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this is the first time I've heard of a case like this, and I've been on this site for nine years. I malabsorb protein so from the get-go I've had to be sure to get at least 100 grams in every day, but it sounds like your mother's case is more extreme. I still have a protein shake every morning so I can be sure my intake ends up at least 100 grams by the end of the day, but it sounds like your mother may need even more than. that. Maybe her liver issues are a factor in this, too. I've taken OTC vitamins all along and have never had deficiencies - and that's true of many of us. Usually, OTC versions are fine (although you usually have to take two regular multis a day, rather than one (which is true of many of the bariatric-specific multis). She may have to get prescription-strength vitamins (I know they have prescription-strength vitamin D, for example - not sure about other vitamins). hmmm...not sure what to tell you. This sounds like a pretty rare condition, so I hope someone can help her!

Hi I don't know of many people with the protein problem but my daughter is in the same position as your mother her blood level for protein is almost non exciting her bariatric surgeon has told it is because she hS malabsorption but at the same time she is allergic to protein where as I hD the bypass and have fat malabsorption I am also 69yrs lost 70kg my daughter had the sleeve In Australia we have a group on Facebook for the over 50 people maybe she should look at and even join it hope this helps abit

I don’t personal buy it on bariatric pal, but might look into it. Before my surgery I bought some protein soup and protein pudding on Amazon. I picked the one that is bariatric friendly like low in carb, and low in sugar. The protein pudding I tried the variety pack first, but the 0 sugar one didn’t taste to my liking and I bought the one I like that have 2garm of sugar in it. The soup and pudding have extra 12-15 gram of protein. I only use it when my meals does not meet my protein requirements and it can give me a boost, or I use it when I am craving dessert. It does help a lot for me. But I had only used 2 time after surgery. I used it more when I was in my pre ob liquid diet.

My mom had gastric bypass a few months ago. Her doctor wanted her to have it because she was Type 2 diabetic and in danger of a lot of other health issues that would be solved by losing weight. She is 69 years old. Things were going well at first - she felt well, she was able to eat as needed, and was losing the weight. She is about 5'5" and I'm not sure about her current weight, but she's lost quite a bit and can now fit into like size large in women's (she was at a 2XL or 3XL before). But recently she has become very weak and has fallen several times (which is dangerous at her age). She went in to the doctor and they were initially convinced based on scans and blood work that she she had fatty liver that had advanced to cirrhosis, and they said it was Stage 3 cirrhosis (and that her only hope for survival would be a liver transplant). The doctor also told her that she was severely malnourished, comparing her to starving kids in other countries. He said that was the cause of her weakness, along with the liver issues. A biopsy was done on her liver and she's Stage 1 of fatty liver, which means she can turn it around with diet and exercise, and we're all very happy about that. However, she is still extremely malnourished. The doctor's solution was that she eat more protein. She has been focused on doing so ever since her surgery; now she is trying to up her intake even further. And despite trying to get as much protein as she can, her last blood work showed that her protein is at a 2, which is apparently really bad. So a couple of questions for you - Have you heard of anyone going through something similar to this? What did they do to improve their nutrition and overall health? (Because at this point the doctor is now recommending undoing the surgery so that she can absorb protein better, but I don't want my elderly mother to undergo surgery again.) How can she up her protein? She is already eating large amounts of protein at every meal and snacking on it throughout the day. She is also eating plenty of vegetables. I know you're not supposed to get your protein from drinking, but would that be helpful here? Just to make sure that she's getting enough? And how many grams of protein should she be eating a day? What kind of vitamins should she be taking, and at what dosage? She is very low on like Vitamin D and B, and assures me that she's taking OTC vitamins that her doctor recommended. I know that's not good enough if you have absorption issues and gastric bypass, and I also know that doctors' recommendations (especially those who don't focus on bariatrics) often recommend way below what is needed. (Her vitamin levels are bad enough that the doctor wrote her a prescription for vitamins to take once a week.) She told me she takes the Fusion brand Multivitamin every day (designed for bariatric patients) and a calcium/Vitamin D that is 1000iu twice a day. Looking at the label for the multivitamin, it seems low to me. Any and all advice/help/suggestions would be most welcome. Thank you!

