Hey all! I’m new here. I’ve been doing my two protein shakes per day and one lean cuisine with 2 cups of broccoli but I’m still so starving!!! I have my date for January 22,2025! Help!

I think the first thing for you to do is determine if you're experiencing "head hunger", real hunger, or both.

True hunger typically will feel like your stomach rumbling or growling (at least pre-surgery), as well as cues like weakness, tiredness and irritability. You typically don't crave specific things in this case. This should also go away when you have a shake or your 1 meal.

Head hunger is an emotional response and typically in this instance, you'll will be craving specific foods (typically comfort foods). In this instance, it's less likely to go away when you eat.

If what you're experiencing is real hunger, my experience was that I got over that in 3 days or so as my body adjusted to the lower intake. It also helped to keep busy to have things to distract me. If this is not going away after a few days, you might want to talk to your surgery center and see if they'd allow you to maybe add an additional shake or something else like jello or a pickle. (As an aside, I found pickles to be a life saver because my pre-op meals were just shakes (no actual meals like you get), and the additional of the pickle let me have something to actually eat vs. just having drinks all day.

For head hunger, you need to recognize it as such. Just being knowledgeable and recognizing what's going on will really help. I didn't do this, but some people find it really valuable to keep a journal so you can write down what your feeling and why this particular feel is making you want to eat. Distracting yourself with activities or socializing will also help here as well.

The pre-op diet is probably the hardest thing you will do for the next 10-12 months. It's honestly so difficult, but you can get through it! Once surgery was done, 400-500 calories per day felt totally normal to me for months.

A few things that helped me were sugar free jello, sugar free popsicles, and the Millie's sipping broth. Almost no calories in any of these, but you get sort of the feeling of eating, which helps combat the head hunger. Is it perfect? No. But it kind of helps. Also, sugar free gum might help. And if you're truly hungry, ask if you can add more non-starchy veggies throughout the day. I wasn't allowed any meals or veg, just liquid, but since you are, the difference between 2 cups of broccoli and 3 cups, calorie wise, is pretty much nothing. You can eat a whole cucumber for barely any calories, or a salad with baby spinach, cucumbers, shredded carrots, and balsamic vinegar (no oil).

1 hour ago, NickelChip said:

The pre-op diet is probably the hardest thing you will do for the next 10-12 months. It's honestly so difficult, but you can get through it! Once surgery was done, 400-500 calories per day felt totally normal to me for months.

A few things that helped me were sugar free Jello, sugar free popsicles, and the Millie's sipping broth. Almost no calories in any of these, but you get sort of the feeling of eating, which helps combat the head hunger. Is it perfect? No. But it kind of helps. Also, sugar free gum might help. And if you're truly hungry, ask if you can add more non-starchy veggies throughout the day. I wasn't allowed any meals or veg, just liquid, but since you are, the difference between 2 cups of broccoli and 3 cups, calorie wise, is pretty much nothing. You can eat a whole cucumber for barely any calories, or a salad with baby spinach, cucumbers, shredded carrots, and balsamic vinegar (no oil).

I'll second all those recommendations, especially the Millie's sipping broth! I LIVED on that stuff for a while both pre and post surgery! Definitely worth checking out.

Its a tough ask to ask people who are very overweight to eat like a sparrow. We all feared this part. I thought it was bitterly cruel doing 3 weeks of milk and vegetables. I was so over this diet I ran into the operating theatre. The only thing that kept me on the straight and narrow was the fact that if my liver was still fatty, the surgery would stop and I would wake up with out the surgery. It has happened to a few people on here and they were heart broken.

We are with you and if you want to vent, somewhere in the world, is a person on here ready to listen

2 hours ago, summerseeker said:

The only thing that kept me on the straight and narrow was the fact that if my liver was still fatty, the surgery would stop and I would wake up with out the surgery.

Honestly, right before my pre-op diet started, I watched a video from Dr. Pilcher's YouTube comparing actual surgeries where he was retracting a normal liver, a sort of medium-fatty liver, and a really bad fatty liver. It was downright gory, but after watching it, I was willing to do anything to keep from having the bad liver. So if nothing else works, try finding that video and scare yourself into not eating!

Most likely it’s because your body is detoxing from carbs and it’s screaming for more. Once your body is rid of them the cravings will subside and it’s actually a great deal easier. For me it’s usually almost a week before the cravings are completely gone but they get a little less with every day. For future reference too if you are like me the natural carbs like fruit and veggies don’t cause me issues or even a very small portion or brown pasta or rice, but processed carbs I have to be VERY careful with. One cookie and my body wants more. Two cookies and I’m craving carbs for a week. You can do this and it will get easier each day and even easier post surgery when your appetite is gone. If I’m busy now, I even forget to eat lunch on occasion if I’m out and i have to stay up late to have a second dinner to get all my protein and vitamins in. Soooo many people say that that preop is the hardest part of the whole process mentally. Just keep your eye on the prize. You can do this. ❤️

Edited January 24, 20251 yr by ShoppGirl

On 1/13/2025 at 11:18 AM, NickelChip said:

The pre-op diet is probably the hardest thing you will do for the next 10-12 months. It's honestly so difficult, but you can get through it! Once surgery was done, 400-500 calories per day felt totally normal to me for months.

A few things that helped me were sugar free Jello, sugar free popsicles, and the Millie's sipping broth. Almost no calories in any of these, but you get sort of the feeling of eating, which helps combat the head hunger. Is it perfect? No. But it kind of helps. Also, sugar free gum might help. And if you're truly hungry, ask if you can add more non-starchy veggies throughout the day. I wasn't allowed any meals or veg, just liquid, but since you are, the difference between 2 cups of broccoli and 3 cups, calorie wise, is pretty much nothing. You can eat a whole cucumber for barely any calories, or a salad with baby spinach, cucumbers, shredded carrots, and balsamic vinegar (no oil).

