Search the Community

I've been unable to do rice (which is a shame since in my culture 90% of our food is rice based) and maybe because I ate too fast before but sandwiches have been a bit tough but I'll try again. Haven't tried pasta since the surgery. And I'm trying with the protein through bars and shakes; haven't tried making porkchops and steaks, although I do luncheon/charcuterie meat, korean short ribs, bbq (as slow cooked/smoked meat has been easy to digest) but I still get full and don't feel like eating more than that for the rest of the day (which again, only eat two meals a day at most).

I never lost my hunger. Not with the sleeve and not with the revision to bypass. I just have more of a hard stop now that can't be ignored. My big thing has always been training my head. It's HARD, but very necessary. I always made sure I had 3 meals and 2 snack and a TON of fluids. And by a ton, I do mean A TON. My head told me I needed to eat, even when I knew I didn't. And that can manifest into physical hunger. I put myself on a schedule. Breakfast between this time and this time, snack here, lunch around this time, snack here, dinner between this time and this time. And then DRINK, DRINK, DRINK. Eventually my head and stomach learned when it's time to eat and when it's not. I only really run into trouble if I miss those times by a lot. THEN I'm in a minefield. Focus on protein as your #1 with food and snacks. That fills you up and keeps you full longer. Veggies are 2nd. Then carbs and HEALTHY fats. Sometimes at night, I'll have a sugar free popsicle if I really can't ignore the 3rd snack craving. I don't do it often, but the tropical ones are my favorite and they hit the spot. Make sure you're getting enough calories. Don't starve yourself, but also don't over eat. It's all about balance and training your brain. It takes a lot of time, patience, and effort. But I promise it's worth it.

Saturday 6th april and i am finally home !! So excited to be in my own bed tonight i could not get comfy in hospital … i barely made it through 1.5 hours without waking up each night. I can’t wait to finally get some rest. I picked up all my meds and a nurse will be coming twice daily to change bandages and administer injections but i feel pretty good. Trying to get into the swing of drinking and eating but it feels like i can’t do both right now. I’ve had 500ml of water by 3pm but one managed to eat like 70g of food all day. Hoping it gets easier each day because today got me worried about the lack of calories i’m getting in … going to work on making lower volume higher cal and higher protein purées so it’s less quantity but better quality food So glad to be home ! Everything feels so much more manageable being in a comfortable environment 😊

a couple weeks ago i remember your post about your struggle to stop losing...are you still losing while this hunger appeared? perhaps its your body's response to the weight losses...? if thats the case, then perhaps listen to your bod and eat more? i can imagine that eating more is in itself a struggle...it took me 3-4 months to get over the mental block to actually stop diet mode (and like 2 years to get over the mental block of eating bread/rice/pasta lol) if im not mistaken you just recently reached goal? (congrats again btw), my suggestion would be to give yourself a bit more time (ie several months) to find your happy spot, it usually takes a while before you get to the autopilot of maintenance...great suggestions above...experiment with (small amounts) of (preferably nutritious) foods and amounts and see what help with the hunger. keep an eye on the scale in tandem to determine any causal relationships with certain foods. but yeah, i know, "easier said...". good luck, and it CAN be done! ❤️

Start by adding more non-starchy veggies to every meal. At least, this is my plan for further down the road. I think the temptation is to increase portions size across the plate when we're hungry, but if you have been getting your 60-80g protein per day already, you don't need more. So keep the meat and starch or carb servings the same as your plan suggests but add a baby spinach salad or more cooked veg to your plate. It will fill you up but not cause your body to increase your set point the way processed food and simple carbs would.

