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Okay so I am still so terrible with this stuff but my dietician makes it seem so much more confusing and I really need to understand this so I can get it right this time. I asked her what my requirements would be post SADI surgery and she said 1000-1200 calories 90g protein 90 carbs (45 fruit and veggies and 45 from starch), and 15g fat. I am trying to eat similar to that now to see what it’s like and I am logging my food. I figured my portions will be a little larger so I won’t be able to hit the exact goals but wanted to see where I am. This morning I did great with my protein iced coffee which is just a caramel shake with some coffee mixed in. Low calorie and carb and high protein. This afternoon however I thought I would have 2 scrambled eggs and one Turkey sausage Patty. The calories and carbs are fine but it seems like Either that fat goal is unrealistic or the protein goal is from normal food if there is really 15g of fat in two scrambled eggs and only like 13 grams of protein? Even if I forget the 7g of fat leaving out the Turkey sausage just two eggs is too much fat for one meal and reduces the protein. I hate egg whites but assumed two scrambled eggs would be okay. I know post surgery I will not eat two whole eggs which will reduce the fat some but also the protein. Could i add protein powder to the egg or something? Maybe an egg and a yogurt would be a better option? Or Do I have to just suck it up and eat the egg whites. She also said something about three teaspoons of “healthy fat” and I’m not sure if that’s in addition to the 15g of mono and polyunsaturated fat or if 15 is the total which may be where I’m getting confused. I just emailed her asking for clarification but last time it took her like two weeks to get back to me so I figured I’d see if anyone else can make sense of this.

My date is may 2nd…… On my second week of diet as or yesterday. Having the hardest time w/this diet, only cause I'm diabetic and on depression meds, and I have to put something in my System to take them. I have dizziness, fatigue , and tend to be light headed at times. It took me over a year and a half to get to this surgery. Was scheduled for 3/12/24 but had a issue w/kidney. All good now, so don't wanna do anything to get it postponed again. GOOD LUCK 🎲 TO ALL MAY PATIENTS !!!

I had surgery on 4/8/24. I had a bypass. I am able to drink fluids with no restrictions. I'm on the puree stage. At 2 weeks out I have only lost 16 pounds. The last 3 days the scale actually went up 2 lb. I'm not going to lie. This is an uncomfortable feeling. Specially because I'm sticking with Drs orders. I do notice that even though I eat 3 ounces of food and try to keep up with my fluid intake I don't get a "full" feeling. It does not take me a long time to eat. So I'm not sure how to feel about that.

Had gastric bypass Feb. 7th. My food intake is hot and cold at times. The last few weeks I've felt like I needed to eat more often. Not more volume, just spread it out more to fuel myself. I've been exhausted lately. I think spreading out my meals has helped some. You should try the baritastic app. I've used that since October. The dietician at the bariatric center can see the food and drinks that I log. But it's a good app just for yourself as well to keep track.

A food diary is a good idea. I hate doing them but I've been keeping one since my preop diet and will probably continue for a few more months until I really feel like I've got a good routine and no issues with hitting all the goals. I'm feeling pretty much back to normal, no issues with food in more than a week. What kind of pain are you experiencing?

Thank you so much!! as of now I am weight lifting 3-4x a week. Trying to switch up the exercises for my upper body and lower body. I do want to build a booty so I focus lifting heavy on those LOL. I agree I may need to eat more which I have been trying to incorporate more protein. I feel like this whole thing is a science and well I got a C in science so I am not sure what I am doing is hindering or helping. Like you said weightlifting and cardio are so good for us! I am sure I will see the difference in my body with inches as the time goes on. Loved the book/lecture

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.

Sorry to hear you’ve been going through all of that…thankful you’re finally home! Hope the pain subsides soon for you and energy levels start to get better. I’m 5 weeks post op & still low energy…keep telling myself my body is healing. Looking forward to getting energetic

