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What to Expect During Year Two After the Sleeve



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Proudgrammy, my doctor believes to get your Protein from solid food instead of shakes because shakes won't keep you full for long since they are liquid. He thinks that if you drink them that you'll still eat solid food later to get full, thus consuming more calories than you need. I kinda understand that, but I still drink them on some days, especially if I do some strength training.

He also thinks it's some kind of dangerous precedent, drinking a liquid with calories. I just look at it that he deals with all sorts of people and comes up with rules 'for the masses' and puts them out there without worrying if people have any common sense about what they are doing... so sometimes I apply common sense (and other advice from this board - since he doesn't give Protein gram requirements, either) and not necessarily the letter of his rules.

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@@proudgrammy enjoy your FAGE with pride, this is where I first saw the Protein absorption idea on a non-body building site: http://www.scientificamerican.com/article/how-much-protein-can-the-body-absorb/

This is an interesting explanation of how the body utilizes food over a day: http://www.marksdailyapple.com/dear-mark-how-much-protein-can-you-absorb-and-use-from-one-meal/#axzz3kFd67qjP

This is a good explanation of the origin of the high Protein will hurt the kidney's myth: http://www.biolayne.com/uncategorized/myths-surrounding-high-protein-diet-safety/ If you have kidney disease, follow your doctor's recommendation, but for the rest of us, that recommendation doesn't apply.

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You can have rice I can't wait lol I was told rice is a no no..

It's not that rice is a no no. Eventually, you will have room in your stomach for rice. Right now, you should be concentrating on getting all your Protein in. Protein first, and veggies if you have room. I am not sure when you had your sleeve surgery.

Rice expands in your stomach. So be careful. You can eat a small amount, and get really full as it expands while it's sitting in your little tiny stomach.

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You can have rice I can't wait lol I was told rice is a no no..

It's not that rice is a no no. Eventually, you will have room in your stomach for rice. Right now, you should be concentrating on getting all your Protein in. Protein first, and veggies if you have room. I am not sure when you had your sleeve surgery.

Rice expands in your stomach. So be careful. You can eat a small amount, and get really full as it expands while it's sitting in your little tiny stomach.

.. Thanks yea I have a ways to go I'm only 18 days out. I am still trying to focus on eating slower lol.

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@@proudgrammy - There are some myths out there about too much Protein at one time hurts your kidneys and somehow a 25g shake is supposed to make that happen. But some myths die hard ...

Not so sure about this. I mentioned to my 86-year-old Mother's doctor that I was giving her a supply of 30-gram Protein shakes. The doc said that was a bad idea. My Mom's kidneys are weakened from diabetes, and that much concentrated Protein could overwhelm them and have bad results. So my suggestion would be to check with your doctor if you have any reason to worry about your kidneys. That being said, I drink my Protein Shake for Breakfast every single morning, and have no intention of stopping, even in maintenance.

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@@proudgrammy enjoy your FAGE with pride

@@OKCPirate

i did thanx :)

i tasted everyone of those 20 gr Protein :D

thanx for your post and help again :)

unfortunately the links you show-won't pull up for me :angry:

hope we can figure those links out

if you sent them, they must be great ;) - worth reading :)

i'm probably gonna be up all night worrying about the prob :o

congratas on loosing 89 lbs!!!

now i understand why i've been "seeing less and less of you" :lol:

kathy

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my doctor believes to get your Protein from solid food instead of shakes because shakes won't keep you full for long since they are liquid.

@@Boombalatty

thanx for your response :)

i do agree that liquids/protein shakes might not keep you as full as for example chicken :)

in my case, i drink Premier Protein shake (swiss chocolate) 25 gr Protein :)

i drink/SIP slowly (20 minutes)

it does make ME full :)

Proudgrammy, my doctor believes to get your protein from solid food instead of shakes because shakes won't keep you full for long since they are liquid. He thinks that if you drink them that you'll still eat solid food later to get full, thus consuming more calories than you need. I kinda understand that, but I still drink them on some days, especially if I do some strength training.