Wow, sounds like we are in the same boat. it is so hard to find foods that I can tolerate. As far a protein plain chicken is what I can keep down, if food it has to many spices or flavors to it, it all comes up. anything tomato based is a huge NO, red meat, nope. most veggies are a nope. I can eat a egg, but only the white, the taste of the yolk is a nope. I do mange to get about 22 grams of protein a day, most comes from shakes Only vanilla ( 1 brand) , other flavors make my nausea kick into overdrive. Most protein shakes, protein powder make me sick. I have spent 100$s of dollars trying to find something that i can tolerate. Currant my fluid intake is about 24 ounces in 24 hours. I'm still sipping so it stays down, I also am not a sleeper, I have been a insomniac since i was 18 , so 32 years of getting at best 4 hrs a night/day. Feels like every day is different, the suspence of what is going to stay down, what smell makes me sick, or if today is the day i cant drink anything, There are times I wish i never had a surgery, but I know i needed it, to try and get healthier. but this all is just so much. Thank you for your reply, nice to feel that i am not totally alone and there are others that struggle like myself. and i would love to chat!

Fully skimmed milk with added dried milk powder or protein yogurt is a great alternative and the protein count is great. Much cheaper too. My surgeon was very against protein shakes. I added banana and / or sugar free nut butter to mine.

I was 118kg back then till 27th Jan 2024. 10 days prior to my surgery, the liquid diet plan was quite challenging but managed well. I lost 5kg at Day 10... I was discharged from the hospital 26hrs later as 12hrs after surgery i started to walk with the support of my wife. Im on support of Multi-vitamins, Calcium Citrate + D3, blood thinning injection for 1 month, and Gastric medicine for 2 months. All vitamins or medications need to be crushed from solid pills to compound or powder base before consuming. This has to be for only the first 1 month of post surgery. Being just on liquid diet, plain water for the first 2 days, 3rd & 4th day took young coconut water, 5th till 7th day took sieved apple orange beetroot carrot & celery juice (200ml every 2 hourly) and by end of Week 1 post surgery, i lost another 6kg. Week 2 post surgery, continued with liquid diet by consuming protein milk shake 100ml at 8am, 10am, 12pm, 2pm, and 6pm. At 8pm and 10pm i take same sieved juices 100ml only. By end of Week 2, i lost another 6kg. However, this is my Week 3 post surgery, continued with liquid diet by consuming protein milk shake 150ml at 8am, 10am, 8pm and 10pm. At 12pm and 6pm i boiled small piece of cabbage and cauliflower, then i air-fry a small piece of chicken breast with 4 small slices of egg-tofu. Total weight of my lunch(12pm) or dinner(6pm) meal is within 80 to 100 grams only. This will be the diet for my Week 3 & 4. I weigh myself on a weekly basis. So let’s see by next week how much i lose again…😁😁😁

Do you all buy any of bariatric pal foods? I’m about 3 days away from my 4 month post op. The bariatric foods hep me a lot to stick to my 60+ mg of protein a day still drink one shake a day because I get about 40mg protein in one shake. I usually drink around 4-6 pm so with my meals and snacks. I get the rest or more of protein through out. I too have sm stalls depending on if my right leg is swollen or I need to have a good bowel movement sorry TMI but I’m on pain management with chronic constipation. But I’m losing steady not as fast as first surgery but since I’m more sedentary then prior it’s expected but losing. Day of surgery was 304 now 272