I unfortunately only spent a few months following surgery without being overly hungry, but after about the three month mark it came back with a vengeance, so I decided to do some research. I now consume Non digestive or Resistant meladextrin. Its a corn fiber that your body can't digest so; no calories, good fiber and probiotics purported to help with the following: Resistant maltodextrin is believed to enhance gut health by [19, 29, 30]: Promoting the growth of good gut bacteria Improving stool weight, consistency, and bowel movements According to some researchers, resistant maltodextrin has potential against obesity, diabetes, and heart disease because, in various studies, it has [31, 32, 33, 34, 35, 36, 37, 38, 39]: Reduced belly fat and body weight Decreased food intake Increased satiety hormones (glucagon-like peptide-1 and peptide YY) Lowered the production of the “hunger” hormone (ghrelin) Reduced blood sugar levels and insulin resistance Blocking the growth of cancer cells and tumors ** hasn't been proven** Decreasing endotoxins, inflammatory cytokines and oxidative stress markers (TNF-a, IFN gamma, MDA) Increasing protective antibodies and anti-inflammatory substances (IgA, butyrate, IL-10) In clinical studies of over 200 people, resistant maltodextrin enhanced the growth of good gut bacteria, including [19, 29, 44, 47, 48]: Bifidobacterium Ruminococcus Eubacterium Lactobacillus Lachnospiraceae Bacteroides Holdemania Faecalibacterium As a resistant starch, this type of maltodextrin will help keep your blood sugar level stable after meals. In a meta-analysis of over 900 people, resistant maltodextrin blocked the increase of blood sugar after meals (postprandial glycemia) [37]. resistant maltodextrin decreased blood glucose and insulin levels. It increased a weight-loss protein called adiponectin that blocks glucose production. 3) Obesity In several clinical studies of over 300 overweight people, resistant maltodextrin reduced body weight, body mass index (BMI), and body fat. In one 12-week clinical study of 30 people with metabolic syndrome, it decreased waist circumference and belly fat [31, 55, 35]. In clinical studies of over 160 overweight men, resistant maltodextrin decreased feelings of hunger, increased satiety, and reduced and food intake. In another study on 32 healthy people, it decreased levels of the “hunger” hormone (ghrelin), lowered feelings of hunger and improved satiety [31, 32, 33, 34]. In rats, resistant maltodextrin reduced body weight, belly fat, and suppressed excess food intake [56, 6, 50 I found numerous research studies that pretty much said the same things above..so I figured I'd give it a try. It has no flavor and desolved completely so I just add it to my water plus it has no calories and helps regulate Ghrelin (hunger hormone). It really seems to help! I just make sure its non GMO etc etc. Perhaps it can help you, I figured it couldn't hurt and I do feel less hungry...still by try but less.

surgeons do vary. At my clinic, both sleeve and bypass people were on the same plan. They had us on purees as soon as we left the hospital, but they changed that (I had my surgery nine years ago) and now they have to do a week (or maybe two?) of liquids before moving to purees.

I'm 13 years out. Yes, you can drink while eating, but I chose not to as I want to have that full feeling longer. I know that if I am feeling too full, because I ate something that expands in my stomach like breads/rice/pasta, I can take a few sips and I get relief. That is because, as mentioned, having a liquidy slurry of partially digested food will alert the pyloric valve to open sooner to pass to the intestines. The negative part to this is if you do drink while eating, you will be able to consume more food/calories, which I have discovered my body doesn't really need. It was a new habit, but once you get into the groove of things, you will soon discover you don't need it. There is an old video out on YouTube which gives a great example of what happens when you have applesauce in a funnel, then add a little water. The applesauce loosens up and goes right through the funnel. I believe this to be true for me. Search for WLS - No Drinking With Meals! He didn't have VSG, but as I mentioned, I found this to be true for me.

