Last month I asked lots of my clients one question:
What do you wish you had known before weight loss surgery?
The replies I received from them were fascinating! Here are some of the things that my clients wish they had known before weight loss surgery:
They wished they had known that surgery was just a tool to aid weight loss. Surgery itself won’t change your relationship with food and many were surprised that they still experienced cravings and urges to binge. It’s really important to remember that weight loss surgery is a tool and does approximately 30% of the work in controlling real hunger. It doesn’t control emotional eating or change your thoughts and feelings about food or yourself. After working in the industry for over 29 years, most women struggle to change their thoughts and feelings around food
until they work with me . They believe the surgery or a diet will “FIX” them, but there are usually deeper issues that they have not dealt with which I help them to identify and manage.
A few days after undergoing weight loss surgery, some clients question whether weight loss surgery was the right thing to do. It’s natural to experience doubts, but once they start seeing results they realise it was definitely the right decision for them!
You can eat sliders. Sliders are foods like chocolate, ice-cream, biscuits, cake etc. You can actually drink your calories to regain the weight that you lose, so it is important to be mindful about the type of food you are consuming if you want to maintain your weight loss.
Once you have reached your lowest weight following weight loss surgery it is likely that you will gain a few pounds. This is completely normal.
You have to wait 18 months post-surgery before you get pregnant. It used to be 2 years, but this advice was changed earlier this year.
Drinking water can hurt and can taste different, as can the taste of certain foods. Taste changes to food and even water is perfectly normal.
Your nose may run. Some said that they sneezed or had hiccups when their stomach was full.
Vitamins and minerals are incredibly important. Hair and tooth loss may happen if you do not take your vitamins and minerals post surgery. Most patients start to notice hair loss around 3-6 months after surgery and while it’s usually normal and inevitable, there are some things that can be done to slow the length of time you’re dealing with it and it will eventually regrow.
Some reported losing their sex drive, experience mood swings, and women may experience changes in their periods.
Some said that they always felt cold. This is more common than you would think - fat insulates the body so as you start to lose weight you are more likely to get colder.
Some people may not be able to eat certain fruits and vegetables. This is unique to the individual person and you may need to avoid certain foods until you’re able to tolerate them.
They weren’t aware of acid reflux after a gastric sleeve, although most surgeons in the UK make their patients aware of this.
Many clients say that opening your bowels is more difficult at first after weight loss surgery, their stomachs are very noisy after surgery and the wind is really smelly. Having 30g of fibre a day helps to keep our digestive system healthy and helps to prevent constipation. Some great sources of fibre to include in your daily diet include wholegrain bread, fruit, potato with skin, vegetables, wholemeal pasta, porridge, pulses and lentils.
It’s important not to compare your weight loss to the weight loss of anyone else. The weight loss community is very supportive, but some clients found it difficult not to compare their own progress with others. Remember that everyone’s weight loss journey is unique - keep doing what you’re doing and be proud of your achievements!
Some found it difficult not to think of their eating habits as a “diet” after having weight loss surgery. While following a pre-op diet is necessary to shrink your liver, and immediately after surgery you’ll have to work through textures while your stomach is healing, I don’t believe in “diets.” Diets lead to restrictions, which can often lead to cravings and developing a binge / restrict mindset. (read my binge/restrict blog here). I like to follow an 80:20 rule, where 80% of the time I aim to eat and drink well and the other 20% I like to be more relaxed and not deprive myself of the food that I enjoy, combining this with a regular exercise routine.
Getting great support is vital when undergoing weight loss surgery and The Dietologist Support is something very special as I combine nutrition with the psychology of eating.
The surgery itself is merely a tool for weight loss - the rest is all about changing your mindset and relationship with food. Old habits and patterns will quickly come back if you don’t seek support.
We all want a quick fix, especially when it comes to weight loss. However, when it comes to lasting change in your weight and health there isn’t a quick fix option, and this is where I can help. Want to know how I can help you in your weight loss journey? Why not book a discovery call? Contact me via my website here.
Got a question? We’re here to help.
