, high cal....I know the stress will surely limit my weight loss... I'm down 24lbs, I feel like I'm sabotaging myself with worrying - any advice/suggestions!

You're doing great! I find it easier to hit my protein goals than my water. 😔 I'm 20 days out from surgery and have lost 30lbs. I decided before surgery I wasn't going to take measurements. I will just use how my clothes fit. 😆

Both are very important to your general health. Vitamins because you’re not able to consume enough of a variety of foods to get all the nutrients your body needs to function effectively. Protein should be your focus not only now but forever. It can be a challenge to reach your protein goal every day especially in the first couple of months after surgery when your portions are so small. But work at being at least close to your goal and that your general trend is you’re consuming more and getting closer to the goal. We usually say eat your protein first then any vegetables you are able to and lastly any allowed complex carbs but only if you are able to eat more. This often means a meal is solely protein and nothing else. Protein is very important to your wellbeing and if you’re not consuming enough your body will take it from any it can i.e. your muscles. Not taking your vitamins or meeting your protein (or any other goals you are given) will have a negative impact on your health. The regular blood tests your surgeon & team will request are to ensure you’re not deficient in any nutrient. (5.75yrs out I still have regular blood tests - was 3 monthly until year 4 & every 6 months now.) You are likely experiencing a stall. Stalls are very common with the first one (yes, first one) almost all of us experience occurring around the three week mark though it can be earlier or later than that. @catwoman7 would tell you, there are literally 10s of 1000s of posts here about the infamous three week stall. A stall usually lasts 1-3weeks though some experience longer stalls. Frustrating yrs but they happen for a reason. A stall occurs when your body shuts down to reassess your current needs in response to your weight loss, smaller calorie intake and this first one the stress of your surgery & recovery. You will start to lose weight again when your body is ready to move forward again. Stick to your plan & meet your nutritional goals as closely as you can so you’re not & stressing your body more than it already is experiencing.

How beneficial are Protein and Multivitamins to losing weight? I’m not doing either at the moment and I’m noticing that I’m not losing any weight

I think the first thing that comes to mind is just how varied dumping syndrome can be. When the bariatric teams talk about it, they tend to tell you all the symptoms and that it tends to happen pretty quickly after eating. Unfortunately, it's not that simple or straightforward. Some people may only have one or two symptoms. Others multiple symptoms. For some people it happens really quickly, and for others it can take hours before it begins. Time to recover is also really varied. For some it's over with in 30 minutes or less. Others can be in agony for many, many hours. As an example, I'm over 2 years out and for the longest time I just assumed I was one of the lucky (or cursed depending of your perspective), people that didn't really have to worry about dumping. I can eat almost anything and not have "typical" dumping syndrome. What I do have is what I was calling reactive hypoglycemia, meaning I was having low blood glucose issues ~3 hours of so after eating. After talking to my bariatric surgeon in my last checkup, she pointed out that what I was calling reactive hypoglycemia, is likely just a different form of dumping. Once I started being more careful about not eating a bunch of added sugar without sufficient protein as a buffer, the symptoms mostly went away.