I haven't lost any more weight. I've been going to the gym and even got a walking pad for Christmas that I use but it's just not coming off. I lift weights at the gym 2 to 3 times a week an hour at a time and do at least 2 miles 2 times a week while I'm at home. The last three weeks I cut my calories way down which sucks with how much I work out. For example I did an hour of intense weight lifting today and only consumed 1104 calories and 104 grams of protein. On average I'm only consuming 1300 calories and getting between 70 to 100 grams of protein. My food through the day consists of small meals or protein shakes from 6 am to 6 pm. Like a protein shake for breakfast, one after the gym on my lunch, some low cal soup, jerky, piece kf fruit, etc For dinner (around 7 pm) I have a majority of my calories, usually baked chicken strips or shrimp, etc with a side and then bed at 10pm.. It's just not coming off. I get I could've tried harder through the last year but man this is just tough. I can't even say I've gone down in clothes sizes any more. I just don't know. I do have a one year post op appointment on Tuesday and I'm terrified and ashamed that I have virtually nothing to show for it. What am I missing?

I'm glad it helped!! Oh yes, I forgot to mention that, moving to soft foods will help some, purees just don't have as much solidity to them. There is a huge difference between a 1/4 cup of pureed food vs 1/4 of a solid protein, even if it is a soft protein... At 8 weeks I was cleared for most foods and I think that is part of the reason why my hunger started to ease off around then. If your PPI is omeprazole it is possible it isn't working as well as you need it to, sometimes people need something like Pantoprazole or Dexilant, so if that gnawing hunger at night continues you may want to ask your doctor about it at your next appointment! ❤️

Genepro has unflavored protein powder and it dissolves pretty well into things and it doesn't really have much of a taste. It is my favorite plain protein powder. You can put it in flavored water or tea or milk or whatever... Just be sure to count the protein count on the nutrition label, don't believe the "nano absorption" bull crap they advertise. LOL

There are things like miracle noodles, heart of palm noodles, and of course most of our "fullness" should come from veggies once we are a year out. Think high volume low carb veggies like lettuce, mixed greens, cabbage, cauliflower, broccoli, as well as colorful things like bell peppers, tomatoes, onions, green beans, etc... These paired with a little fat and a decent amount of protein should help you feel fuller longer. I think it is very well possible you could be experiencing true hunger. You are MUCH taller than the average woman (if you are not a woman I apologize for the assumption) and the dietary guidelines that surgeons and nutritionists hand out are usually useless if you fall outside their standard patient. If you are exercising enough to get your heart rate up for a consistent amount of time or doing weights/strength training, you could be burning a fair number of calories too. Both of these things would make me think you may have a higher caloric need, even though you are a sleeve patient, than the average sleever would. If your surgeon's nutritionist isn't interested in customizing your true caloric need given your frame, height, and activity level, you may need to have a few sessions with someone else who is trained in bariatrics and will actually help you work through this so you can stop feeling guilt when you eat more than your surgeon wants you to. Also, have you tried the Millie's sipping broths? You can get a sample pack of their flavors on Amazon for a pretty reasonable cost. They might help ease the hunger between meals until you find a dietician to talk to.

You could be craving fat. Beef is one of the fattier meats and a low carb bibimbap dish would have been full of fat from the oil everything is sauteed in, and the egg, and the dressing. Plus Korean food often has fermented veggies which are really good for you. I crave Korean food and Japanese food a lot. I finally realized part of the reason why is because they eat a little bit of a lot of things. Banchan and Bento boxes! *swoon* Quantity doesn't satisfy me, I hate eating one thing per meal. I need a bite or two of multiple things to feel satisfied. A little fat, a little fiber, a little carb, a lot of protein...something crunchy, something sour or pungent, something a bit sweet, something creamy. I have to hit multiple of those categories to feel satisfied in a meal. So I eat a tablespoon or two of numerous things. Then I'm satisfied and happy, even if I'm not bursting at the seams full... So you might be needing more variety and a bit more fat?