Sorry to hear what you have gone through and are still going through. I know exactly how you feel about wondering if the surgery has been worth it, I wondered the same for many months after mine but I can now say 10 months later that I see the light and know I could not have lost the weight I have done so far without the surgery and I can now finally feel the benefits. I have posted about it before on the forum but a recap to show you how s**t things can go..... I had my surgery 4th July 2023 and suffered severe pancreatitis brought on by the surgery (iatrogenic according to the medical reports) which resulted in me having a drainage tube fitted to my belly area and being hospitalised for one month. Three days after being released I collapsed at home and had to return to hospital via ambulance. There it was discovered that I had a leak in the stomach where the sutures hadn't sealed. I spent a further two weeks in hospital where I had to get clips put in to close the hole/leak. I then lasted 13 days at home before becoming ill again. I went in for a gastroscopy to check on the clips and turned out the clips did not do their job and I had leak back plus two abscesses (1 on stomach, 1 on pancreas). Spent a further three weeks in hospital on a feeding tube before getting all clear to go home after another round of clips were put in and passed their tests. Next time I lasted 15 days at home before having to be readmitted for another month! I never felt fully better but wasn't sure if that was just me recovering from all the trauma or still symptoms. I had a blood test one morning and that afternoon got a call to say I was to come back to the hospital immediately as my CRP was 180. Turned out the hole had opened again and I had an infection. Was put on a feeding tube again for the month and had a drainage tube fitted to my back, had so many different medications, a transfusion, tests etc it was exhausting. I was then sent to a hospital in Belgium to have a tube/coil like thing inserted in my stomach help the hole heal. I was finally released from hospital November 1st 2023. Like you I couldn't do things, I couldn't even stand at the kitchen counter to chop veg without feeling like I was going to collapse. The effort of having a shower and getting dressed some days was too much for me and it took me many months to get to my energy up to more than being able to something small each day. It is really only since mid-February that I can say my energy improved. My weight loss was also slow when in hospital as they were pumping me full of nutrition (via the feeding tubes) but it sped up once I was at home. I had the tube in my stomach removed three weeks ago and had another round of tests to make sure that the hole had healed and I have passed with flying colours. So far so good, no pain or discomfort which is such an improvement. The only thing I suffer with now is a bit of reflux and occasional terrible exhaustion. I was out for dinner on Sunday night and almost collapsed at the table the exhaustion came on so suddenly but I was ok a while later. I don't let it stop me, I have so much more energy than pre-op but I just know I have to pace myself and rest when I can. Basically, I just want to let you know that after all of the above that I have been through I now feel the relief of the surgery and the weight loss. I am now at the weight target the surgeon set for me, 75kg, though I will aim for a bit more and I no longer cry myself to sleep with pain or stress or the fear to make plans for the future. It has taken 10 months for me to get here, I am at the stage now that probably those who have a successful surgery would have been at months ago with their recovery from the op and getting back to a 'normal' life. I am going to see a psychologist through my hospital service for the medical trauma which has helped me as well. Do make sure that you go to the hospital if your symptoms worsen, or don't improve, and ask the doctors to check your levels just to be sure that there is no infection still there etc. Rest when you can, I don't know your situation but if you don't have to get up and go out during the day for work/kids/shopping etc. then don't, just take the time to heal and recover. Also ask for help if and when you need it and also say no to things that you may not want to do if you don't feel up for it - being a control freak these are things I am trying to learn to do.

Hi all. I had my gastric sleeve on 28th March, and very quickly realised something was wrong. I couldn't tolerate water at all, and a few days after I developed tonsillitis. It was severe and believed to be Quincy's, which thankfully after a transfer to another hospital to check for this, it wasn't. However I became really really ill - my temperature was at sepsis level, I was completely dehydrated and on an IV for everything. Tried antibiotics but that didn't really work, which then led the doctors and surgeons to believe it would either be a very nasty viral infection, or I'm being followed up to check for an auto-immune disease. I spent 4 weeks in hospital, and now that I'm home, my symptoms are (whilst better from the pain I had a couple of weeks ago) still very uncomfortable. I have a very angry and inflamed liver which is causing me pain, as well as the incisions of the port site resulting in a very large haematoma, again causing discomfort and pain. The most frustrating thing for me is, whatever caused this, has completely wiped my energy and strength. I can't open a bottle, and I struggle to walk for more than 10-15 minutes without feeling tired and fatigued. I have lost 19lbs since surgery (5 during the month in hospital, and another 14 this week), but a part of me is wondering whether it was even worth it given the ordeal it caused. I just feel very alone in terms of my procedure not being straight forward, and it would be good to hear other stories too. x

I'm always cold too. I was cold before surgery and now it feels worse. Also i have a slow healing ulcer in my leg, which is going on three years everytime i get close to it healing somehow i manage to rip the dressing off it. Don't know if it's the extra walking I've been doing that has made it flare up again. On friday i had a fever and literally could not warm up (until i was too hot) that's gone now. Just called in sick for work to get some antibiotics for this leg. (Its Winter over here in Australia)

Operation is on May 1. I'm one week into the liquid diet. It's not as bad as I thought it was going to be. My doctor's nutritionists made a schedule (I always do better with a plan) and required me to buy Unjury products. I have the chicken soup and cookies and cream shakes. The shakes are actually pretty good. My sense of smell is through the roof. I wasn't expecting that. I can smell people cooking meat a mile away I swear! I get odd tightness and heat where the back of my head meets my neck. Is this the headaches I was warned about? I'm feeling good about the surgery. I'm already down a pants size after one week and am looking forward to sustaining gains through the next 12 months.