Its all about muscle memory, you've eaten a certain way far longer than your "militant" way. Plus, eating very strict structured ways isn't easy to maintain - be easy on yourself. Being constantly vigilant can't be done, our brains aren't able to maintain that at all times, slip ups occur. You need to retrain yourself, which is what the prediet is supposed to start you doing - changing your muscle memory and making new ones, but it took years to develop your old bad habits, it will take some time to reprogram yourself! I eat very structured and pretty much the same food all the time and boy does my mind rebel! Its human nature to want what we can't have and to want a variety that tastes good (no matter how many times my dietician says celery and faux noodles taste good - they don't! Take that Jennifer!) You know what and how you should be eating, instead of berating yourself leading to self anger and hatred of the "failures" take baby steps. You know you've done it before! I still don't get my required H20 in and I'm six months PO. Just don't compare yourself to others on here that say they do get all their requirements in, you do what you can do. Its too daunting looking at going from a small amount to I'll do my full required water ounces tomorrow. Looking at the full amount knowing you haven't done it - sets you up for being angry at yourself. Just add a few more ounces each day than you did the last day, same for protein goals. Celebrate each addition as a victory! Lastly, I never had the honeymoon period people talk about, my hunger came back quick (and no it wasn't "mind hunger" despite what ppl told me). I seldom feel full, I just eat the mandated size limits and stick to it knowing I'll just have to be hungry. Is it tough? Heck yeah, but I tell myself being hungry is better than being fat and I didn't go through all this to not do it. Remember, we are all different and walk our own paths on this journey - you just have to walk yours as best you can from day to day, take baby steps before you run! Try different food combos on your pureed phase to keep it interesting, count your liquids in your soups and protein drinks - they count and add up. Add protein powder to everything like I do to get your protein in. You've got this!

It causes gas bubbles, you chew..you produce saliva, you swallow saliva with air - you get air bubbles in your new smaller stomach taking up valuable room for nutrients. Plus, you're healing - air in your stomach can when you add liquid and food cause pressure on your sutures when you're trying to heal! Add to this that when you produce saliva you start to produce stomach acids for digestion, this acid and enzymes can cause heart burn and ever ulcers.

One reason for having to wait 30 minutes to drink after eating or not consume liquids while eating is to prevent the diluting of digestive enzymes. These enzymes are vital to the process of digestion. Watering down the enzymes will disrupt the process and can cause problems like acidity and heartburn damaging your throat and stomach. If the enzymes are watered down - less broken down food - less nutrients are absorbed. Also, liquid added to your new stomach (sorry I refuse to call it a "pouch"), causes food to flow through the stomach quicker than your stomach nerves can trigger the " full" feeling". It also causes the stomach to empty quicker leading to less absorption of nutrients and possibly eating more because the full perception isn't achieved. At least this is how it was explained to me. As you are always going to have (hopefully) a smaller stomach and the need for as many of the nutrients you eat to be fully absorbed - waiting to drink should be a lifetime practice. Although, sometimes I find it difficult to stick to this as well!

oh that one time was enough for me, I have never done that again and plan to never. that was the day that I realized my food addiction and realized that I did my sleeve for a reason and to get outta this habit. Now I eat till I am satisified and make sure to drink my water plus some. I have been working my ass off and never want to go through being obese and how I felt before. As you said "this is my second chance at life"!

I've never heard of such a draconian measure. I drink coffee and it hasn't affected my weight. Of course its an 8oz cup with monk fruit sweetener and some cream not a high calorie specialty drink from a coffee shop. Also don't try to eat around your restriction. Since my 2017 surgery I still have a very good restriction. ( I thank the gastric sleeve god every day) Prior to surgery I lived to eat. After surgery I needed to learn to eat to live. It was very very difficult but I realized I'm not getting a second chance. Insurance will not pay for a redo and to be honest, what would I accomplish with a redo if I didn't learn to eat to live. Food was my drug of choice as it is with many others on this site. We need to realize we don't have to love food but just like it a little bit to stay healthy.

HIYA!! So, I am 11 weeks out, and I did not realize how bad my poor relationship with food, until I started to get to week 6 and I was super stressed out and just wanted to eat a burrito. I knew in my head I couldn't, so I got a salad from chipotle figured surely I can eat AT LEAST half. I threw up after 1/4 because it just was wayyyy too much food. Then once I did that I felt so pissed that I couldn't eat because I wanted to and it "helped" with my stress. That's how I used to cope, I would shove my face before I got home so my husband and kids didn't know then I would eat dinner with them still. In the beginning about where you are at, I journaled and I walked a lot. I tried to keep myself busy. My program says no caffeine for life and honestly last week I started to make iced coffees with latte premier protein and black decaf cold brew that I make at home. That has helped my energy A LOT! I have been a sloth up until maybe last week. This is allll so normal, speak to your dietician, try to distract yourself, remember your why. I have to remind myself that this surgery is not a cure all, the cravings will be there but this is an amazing tool. Its helping us become a healthier version of ourselves. You got this!!! and We are here for you and your journey!

