Alex Brecher

Hello, 
 
Attached you will find a document with good information on the gastric sleeve I was give. The document contains over the counter meds that you can or cannot take after surgery and  also shake recipes.
 
gastric sleeve instructions (1).pdf

Well, not technically.
 
But we forget that we have to work our minds in this process just as much as we work our body.
 
If you are constantly thinking or saying negative things, then that is the energy you are putting out into the world and it is what you're gonna get back.
 
A long time ago, I was sick of going to bed every night feeling anxious and laying there, having a thousand things a minute running through my mind. I decided, I want a quiet mind.
 
When I couldn't go to sleep, I would stop myself and try to think of an image. You could pick anything, but for some reason, I always chose an apple. Sometimes green, sometimes red. I would picture the apple in my head. I would look at all of the details. The stem, was it long or short? Did it have that little rough edge on top? I would look at the body of the apple. Was there a shiny part? Were there little brown spots on the skin? How about the bottom of the apple? Did it have 3 or 4 little bump feet like red apples have or was it smooth? What about the little brown spot on the bottom. Was it rough?
 
By doing this I was changing the focus of my mind. I was slowing it down. Sometimes, I would picture that apple for about 15 seconds before my mind was already back to racing thoughts. But after a bit, I would catch myself, and go back to the apple. Each time, doing my best to push all the other crazy thoughts aside. The more I did it, the easier it got to quiet my mind. Really, it's sort of a form of meditation.
 
The same goes even during our waking hours. If we succumb to the negative thoughts, they will consume you. We have to learn to push them away. To ignore them until they disappear.
 
I thought about this today at the gym. I spend a good part of my time there comparing myself to others, being self-conscious that I'm the fattest person there. Why do I have to have people running on both sides of me, when all I can do is walk? Do they purposely get on the treadmill next to me, so that they look better? All very negative thinking. And I keep reigning myself in. Stop it, Leigh! Stop thinking these negative thoughts. What does it matter? I don't even know these people. I don't care about them or what they think and I'm not gonna let these thoughts hinder my progress. I've found that as time goes on, it's easier for me to get rid of these and just focus on what I'm doing. The less you give into the negativity, the easier it is to get on with your life.
 
So don't forget to work that muscle that is your mind. It really may be the most important part of this weight loss journey. We have to learn to control our mind. Bring the subconscious forward into consciousness and be truthful to ourselves, no matter how painful.

So recently on a different blog that I run (which can be found here, but warning: it is slightly not safe for work and also not WLS-specific) I was asked this question by one of my followers:
 

" Hey sorry I disappeared! I ended up passing out last night and was busy today. (re: lap band). It's something I've been thinking about getting one myself. Are you happy you had it done? Has it made a big difference in your life? Were you scared of getting it? Lol sorry I'm bombarding you with questions."  
I thought that my answer might be beneficial for this blog, as well, so here was my response!
 
 

For those of you just joining us, this ask is about the Lap Band procedure that I had in June. All opinions and information expressed here is my own personal experience, and anyone that has experienced differently (or similarly!) I’d love to hear from you
1) Am I happy that I had it done?
Absolutely.
2) Has it made a big difference in my life?
I cannot tell you how much this has improved my self-worth and my self-esteem, and how my overall sense of self has skyrocketed. I’ve started wearing dresses again and showing off my legs (which is the area where most of my insecurities are focused - I hate my thighs more than any other part of my body). This has impacted my life so positively that I can’t even begin to tell you.
3) Was I scared of getting it?
Honestly- not so much. I’ve never been afraid of medical procedures, though. More than anything, I was excited about how I knew my life would improve once I’d had the procedure, and how much happier I would be with myself once I’d seen steady progress.  

I have spoken to several people since who have expressed interest in getting it, and to be honest, while I would love to immediately answer ‘YES DO IT’ to everyone, there are a lot of things to keep in mind:  
 

It’s incredibly expensive. The surgery was $16,000 (this included pre- and post-operative care and post-operative check-ups and band fills). However, you may be eligible to have it covered (at least partially) by insurance. My insurance, however, did not cover it for a variety of reasons. Firstly (and most importantly), my insurance specifically excluded bariatric procedures of any kind. Second, I did not have any co-morbidities. I was ‘morbidly obese,’ but my health showed otherwise. I don’t have high blood pressure, no cholesterol issues, no heart problems, etc.. Medically, aside from being overweight, there was nothing wrong with me.  
 

Once the band is fully inflated to your comfort point, you can only eat about 4 ounces at a time . This can be incredibly awkward at dinner parties, or going out to eat with clients, or with friends who don’t know what you've done (I didn’t want to tell EVERYONE that I know). It severely limits your food intake, as well as the types of foods that you can eat, and this is not something that’s easy to handle. I had resigned myself to that fact a long time before I actually had the surgery, and I have been pretty accepting of this fact, and sometimes I’ll be pretty upset that I can’t eat certain things, but I keep reminding myself that it’s worth it, and that eases the longing (a tiny bit). Certain foods that you love now will make you sick once you have a lap band . I can’t eat bread, I can’t eat anything too heavy or that has a breadlike consistency (cakes, pancakes, etc). I can’t eat pork now. I can’t reheat meats (they become too dry and get stuck).  
 