Remember too a lot of nerves were cut during the surgery so you won’t be getting messages in the same way or getting them at all. Plus all those sutures & staples holding your digestive system together. It takes about 8 weeks to heal so stick to the advice you’ve been given. It’s there to protect your healing tummy & support your recovery. All because you can doesn’t mean you should.

You being able to drink more fluids is not due to your tummy being bigger. You probably are not having as much internal swelling as someone else does. Also, some never lose their ability to gulp a good bit of water, and you don't list your surgery, some bypass patients also have this happen. Fluids exit our stomach really quickly, some faster than others. The restriction with fluids early on is because of the internal swelling and how long it takes to get to the stomach through that swollen area. I had a LOT of swelling. Water went down at a trickle. I could literally hear it displace air in my stomach when it finally got there, like a little drain finally clearing. It was hilarious and so strange feeling. For me it took 3 weeks for this weirdness to stop. I can take a good 3-4 full swallows most days now before I get pressure from my tummy to slow down. I tell you all this because I know for a fact I have a larger sleeved stomach than most, my surgeon made it that way due to reflux. I've seen it empty fluids on imaging, it is fast as lightning! LOL Your tummy will not lead to bad food choices, even if it were bigger. But your mind will! Trust me, once you add solid proteins in, you will probably feel your restriction to some degree. Many never feel restriction with purees and fluids.

I am SO bummed. Tomorrow I will be 1 week post-op and I've lost 0 pounds. I finally made it back to my pre-surgery weight today.

I find the calculator on the Mexico site to be rather inaccurate for me, but everyone varies. Age and surgery type, as well as co-morbidities all impact weight loss rate. It thinks I should be at 212lbs at 6 months but I'm at 240 with 6 days to go. Not gonna happen. It also thinks I should be at 170 by 12 months, but that's not very likely either. I've always used the following one as it takes into account the different surgeries and looks just like the one my surgeon uses. They calculate from the highest weight, it is important to include that because if you have a lot of weight loss before surgery your percentages may track differently and your post op weight loss may be slower. I've seen this happen to several people with surgeons calculating it improperly, or applying the bypass trajectory to a DS patient, which is a disaster and very stressful for the patient! This one takes into account much more like your age, ethnicity, and pre-existing conditions: https://riskcalculator.facs.org/bariatric/?_ga=2.112690692.1282950073.1698781773-393992475.1698781773 According to this one I should be at 78 lbs down for my DS surgery at 6 months. I'm at 80 lbs down. My weight loss has tracked along with this thing pretty steadily, give or take 15 lbs, since surgery, except for my 6 week stall. It puts me at 202 by 12 months out, but DS patients lose for 18-24 months post op, so I should be at 170 sometime in that 12-24 month period! In the end these are all just estimation tools. Our bodies do what they will and we make the most of it. Still, it is nice to have a loose guideline to follow.

For the first month, hydration is king. Calories are nice. Protein is good. But dehydration is the number one reason for ending up in the hospital post-op. Your family should be told about that. Aim for at least 64 oz a day. You may not get that at first, but after a few weeks of trying you will. For the first two weeks I felt like I was constantly drinking---and I was! I couldn't tolerate protein shakes or anything like jello or pudding, I had stomach spasms pretty severe the first two weeks. I could only get down water (which I had to flavor with sugar free flavorings to get down) and sugar free popsicles. My surgeon said that was okay. We have protein stores in our bodies to get us through the first few weeks. But it is still good to aim to get protein in as much as your tummy will allow. And I took my meds one pill at a time, spaced out throughout the day. Your family clearly loves you and are concerned, but only YOU know how you feel. It's okay to remind them of that. If they need more info they can read your packet from the surgeon or come read posts here. 😂 You'll get through this. Just keep sipping!! 💚

Hey all, I had surgery on 4/16 and everything went really, really well. I'm on full liquids for the next couple of weeks. I found something odd though. They kept telling me in the pre op program that my stomach would be so small that I would need to sip all day. The thing is, I don't. I still drink good amounts of water at a time with no consequence. My surgeon didn't mention anything post surgery, but it's leaving me a little curious. Has anyone else had something similar happen? I'm worried that a bigger tummy is going to lead down the road of bad choices again.