He also thinks it's some kind of dangerous precedent, drinking a liquid with calories. I just look at it that he deals with all sorts of people and comes up with rules 'for the masses' and puts them out there without worrying if people have any common sense about what they are doing... so sometimes I apply common sense (and other advice from this board - since he doesn't give protein gram requirements, either) and not necessarily the letter of his rules.

@@Boombalatty

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@@Rogofulm - I mentioned later that this myth was misplaced to people with normal kidneys. It is VERY different to those with kidney disease.

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@@Rogofulm - I mentioned later that this myth was misplaced to people with normal kidneys. It is VERY different to those with kidney disease.

Yes you did. I saw that after my post. That's okay, doesn't hurt to reinforce it. Cheers!

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@@VSGAnn2014

Loved your post! It makes so much sense that our bodies would get used to a set point, and if that set point is 1000 calories, eventually we could gain weight even on that.

Would you mind sharing what a typical day's meals look like? I'm just 23 days out and having a hard time visualizing how I'll ever be able to eat 100 grams of Protein, 5 servings of fruit and veggies, and 21 grams of Fiber. I'm struggling to get my 60-80 grams of Protein (hitting it, but have to work hard at it) and I am WAY under on Fiber. My only veggies right now are in V8. Which I can drink a 5.5 oz can of!!!

More worrisome, I can eat 5 ounces of mushies/puree no problem. And if my stomach is empty, I get nauseated. I'm finding I eat a small something every couple of hours just to keep from feeling nauseous and having a feeling that my tummy is gnawing itself away. As a result, I'm eating about 800 calories a day. I'm worried that's too much this early. I'm starting soft foods tomorrow (which my Nut distinguishes from pureed, although I'm not exactly sure that the difference is!)

I'm right at 8 mo's out. In the beginning I couldn't eat/drink much of what I was supposed to at all. Very frustrating when you're told to meet this goal and that goal. I figured out....after a long while...these are guidelines and guidelines only. Not everyone is going to be able to meet this quotas. And I'm fine with that. I'm still losing! I'm down 101lbs so I must be doing something right. I still don't get my total protein in...but I quit worrying and stressing about it. I do what I can and make it work for me. You'll do great!

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@@Graciesmom04 wow, 101 pounds. That is impressive! Congratulations!

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So good to hear. I am coming up on my one year anniversary. Since I have a longer weigh loss course than most sleeve pts I want to talk about what I can do to continue to lose during year two. I am determined to get to a normal BMI! I'm going to write out some questions to ask.

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Congrats on your successful journey! I will be 2 years post op with the sleeve on Friday of this week. It's been an amazing journey as well for me. I've lost and maintained a 150 pound weight loss. I will add for me that the second year was more about doing work on myself emotionally and working on the underlying emotional-eating issues that got me to a place where surgery was my only remaining option. Without doing that hard work, I don't know what my long term success would look like. Good luck to you on your continued successful journey!

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Kind of embarrassing to do this, but I'm bumping my own thread for those who want to hear my surgical team's predictions about Year Two post-op and beyond for gastric sleeve patients.

I posted the OP almost 6 months ago, and (so far) my bariatric physician's assistant's predictions of Year Two of sleeved life are certainly holding true for me.

Since I posted this nearly 6 months ago, I've very slowly lost another 8 pounds and now weigh 135 pounds. Today, I decided it's time to raise my daily calories from 1, 700 calories to 1,800 calories. At 135 pounds and 5'5" and 70 years old I don't want to lose anymore weight. So I'm going to suck it up and eat another 100 calories a day. :)

I'm still feeling great, looking great, love eating really healthy, delicious food and wearing small, attractive clothes that I haven't dared to wear in decades. Happily, I have no health problems at all (that I'm aware of).

Earlier today I posted something very wise I recently saw on a health blog -- that the two magic ingredients of a healthier lifestyle are patience and consistency.

I think that statement is very important information for anyone who is considering WLS or is working hard to get the maximum health benefits from their own WLS.

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    • 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!

    • 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. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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