Your feelings are valid @Nan CC, surgery is stressful and the idea that we have done so much for so little loss in the beginning is discouraging and depressing!! I have some thoughts to share about your experiences... 1. That hunger you are experiencing is normal. It doesn't go away for everyone. I woke up in the recovery room ravenous which pissed me off because all they kept saying is I wouldn't be hungry! And I ended up more hungry than I'd been in years!! The first two months I was hungry all the time. True hunger. I think it is because the body is panicking and trying to figure out what is going on. Plus we've been lied to, that growling sound is often not hunger, but just our system digesting and moving air and fluid through our system. After surgery our internal digestive process sounds louder to us for some reason. Maybe because we are paying more attention?? I don't know. But I had true hunger constantly. One thing that will help this is a PPI (proton pump inhibitor). Our tiny tummies are still making enough acid for a normal tummy and that can irritate it as it heals. That gnawing hunger can often come from this and gets worse at night... 2. No, you aren't supposed to automatically feel full with 1/4 cup of food. A lot do, but not all by any means. The reason for this primarily is because all the nerves that communicate fullness to us were cut during surgery. It takes at least 3 full months for those to heal enough to accurately communicate again. The 1/4 cup portion size is to keep you from inadvertently overeating and stressing your healing stomach. At about 8-10 weeks you may notice you can eat more, that's because the internal swelling has gone down. By then you should be able to start gauging your fullness signals. They are often different post op and can look like sneezing, a congested or runny nose, hiccups, pressure in your breastbone, nausea, etc... By 3-4 months out you may be eating more like 1/3 to 1/2 cup of food at a time. Not everyone progresses that way, some have high restriction all the time and have to stick to smaller portions. But the key here is to start building that relationship of listening with your body and learning that the feeling of hunger does not mean you are starving. If you are eating 1/4 cup of food 5-6 times a day, you are getting enough nutrients for your stage in the process. As @AmberFLmentioned, I suggested Millie's sipping broths (you can get a sample pack of all the flavors on Amazon) they help a LOT when you want something, the warmth and savoriness can really soothe the extreme hunger until it balances out on its own. 3. Stalls are normal and can happen early and often. I lost about 15 lbs in the first 3 weeks and then proceeded to stall for 6 weeks and gain and lose the same 4 lbs!! I was horrified and really worried my surgery wasn't going to work. I lose weight VERY slowly, my body is resistant to losing, and I have diabetes and such like you, which I think makes losing hard too. This stall was normal, even though it didn't feel normal. DS patients are known for losing dramatic amounts of weight and my surgery weight was 307, there was no good reason for the stall. But my body needed to take a break and recalibrate and heal, so it did. Finally after those 6 weeks I SLOWLY started losing again. Then at the beginning of February the weight loss finally started to pick up! A lot of people lose a ton at the beginning, I didn't. Apparently my body needed 3 months before it felt safe to start dropping weight steadily... All you can do is get good movement, good sleep (sleep is crucial to weight loss), good hydration, eat every few hours, and stay off the scale for a bit...it will break when it is ready to. 4. Hunger does eventually return to normal, or whatever is normal for you... I'm almost 4 months out and mine is back to what is normal for me. I still have to eat every 3 hours, if I don't I feel drained and irritable and my weight loss slows... I drink plenty of fluids during the day, it helped with the hunger. I feel my fullness signals clearly now, I think all that healing is finally done. I just have to eat slow enough to allow those signals to get to my brain (it takes longer than you think!). Broths, milk, coffee, tea, flavored waters, all these will ease hunger pangs, but the best cure is time and learning to heal your relationship with your hunger so you can feel it and not feel stressed about it. The great thing about eating every 3 hours is the next meal is around the corner, so I can drink something and tell my system to wait until mealtime. This helps heal the insulin resistance too by allowing your body to go through the full insulin response cycle post meal. I'm sorry this feels so hard. I hope your stall breaks soon! And I hope it helps to know you are not alone. ❤️