You just reminded me. I was allowed a couple free foods on my preop. The sugar free jello, sugar free popsicles and broth and lettuce, pickles and something else I didn’t like. The popsicles helped a lot. I got the tropical flavor ones. The pineapple was so good I have them in my freezer today and still Have them as a snack. I log All of my food even my calcium chews but I still don’t count them or dill pickle spears as free foods and do not log them. It sounds kind of crazy, but mentally it allows me to not feel like I’m starving because I can always have a pickle or a popsicle, no matter what else I had that day. For me more than half of this is a mental battle and I have to learn little ways to trick my brain into not wanting to overindulge. Just keep in mind with the popsicles that some doctors do not want you to have red or purple a couple days out from your surgery. Just double check your literature for something like that. I actually ate the red and orange ones first and save the pineapple ones for the couple days before surgery and that was my favorite two days because I love the pineapple. ?

I hope you are home from hospital and recovering well. Keep posting here if you have questions. This site is a great source of support and people willing to share their experience

I am on day two, and I was so hungry last night i ended up having 2 extra string cheese before bed, I feel bad because I did so good on day 1, but before bed i was starving. Today I am making use of my "free foods" and am going to try adding some broth, and sugar free jello as well as some extra free veggies. I had a headache yesterday but today none, I also did a modified diet for one week before my pre op started, 3 shakes during the day and then a regular meal for dinner.- my surgeon didn't mention not having the surgery if the liver was still too big but I definitely don't want to take the chance.

I did keto a lot before surgery, it was vogue as we’ve all done a million diets in our lives... It works, but cravings. The preop and post diet are similar. Just way more liquids. For the fatigue and headaches, broth was the key. You would dehydrate rapidly and would suffer without the salt. The sugar detox is real, often once it passes you are a ton less Hungery. For those like me, and sugar can start the cravings. 100% agree with others who posted. It takes me about a full week for those to stop. Distractions help, exercise helps, just going to bed helps. I am always less hungry after mild exercise, mostly sweaty and thirsty. It helped stopped the food focus more than plain distractions. Heavy exercise increased the hunger the next day. This might sound crazy, but I had to constantly know when my next meal was. Lunch done, wait 2 hours then sugar free jello, then 1 hour and sugar free popsicle, then start to prep dinner, etc. knowing I was eating something in 1-2 hours helped. I tend to panic eat. Food was scarce as a kid and I tend to stuff myself if it’s not readily at hand and I’m hungry… my next meal is 3 bananas as fast a I can shove them in and I remain food panic triggered and have to talk myself down. I’m working through my hunger panic. I’m 100% not super thin now, I’m huge and need help… it’s why we are all here. :). To give and get support. And trying to not be a clean your plate club, eat any meal you are offered, all meals need a dessert, eat till you have pain and call that “full” kinda gal. I’d also make sure I got all of my sleep. I’m a 10 hour person. Plan a small exercise before you know your mega Hunger hits (I’m lunch). A 15 min walk helps divert my blood to my limbs and gets me craving fluids. Call your food what it is. A popsicle is a dessert. A pudding is a dessert. Sometimes reframing these help, ok in 2 hours I’m having protein pudding as a dessert, followed in 2 hours by a dessert popsicle. We are all different, so need different things. If after dinner I have a popsicle every night before bed, I call it dessert and I always know it’s coming and I will be getting more food… and I’m ok not being as full at dinner. This.. might have been too personal, but… helps me.

I did keto a lot before surgery, it was vogue as we’ve all done a million diets in our lives... It works, but cravings. The preop and post diet are similar. Just way more liquids. For the fatigue and headaches, broth was the key. You would dehydrate rapidly and would suffer without the salt. The sugar detox is real, often once it passes you are a ton less Hungery. For those like me, and sugar can start the cravings. 100% agree with others who posted. It takes me about a full week for those to stop. Distractions help, exercise helps, just going to bed helps. I am always less hungry after mild exercise, mostly sweaty and thirsty. It helped stopped the food focus more than plain distractions. Heavy exercise increased the hunger the next day. This might sound crazy, but I had to constantly know when my next meal was. Lunch done, wait 2 hours then sugar free jello, then 1 hour and sugar free popsicle, then start to prep dinner, etc. knowing I was eating something in 1-2 hours helped. I tend to panic eat. Food was scarce as a kid and I tend to stuff myself if it’s not readily at hand and I’m hungry… my next meal is 3 bananas as fast a I can shove them in and I remain food panic triggered and have to talk myself down. I’m working through my hunger panic. I’m 100% not super thin now, I’m huge and need help… it’s why we are all here. :). To give and get support. And trying to not be a clean your plate club, eat any meal you are offered, all meals need a dessert, eat till you have pain and call that “full” kinda gal. I’d also make sure I got all of my sleep. I’m a 10 hour person. Plan a small exercise before you know your mega Hunger hits (I’m lunch). A 15 min walk helps divert my blood to my limbs and gets me craving fluids. Call your food what it is. A popsicle is a dessert. A pudding is a dessert. Sometimes reframing these help, ok in 2 hours I’m having protein pudding as a dessert, followed in 2 hours by a dessert popsicle. We are all different, so need different things. If after dinner I have a popsicle every night before bed, I call it dessert and I always know it’s coming and I will be getting more food… and I’m ok not being as full at dinner. This.. might have been too personal, but… helps me.