I would recommend you sign up for the 12 month Super Value Support as it includes the Pre-op Diet E-book as a bonus and the Pre-op diet video module. Always helpful to be prepared and you can join the private community and ask other women about their experiencies.
The membership covers the foundations of working with your surgery and overcoming emotional eating to navigate your weight loss. The membership contains a module on regain and if you follow the guidance and attend Q&A sessions I am confident you will lose weight. Ideally one to one support would support you better.
Absolutely YES! This membership was created for you and for anyone seeking aftercare support on a budget.
Absolutely YES! Over 50% of women regain the weight they lose and more due to lack of aftercare. Surgery does not fix your relationship with food nor does it automotically change your habits. The bariatrics and beyond membership will support you with this.
Yes you can!
Your support may not be what you expected, hence why I have created the membership so you can access the video modules 24hrs a day, 7 days a week for as long as you are a member!
50% of the self paced video modules and worksheets focus on your relationship with food, mindset and habits, so you will gain insight into your triggers to eating and how to manage them. Attending monthly Q & A sessions with Van will provide further support and accountability to help fix your relationship with food.
In the last 10 months I have been speaking with Van; my experience with Van has been completely outstanding from beginning to end. In just one telephone call Van can pull all your emotions, challenges and thoughts together and guides me back onto my right path. She understands; listens and advises me to give me the reassurance I need to keep fighting for my dreams. Van has helped me realise I can be who I desire; can and want to be and I cannot thank her enough for that.
Natasha.
I am so thankful for finding Van. She has been a great support in helping me regain confidence with my gastric band. More importantly, she has helped me improve my relationship with food with her mind set coaching and positive nature. It’s a refreshing change to speak to a dietitian who understands your journey. Van puts her heart and soul into every consultation.
Thank you Van!
Julie B
Van has helped me improve my eating habits and kickstarted my weight loss after many years of trying. Van looks at things holistically, assessing sleep patterns, stress levels and your relationship with food. Since losing weight, I find that I have more energy and the walks are no longer tiring like they used to be. Over the past few months, with Van’s support, I have made positive changes with monitoring my weight and no longer weigh myself on a daily basis. She has made me realise, health improvement is more important than a number on the scales. I really feel great!
Rachel H
Had several sessions with Van she's very professional and very caring. She treats you not only as a patient but as a friend too. Would highly recommend Van to family and friends, shes a big loss at Heartlands Hospital.
Lisa Price
Van is fantastic, very knowledgeable and understanding with a vast amount of experience. Personally I'm a bariatric patient and have trusted Van for many years with adjusting my gastric band, which she has done successfully and helped me lose weight in a controlled and healthy manner.
Faye Rodgers
Van has helped me immensely, she has given me confidence to deal with my treatment after surgery, she has helped me to understand what I'm doing as far as what Is advisable to eat and quantities. She is a very warm, kind lady who makes you feel at ease,I am so pleased that I decided to consult with her and would advise anyone who has had this surgery to do the same.
Debbie Kirby
Just had my first consultation with Van, pre surgery. She is amazing! I feel totally empowered to do this, and cannot wait to start my journey. She tells it as it is and has a wicked sense of humour, something I feel I’m going to need in the coming months. Van is not a stuffy health professional, she listens as well as talks and takes a real interest in what you have to say. Thanks Van, for making me feel validated and helping me to start my day with a smile on my face.
Julie Young
Van is a fantastic dietitian, when I first met Van I thought how can she possibly understand my issues when she looks so amazing and petite and could never have possibly had a weight or eating problem. Well I was so very wrong, Van has studied & researched her chosen career, Van offers the tools needed to go forward & has a great understanding of weight issues, much deeper than most. Van makes a difference because she takes time to listen and gives you complete honesty which I have always valued as that is so important to anyone who has weight issues and needs help & support to gain/regain control of there lives. Van loves to see you gain your confidence & self belief which a lot of us lack for so long. Van will be with you when you have your highs & lows as she is totally committed to what she does, I totally recommend Van, she inspires you to want to be the best version of yourself.