We are surgery twins! I'm sorry that this is happening, it totally sucks! and your feelings are so valid! I do feel hungry so what I had to do is change what I ate. So for bfast instead of a shake I now eat something with substance like eggs with avocado ect..then my shake is my "snack" I eat every 2-3hrs and that has helped me. *knock on wood* I have not hit a stall YET because I am sure one will come. I walk everyday for 30min, i wake up drinking water and my Isopure mix such as mixed berry or mango lime. Then I will have my decaf coffee with sugar free torani syrup and a dash of my nutpod creamer. Then an hour later I eat my food breakfast. It took me time to get there. I eat around 825 cal, 110g of protien, 35g carbs and under 20g of fat. When I am bored or feel hungry I chew gum or @ChunkCat suggested Millie's sipping broths and they are DELICIOUS!! Always protein first, something that I still am working on because I love my carbs LOL You got this and use this platform, we are here for you!

I have the best luck with the Fairlife 30g shakes and their 26g and 42g "core" shakes. They dont' have that chemical taste that most other shakes have, and taste closer to a Nesquick. They do have monk fruit and sucralose in them, but I've been able to tolerate them. I am sensitive to a lot of sugar alcohols (sorbitol and xylitol in particular) which trigger a bad insulin response for me, but I haven't had that experience with the Fairlife brand. Premier protein isn't bad, but I think Fairlife tastes a lot better. They can be hard to find, but I've had the best luck checking at Sams Club (or Costco / BJ's Wholesale if they're in your area). They sell out fast, so I check in the morning and place a pick up order for after work.

I need to rant a little! I have always struggled with excess weight in my adult life. Over the years I tried Weight Watchers, Nutrisystem, Jenny Craig, my own thing, you name it. For the past 8 years I have been struggling to lose 50-60 lbs. It was extremely difficult for me to lose anything at all unless I severely limited calories - like 800, 900 per day - which I could only do with the help of prescription medicines. When I'd stop taking them the weight would come back despite that fact that I was rarely overeating, usually around 1500 calories per day. Over the years I gained and lost the same weight this way. I took Contrave, but it hyped me up so badly I couldn't stand it. I took Belviq, which worked well - I didn't care if I ate or not so it was easy to consume so few calories, but it was taken off the market. I used Qysmia, which also worked the same way. I lost 30 lbs, but I was paying out of pocket and couldn't afford it any more. One of my issues is that I lose weight VERY slowly, and it was frustrating to work so hard and lose a pound or 2 a month. After gaining all the weight back plus 10 more pounds in 2 years, I knew I could lose it again by getting back on Qysmia but I couldn't bear the thought of the "yoyo" again. I'm 67 and have diabetes and heart disease in my family, which I was afraid of developing if I didn't take and keep the weight off. I'm on blood pressure and cholesteroI meds already. I can't play with a yoyo any longer at this point in my life and so I began to consider sleeve gastrectomy. I researched and thought about it for a long time before finally having surgery 1/24/24. Yesterday it was 4 weeks since surgery. In the 1st 2 weeks I lost 10 lbs. While I hoped to lose more, this was a good result because before surgery it would have taken me about 6 months to lose 10 lbs. Victory!! Or so I thought. Since then, however, I haven't lost any weight. I've read about the 3 week stall, which I guess is what I am experiencing. I think I get it. And at the same time I am enormously frustrated and sometimes find myself thinking that I made this drastic and permanent change in my life only to have the same result - consuming very little calorically and the weight just not coming off. Except now I'm consuming even fewer calories (still on purees). And on top of that, I am hungry almost all day. After breakfast, I wait 15 minutes and start on water/fluids again. Fifteen minutes after that, I am hungry again. And yes, it's genuine hunger - with growling and an empty feeling. Eating 1/4 cup of food is not filling me up. I am getting usually around 70g of protein each day in what I'm eating and drinking, so it's not that. I had some wild expectations, I'll admit. My doctor gave me a goal weight that requires me to lose 50 lbs. (60 for a "stretch" goal). I (crazily) thought that it would take about 2 months to lose that much. I've since realized that with relatively little to lose it will go slower, but geez! For who knows what reason, I also thought I would hardly ever be hungry. Five days post op, natural hunger returned. I was mad! And surprised, but I relied on this forum and learned that hunger was still normal. I thought once I could actually eat something it would be more like "normal" hunger - like before surgery - when it was about time to eat. Instead I find that I am often just hungry all day (usually worse at night) and the amount I'm eating isn't enough. I eat the recommended 2 oz of food and I never feel full, but I stop because that is the recommended amount. The instructions I've been given have implied that this should be more than enough to fill me at this point and that I might not even be able to finish that much, but it hasn't been the case for me. In 30 minutes or so, it's like I didn't eat anything and I'm hungry again. Of course I realize that a lot of my problem is my unrealistic expectations. But sometimes I do feel frustrated that I did this drastic thing only to have nothing change - I still can't lost weight. Mostly, reason prevails and I know that sooner or later the weight has got to come off. Reason is reassuring for the mental issue I have here, but reason does nothing to help the hunger. Ok, rant over. Does anyone have experience like this? Very slow loss and constant hunger? Does the weight loss pick up? How long does the 3 week stall last? Does the hunger ever return to normal? Help!!

