On March 27th, I ate a Dave’s Double, a large fry, a small frosty, a spicy chicken sandwich, and 6 spicy nuggets from Wendy’s. That was my last meal, because since then, I have only eaten 2 protein shakes a day. For the past couple weeks I’ve been working in a little bit of solid food, but I’m talking like a single grilled chicken nugget’s worth of solid food a day. I’ve also still been recovering from my back surgery in January and finishing a 15 month long board game design project that will go to Kickstarter in July. But I’m getting ahead of myself – this is Summer 2025’s State Of The Alex.
Alright so on March 28th I started my bariatric pre-op diet, which was two protein shakes (320 calories), a string cheese, jello cup, hard boiled egg, and one frozen meal under 300 calories with more protein than carbs. That had me around 800 calories a day, so not quite as restrictive as JUST protein shakes. The first couple days were easy. I distracted myself with video games, television, what have you. On the third day I started really feeling it, both mentally and physically. I started thinking that it’d be easier to cancel the surgery than avoid having a slice of pizza. It’d be easier to throw away an entire year of attending the bariatric pre surgical program and getting a surgery date, than say no to a cheeseburger. This mentality lingered for DAYS! There exist many timelines where I said fuck it and ate ice cream. But I got through that first major mental roadblock and surrendered myself to being miserable. I like to believe that I have the mental strength to force myself to basically anything, and this had to have been one of the toughest challenges to that belief. Week 2 was spent existing like a human slug – no energy, no will to live, just scroll youtube, drink protein, eat cold egg and die.
On April 11th my wife hauled my ass to the hospital and I waited like a sack of bones for someone to anesthetize me and get this gastric bypass over with. Just get me unconscious already so I can stop thinking about food! As I was wheeled back to the OR, the nurse told me they were all prepped for my gastric SLEEVE. I asked her to repeat that, the anesthetist started introducing myself and I felt the pinch of the needle go into my hand. I said “bypass, not sleeve.” The nurse said “what?” I pointed to a second nurse and asked “what’s the procedure?” She said gastric bypass. I gave a thumbs up. That was the last thing I remember before waking up 4 hours later.
Everybody I’ve talked to who got this surgery says that it feels like the beginning of a new life. I can confirm, coming off the anesthesia felt like getting rebirthed – confusing, painful, disorienting, gross, and I cried a lot. I’ve always been great coming off anesthesia but it was a serious challenge this time because in order to do the surgery, they fill your chest cavity with CO2. That shit HURTS. FOR DAYS. The only way to deal with it is to walk as much as possible, so you could catch my ass waddling through the recovery unit every hour until I couldn’t stay awake anymore. Oh yeah, also they made six incisions through my abdominal wall, so it wasn’t exactly a breeze to sit, stand, or lay down.
For the first two weeks, I was on protein shakes and water only. I ordered a bunch of premier shakes for the pre-op diet, but you can imagine that they were getting pretty old already. This time, instead of drinking them in like four gulps, I could only drink one ounce of liquid every seven minutes. That means it takes 2 hours to finish a protein shake. Plus I had to get at least an additional 24 fluid ounces of water in, which is another like 4 hours of drinking at a minimum. The “food is medicine” mentality had to set in early. Not to mention, that super restrictive 800 calorie diet pre-surgery was now down to 400 calories. Miraculously though, the surgery takes away the sensation of hunger for like up to a year. It doesn’t get rid of the psychological aspect of hunger, however, and that would turn out to be a doozy. A few days into recovery, I started getting radically strong and unfocused cravings. I’d want a peanut butter cheeseburger, no an Indian food pizza, no a bowl of cereal and a bowl of ramen…it was unbearable. But I had a counterintuitive, some might say really really stupid, idea. I started exclusively watching cooking content. My theory was that I’d already trained my brain to ignore cravings for things I was watching, because otherwise I’d order five doordash orders whenever I binged cooking videos. Plus, the videos would make me crave only the thing on the screen instead of the craving hose waving wildly, spraying cravings juice all over my brain mind. As usual, people think I’m crazy but it worked out. I got through the worst of the craving spells in the first couple weeks.
In the following 3 weeks up to this point, I’ve mostly been coasting. My body hasn’t entirely adjusted to the super low calorie count, but having small amounts of solid foods like lean ground beef, stewed veggies, and shredded chicken has helped. My food addiction has been laid bare before me; I honestly can’t believe how strongly I was leaning on the fast dopamine from eating junk food. I’m still figuring out how to get that dopamine some other way, but I’ve made real progress in the effort to sever myself from those old habits. Oh, and I’ve lost 45 pounds so far, which is cool too.