There is a device inside your body . When I lay a certain way, it pulls on my stomach and my muscles and it hurts. When I stretch my body a certain way, I can feel it. When I lay on my back, I can feel the port and when something pushes on your stomach, it hurts. You will always feel it there. It becomes a permanent part of you — they don’t remove it unless you have a second surgery. This isn’t a decision to take lightly— I got the lap band because I know myself, and I know that I cannot regulate myself when it comes to eating, and I needed that constant medical intervention.  

You will have scars . This isn’t an issue for me, but some people are more sensitive about scars on their body. Personally, because of my body type and the way that I carried my weight (mostly in my butt and thighs) I was eligible for a ‘Spider’ type of procedure, where they make only 2 incisions (One inside your bellybutton and a tiny one under the breast to inflate the stomach cavity). The incision inside my bellybutton is pretty obvious, but the tiny one is pretty much gone (I’m happy to show you a picture of what my bellybutton looks like now, but keep in mind that I just scar very badly. Like— I just do not heal well, so my results are atypical). If the spider procedure is not an option, then the laproscopic procedure will leave (I believe) between 4 and 7 incisions over your stomach (please do not quote me on this— I do not know the specifics and from what I could find online, it looks like there are anywhere between 4 and 7 incisions made). If your stomach shows, people will ask you about the scars because people are shits.  

You need to commit to exercise. This is something that I put off as long as possible (mostly because my weight made it so that when I exercised I felt like absolute **** and my joints hurt and it was just an all around bad decision to try and exercise when I was heavier. But as soon as I started exercising… the weight just started falling off. Seriously— I went from losing an average of 7 lbs every 4-6 weeks to losing 15 lbs in 6 weeks. It was a great feeling, and the fact that I could exercise and NOT feel awful about myself afterward was pretty fantastic. You may be able to get by without exercising for a while, but you will plateau and the only way to get past it is to exercise!  

It will be the most difficult decision, but can be absolutely the best decision of your life. As I mentioned earlier, I can’t even tell you how much it has meant to me to feel like I have my life back and to have confidence again. I’ve lost 2 pants sizes and 3 dress sizes, and I get excited now to exercise and to go out and dress up. It really just puts a whole new spin on life. For me— I’ve always been heavy, so other people may have different experiences, and for others it might be that they’re getting back to how they once were. Either way- I’m the healthiest I have been in years, and I’m smaller than I have been in years, and I have more energy than I have in years.  

If you have any other questions, please PLEASE feel free to shoot me a message ! I’m pretty much an open book when it comes to this kind of stuff. I would love to be able to help other people who are going through what I used to go through.

Okay, this post is not to bash the newbies or newts (not a newbie/not a veteran), although I can see how it could look that way. My sense of humor is dry/sarcastic and it's hard to convey that in print.
 
I thought I'd start compiling some of the most commonly asked questions I see posted on weekly basis, just to show that you are not alone with your thoughts and concerns.
 
 
 
 
 
 
 
 
 
 
     Will all my hair fall out after VSG? 


    "Individuals don't begin to notice the increase in hair loss when showering or brushing the hair until about three months post-surgery. Although the resting hair is being pushed out of the scalp by new hair that is already growing, it can take anywhere from about six months to a year for the hair to return to its normal fullness.
 
    Individuals who have undergone gastric bypass or other operations of the digestive tract designed to reduce obesity are more prone to hair loss post-surgery. This is due to the reduced intake of food in the weeks and months immediately following these procedures. The body needs an adequate amount of proteins and vitamins to maintain hair production. Protein-enhanced shakes are often recommended for these patients as a substitute until solid food can be better tolerated.
    Hair loss related to surgery typically reverses itself without any medicinal intervention or the need for over-the-counter hair loss tonics or treatments. However, maintaining a diet rich in protein and iron is believed to help promote and speed up healthy hair growth. Suggested foods include salmon, beans, eggs, spinach, broccoli, nuts and whole-grain cereals. Avoid foods that can inhibit hair growth, such as those that contain high levels of caffeine and fat."
Losing Hair After Surgery | eHow.com http://www.ehow.com/...l#ixzz2Maz1GjQH
 
Can I take my leftover stomach home in a jar?


       Man, what kind of sickie... um I mean, that's a very astute question. I didn't ask my doctor about it, but from what I've read, it's considered medical waste and a biohazard in the U.S. So you can't have it as a trophy or to tan and make a beanie out of it.
 
   If you're having surgery out of the country, then they may let you take it home, just be careful going through customs. If they ask about it, just tell them you found proof that the Chupacabra exists in Mexico.
 
Can't I do this with out the surgery? You know, eat the crazy small amounts and still lose weight? Why isn't that ok?  


     You can eat the small meals to lose weight, and it is okay. I just couldn't live that lifestyle for very long. It was a non-stop battle to keep myself from eating more.
 
How did you choose your doctor, how much did it cost, and how did you pay for it?