Okay, so I had reached a BMI of 40 when I got the referral to the surgical team. But with 6 months of nutrition counseling and the 2 week liquid diet, the day of surgery I had a BMI of 36.3. I chose the bypass and I am very happy with it. My weight loss has not been the dramatic numbers you see with larger patients, but it's been stunning to me. I am almost a year out and am currently within 9 pounds of a normal BMI. I have not been this weight in 30 years and I firmly believe no amount of diet and exercise alone would have gotten me here. I would do it again in a heartbeat and wish I had done it earlier. With regards to the bypass itself, I am very pleased with it. I chose it over the sleeve because of GERD concerns and because my brother, who had the sleeve 15 years ago, has had a lot of regain that I think the bypass will help me avoid to some degree. I had some issues with vomiting for the first several months when I didn't eat very slowly or had something that was not the "right" texture for my picky insides. But other than that, I've been great. At this point, I can eat about a third to a half of a typical portion of most meals so I don't feel like I get funny looks or anything from people who don't know my situation. I do not experience dumping, which is sad because it means I can eat sweets if I want them without getting sick. And yes, I do want them, so managing cravings is my biggest challenge. I no longer care much for bread or pasta and I also don't eat rice. I do like a few roasted potatoes sometimes and I will steal a couple fries from someone else's plate but I won't order them for myself. I mostly prefer protein, veg, and fruit. And, yeah, sweets... My labs have all looked good so far (have to go get blood drawn next week ahead of my 1-year follow up). I feel fantastic. My one concern had been not being able to take ibuprofen because I was taking it a few times a week for pain. Well, within weeks of the surgery, even when my weight was still fairly high, my pain went away. I have had one time in the past year when I had a headache and wished I could take ibuprofen (and actually, I could have if I had really needed to because a single ibuprofen, or even one a week, is not a high enough risk to worry about).

@SpartanMaker I love butterscotch! Sounds delicious!! My go to's are: 1Cup FF Fairlife 1C Unsweetened Almond milk 1Tbl of FF SF pudding mix 1 scoop of Isopure- usually vanilla or chocolate Swerve to taste *if I do chocolate I'll add PB2 for a peanut butter taste Or Ill just do a fairlife protein shake and add the pudding mix My favorite one that I made thus far has been: 120ml of lite unsweetened coconut milk 285mil of unsweetened almond milk 1 scoop of vanilla isopure 1tbls of SF FF chocolate fudge pudding mix 1 tsp of cake batter extract 1 tsp of raw cacao 1tbls of swerve brown sugar The coconut milk really elevates the flavor and creaminess. Its higher in calories but in my option worth it! My recipes always makes 2 large servings!

My base recipe is mostly: Either ~12 oz of a fairlife protein drink, or fairlife whole milk depending of what flavor I'm going for ~1.5 Tbs unflavored whey protein isolate ~2 Tbs instant pudding ~1 ts extract of your choice Add additional sugar substitute of your choosing if you like it sweeter This normally takes 1 spin on Lite Ice Cream and 1-2 re-spins. For me this is 2 servings, though YMMV. Sometimes, especially if I used a protein drink as the base, I'll use a little less of that and add in some Greek Yogurt to make it creamier. I personally don't like it if it's more than about 4 Tbs because it tends to be a bit tart for my tastes. Here's a more specific example I made recently (and just finished off today): 12 oz Fairlife whole milk ~1.5 Tbs Isopure whey protein isolate ~2 Tbs Butterscotch instant pudding ~6 drops ultra-concentrated Rum Extract Splenda to taste (I didn't measure) I added walnuts as a mix in Now it's your turn to share!

Love it! By the way, I also have a Ninja Creami and my latest passion is trying new recipes for protein ice cream. And yes, chunks of snickers have found their way into my creations. 😁

yes!! In another video he shows him eating a candy bar...He says I am eating this before my cravings get to out of control, so if you eat what your craving when its a level 2 instead of a level 10 you wont get out of control. When we restrict ourselves so much is when we tend to fail and that balance is so important. He also focuses on protein with every meal. This is so true for me. I eat for the most part really well, whole foods, high protein, low in fat and moderate in carbs. But I do eat something sweet every night lol! usually a Yasso ice cream bar or a protein ice cream I make in the creami. But I def will have a mini snickers or two lol

I’m 58 and had RNY on 12/20/24. I’ve lost 57 lbs. total and 26 since the surgery. I’m a picky eater and I’m struggling to get the protein and fluid requirements in. Currently in the stage 4 post-op diet and it is not easy. Hoping stage 5 will give me a few more food options.

4 protein shakes, and one meal - 4oz chicken 1 cup veggies one cup fruit. bleh.