Thanks for this! I fully intend to follow the guidance, it was just a curiosity as to how they determine their guidance. I just think it's really interesting to basically still be on full liquid to week three post-surgery. Maybe yours is tailored and mine is just sort of a set rubric? The food guidance I have isn't tailored to me––it's a PDF that's given to every bariatric patient in our medical group. My assigned nutritionist shared with me that her department always receives random updates to the diet directly from the bariatric department when the issue the new PDFs (we went through two updates while I was waiting for my surgery to be scheduled. When I have update calls with my nutritionist, she just asks me if I'm getting in my fluids and proteins and following the PDF for guidance on what I'm allowed to have. Either way, really interesting! Hope your surgery goes smoothly!!

Heya! I think every Dr/Surgeon must do things with a slight variation, but it is always best to follow the advice given by your own Dr/healthcare team - it is often tailored to you e.g., in terms of weight, health conditions etc. I had my dietician appointment today and we went through when I am starting the LRD, which will be for 2 weeks, and then went through the different food stages which for me are: Week 1 - Liquid Week 2 - Puree/slush Week 3 - Mush (thick/lumpy foods) Week 4 - Soft foods Week 5 - 'Normal' foods

Does every doctor interpret this treatment process differently? I've been reading so many different timelines that everyone is being given, and I'm confused as to whether there is actually a "norm" and then doctors deviate accordingly, or if each doctor/medical group sets their ideal SOP? For instance, my surgeon required 2 full weeks of liquid only diet for pre-op and at least one night in the hospital after surgery. My first in-person check-in was at one week. I have video/phone appointments until my next in-person at 6 months. Pureed/soft foods don't start until week 3. Solid foods will start week 7. Red meat/shrimp at 6 months. I have Kaiser in the DMV, so the food part is proscribed by the bariatric department, but even the overnight requirement was different with other people having surgery the same day as me. A nurse said my surgeon makes it a standard while others are out in hours. Obviously, it looks like my doctor is moving out of an abundance of caution, which I appreciate, but is anyone not in the Kaiser system getting the same guidance?

Well, i went in on 3rd april, at 8.30am as planned. I was rushed in pretty quickly because the surgeon was done with his earlier procedures and so i didn’t have time to really get to grasp what i was doing - i went from registration to being rushed by the nurses to change and next thing i knew i was being wheeled into the OR. The operation didn’t go as planned - it was supposed to last 1.5 hours but ended up being 3 hours long because, as my surgeon tells me, my abdominal muscle wall was thicker than expected and he had to pull apart my muscles to access my stomach. I woke up in so much muscle pain … like having done 1500 crunches or something. I was in and out of sleep for the rest or the afternoon and night. I was on a morphine drip, and hydration drip but in pretty much the same pain - i had a drain in also that was unplanned and uncomfortable. The next day i was feeling pretty terrible : pain and nausea really set in. I had horrible acid reflux and having not eaten anything for now 48 hours i was really feeling just down and exhausted. Today, i hurt way less. I’m off the morphine and hydration drip and drinking by myself. I’ve also had my first non liquid food in the form of yoghurt and apple sauce. I think that’s made me feel so much better. I still have mild muscle pain but it’ll get better. I get to go home tomorrow thank god i feel like being home will help soooo much

Life just throws it all at you some times & I’m sorry you’ve been through a lot. Unfortunately the pouch reset is a fairy story/old wives’ tale. What needs to be reset is not your tummy but your head. Remember all that head work we had to do in the beginning? The stress, emotions & changes you’ve been experiencing has likely meant those old bad habits have snuck in again & you’ve been turning to food to comfort yourself. It’s easy to become complacent too. All completely understandable. Don’t know if you were a food tracker or not, but tracking even for a couple of weeks like @Spinoza suggested will help you identify what you may need to adjust - food choices, protein & fluid goals, portion sizes, nutrition. Then start by making one or two changes & another one or two a couple of weeks later. Small changes are easier to adopt & adapt to. Probably aim to get back to about where you were when your weight stabilised & how you initially maintained. Maybe contact your nut/dietician to help you get back in the right mindset. Therapy may help you manage & better cope with the stress you’ve been experiencing too so you don’t turn to food. You’ve been successful for ten years. You can do it again. All the best.