Does Premier Protein have that "fake sugar" aftertaste?

Premier Protein for me.

Hi all...I am just starting my journey to getting gastric bypass surgery. I met with a Registered Dietician yesterday and she discussed the importance of having several protein shakes every day. Here's my problem....I cannot stomach anything sugar-free. I have such a hard time with aspartame, sucralose, stevia, etc. Any unflavored protein powder suggestions?

Well, apparently part of my problem was that the nutrition guide I was given at my final pre-op appointment was not the same one that the dietician is currently working from. 🙄 Just got sent the correct one, and it's way different, especially in regards to protein shakes. So that's fun. Makes it kinda hard to trust my program when they can't get their **** together enough to give patients the correct materials.

I am two months out and each program is very different. Follow the nutritionist. I had a two week stall and you just keep doing what they tell you. My protein is 60-80 and water is 64-100. I try to get closer to 100 because that is when I see more weight come off. Everyone is different trust the process! Congrats to you!

Try some different protein sources. Like 3ozs tilapia is 22g of protein. 3oz beef fillet, lamb, or chicken thigh is 20g. Pork loin will give you 23g. Chicken breast provides 26g. All of these require you to cook the meats yourself not processed or pre made. Your can of chicken breast may weigh 3ozs but there are other ingredients as well as the chicken in the tin. Then purée or finely dice, shred for whatever stage you’re at. It’s not easy to get all your protein in at first but it does get easier. As long as you’re making an effort & are close you’ll be okay. I never had another shake after the liquid stage. Was never my personal plan to rely on them. Plus they were disgusting!

Wow congratulations on the massive weight loss! Sorry to hear that you’ve had such difficulties getting there though, my heart goes out to you. I haven’t had any complications from the procedure, but my poo situation did change dramatically. I used to eat a ton of veggies and fruit, and had bowel movements 2-3 times daily on average before the operation. Obviously afterwards my diet had to focus on protein, so I lost most of the fibre in my diet. As I was taking Metformin, my stool was very soft and I didn’t notice at all until my Dr said I didn’t have to take it anymore (which was great), but then I quickly realised that I was constipated all the time. I started experimenting with different fibre supplements, and I’ve found a regime that works with my body. Nowhere near the problems you’ve experienced, but boy was it awful! I've lost 25kg/55pounds so far, and I’m definitely plateauing. Not sure if I’ll lose more, but my Dr is very happy and so am I. I’m walking every day and not calorie counting anymore as I have a good routine going. Hope you solve all your problems! Always around if you need any support or help!

I finally mastered the protein waffle recipe (again) the texture and flavor was perfect. Tracking is for the entire Belgian waffle, the pic was the last quarter that I remembered to photograph.