Of course, life doesn’t pause just so I can get my shit together. I’ve been finalizing assets, prepping social media posts, coordinating marketing materials, and dodging crazy tariff news in order to launch my board game, Notebook Nations, on Kickstarter in July. It’s wild how much work goes into a launch like this. When I was doing Power Generation in 2024, I thought it was a heavy lift but it’s nothing compared to the way they do it in the big leagues. If you want to see the first bits of the campaign, we have a landing page at notebooknations.duxsomnium.com where you can sign up to follow our progress towards launch. Board games never sleep, so I’m already knee deep into our next two projects, but I’m very proud to see this one nearing publication. The first time I talked about that project was here on DFO, back when I was calling it Tiny Conflicts. I did a devlog here, too!
It ended up looking really good I think. I’d like to do more devlogs for my board game projects in the future. Fingers crossed that after the two most tumultuous years of my life, I’ll finally experience what it’s like to post consistently. Yeah, yeah, I hear you, but I can dream, ok??
Keep it up, Alex. Soon enough YOU will be the bitchy one around here being mean to fatties, not me.
Sorry, just read this. I had SADI Duodenal Switch surgery almost nine years ago and it was a life changer. At the lightest I dropped 290 lbs. and even though I put a little back on, it cleared up seemingly every health issue I ever had. The only advice I can give is follow the rules, and stay in touch with whatever clinic you went through. Most of them allow you to consult with them at least once a month and have an in-house nutritionist that can keep you on track with your diet and vitamins. Though your nutritional needs are gonna be a little different than mine were.
Also, don’t neglect the psychological stuff. For me the surgery was the easy part. Learning to not hate the person in the mirror was a different battle entirely. Good luck to ya buddy!
This is not what balls told me “rearrange their guts” meant
I love using the phrase because it’s literally true lmao
Sorry I’m late to the party, Alex, I am in the middle of moving hell. Congratulations to you, I have full confidence you will be a gastric bypass success story your bariatric doctor will brag about for years! Glad you’re back with us, we missed you while you were gone, and hardly talked any shit on you behind your back! Well, Horatio did, but nobody pays attention to him.
hope moving ends with a celebration for you! Thanks very much, I’m glad to be back too. Working hard to stay on track
Man, that sounds brutal. Glad you’re past the worst of it!
A few months ago I was talking to a bunch of Australians and it turns out that it’s actually really easy to get approved for the various gastric surgeries over there, but because they have so little prep they have a much higher failure rate than in the US. Based on your experience this might be one area where we’re actually doing a better job, because it sounds like something you absolutely need a lot of prep for.
Curious what sort of protein drinks you’ve found best? I’ve been drinking a plant based one called Koia recently, it doesn’t have a lot of gross artificial sweetener taste which is nice.
Yo! We definitely have to go through a ton of prep. I started last January and went through a gauntlet of classes, check ins, and even psychology appointments and support group. It prepared me to take the situation seriously, though some of the folks I met along the way didn’t seem like they were as ‘locked in.’
As for protein shakes, I prefer the fairlife stuff and premier protein’s vanilla, lemon bar, root beer float, and (though I’m not allowed to drink it right now because of the caffeine) my favorite one is the premier mocha latte! If you want extra sauce, I take a premier protein vanilla, add half a pump of both chocolate and mint torani sugar free coffee syrup which makes it fantastic
Feeling a little less great about pouring those Frito crumbs down my throat just now, but good for you Alex. Keep it up.
I would kill for some fritos! Like on chili or something with cheese and I need to go lay down now
So, is this The Summer Of Alex?
All subsequent summers have been dubbed The Summer Of Alex. The Summers Of Alex will continue until the Alex improves
Congrats on getting healthier! It’s HARD.
Consult your doctor after four hours
dude it’s been a hell of a journey and I’ve got another hundred pounds to go, plus a lot of cardio and strength training. Thank you, I’m proud of myself for finally moving in the right direction!
Keep putting in the work for yourself
Notebook Nations seems like it’s tailor-made to be turned into an online game, too. I hope that’s part of the ultimate plan!
Also, it’s really good to see you around here again. Welcome back!
Thanks man! I can’t believe how strenuous this whole time period has been and I’d really like some consistency in my life again. It’s just been a slog for like, almost 2 years at this point. From getting laid off, failing my first board game’s kickstarter, raising two new puppies, getting injured, and now having two sugeries in the past 5 months…my goal is to get a little more chill into my life haha
That’s my hope! I would love for it to be a digital board game on steam in the long run.