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Catwoman is right. It depends what's on your plate. By and large, at least according to two prominent surgeons (Dr. John Pilcher and Dr. Matthew Weiner), pouch stretching isn't really a thing. Your pouch is meant to regain elasticity as it heals, allowing you to eat the amount of food you'll need for maintenance. It's what you choose to fill it with that makes the difference. Bearing in mind I'm still in the early stages so this is just based on research instead of personal experience, this is what I have read and heard. You want to keep your protein serving to 3-4oz and your starch/carb serving to 1/4 to 1/2 cup (or 1 slice bread), and the rest non-starchy veg. That would be 1/2 your plate is veg and 1/2 your plate split between protein and carb. And a smaller lunch/salad plate, not a dinner plate bigger than your head! The meal you posted looks pretty healthy to me. I found this video really informative:
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To tell you the truth i stopped weighting my food a long time ago since i never bring food to work (There's a Healthy Food Buffet at work) i usually just eat until im full. For example, this was yesterday's lunch:
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Thanks so much for your reply. I’m sorry to hear you are struggling a bit but glad you are tolorating at least some real foods and getting your protein in. I am trying low carb recipes each day and have found a few that are good for me. I just have to sift through the super high fat ones that I’m guessing won’t be ideal post op. I won’t get into specifics since you are limited in what you’re eating right now. I’m kinda shocked that you are still dealing with nausea and abdominal pain at four months. I know everyone’s body is differnt but Do they act like that is common for recovery? Is the vitamin deficiency related to the surgery?
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8 oz can vary a lot, depending on what it is. I could easily eat 8 oz of yogurt, but I could never eat 8 oz of meat. A full plate of food also depends on what it is and how big the plate is, but in most cases, yes, it's likely too much, Do you know how many calories you're averaging? You probably haven't stretched your stomach, but once you get used to eating larger amounts of food, it's hard to go back..
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Good morning! I'm 10 months and 19 days Post Op (Gastric Bypass) after the 8 Month i started eating more than 8oz per meal to feel satisfied, I'm literally eating almost a normal plate of food and now I'm worried that my pouch stretched. Is this normal? Right now I'm not gaining weight (thankfully) but I'm scared i might mess my surgery up later on. Thanks in advance for your replies!
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It’s not only a full time job but a lifetime job. I found eating & drinking to a routine very helpful while losing & maintaining. I still watch what I eat (nutrients & calories) & how much I eat. I know I can’t eat whatever I want otherwise I’ll be back where I started. Of course I have more flexibility now in regard to certain foods & how much & how often I have them. Some great suggestions from the others. You can start by slowly incorporating a couple every week or two & see how you go. While you are still losing it’s very important to stick closely to your eating plan. Though I would question a plan that says you can eat whatever you like at 4 months. Maybe go back to your dietician and ask for more guidance around your food choices, & ideas for ingredients or cooking styles you can swap in or incorporate. Also you may find speaking with a therapist helpful. Many do. A therapist will help you work through your eating & relationship with food, what drives you to eat, support you develop strategies to manage challenges like cravings. You can do this.
