Question:
Only 4 weeks out, feeling down on myself...

I had surgery 4 weeks ago today, and have a couple of issues. I cannot bring myself to puree something like a hamburger or whatever, so I eat soft things and chew forever. I know that is a no-no, but I just can't bring myself to throw food in a blender. I feel like I'm already failing! Also, since I've gone back to work this week, it's been alot easier to get in the small meals and water I'm supposed to, but I also have been gaining and losing the same 3 pounds since last Friday! Is that normal this early? I feel like I'm eating so much, even though I get really full if I eat a half a baked potato...Help! Would keeping a food log help me feel more in control? I just feel like this is it, I've lost my 35-39 pounds, and I'm going to go back to eating like a pig. Do I sound normal, or totally paranoid? My husband is a great suppport, but he just can't understand these feelings.    — vittycat (posted on April 17, 2003)


April 17, 2003
I'm pre-op, but my nutritionist says that if we don't want to puree we don't have to. We can choose soft foods - like tuna salad and egg salad. She showed slides of pureed foods, and nobody found them appealing! As for your feelings, you sound normal from what I've seen here at AMOS and at my support group. Hang in there!
   — JoSyrNY

April 17, 2003
Krista, congratulations on your weight loss! I'm five weeks post and have lost 28 pounds, so you are doing great! I do keep a food journal on fitday.com and find that this is really helping me to feel in control of my food. It also helps to give a clear picture of exactly what is going into my mouth, which helps prevent the head games you are talking about. How much are you eating? At 5 weeks, I'm eating 3 meals and 2 snacks. In the morning I have an 8oz protein drink, for a snack I have 1/2 cup of fruit, for lunch 3 oz protein (today it's chicken) and 1/2 cup veggie (if I have room), and then another snack about 2:30 (1/2 cup yogurt or n/f-s/f pudding), and then for dinner I will have 3 oz protein and 1/2 cup veggie (again, if I have room). This is my doctor's eating plan, so don't think you have to do what I'm doing, but I listed it so you have an idea of the quantity I'm getting in. Don't lose heart, and start keeping a food diary/log. I think you will find that this really helps you a lot! Best of luck to you. Many blessings, Robin
   — rebalspirit

April 17, 2003
I never pureed anything and I never used any protein supplements. I just couldn't do it. You are not at the end of the weight loss - far from it. Having a plateau this early is very common and it happened to me. It should only last for a short time. Try weighing yourself only once a week or if you continue to weigh daily, just remind yourself that it's not always a slow steady process. I'm now 6 months post-op and lose in 'chunks' now. For 2 weeks in a row, I'll lose a pound each week. The following week I'll lose 5 and the week after I'll lose 3. But the weeks that I lose the least amount are the weeks that I get the most comments about my weight loss. It's weird. You know how you get compliments on the day you are scheduled to get your hair cut because it's driving you crazy? It's like that. Good luck.
   — Yolanda J.

April 17, 2003
Krista, I had to do the puree thing according to my nutritionist and surgeon. I could not tolerate the consistancy of puree, so I would add everything to instant mashed potatoes. For instance, I would dry puree my meat, add cheese and seasonings, and put it in mashed pototoes. If you also need extra protein, my nutritionist has you add powdered milk to your mashed potoatoes to add protein but not volume. This works in eggs or anything else you want to add it to. Since you said you are eating a half a baked potato, try this alternative...it reminds me of shepards pie. Hope it helps. 2.5 months post op lap RNY down 52 lbs.
   — rwormington

April 17, 2003
My nutritionist said to get non-flavored protein powder and mix them with mashed potatoes.
   — Katerina M.

April 17, 2003
35 pounds in a month is anything but a failure. You will have periods over your weight loss journey where you will gain and lose the same few pounds and other weeks where you lose no weight and some weeks where you lose several pounds. Just the way it is. A food log is a good idea if you can be consistent, and www.fitday.com is a perfect place to do that. I, for one, hate writing down everything I eat-main reason I always quit weight watchers! Don't worry about the puree. I couldn't stand the thought of it either and like the others, just ate soft foods and chewed well during that stage. It sounds like you are doing fine, and it is not unusual to have a little fear during this journey-after all, we have all gained and lost and then regained in the past and have never kept it off, so its not difficult to understand that we all have a bit of fear that we will not lose the weight, or the stage I am at at 14 months post-op, can I keep it off?
   — Cindy R.