I can eat pho - although I'm nine years out. You should be able to at some point, but not for a while (I was about six months out when all food restrictions were lifted). A lot of people have issues with noodles, though - they can sit in your stomach like a brick. I do eat them, but not like I used to. A half cup or so is usually OK, though.

I am only 2 weeks out but I wanna get some ideas for when I am able to eat them. My doc has already allowed me to eat soft foods such as lunch meats as I am able to tolerate them really well so I’m just getting more ideas for the future. Also how do you edit the stats? I keep trying and I cannot figure it out. It says in my bio when my surgery was and what surgery but that’s all I can figure out how to edit.

OK I am not a vet so feel free to ignore. Someone with much more experience will be along shortly and I too will be reading with interest. If you could track what you're eating now, in an app of your choosing, then that might help A LOT. Know thine enemy and all that. If I was in your shoes (and I may well be in a few years' time) then I think I would go back to protein first at most meals. Loads of veggies first at at least one meal a day too - raw or cooked. Track all of your macros. Ditch ultra processed foods and refined carbs *completely* - they are nobody's friends. For my own info please may I ask how long you maintained for following your sleeve and how quickly you regained when things got stressful?

Happy surgery month, April-ites! I did mine in April of last year and want to share my encouragement and support, knowing almost one year out (26th) it has been an extraordinary and revelatory experience. There were some bumps and dings throughout the year (Foamies, severe stabbing pains post surgery - they subside! , gallbladder removal, fainting from dehydration, no appetite, strong appetite, hair loss and regrowth, etc). All worth the rollercoaster and 107 lbs down. Happy to answer any questions :) summer had a lot of comments, Fall was the sweet spot of people noticing and me feeling my best. Winter and now spring again- I’m starting to run and be outside a lot more. Really helps to have a 2nd chance at moving well in my body and enjoying real food. All the best to you guys!!

Hey @jparadigm, I wanted to say I am sorry to hear that you are struggling. I do think however that these feelings are entirely normal, and from reading others who have posted in these forums, a lot of people do go through this. Dealing with our relationship with food is one of the hardest things to do, but as you know, is a key part of working with the tool of surgery. I think your idea of maybe seeking some help from a therapist/counsellor would be a good idea. I am pre-surgery, but I have therapy every week and my main focus at the moment is around my relationship to food. I would say however, try not to beat yourself up too much, as this can do the opposite and not motivate you at all. You're still healing, and that takes a toll on you mentally and physically. This is all new for you. Maybe start a journal and when you are feeling those cravings, write down what it is you want, and how you are feeling in that moment - try and pinpoint exactly what feeling is driving those cravings, sit with it, be interested in it. Hopefully that may start to give you that time to acknowledge how you are feeling before any incidents of deviating from your current food plan. Then think maybe about something else you can do that will give you that hit of dopamine! Either way, speaking to someone about how you are feeling and seeking to address your relationship with food will be key, and you have already taken that first step in admitting how you feel here and seeking help. Be kind to yourself x

Not hundreds but thousands of posts about it. I never understand, when it is something that almost every single person experiences after their surgery & it can be so demoralising, that surgeons & support teams don’t warn & prepare people for it. Yes, it generally occurs around week 3 +/-. The stall can last 1-3 weeks. It likely won’t be your one & only. Your body shuts down to reassess your needs as a result of the weight you’ve lost so far. This is when your body resets things like your digestive hormones, etc. The stall will break when your body has made the adjustments & is ready to move forward again. Stick to your plan. Don’t stress your body more by making additional changes to your activity or food intake other than what your plan recommends or requires. While waiting fir the stall to break, celebrate the weight you’ve lost so far. It’s a fabulous achievement.