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Energy after surgery?



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I'm still at the undecided stage. One of the things that is making me hesitant is that I'm afraid with such an incredibly low calorie daily intake, I won't have energy to work or do anything else. That is based on my experience with the Dr. Bernstein diet (ketosis diet). I was so hungry all the time I couldn't even sleep let alone think straight. They said once a person is in ketosis there would be no hunger, but that was not my experience. I don't want to go through that again!

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Fortunately, there is no reason to do such a diet after surgery (unless there is some medical reason for it, in which case that is something to work out with your docs and dieticians.) Yes, you will be quite restricted calorically due to the low amount that you can physically eat for a while, but there is no reason to go overboard on restricting carbohydrates, fats or whatever you need to function. People have been successfully navigating WLS long before low carb/Atkin/keto diets were ever popular, and will be doing so long after they fade from popularity.

I couldn't afford the common side effects (like fatigue and lethargy) of the popular low carb diets, so I never did that, but rather sought out the best nutritional bang for my caloric buck with the non-protein side of my diet. That also dovetailed in with what my long term maintenance diet/lifestyle would be, so there was little transition problem as is often seen when moving from "diet" to "maintenance".

You can expect some fatigue for a couple of weeks to a month or so as you are recovering from major surgery, but as the weight comes off, your energy usually increases markedly. But your experience is consistent with many who do go a very low carbohydrate route and report months of post op fatigue.

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Hi Ruth9454, I had exactly the same fear, but I was pleasantly surprised to find out that life after WLS is not like before WLS. What I mean is that before when I reduced calories I would feel weak and shaky and hungry. After my gastric bypass I have no sensation of hunger and I am consuming between 400 and 500 calories a day and I feel great. Energy is fine, no shaking or weakness or headaches. I can't really explain it, but that's how it is for me.

Sent from my SM-N960U using BariatricPal mobile app

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I've not had a problem at all with energy since having the sleeve 5 months ago. In fact, I might even have more energy now that I've lost some weight and I go to the gym and/or walk 5-6 days a week.

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Once I recovered from the surgery, I have plenty of energy on very few calories. I do get hungry sometimes but it takes very little to satisfy it. I'm not in ketosis (at least the last time I had labs done I wasn't) and don't attempt to be. I guess I eat just enough carbs to prevent ketosis. This has been one of the best decisions I've made!

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There are days I cater my own pity party, feel like I am starving in the the Land of Plenty, there were even days when I was tempted and gave in to trying to eat my son's more normal diet. Didn't work, more than 4 oz ingested and up it all comes. And I look pathetic, I sound pathetic, rather like a large cat with a hairball, choking. When you have a stomach the size of an egg, even a hen-egg Jumbo, you just don't havecenoygh stomach to build up speed for Projectile Vomitting. Don't know if VSG patients have any more force in their " banana" just personal experience of my bypass. And I do get weary and weak afterwards, my teeny tummy hurts like a son-of-gun, my ulcers say " Let us join in throbbing!" so it does not pay for me v to try to exceed my limits. Many can eat past their surgical restraint, even stretch things out a little. But Boy-oh- Boy, not yours truly. I'm more restrained than handcuffs and leg irons. But it has enabled me to lose the weight I NEVER could before. I am nearly as small as I was when first married, and that was 1967, certainly smaller than when I delivered Tomkitten 40 years ago, funny ,he was my Biggest Baby, 9 1/2 pounds, but I was the smallest post- birth. So I plan to see how low I can go until my body says "No Mas" and I go into my maintainance stage.

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I had VSG on 2/6/19, and I can definitely say I have a lot more energy now than I did before surgery. I'm sure that's due to various factors, but the point is that even with the extremely reduced calorie intake I'm feeling good. Before surgery I was tired ALL THE TIME. I have hypothyroidism and PCOS (plus a 5yr old who likes to wake me up in the middle of the night still), but even right after surgery I could tell a difference in my energy level. I get B12 shots from my surgeons office monthly, so that probably helps too.

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I also got my sleeve on 2-6-19.

After WLS is NOTHING like before WLS.

I suck at explaining the exact science behind it, but basically your body starts to mobilize fat stores for energy and calories to maintain all of your bodily functions.
In short, our bodies actually start doing the thing that they should’ve been doing (and yet sadly didn’t) by burning fat for energy, which is why we lose the weight.

Now this magical “honeymoon” phase doesn’t last forever (😭😭😭) but the metabolic reset is kind of magical.
I have loads more energy today eating 600-700 calories daily than I ever had presurgery.

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Wow! These responses are making me so hopeful! Thanks so much everyone for taking the time to respond.

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    • 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!
      · 1 reply
      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. 💗

    • 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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