Hi, My daughter starts her pre op liquid diet tomorrow and the instructions from the surgeon are confusing me. I am hoping that maybe someone here will be better at math than I am!

64 oz liquid a day (all liquid counts towards this including protein drinks)

64 oz protein a day (Make sure your protein intake is always 30gr., when the diet says 16oz of protein this means 30gr of protein diluted in 16oz of liquid)

Daily intake of liquids 50gr.

Can anyone here make any sense of this?

If they are saying that you need 30gr. of protein in 16 oz of liquid and that you need 64oz of liquid with protein than it sounds as if they mean 128gr. of protein a day. Is this right?

I have already sent off an email to the office, but I thought maybe there is something simple here that I am missing?

Thanks

I was also 4 weeks out yesterday (YAY US!) and my calorie intake yesterday was 634 as per MFP. I get anywhere between 600-800 a day on average. I think 400 is too low @ 4 weeks, especially if your doing 30mins of cardio per day. No wonder you are near to passing out, your not getting enough fuel. My surgeon said to shoot for around 700-800 a day.

I make a point to always get my 70 gms of protein, and I try hard to get my water in but often fall short of the 64 oz. I found it easier when I was on a liquid diet and when I'm at work I always have a glass of water at hand it's when I'm home that I slack. My goal this week is to drink drink drink.. So good on you for getting your water in.

You've heard of the three week stall yes? It can last up to 2 weeks I've heard, I didn't loose last week either. There's a physical reason for the stall I just can't remember what it is. If you search 3 week stall on the site there is a lot of info about it. I'm not going to sweat it though. At 600-800 cals/day the weight will come off. Have faith and work the program, and you will see results.

Can I tell you my surgeon recommends that his patients do not weigh themselves at all (yeah right like that's going to happen), and if we must no more then once a week. I can't quite do that yet, right now I still must know what's happening every 3rd day or so. He prefers that his patients assess mainly by how our clothes are fitting. Mine were quite tight before surgery for the most part, and now everything is sooo loose. I bet yours are too. It's good to be a loser for a change.

Funny, Like you, I've developed the same intolerance to sweet drinks and foods. I've had a hard time with protein shakes, and my nasty chewable vitamins because of it. Thank goodness I can eat some real foods now.

The late at night hungry/full/heavy feeling for me was acid reflux. Every time I've changed my diet ie from clears to fulls, now to mushies, my stomach seems to rebel. I have to take Zantac pretty regular and I've bought some Pepcid to try if things don't settle down soon. Are you taking an antacid of some kind?

I hope your not to stressed about your situation. It all seems pretty typical and you just have to ride it out. Keep the faith.

I am so sorry I am just now getting around to replying to everyone. At my 1 month weight check appt my doctor changed to a different diet plan. I am not sure if it will be a new plan every month or if my dr is wanting to try a few methods but so far everything is going according to plan.

Thanks so much for the kind words and advice.

I'm only two weeks out, but on Monday my bariatric nutritionist said a common problem in the first couple of months is not getting enough calories (less than 800 for a sedentary woman) and that lowers your energy levels and hurts weight loss.

If you have a nutritionist obviously you should ask them, but maybe an extra protein shake during the day might boost your energy levels and get the inner furnace burning again.

If you're legitimately eating 600 calories a day that seems like the only reason you wouldn't be dropping weight. With daily exercise you should be dropping weight even at 1000 calories a day, really.

Note: I don't know crap about crap, so take that for what it's worth :)

Good luck!

I am new here and due to that I don't know when you will get this reply. I am not qualified to give ANY medical advise, I can only speak from my limited experience. For ME, I must eat VERY slowly and in small ( very small amounts) other wise I get the same feeling. I was not doing so well until I was moved to soft foods at my 2 week check up and I was able to eat a 1/4 c mash potatoes that had enough carbs to stop my own blood sugars from dropping. I am only 4 weeks out from surgery and I left the hospital on Sept. 22 @ 288 and I am at 252 as of today. I have learned that for my own personal well being I have to listen to my body. Water is my best friend lol and even though I have been released to eat scrambled soft eggs does not mean my body agrees with it. I have learned that I can only take a rice grain size taste of something new or I will get the same reaction that you are describing hours later and all the way through to the next morning. Keep following up with your DR. and I personally would log everything you are eating, time, amount ect and take it with you. On a side note I also learned that when I do try a new food my body does not like, that if I go to the gym or exercise in some way. It has been helping my body to digest it better. Just a thought, I hope you find relief.