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I'm not aware of any way to know that you are stretching your pouch but I think the problem occurs less frequently than most think. The key to ensuring that you don't stretch your pouch is Portion Control. As you can see from the responses of other members, it's a very good idea to weigh, measure or count everything that you eat. Eventually you get pretty good at guesstimating most things but it's so easy to weigh, measure or count that I still do it. I like the confidence of not thinking but knowing that I'm eating three ounces, four ounces, whatever. It also is a big help in ensuring that the calorie counts I enter into MFP are as accurate as I can make them!

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Thx DLC I have been doing pretty much that except for the weighing which I already have a scale so I'll go ahead and start doing that too thanks for the info do you know on average how much you eat per meal weight wise? Or do you go by how much calories in the meal has or both?

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Thx DLC I have been doing pretty much that except for the weighing which I already have a scale so I'll go ahead and start doing that too thanks for the info do you know on average how much you eat per meal weight wise? Or do you go by how much calories in the meal has or both?

I have a pretty set Breakfast and lunch, at least during the work week. I have Greek Yogurt for breakfast and a Protein Bar for lunch. I split a Protein Shake between morning and evening. So my dinner is what normally changes every day. My target for Protein is to be between 80 - 90 grams each day. I normally calculate my dinner portion to be enough to get me in that range but still keep me under 800 calories for the day. How much I eat can vary greatly depending on what we are having for dinner.

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Ok great that's almost exactly what I have been doing..thx again!

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Doesn't carbs matter as well ? And what is the proper amount to be getting in at 6 months out ? I have 11 more lbs. to go but, not losing that very fast... Need some tips . Btw, I get a total of around 15 -21 carbs a day. & suppose to be 500 calories a day.

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Doesn't carbs matter as well ? And what is the proper amount to be getting in at 6 months out ? I have 11 more lbs. to go but, not losing that very fast... Need some tips . Btw, I get a total of around 15 -21 carbs a day. & suppose to be 500 calories a day.

Carbs vary greatly depending on what your clinic tells you. Mine extremely limits carbs. I am at 9 months and I am supposed to limit my carbs to 3 tablespoons a day. I am actually eating a bit more that that. My clinic also lumps fruits and veggies as part of that same 3 tablespoons. So if I have a small salad with dinner, that is my carb. I will occasionally have 1/4 cup of mashed potatoes or one slice of bread. Overall, I try to choose a veggie or fruit instead of the carb.

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Gee. There's another example of the significant difference. I eat 70-90 grams of Protein, 1200 calories and a significant amount of salad and at least one apple and one additional veggie a day. I have lost 112 lbs since surgery 2/28/13. My doc stresses that we need to exist in the world and learn how to eat long term.

I need those veggies and apple to make everything work right and keep good nutrition for the rest of my life.

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Thx DLC I have been doing pretty much that except for the weighing which I already have a scale so I'll go ahead and start doing that too thanks for the info do you know on average how much you eat per meal weight wise? Or do you go by how much calories in the meal has or both?

Doesn't carbs matter as well ? And what is the proper amount to be getting in at 6 months out ? I have 11 more lbs. to go but, not losing that very fast... Need some tips . Btw, I get a total of around 15 -21 carbs a day. & suppose to be 500 calories a day.

arussnfl - you're certainly welcome. I log everything I eat in in MFP which requires some kind of measurement (serving, ounces, count, etc.) in order to calculate calorie and nutritional info. I then use the calories and nutritional info for managing my weight. For example, my calorie goal is 1610 calories (keep in mind that I'm at the maintenance stage of my journey and have been for about a year and a half). That is a "daily" goal in MFP but it's much more powerful, realistic and sustainable to treat that number as an AVERAGE. It is self-defeating to expect to meet any specific calorie goal every day for the rest of your life. That's not only unrealistic and unsustainable, but who the heck would want to? Life is supposed to be fun. There are always going to be special occasions and most of them involve food. When you treat your calorie goals as an average, you know that there will be days when you exceed your goal. They are the exception rather than the rule but I have had 2500 calorie days and I've had 1200 calorie days. For days when I'm over, I just make a mental note to reduce my goal by 100-200 calories for a day or two and I'm right back on track with my average. And vice versa for days when I'm under.

coachchic - carbs definitely matter! I have MFP configured with a 40%/30%/30% goal - 40% of calories from carbs, 30% from fat and 30% from Protein. Since I eat very little in the way of simple carbs (e.g. white bread, white rice, white potatoes, etc.), I very seldom hit the 40% carb average. I just checked my weekly totals in MFP back to the beginning of the year and have not been above 36% for carbs in that period of time. On the other hand I usually exceed the fat goal with the average being somewhere around 35% for the same period of time. The upper portion of the intestine that is bypassed after the surgery (the duodenum) is primarily responsible for fat absorption. I don't worry too much about fat because of the resulting malabsorption. Protein is very consistent (goal set by my surgeon is 100g per day which I rarely fail to achieve) and I hit the 30% average with very few exceptions.

With a little math it's easy to convert these numbers into grams and calories. My daily calorie goal is 1610. So I'm shooting for 644 calories of carbs, and 483 calories of fat and protein. Carbs and protein have 4 calories per gram, fat 9 calories per gram. So my 40%/30%/30% translates into 161 grams of carbs, 54 grams of fat and 121 grams of protein daily. But again, keep in mind that I'm in the maintenance stage.

There is nothing magical about the 40/30/30 goal that I use other than it works for me. One of the reasons that I am such a strong advocate of maintaining a food log is that doing so allows you to determine YOUR goals for YOUR body and YOUR lifestyle. Doctors and nutritionists make recommendations for calories but the best even they can do is an educated guess. There are simply too many variables from one person to the next. Using a food log, you can experiment a little and find the exact numbers that give you the results you are looking for. Very powerful tool.

For what it's worth, 500 calories a day at six months out seems pretty low to me. You might want to consider upping your calorie goal by 100-200 calories a day. Try it for a week or two and see how your weight responds. You may find that your weight loss will increase with a little higher calorie intake. If not, increase it another 100-200 and see what happens. You can easily adjust it up or down until you find YOUR number.

I lost 130 lbs in fourteen months averaging just under 1300 calories a day. My weight stabilized at 155 (Lol - and my surgeon ordered me not to lose any more) and has not been below 151 or above 156 since December of 2012. I gradually increased my calorie goal until I found MY AVERAGE goal - 1610 calories. Logging works.

You guys have a great day!

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

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