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I had Gastric Bypass Sept 2016. Started at around 330lb and was able to lose and roughly maintain 100lb weightloss. I also have Hypothyroidism, with new diagnosis of Hashimoto's, and PCOS. My weight has increased MAJORLY since having a Pannilectomy in November 2021. I've tried lowering calories even more, upping protein, engaging in more activity, weightloss medication to suppress appetite. Anything and everything I could think. Ended up consulting with my weight management doctor and we proceeded with a Partial Gastrectomy sinxlce they said there was a TINY sliver of stomach that they could still remove to maintain the pouch integrity. They confirmed my pouch was not stretched. So I had the Partial Gastrectomy on Monday. I didnt have any pain, just mild discomfort due to the laproscopic incisions. My stomach feels absolutely fine. I've not needed any pain medication outside of Tylenol. I've also been put back on the post-op diet. With all that being said... I feel suspicious of my lack of internal discomfort. My ability to handle 2 to 4 oz of fluids with absolute ease. More so that I am STILL getting hunger pains. It truly almost feels like they got in there and decided to not remove anything. My husband said that the status of "Moved to the OR", "Surgery in Progress", and "Moved to Recovery" was 25 to 30 minutes. This is supported by the board they post on and the texts. Just dont know if I am being crazy or not. Is this normal??? Sent from my SM-G975U using BariatricPal mobile app

Oddly enough I didn’t really notice “restriction” as much in the first two months of my surgery as I do now, especially with liquids. I was downing liquids with ease wondering - is this normal. Now I actually feel like - I can’t take another sip right now. (I’m about 10.5 weeks out from surgery). I even notice more restriction with soups and other things now - that I didn’t have before. Do you see an endocrinologist or a regular PCP for your POCS? I ask because my Endo had a much different approach to my metabolic and endocrine issues that general practice doctors. Things have been nicely dialed in and when things fluctuate (as they do) he is really good about adjusting meds to quickly address side effects from those fluctuations.

I haven’t heard anyone mention this one yet. I would check with your doctor.

congratulations and keep us posted

I am right behind you, scheduled for November 28, 2022.

I wanted to clarify something here: Bilirubin (the thing the OP asked about), is not a "liver enzyme", so elevation of just this would not at all be the same as what @kcuster83 mentioned. Elevation of ALT and AST especially, indicate potential liver damage. This is because these enzymes only are present in the liver. Bilirubin is not actually specifically related to the liver, though it's typically part of the "liver function test". The main purpose of bilirubin is to break down red blood cells and "recycle" them. Excess bilirubin is typically a sign that you are losing red blood cells faster than normal. That may or may not be a problem, but in the absence of elevated liver enzymes, does not by itself indicate a problem with your liver. As I mentioned, anemia is a much more common reason to see high bilirubin in the absence of other abnormal tests.

Thanks, I have asked him multiple times and he asks about it at every follow up since it happened. So, I agree weird. Although, I hadn't lost much weight when it started. I think about 20-25 lbs by the time I got blood work. The blood work was unrelated to WLS blood work also. It's all weird, but I will read this and point it out next time I see him. Thank you!

More than three years out, and my only regret is that I didn't do it years earlier.

absolutely no regrets, i feel like i'm living again.

No regrets whatsoever! I’m just almost 2 weeks post op. I’ve stopped taking many medications and lost about 20 pounds.