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Dehydration, Back Pain, and #2 Issues
Arabesque replied to Vegmama's topic in PRE-Operation Weight Loss Surgery Q&A
These things can & do happen. Constipation is often an ongoing issue for many of us at least until we’re eating a broader range of food like vegetables & fruit. Try adding a soluble fibre to a drink, shake, soup, yoghurt, or similar to help. I used to take a stool softener if I hadn’t gone for three days to keep on top of it. Remember too you’re not actually eating that much so you don’t have much to actually poop out especially in the first couple of months. So don’t expect to go every day. Meeting or being close to your daily fluid goal is extremely important because of dehydration. Sip, sip, sip. I still drink during the night to ensure I reach mine. (Have a drink whenever I wake.) Your throat can be swollen for a little while after the surgery though it does generally pass in a couple of days. Do mention it to your surgeon when you go for your check up if it’s soon otherwise give them a call. Try drinks at different temperatures in the meantime. Many of us found warm or hot drinks more soothing than cool or cold drinks. And again sip slowly. Also remember we all heal & recover in our own way & time. This is a pretty major surgery & some take a little longer or can experience some challenges with certain aspects like hitting fluid or protein goals, or experience a little more surgical pain, have more gas pain, take a little longer to get their strength back, tolerate or not tolerate certain flavours, textures, smells, etc. Like your weight loss, your recovery may be a bit erratic. Easier today, but tomorrow not as much, then the next day is okay. Look back over a week to better see your progress. You can be sure that it does get better & easier in time. All the best.- 1 reply
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Yeah, not buying it. The medical community looks for what it wants to see. I married a statistician. They constantly remind me "Correlation does not equal causation!!" The medical community wants to believe that more physical activity will miraculously solve obesity issues because it puts the cause and the remedy right back in our laps, instead of admitting that this is a disease that is very complex and no one smoking gun is the cause or the cure. We need holistic approaches. I was a very active child. So were my siblings. My brother is a normal weight, my sister is often underweight, and I ended up over 300 lbs. My parents are normal weight though they both have siblings with weight issues. I gained a ton of weight while I was still active. Puberty hit and it was like someone switched on a helium tank and I just ballooned up. I've had more doctors than I care to count tell me that if I just got more physical activity and stopped eating McDonalds all would be well, ignoring the fact that I hate McDonalds and until my autoimmune disease got severe I was quite physically active. I know a lot of thin people who are couch potatoes. I know a lot of fat people who are active. These "studies" do nothing but continue to give doctors more ammunition in the shame game that is current obesity management. My partner is Chinese, was raised on traditional Cantonese food (which is very healthy in general), in a family where everyone is effortlessly thin except their grandmother who was diabetic... Several years ago my partner was diagnosed with diabetes. They've had weight issues all their life, despite being very active for most of it. Is it genetics? Perhaps. Is it current lifestyle? It probably contributed to it. Was it due to a childhood diet based on rice? Not likely, that diet also incorporated a ton of healthy protein options and a healthy variety of vegetables, including plenty of greens. A lack of exercise was certainly not the cause of it and increasing exercise is not going to be the cure for it either...
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I dose out my vitamins for a whole month at a time using these pill cases: https://www.amazon.com/gp/product/B08QR78YP3 Sometimes you can find them (or a similar brand) with a coupon for a bit more off, but honestly they are cheap enough to get 4 and still not break the bank. Start with 1 or 2 though until you know you like them. I love how colorful they are, it helps me not lose them when I carry around the day's doses. Then I set a medication reminder (iphones have this in the health section, but you can get apps for it too). I have to take vitamins and meds 4 times a day, so doing this really helps me remember to take them and to not get behind. Finding movement you enjoy is important. Gyms aren't necessary and for many of us they hold a lot of negative associations. If you love the gym then disregard this suggestion, but if you don't, you might be much more likely to do an exercise that actually feels GOOD in your body to do. Also, I carry protein snacks with me at all times. And when I get off track and forget, I stop at a store or gas station to get little packets of nuts and jerky, instead of stopping at a fast food place or eating a bunch of simple carbs. I keep reminding myself that just because I'm cleared for "all foods" does not mean that "all foods" are "right now" foods. Some things are not for us in this first 18 months, even if we can technically digest them fine. When I relax into that awareness and get myself back into ketosis, I usually feel better and stop craving simple carbs so much. Except for chocolate. I will always want chocolate. LOL
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How can I possibly live like this?
