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(Also my status update, btw) It's finally here!! My last day with a "normal" digestive system. Tomorrow morning I go in at 10:15am to check in, go through all the pre-flight checks (IV, vitals, sign consents, talk to anesthesia and my surgeon, etc), then into the OR I go! This process has taken what seems like forever. Way back in April of 2022, I saw a general surgeon to have a Nissen Fundoplication to deal with my (horrible!!) reflux and repair my hiatal hernia. Problem was....my weight made it so there would be a high risk of both failure after a couple years and potential complications. He then suggested I see a bariatric surgeon (which was the first time anyone had ever made that suggestion. So off I went to see bariatrics. From the first appointment, Dr. Beekley was nothing but supportive. He never once belittled me over my weight, or made me feel like I was making excuses for my health. The entire team has been awesome. They keep up with me in myChart, letting me know what Pre-op clearances I needed, or if anything extra was needed from other providers (which, given all my health issues, there was always something extra that was needed lol). But all that hoop jumping was worth it. Now I'm packing my bag and getting ready to have my life completely changed for the better. While I may be increasingly nervous the closer I get to that OR, I'm also excited beyond belief. I've been stuck in this messed up body for entirely too long, and I can't wait to start leaving it behind and meet the woman I know is inside.

I'm so excited, I got my surgery date today and we finalized all the details of the surgery!!! I'll be doing the duodenal switch with a longer common channel since I have a history of vitamin D deficiency and anemia. The surgeon talked to my GI specialist and they signed off of on it so everyone is on board thankfully. We picked December 13th, since I'll be in New Zealand for most of November. He said 2 weeks is standard for their liver reduction diet but if I added in a gradual 3rd week it would probably help as a bonus week. Their liver reduction diet is 2 shakes, 2 snacks and a lean, green dinner until one week before surgery, when it switches to all fluids. So basically I'll be starting the diet as soon as we get back from traveling... I already have 7 flavors of premier protein shakes in my closet. LOL (They require the shakes be either those or the bariatric advantage powder as per some study they are following). I'm really happy to be at this stage of everything, I know the 2 months will fly by fast!

Congratulations, Very exciting! I remember I was so nervous before surgery that I stayed up the entire night binge watching TV. Whenever you’re settled, let us know how it went.

What stage are you at OP and what surgery did you have? I had a sleeve 22 months ago and from a few months post up I have got my protein mainly from meat/dairy (CHEESE but also yoghurt)/pulses/nuts. Deli meat is my go to snack even now. I often cook a little more meat than I need for family dinners and keep the leftovers in the fridge for easy grabbing. I make a point of eating nuts and seeds absolutely every day, even if small quantities, because I think they have loads of micronutrients that it's hard to get from elsewhere. I haven't done protein shakes or bars or added powders in forever but I'm sure they're a godsend if you're having difficulty in the longer term with getting your protein in - I just don't need them because of my sliced turkey addiction, LOL.

I know regular gastric bypass usually cures GERD, but I don't know about mini-bypass. It might (usually, anyway), I just don't know enough about that surgery to know one way or the other. I'd let your clinic know what's going on. Hopefully it's just a flare-up and bumping up for PPI for a while might help - but ask them before doing anything (I'm not a medical person...)

Total Ounces 5.5 divided into the number of grams of protein at 21 is 3.81g per ounce, so you ate about 7.5g

I finally got my call for surgery today!! I am getting Roux-en-y on October 27th!! I am so excited this has been a long hard path for me, full of stress and anxiety and honestly, I had all but resigned to not getting surgery until next year, with all of the obstacles I have had in spite of my efforts. I am so excited to join everyone getting surgery this October!!!

Good luck! Sent from my SM-G981U1 using Tapatalk

P.S. The old rule of thumb used to be your weight times 10 is about how many calories you should eat to maintain that weight. However, that doesn't take into account your activity level, musculature, etc, so that's just a rough estimate and can vary between people. You have your goal weight set at 140, so that means (at least according to the old rule of thumb) it'll take around 1400 kcal to maintain that. But again, that doesn't take into account how active you are - and there ARE variances among people - so I wouldn't consider that a hard and fast number. You sort of have to experiment to see what your maintenance level is. It's mostly trial and error.

I don’t eat many, but the roughage can make me visit the bathroom more.