April 17, 2003
My surgeon was very strict on what we can and can not eat after surgery - we are all on a clear liquid diet for one week until our drains come out...(we go home with stomach drains to make sure there is not any leaks), then we move on to CREAMY FOODS - for 6 weeks... which consists of only cream soups, cream of wheat, no popsicles or pudding as they !! That is about it.... it is hard to do but seroiusly he wants your stomach to heal before you put anything too heavy in it ---- and he is STRICT about NO PROTEIN DRINKS at all-- his reasoning makes sense, because we are not getting enough water in us at this time to FLUSH the kidneys and protein tends to make kidney stones if not properly flushed out... so this is why he won't let us do protein... he wants us to get protein from FOOD!! Then we move onto the next level - which is SOFT foods... this consists of things like mashed potatoes, soft veggies, tunafish, soft baked fish, crab legs, soups, scrambled eggs with cheese, corned beef hash, just simple soft foods... nothing hard!!! And still NO PROTEIN DRINKS!! Then we can move onto regular foods if our tummies allow it... but I have NEVER pureed any foods and frankly I would never even think about eating a hamburger - that is what got me here in the first place!! So please just choose your foods carefully...measuere your food too... that helps you to not overeat... I can't eat a half of baked potatoe NOW - 4 months out... your tummy has to have time to heal and you really only to deal with the stictness of the special diets for a little while (all doctors are different) but all the patients here in Houston who use my doc are doing pretty well with this diet.. we support each other, and try to help each other get through the hard days... most people experience HEAD HUNGER... we are so used to eating what we want - that we think we still have to have it.. but that soon passes.... I promise! I've lost 87 pounds in 4 months sticking strickly to this diet!! So it does work and I haven't had ONE PROBLEM at all with my stomach!!!! So if it helps please use it OK...... Good luck, your doing great with your weight loss - don't fret that!! Be strong and do not give in to the head hunger and put things like burgers and stuff into your tummy right now... remember how you got here in the first place OK... You can DO IT!!!! I know you can!!!!!! And do not worry about plateus... they come and go - I've lost the same 3 pounds before over and over and over - for days... then all of a sudden I wake up and have lost 6 pounds.. it is a WEIRD ROLLER COASTER!! But it does come off!!! Cheers, Tammy
   — Tammy T.

April 18, 2003
I was only on soft foods for a week or so and then I went to a more solid diet. I would cook up ground turkey or beef once I could handle it and then make it very fine in the food processor. Not pureed but very very fine and mix with mashed potatoes or a mashed up baked potato. I never pureed anything and as time went on I slowly moved away from the soft stuff. I didn't have a strict guideline as to when to puree or when to start solids so I experimented over time. My taste buds are very weird and I have days where I have food aversions to things I normally like and other days where I feel like I can eat anything. What worked for me might not work for you so as you read posts on here take what you like and leave the rest. Learn how you and your body reacts to different things. I would suggest keeping a food log on fitday.com and I would suggest staying off the scale. As for everything else, your taste buds and ability to eat certain things and quantities will change over time. I experience change from day to day. It's a process and you will find out how to handle yours. It's very natural for all of us, after failing at every single diet, to believe we are failing at this too. Cut yourself some slack. You're doing great. Hang in there and congrats on a terrific weight loss.
   — susanje

April 18, 2003
Try keeping a food log, on fitday.com (it's free!). It'll make you realize you are far, far away from going "back to eating like a pig." You are doing great! Also, try to abandon the idea that the scale is a daily barometer of good eating habits. It won't give you an "A!" each day of good healthy eating. Sometimes it gives you a loss, or an "A+!," right after a bad eating day, and sometimes it gives you an "F" -- plateau, or stupid regain?!? -- after many days of good healthy eating. Check in with it every few weeks instead of every day, if you can stand it.
   — Suzy C.




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