ChunkCat replied to lolyschmoney's topic in Gastric Bypass Surgery Forums
In people with an intestinal component to their surgery (like gastric bypass, SADI, and DS) sometimes GI symptoms can happen like chronic gas. You might consider exploring a FODMAP diet to see if you can find the foods that are triggering the gas. Odds are something you are eating is causing this... You could also try adding a probiotic, sometimes the gut microbiome can get off kilter. And a reduction in the simple carbs you are eating might help too if you eat a lot of carbs as opposed to a protein heavy diet. As for the burping, it sounds like for some reason you are swallowing a lot of air. You might try drinking fluids a bit differently. If you drink from a bottle or a straw a lot, you might switch to a wide mouthed cup. My dietician said a lot of water bottles and narrow shaped cups (as well as straws) can cause you to swallow a lot more air than normal, causing burping and sometimes nausea. I'm sorry food doesn't feel good right now. I feel the movement of food in my esophagus and stomach a lot, as well as when I drink. Small sips and small bites help. Small is smaller than you think. I hear it gets better as time goes on... Sometimes I can eat relatively normally, other times (like this week) my restriction is super high and I can only eat half of what I normally do, or less. There is an ebb and flow to this. So on my high restriction days I eat less and drink more protein supplements. On my low restriction days I get more veggies in and a hefty dose of meat based proteins. I figure it all averages out in the end! I agree though, a talk with your doctor is in order. You shouldn't be experiencing pain at this point. On rare occasions bypass patients can develop strictures which could cause some of the symptoms you list. -
March 2024 Surgery Buddies!
TinyBink replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
I've been struggling with the eating too fast. It's a problem i've always had, but now its having more of an impact on me (obviously). I've luckily only done it twice, with today being the most recent, and I get so mad at myself for letting it happen. Any tricks or advice to slow down. It is probably as simple as taking a tablespoon of food and counting to 50 or something. -
Problem is, do you have an inherited risk of obesity or how many kids do you see that are thin with overweight parents? Is the problem culture of food eating patterns? Or are we talking some of the Asian populations that do have this problem - and don't have the problem with rice that other cultures do? They also didn't note anything about the food patterns in the studies. Or I missed it.
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Not that uncommon. I can eat a pretty "normal" amount of food as well, depending on what time of day it is, activity level and what kind of food. Take a look at Dr. Weiner's video on increasing portion sizes: Interesting chart about 1:30 min in. I wish surgeons would educate their patients on this and telling them that it's normal and nothing to be scared about ("my surgery failed" - no it most likely didn't).
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hi dear thanks alot! i actually never thought about having possible food allergies. i might just look into that actually if it is maybeeee a factor. thank you ❤️
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March 11th sleeved any twins
MZ.Pinky82 replied to MZ.Pinky82's topic in PRE-Operation Weight Loss Surgery Q&A
Hey there I'm loving the soft food so much -
Belly fat problems after surgery
Uzumaki Noodle replied to Megan Black's topic in Food and Nutrition
You look fantastic and congratulations on your current loss! I can only speak on my own experiences, but it looks similar to my bloated stomach, not after surgery, but before I found out I had certain allergies to foods and cut them out. It could even be as simple as food sensitivity causing a bigger-looking stomach that you may not have tried giving up yet. 100% It could be none of this 😆, our experiences are our own but just wanted to throw it out there just in case you hadn't thought about it. ❤️ -
It sounds like maybe you would benefit from a stricter routine. At least, I know I tend to flounder when I am just let loose without many rules. If I have to figure out what to do every day and each day is different, I get totally off track with stuff. But when I get into a routine, it's way easier. I haven't gotten off track yet simply by virtue of not being able to eat very much right now, but I know that establishing habits and routines is the most important thing for me to do before I get to the point where I could. Here are some suggestions, just in case they help! Put your full week's worth of vitamins in a weekly pill case (I use this one: https://www.amazon.com/gp/product/B0C6XZN1YH). It's especially helpful if you get the kind where you can take the day's box with you for those later in the day doses like calcium. Make the same thing for breakfast and lunch every day, or have a rotation of things you can do that are all close to the same in protein value. Plan a dozen dinners that are also roughly the same in protein. Add them up and make sure any breakfast, lunch, and dinner chosen from your repertoire will hit your protein goal. If not, plan for a snack or two in the