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Gaining weight 4 weeks post op...



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I feel devastated and depressed, for the past 2 weeks (since i started puree/soft food) I have been gaining weight, I eat what I am supposed to, I walk a mile a day and I just don't understand what's going on, the scales keep going up, I drink a minimum of 1ltr of Water a day, I'm not constipated, I eat 2 chicken breasts a day with gravy and that's it, I don't sneak food in, I'm taking my Vitamins, my metformin, I am honestly lost and feeling so sad, did I do all this for nothing? I've not had any meetings with my nurse or surgeon, they haven't even responded to my calls, I know there is usually the dreaded 3 week post op stall, but I just can't understand how I'm gaining, I got down to 13st 2lb and now I'm 13st 7lb, I'm sorry if this is not written well, I just really need some help and someone to talk to, I feel so alone and regretting my decisions.

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@@GeorgiaLM How much Protein are you getting? You said you eat 2 chicken breasts with gravy - that's it. You may not be eating enough or frequently enough. It's possible you are retaining fluids. A liter is not enough fluids - you need at least 64 ozs - even more if exercising and are in a hot climate. I'm sorry your Team hasn't been responsive. At 4 weeks out - my plan is still puree (3-4ozs every 3 hours) and focus on protein. Stay strong - don't get discouraged!

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@@KristenLe Thank you for responding! I get about 55g of Protein a day, I eat the chicken in 2 separate meals, according to MyFitnessPal, I get 286 cals a day and burn off 106 with exercise. Do you think I should add in another chicken breast? I could try drinking more, I don't really know how much 64oz is.

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I think 286 cal is awfully low. I'm still pre-op but maybe others can chime in with their calorie target in this stage.

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Edited by Clarevoyant

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@@KristenLe Thank you for responding! I get about 55g of Protein a day, I eat the chicken in 2 separate meals, according to MyFitnessPal, I get 286 cals a day and burn off 106 with exercise. Do you think I should add in another chicken breast? I could try drinking more, I don't really know how much 64oz is.

I think it's about 2 liters. That's not enough calories - your body is in starvation mode. Can you still drink Protein Shakes? You definitely need to eat more.

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You definitely need to eat more. I'm 5 months post op and I gained 3 weeks ago. I immediately increased my calories from 600-700 a day to 800-900 a day. I lost the 2lb I gained plus 2 more the next week. You need to drink 2 litres a day. Don't be down. You're doing great. Each food stage change makes our bodies react. You'll stabilise when you're on solids. Are you in the UK?

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@@Clarevoyant @@KristenLe @@madadams Thank you all for responding and helping me, I really appreciate it. I should eat more, I just have no idea what to eat, I'm terrified of calories, I'm scared of the fat and the sugar contents, do any of you have ideas of what to eat? I am in the UK madamadams, I'm not very good with measurements.

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I'm in the UK too. Manchester. Things are different here. My dietician and surgeon don't like Protein shakes. They also tell me not to count calories/ fat/ carbs. They say to eat from all food groups. I have lost 5 stones in 5 months. I eat anything I want. But extremely small portions. Just don't worry. Experiment. I do count calories because I think it's important for me to keep a track on things. At puree stage I made bolognese sauce and pureed that then I froze it into ice cube trays. I had 2 cubes per meal. 1 rusk for Breakfast. Maybe something like potato hash pureed for dinner. With petit filous fromage frais and philadelphia light as Snacks.

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Edited by madadams

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@@madadams I'm in Birmingham! Can I ask how many calories you try and stick to?

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Have a look at the following link. I had post op instructions from my team but I found this very helpful:

https://www.stgeorges.nhs.uk/wp-content/uploads/2015/07/St-George%E2%80%99s-Hospital-Sleeve-Gastrectomy-and-Gastric-Bypass-booklet2.pdf

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Atm I try and stick to 800-900 a day

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Edited by madadams

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I do log everything into myfitnesspal...I've noticed that I don't lose well when I've had a lot of sodium...could it be Water retention?

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And 286 calories is very low!

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I do log everything into myfitnesspal...I've noticed that I don't lose well when I've had a lot of sodium...could it be Water retention?

Sent from my SAMSUNG-SM-G900A using the BariatricPal App

And 286 calories is very low!

Sent from my SAMSUNG-SM-G900A using the BariatricPal App

I'm hoping it's Water retention, I'm going to drink 2 ltr today to see if it makes a difference and also going to have some extra food, maybe some fish with mash? I'm not sure how much sodium would be too much, at the moment myfitnesspal says i've had 931mg of sodium,

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It's really hard to know...I would definitely ask a nutritionist if you could.

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That's a very low calorie intake!! I'm just ending my two week liquid post op and my calorie intake take is higher then that. I also think your Protein needs to be a little higher! I make sure I at least get 70g. My teams target is between 60g - 90g.

I can only imagine how frustrating it must be to see the scale fo up. I see it stay the same and I panic. Its differently a work in progress.

I hope some of these suggestions help you see a minus!!!

Good luck!!

Maybe it would be a good idea to meet with your teams nutritionist.

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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.
      · 0 replies
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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. 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.

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