If it works with what you've been given for a diet plan, the unflavored whey powder (like Isopure) blends well into tomato soup or butternut bisque. I found that to be a delightful alternative to the sweet shakes. You might also buy Fairlife skim milk, which has 13g protein per 8oz serving, and blend with PB2 peanut butter powder (and a banana if allowed) for a really nice smoothie. Lastly, a few brands of the bariatric protein shakes make chicken, beef, or French onion flavored powders that you can heat up for a savory "shake".

Collagen Protein by itself is not considered a complete protein because it only has trace amounts (at best) of tryptophan, an essential amino acid. As @NickelChip mentioned, some collagen protein supplements add L-tryptophan to make a more complete protein. Looking at the one your husband is suggesting however, it does not look to have any added L-tryptophan, meaning it's really not suitable. Something else to keep in mind is that whey protein has a huge number of scientific studies showing it's better at muscle protein synthesis than collagen. A protein first diet is recommended for bariatric patients due to the desire to spare muscle catabolism when on a very low calorie diet. If whey is better at muscle protein synthesis, then it makes sense to focus on whey (or alternately on lean whole foods like chicken & fish). This is the reason almost all bariatric surgeons will tell you that it's fine to take collagen, but you should be careful if you are counting it toward your overall daily protein goals. FYI, due to your issues with artificial sweeteners, you probably should be looking for an unflavored version of whey protein isolate. Because it's unflavored, it's also likely to be unsweetened. I personally like Isopure brand, but there are others that are good as well.

Thank you! I'm know my husband’s favorite Podcaster lovvvves the paleovalley bone broth protein powder, but we haven't got any of the unflavored for me to taste. Anything with flavors (i.e. stevia, monkfruit, sugar alcohols, etc.) makes me ill. I'm just trying to get some things on hand to try after my surgery.

Every doctor I've seen recommends whey isolate, but you should check with your dietician. Bone broth is collagen and that is not the same type of protein, at least as I recall it being explained. I was told I could have bone broth but that it doesn't count the same way. I do know, however, that certain brands might be making versions that have the missing amino acids, so that could be an option. Definitely ask a registered dietician or your bariatric team.

I'm currently debating proteins with my husband. LOL He's sold on bone broth protein powder, but I keep reading about whey isolate. Which is better for bariatric patients??

I will! I'm currently debating proteins with my husband. LOL He's sold on bone broth protein powder, but I keep reading about whey isolate. Which is better for bariatric patients?? I guess I should post this in the protein section?

I did super well with not paying attention to the head hunger, but in the last 3 months it's come roaring back. It's super hard to ignore sometimes. When that happens, I try to have smaller meals more often and add an extra snack. It's been a while since my surgery, and while I can't eat like I used to, I can eat larger meals now. And when the head hunger hits, I try to "fool" my brain into thinking I'm eating more when I'm actually eating the same amount but broken up into smaller portions so my brain sees me eating again and again and thinks I'm eating more. It sounds weird, but for me it actually works. And I prioritize protein (some days I hit 100g of protein) because it fills me up and keeps me full longer.

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

I am year out and I still struggle with this. We have to think that we did not get obese by eating till we were satisfied. We overate for the taste, or craving. I do give into cravings and there are days where I blow it, but its life and its not going to be linear- lots of ups and downs. I don't think its something It will ever stop. I track as well, and it keeps me accountable. I just am working on my relationship with food, where I will enjoy the foods I love but in moderation. Also, having that 80/20 mentality is good too. Make sure to get movement in and make good choices. Remember this is a lifetime change not just for a moment change My best advice is to really take this time when your really restricted to work on that food relationship, work on small goals food or exercise. Your doing great on protein but maybe a goal is to come up with a delicious recipe that fits in your day? Or walking around the block. Starting small has really really helped me

That's a very different pre-op diet than I had. I was on three protein shakes a day, pureed (non-starchy) vegetable soups, and as for fruit I could only have apple or berries. The berries I mixed with vanilla protein shake in my Magic Bullet for a smoothie. I never felt dizzy. Are you getting enough protein? Not sure how much is in one pint of skim milk...

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.