same way. Don't eat things that are not nutrient dense, and if you do have a treat on occasion, make sure you're limiting yourself to once a month, not once a day! (And if you happen to love chocolate, consider this for one of your daily calcium supplements: https://procarenow.com/products/calcium-dark-chocolate-500mg-calcium-500-iu-vitamin-d) Consider getting something like the Portion Perfection plates and meal prep containers if you struggle with portion size Buy a bariatric cookbook to help with food choices and portions Put your gym or exercise time on your calendar and treat it like you would a doctor's appointment (I struggle with this so much) Or, if you hate the gym, choose exercises you'll actually look forward to. Going to a gym is not a requirement but moving your body is. Put all your reminders for vitamins, mealtime, snack time, and exercise time in your phone so you get reminders
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Hello everyone, 8 months ago, I had a gastric bypass surgery, and I've lost -32 kg since then. However, I take zero pleasure in drinking or eating. I painfully feel the journey of the food I ingest to my stomach. Everything makes me burp, whether it's food or drink, even a small sip of water. I also have flatulence. My appetite is very unstable: one day I eat well, the next I can't swallow more than 3 bites. I experience nausea and random cramps. My stomach frequently gurgles, which makes me uncomfortable in public. I feel very uncomfortable at restaurants. Have other people experienced these symptoms, and do they ease with time? These symptoms appeared rather late for me, which worries me even more. I wonder how I will cope with this for life?
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November 2023 buddies
SomeBigGuy replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
@brandycsiz - I think its pretty common. I've deifinitely gone off track, mostly due to other health issues and stress outside of the surgery itself. I was able to walk several miles without stopping in December, then after getting Covid (and I'm assuming long-Covid now), if I go more than 3 miles in a day or try lifting weights in the gym, I get physically ill for 2-3 days afterwards. I keep walking 1-2 miles in the evenings after work, but the lack of progress and regain of weight is very discouraging. I tended to stress eat before, and to be honest, the surgery was a success because at least it limits the amount I tend to binge on when having a bad time. I still have those cravings, but at least now I can drink 8-12oz of water and delay eating. I'm probably on track with my diet 3-4 days per week, but have been overdoing it or eating too many calorie/carb-dense foods when I have an off day or when I see family, who aren't the most supportive. My mom likes to drop off Little Debbie cakes and other snacks on my porch twice a week as she's driving by, and it's straining our relationship because I throw them away immediately, and she sees that as me being ungrateful and disrespectful. I am 6lbs heavier than I was around 8 weeks post-op, so its really getting me down. After covid, I developed some issues with my heart rate. It drops down in the upper 20's to low 30s in my sleep and my blood pressure drops too low, but if it get it past 100bpm, my blood pressure spikes, and I get dizzy and almost faint. I'm trying to get in to see specialists, but I can't get in with a specialist for 5+ months just for initial consult. I have to drive 3+ hours to another area to try to get in sooner, but I burned all my leave time for the year with Covid in January, so I can't take the days off to travel. -
This is a hard one because on the one hand, it's fairly easy to advise how to change your diet and lifestyle. Here are some basic things to try: drink at least 64oz water per day remove all processed foods and sweets from your house and diet and replace with fresh fruit and nuts/seeds (this includes artificial sweetener and protein shakes if you're past 3-6 months post-op) make sure you hit your protein goal (probably 80g) with high-quality lean protein every meal, every day (meat, chicken, fish, eggs, cheese, beans) decrease or eliminate your grains/starches and always opt for whole grain when you do have it eat only at mealtimes increase your vegetable consumption increase physical activity (for example, get 10k steps per day) keep a journal that includes both a food journal and an emotions journal, and use this to see if you can find patterns or triggers in your behavior The motivation is a whole other issue. None of these changes are likely to stick if you don't have the motivation and mindset you need to do it. Personally, I found a lot of information and motivation from reading Dr. Matthew Weiner's books, A Pound of Cure, and also the one that explains how weight loss surgery really works. I also get a lot of inspiration from watching YouTube vloggers and podcasts. Here are a few of my favorites: https://www.youtube.com/@LouisesJourneyxo https://www.youtube.com/@apoundofcure https://www.youtube.com/@nicoleislosingit https://www.youtube.com/@kakisrnyjourney5376 https://www.youtube.com/@thistothatlife Finally, if you can, get friends and family involved in supporting you by checking in on your progress, going for walks with you, maybe cooking meals together. And post here for support!