Sue RIchardson
Van is so knowledgeable and she listens. She knows exactly what advice to give each step of the way and ensures you remain calm and arms you with the right information. No question is too silly and she responds quickly to messages. She is easy to get along with and celebrates your success with you. I feel like I have found a new friend. I truly could not have done this without her.
Sarah Quinn
I’ve had several sessions with Van and she really knows her stuff. She is so personable and really understands exactly what you need. Thank you Van.
Lisa Guscott
Van is a fantastic dietician and so motivational and helpful.
Carly Lancaster
Van is a committed and an extremely passionate dietitian. She is committed to providing the highest standards of care for her patients. She keeps up to date with her learning and provides most current evidence based treatments. I would thoroughly recommend Van.
Poonam Pradhan
Consultant
Where do I start with this five star review. I met Van in July 2017. I was in a right mess with my diet, no clue where to start or how to begin. Van listened to all my challenges and gave me just the best advice. She asked me what my goals were for losing weight and I explained how all I longed for was a baby and from a young age all I was told was try and lose weight , well it never happened as I could just never shift the weight... with every failed month I just piled on more and more weight. I don’t even know how to explain after meeting Van for the first time changed my mind set on the way I looked at life and of course food. She set weekly/monthly goals nothing was too much trouble she was there at every bad week or even better the good weeks.
She really has changed my life!! More so 14 months after our first appointment I lost a staggering 7stone and fell pregnant with my beautiful little daughter who’s three months old today!
To say Van changed my life in more ways than one is a total understatement.
I can honestly say she is truly an amazing woman inside and out and any one who chooses to work with her will not be disappointed I promise!!
Vicky Carter
I feel like In having my weight loss surgery, I’d bought this top of the range tool with no instruction manual. Having 1-1 sessions and being on Van's course has provided me with an instruction manual in how to use my tool that I can refer back to when stuck.
Vans approach to understanding the whys to weight struggle is, I believe, crucial. Weight gain for me hasn’t been simply move more and eat less. There are many underlying issues that Van is helping me discover about myself.
I sat with my husband a year ago and said I wish there was a dietician who understands the psychological side to weight loss. I can’t believe my luck that she actually exists in Van and I found her! Can never thank her enough for the realisations I’ve had since meeting her x
Gemma
Without Van I wouldn’t have been able to reach my goals as quick as I have! She has helped me face my emotional eating habits and guided me through adapting a brand new mindset towards food. This has truly changed my life and I have never felt healthier. I have reached my goal weight within 10 months, and I have never felt so confident in myself. The surgery was only a tool but without the correct habits and mindset it can only go so far. Van is brilliant with listening to my concerns and addressing them truthfully and with integrity. She is an amazing coach!
Amz
Fantastic, useful, practical advice. Makes it real. Understands the challenge of everyday living and working and makes useful suggestions based on your lifestyle.
Katie x
I'm a little late writing this review but I want to say that Van is wonderful! She is full of very practical and actionable information. Very professional, uplifting, friendly, and easy to talk to. A couple times I started veering off course and she helped set me straight - I'm forever grateful for that! Highly recommended. Thank you for your help.
Melinda x
I had private bariatric surgery to remove a gastric band revising to a gastric bypass. The poor eating habits I had developed from the band were inhibiting my weight loss. Working with Van 1-2-1, educated me to work with the bypass viewing it as a tool, not the cure.
Van built me up emotionally and intellectually, highlighting the stressors with work and life that were preventing my weight loss. Having Van to talk through this with me was such a lift, it generated great awareness.
On reflection, I wish I found Van pre-operative so I could have been fully educated and manage my expectations with secondary weight loss surgery. Her knowledge is inspiring, when the scales stand still, I accept it and that is because of Van.
If you are thinking of have surgery contact Van, if you have surgery contact Van. Van is the key in making bariatric surgery a healthy lifelong success.
Starting weight: 100kg BMI 34.5
Goal weight: 69kg BMI 24.1 Smashed it at 68kg BMI 23.5 (Feb 2021)
Anonymous