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Having trouble getting enough calories



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I am 6 weeks post op from VSG. I am exhausted all the time. I rarely make it through the day without a nap. The nurse practitioner at my surgeon's office says I need to increase my calories to 600-800 calories a day. The problem is I am only able to get 400 calories in and that is on a good day. I just started solids in the last week and I thought that would make it easier. However, I get full so fast that I am not eating much so I am still not getting the calories. Any suggestions are greatly appreciated.

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Protein Shakes. That is about the only way you're going to get what you need right now. Three meals and Protein shakes, and you'll get in the neighborhood. I just BARELY get to about 600 calories right now, three weeks into it. Also, make darn sure you're getting all your Vitamins as you should be. And you may want to see about a blood test to check your Vitamin D. I take a supplement for that and it has helped my energy, as I did have a deficiency even pre-surgery.

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I am 6 weeks post op from VSG. I am exhausted all the time. I rarely make it through the day without a nap. The nurse practitioner at my surgeon's office says I need to increase my calories to 600-800 calories a day. The problem is I am only able to get 400 calories in and that is on a good day. I just started solids in the last week and I thought that would make it easier. However, I get full so fast that I am not eating much so I am still not getting the calories. Any suggestions are greatly appreciated.

Sent from my SM-G920V using the BariatricPal App

I'm in the same boat!

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My Protein Shakes represent over 1/3 of my calories for day. I don't have a calorie goal but I am around 700-900 per day on average.

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I was really ill post op and could only get 300 ish calories in a day for over 10 weeks.

I concentrated on Fluid first, mainly Water then broth, then broth with Protein in.

I slowly started adding more and more Protein (egg dropped in broth, beef that would shred in a slow cooker) to the broth.

I used small amounts of honey in tea, hot chocolate, cold Protein drinks, Decaf coffee made with full milk instead of Water.< /p>

All to just help me get calories in while I was struggling.

Once I healed more, I made my Soups into stews, made my broths thicker with lentils.

I couldn't, and still can't eat mash potato or many of the recommended purees but once I progressed to the "crispy, crunchy" phase, I did much better with textured foods.

It took me months to get up to 600 calories a day in the conventional way.

I would even just nibble on a plain cracker with Peanut Butter, thinly sliced apple and honey on it.

It would take me a whole day to eat it but I set a timer for every 30 minutes on my phone. At every alarm I would eat or drink something. All day and evening.

I didn't worry about dieting during that time. If I had tea, I put small amounts (1/2 tsp) of honey in it. I tried tiny amounts of milk, protein shakes, Soups etc to get my calories up.

Just to say though, the fatigue might last awhile longer. You just had major surgery, you are on low calorific intake.

Hang in there, you will heal. Take it slowly.

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I am 6 weeks post op from VSG. I am exhausted all the time. I rarely make it through the day without a nap. The nurse practitioner at my surgeon's office says I need to increase my calories to 600-800 calories a day. The problem is I am only able to get 400 calories in and that is on a good day. I just started solids in the last week and I thought that would make it easier. However, I get full so fast that I am not eating much so I am still not getting the calories. Any suggestions are greatly appreciated.

Sent from my SM-G920V using the BariatricPal App

You may have to eat more frequently.

A good way to up your calories is to add some good fats: avocado, Peanut Butter, etc.

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Thanks for all of the suggestions. I definitely think I need to eat more often, but I am rarely even hungry. I feel like I think about food more now than I did before surgery. I am afraid my husband is getting frustrated with me due to my fatigue since I currently do not work outside the home. It takes all of my energy to get laundry done and put away. He feels I should be doing more at this point since it has been 6 weeks since surgery . He thinks if I worked out I would have more energy but with my minimal calorie intake I just don't feel like even taking a walk.

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Thanks for all of the suggestions. I definitely think I need to eat more often, but I am rarely even hungry. I feel like I think about food more now than I did before surgery. I am afraid my husband is getting frustrated with me due to my fatigue since I currently do not work outside the home. It takes all of my energy to get laundry done and put away. He feels I should be doing more at this point since it has been 6 weeks since surgery . He thinks if I worked out I would have more energy but with my minimal calorie intake I just don't feel like even taking a walk.

Sent from my SM-G920V using the BariatricPal App

Are you hitting your Fluid targets?

Not being hungry is normal so set timers and try.

An ounce here and there adds up!

Fatigue is normal following a major surgery and on such low calorie intake. Your body is concentrating on healing.

Have you shown your husband the actual surgery/diagrams etc on Youtube? Does he fully understand what you are recovering from?

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It took me a year to get up to 800 calories a day. I added a spoonful of Peanut Butter, a few slices of avocado, some full fat cheese, a handful OD almonds... anything calorically dense to help!

I'd suggest staying away from sugary carbs like honey, personally. They add calories without real nutrition,.

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It took me a year to get up to 800 calories a day. I added a spoonful of Peanut Butter, a few slices of avocado, some full fat cheese, a handful OD almonds... anything calorically dense to help!

I'd suggest staying away from sugary carbs like honey, personally. They add calories without real nutrition,.

I think the honey advice (keep in mind we are talking 1 tsp a day at 21 calories) may differ dependant upon which medical advisor is delivering it.

My GP believed that the mineral content, namely Calcium, Iron, magnesium, potassium, zinc, not to mention the B Vitamins, would be helpful in comparison to the 21 calories it contained. She said that "I would use that many calories opening the jar".

It even has a trace amount of Protein in it which I didn't know!

But this was just part of my caregiver's recovery strategy for me.

All plans are different.

Sent from my iPhone using the BariatricPal App

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Thanks for all of the suggestions. I definitely think I need to eat more often, but I am rarely even hungry. I feel like I think about food more now than I did before surgery. I am afraid my husband is getting frustrated with me due to my fatigue since I currently do not work outside the home. It takes all of my energy to get laundry done and put away. He feels I should be doing more at this point since it has been 6 weeks since surgery . He thinks if I worked out I would have more energy but with my minimal calorie intake I just don't feel like even taking a walk.

Sent from my SM-G920V using the BariatricPal App

Until you can get your calories up, "working out" may need to be on the back burner.

Moderate exercise and walking should be plenty.

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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
      1. This update has no replies.
    • 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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    • KimBaxleyWilson

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