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Hydration… What counts?



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True or False: You can let thirst be your guide for getting in fluids.



True or False: You can let thirst be your guide for getting in fluids.

False. If you are thirsty, you are already dehydrated. Sometimes we think we are hungry when it’s really thirst that is getting your attention. Water is the most essential nutrient humans need, meaning you can’t go very long without enough water. Water helps regulate body temperature, keeps blood volume up to transport nutrients into cells, allows waste products to be excreted, keeps blood pressure in healthier ranges, aids with digestion, helps prevent fatigue and keeps your mental function in good order.

Unless you take a diuretic (water pill), you can use your urine color to evaluate hydration. If your urine color is clear or pale yellow, you are hydrated. After surgery, it’s a real struggle to get in enough water. Looking for all sources of water is important after surgery. Keeping a water bottle with you at all times is an important strategy to keep hydrated.

You can count fluids that don’t have caffeine, calories or carbonation towards your water intake. The no-calorie flavor powders and drops can be used if plain water gets boring. All those Protein Drinks you have contain mostly water. Count 80 percent of your Protein drinks as water. Clear Liquids count as well. Clear liquids include broth, sugar free Gelatin and sugar free popsicles you focus on during the clear liquid diet phases before and after surgery.

You have a limited stomach pouch after surgery. This means your foods and fluids after surgery have to become nutrient dense, which means you need to pack in a lot of nutrition in a small volume. Hydration is a habit of very high importance. Remember, if you think you are hungry, it might be hydration that needs to be handled.

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So do caffeinated beverages count towards Water intake at all? I like to drink unsweet iced tea sometimes. Can I count any part of that, or no?

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My doc told me no caffeine. And no it would nor count toward Water because caffeine dehydrates you.

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I have always been a Water drinker. I used to joke and say it was one of the few things I did right. I do have my 1-2 cups of coffee in the morning, but no sodas, tea, or juice. only occasionally will I have a glass of milk.

Since getting surgery, I have actually struggled getting in my Water needs. I never really drank with meals, either, so it isn't that.

But I definitely carry my water wherever I go - it is my Linus blanket :) I finally downloaded an app on my phone. Silly, but effective. The one I use is Aqualert (android) but I've been looking at others as well. Just thought I'd throw that out there!!

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I have always been a Water drinker. I used to joke and say it was one of the few things I did right. I do have my 1-2 cups of coffee in the morning, but no sodas, tea, or juice. only occasionally will I have a glass of milk.

Since getting surgery, I have actually struggled getting in my Water needs. I never really drank with meals, either, so it isn't that.

But I definitely carry my water wherever I go - it is my Linus blanket :) I finally downloaded an app on my phone. Silly, but effective. The one I use is Aqualert (android) but I've been looking at others as well. Just thought I'd throw that out there!!

i like to out the pack of red Hawaiian punch in my water bottle. I can drink much more water now. You get about 10 packs in a box for $1. I was told caffeine does not count cause it dehydrates you.

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According to WebMD: "coffee and tea also count in your tally. Many used to believe that they were dehydrating, but that myth has been debunked. The diuretic effect does not offset hydration."

That's why I asked if tea counted for us. I know things are a bit different for those of us who have had WLS. I figured tea counted at least partially, but wasn't sure how much it counted as.

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My nutritionist and surgeon said Protein Drinks do count towards Fluid intake even though they have calories...

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In reply to your question, @@imsoglad56,

Too many caffeinated beverages can lead to a diuretic action, meaning you may lose more Water than you take in. If you tea is occasional and your hydration status is good, then you can count that towards your fluids. It’s when patients caffeine on a daily basis and in large amounts. The threshold for too much caffeine is 300 mg per day. Keep in mind, both de-caf and regular tea have tannins, which will block Iron absorption. Thanks for your question.

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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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