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Dehydration, Back Pain, and #2 Issues
Vegmama posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi! My daughter (22 yo) and I just had the sleeve this month. Hers was 3/4 and mine was 3/11. Our healing process has been so different and while I’m moving right along, she’s had a set back with hydration and pooping. I’m curious if anyone else has had these issues and how you’ve overcome them so that I can help her. She didn’t poop for about two weeks, so under the care of our doctor, did a Fleet enema. That helped some that day but by that point, she was dehydrated. She ended up in the hospital Monday night and received fluids. Yesterday was a little better but still struggling to get in liquids (forget protein/food). This morning, she had sharp back pain again so I’ve started having her drink the four little 1 ounce cups again so that I can help her better monitor what she’s actually drinking. Also making sure she takes her Prilosec and Miralax. Added in Smooth Move tea. Heating pad on back. Encouraging her to walk but this has been hard because she feels so bad. Oh, and she’s complaining about the drinks hurting her throat going down (the stuck feeling) but the CT scan showed she’s fine. Anybody else have a setback like this? Any other suggestions? Thanks!!!! -
I had Petersens hernias 2 years out - the membrane that holds in your guts is pulled apart by the weight loss and the intestines slide in and out and loops can get trapped. It never shows on X-rays and not always on ct as it moves about. General emergency docs in uk missed diagnosis and it was finally seen by bariatric department and repaired- more than half my gut out of place when they sewed it back up! thing is because it moves around the scans don’t always catch it. I spent ages trying to figure out what foods caused it. If I got on hands and knees and rolled hips/back I could often soothe it which we realise now may well have helped move things back. it needs exploratory surgery to be entirely sure/ rule it out. Make a fuss. Make sure you see bariatric surgeon, use name Petersens xx
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Oh yes. If I’m lucky i can offload some food to others, but I live alone so it’s mostly just me myself and I. I tend to eat the same thing for dinner for almost a week. Even 1lb of ground meat is several meals. I purchased the W&P Cup silicone cubes for freezing (found them cheaper than Souper cubes). They are phenomenal. They have various sizes but I have the 6 cube tray that holds up to 1 cup each cube. I like that they have measurement lines inside so you have different options for smaller portions. I have used them for soups, chilis, stew and even “pasta” (palmini noodles). Once it’s frozen solid, I just pop them out and place them in freezer bags and label. Makes it easy to have measured out meals that can be popped in the microwave. I hate food waste, but it’s impossible to finish things fast enough. Fresh vegetables i have a love hate relationship for that very reason. I have been trying to cut and prep and freeze some things or plan my meals around what i have on hand, but even then it’s so hard. I’m about to purchase a vacuum sealer food saver to better seal freezer portions.
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Everyday diet post surgery.
Clueless_girl replied to ShoppGirl's topic in Duodenal Switch Surgery Forum
I'm almost 4 months post from the ds so I'm no means an expert, but I've been sensitive/intolerant to gluten for the last like 7 yrs so I can chime in about food restrictions. Having to find substitutions for food you know and love is ROUGH, more so when you're sick or recovering. I've had problems with nausea, abdominal pain, and vitamin deficiency during my recovery so my dietician is still having me focus on protein with a little soft cooked, non-starchy vegetables (I really miss eating fruit). I have ADHD so eating the same thing for more than like 2 meals is almost impossible. However, there are a lot of other people who are dealing with low carb and bariatric diets so finding suggestions and recipes isn't hard. Unfortunately that also means it takes a lot of research and trial and error to find what works for you specifically. There are a lot of different alternatives for gluten free/low carb/no sugar/etc. products available online that are a bit pricey, but might also be a good option for what you want/crave too. -
Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again.
I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent.
I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow.