Hello, I want to preface saying I have not had my surgery yet but I have been losing weight in the pre-op stages as per my dietitian and doctors request and this includes me going to the gym and getting my protein/calorie goals in for the day. The important thing to know is plateauing is inevitable as your body gets used to the things you do on a daily basis. So since you know that already you going to the gym is a beneficial first step in the right direction of losing more weight. That being said weight training is an amazing cardio/full body workout and for women you actually don’t have to worry about getting “bulky” my doctor said it’s just not what our bodies do to get stacked like that (he didn’t say it in those words of course but I’m paraphrasing). Which it’s true generally unless you’re a bodybuilder you won’t get bulked up like crazy (even then it’s usually the addition of hormones that add to bulking) so go ahead and lift girl! Cardio exercises like running, swimming etc. are also great to get into your routine which I see you have and it’s important to also not forget about aerobic exercises like yoga/pilates this will also minimize your chance of getting “bulky”. Overall, I would say if you have set days of the week you work out like MWF do that for 2 weeks then switch up the days, intensity of workouts and type of exercises you do on each day to give your body that “restart” it needs in order to start losing weight. It is also so incredibly important to eat enough calories! Yes sounds weird but you actually might not be eating enough for you to lose weight and this is what my doctor told me. If you don’t eat enough your body goes into “survival” mode because it’s not being given enough food in order to carry out your bodily functions to its fullest potential. Yes you can be taking supplements and be healthy on paper but if you’re trying to lose weight and exercising and eating well and still unable to lose the weight then it’s time to evaluate if you’re eating enough during the day. I would highly recommend reaching out to your doctor and/or dietitian about adequate dietary input your should have because there are all kinds of info and pamphlets on lines telling us to be between so and so calories at this point in time or to not exceed x amount but in reality everyone is different and all bodies are different. I hope this helps sorry for the book/lecture.

Personally, I do actually have loads of luggage space since I plan on bringing 1) lots of cute outfits with me and 2) many many MANY souvenirs back home. Plus buying the tickets months in advance has made it easier for me to upgrade the luggage since there’s no way two weeks worth of clothes were all gonna fit in my carry on since we plan on adventuring and going out all across Lima. One sole/sol is about 1/3 USD so definitely cheaper to buy stuff over there the only thing I really thought about brining is protein powder/shakes but then I feel powder might freak TSA out too much. 😂

I had this same question. I talked to the dietician and forgot to ask her about that too. I am contemplating the Sadi which is low carb. She told me to get 45 from starch and 45 from fruits and veggies then says 1/4 to 1/2 cup of each per meal but didn’t specify net or total carbs. I’m thinking my requirement is total carbs though because if 1/2 cup of pineapple has 15g which is a higher carb fruit so even that three times a day is only 45 total grams of carbs. If it was net carbs it would mean I should be able to have more than 1/2 cup I would think. I think where it really matters is on processed stuff. Hopefully I remember to ask the surgeon on Monday.

This is exactly how I feel almost word for word. I'm now 3 weeks post op and just feel... Uninspired, wanting to be in bed, upset that I'm not having as much success as others... I cheated also knowing I shouldn't even though was small. Did it get any better for you?

I was in Eygpt at 8 weeks post op for a couple of weeks and was totally fine!

One of the biggest adjustments I had to make post op was to eat because I needed to, not because I was hungry. I actually never lost my hunger post op, but in those first few weeks when all you can consume is liquid, it is a struggle to get everything in. As soon as I moved to purees I started eating something every 3 hours when I was awake. Everyone's interval is different. Some can do just 3 times a day, but for me if I got over the 3 hour mark I'd start to get shaky and irritable and completely crash, it was clear I needed food, even if food was just a shake or a protein yogurt. I'm 6 months post op now and this has eased and I can go a little longer, so I follow my hunger cues more now and mostly eat at normal mealtimes with snacks if I'm up late or up early. But in the early months I just couldn't do that.

I have awful veins, they are tiny, like to hide and roll and refuse to comply. There is no difference in the hunting game based on weight, I was told it is hereditary and that makes sense, far as I know all the women in my family have tiny veins. Hydrating helps but if it is hereditary nothing will change it, it is how your body formed in the womb. I usually look bruised and battered after they get done with me. I had surgery last week and both my hands are black and blue because they insisted on trying my hands first and my hands NEVER work. I'm going to start forbidding them to do it, it takes a month for them to heal and it hurts like hell. We forget that as patients it is okay to tell someone they can't do something to you. Anesthesiologists are the best at finding a good vein, but most good hospitals have IV teams that can come and do it with their sonograms too. I don't let anyone try on me more than twice. Two tries and they have to go find someone else to have a go because by then they've lost confidence and their odds of finding something are nil. My record is 8, thankfully the IV team finally arrived to end my torture. 😂