        I don't want to recommend my doctor, since I wasn't happy with the aftercare, but I paid about $5k between the doctor and hospital. I put it on a credit card and will have it paid off before the end of the year. I found my doctor by calling my insurance company and getting a list of approved WLS doctors. I did a Google search for each doctor and read the reviews before choosing my surgeon.
 
Do you regret having WLS surgery?


     I do not regret it for a minute. Even with all the discomfort of the 1st 10 days, I am very happy with the result. Food is no longer the focus of my life and I love sitting at a buffet restaurant knowing that I will only eat about 1/4 plate of food.
 
What do I need to pack for the hospital?


Here is a long list of suggestions on things you might want to consider taking with you.
http://www.verticals...surgery-thread/
 
How soon after surgery can I start drinking alcohol?


I'm sure every doctor has their own recommendations, but my doctor said wait 6 months post-surgery before drinking alcohol again. I'm not a big drinker to begin with, so I didn't miss alcohol. But I did drink about 2 oz. of Tequila at month 6 or 7 and was buzzing immediately, more so than I would have been pre-surgery. So, if you're going to start drinking again, just be aware that it may take less alcohol to impair your system. :-)

This is joatsaint and Frankensleeve coming at you with a 2fer - Quick FAQ and 5 Minute Review of my favorite protein shakes. I see people asking, almost daily, "What is the best tasting protein drink?" I answer that question, list my favorites, and why I like them.

So I was updating my weight on the website and when I went to view my profile I saw it. Yes, I saw it. I am officially down 61lbs. My first mini goal was to get to 250 and I achieved that; my current weight is 244. But to actually look at the number of pounds lost is blowing my mind. I could never fully understand what some people meant when they said they would look at themselves and still see the fat person they were. Now I get it. Sometimes I feel like I've lost most of the weight and then other times I look at myself in the mirror and still see the same overweight person.
 
I promised myself that I wouldn't get overly obsessed with weighing myself as I don't want to get discouraged. And so far I have been doing good. I weigh myself once a week and sometimes I go two weeks without weighing myself. As long as my clothes are fitting differently and I'm able to get into clothes I couldn't wear, I know that I'm doing something right.
 
I just can't believe I've lost 61lbs!!!!!!

First off, I don't believe in being coddled. I understand people post on forums because they are looking for moral support or advice, but sometimes they expect too much. What I mean to say is if someone posts on a forum, then they need to expect to be supported even if it means being challenged! I can understand if the person posting is doing everything right to a tee and still not losing weight or hitting stalls, then yes they do need complete moral support because they are not in control. It might be metabolic, hormonal, genetic etc.
The people I am talking about are those that don't get enough protein in, eat too many carbs, don't exercise enough and then complain on the forums. I see it quite a bit actually and usually just refrain from answering. In general, the same people posting and whining, are the same ones that get offended when others offer constructive criticism on why his or her weight loss has stalled or is slow.
Being coddled will get you know where. If you really are in this to lose weight, then you should be willing to listen to the things you "might" not be doing right. We all know everyone is different, but when it comes to weight loss there is a general trend that works BETTER than other ways. Of course, there is a respectful way of disagreeing. I don't agree with the name calling, or yelling, or the "i did it this way and I lost this much weight". In a recent forum, I witnessed someone trying to tell the original poster that they didn't think what they were doing was working for them and offered advice. He wasn't disrespectful in any way. It just sounded like he disagreed. Well, the original poster got upset and then it all went downhill. It kind of got out of hand and everyone started chiming in. It was like the original poster just wanted to hear things that supported her, and nothing else.
 
I think people just need to understand that sometimes being challenged and having someone disagree with you is in support. Would you want to go to the doctor and have them tell you there is nothing wrong with you just to make you feel better? Wouldn't you want the doctor to help figure out what is wrong with you and what you can do to get better? Granted, most of us are not doctors, but you get what I am saying?
 
Having a vertical sleeve is a very personal experience. Some people get it and lose weight effortlessly. Others have to work harder and try everything possible to lose weight at a faster rate. If you have a question or a concern and post it on a forum, then you must be willing to get responses both agreeing and disagreeing, but all supportive. If you are looking for people who will simply shake his or her head "yes" to everything you say, then make a friend and send private messages. You can live happily in your bubble of only hearing what you want.
 
 
*Note: I am not a "yes" woman. I am going to tell you what I did and what I helped and give you suggestions in a nice way. If I think you are doing something that isn't healthy or could stall your weight loss, then I am going to let you know because I would rather truly help you than watch you struggle and whine and complain. This is the type of friend I am and those are the type of friends I want.

They said that they should *hopefully* know if I'm approved by tomorrow, but they want me to go through the motions as if I am already approved... So that means I start my liquid pre-op diet on Friday. I know I'm going to get through this pre-op diet with no problem....while I'm at work. It's the weekend that is going to kill me. But luckily I get to knock it out early on in the week.
 
My mom told me that I need to "see" it, when I told her that I was unsure of my approval. Not see my approval, see myself already banded and healthy. So I had a 20 minute pep talk in my car on my way to my best friends house. So here is what I know, what's see.
 
1. I will be banded in 9 days.
2. I'm going to be able to run a 5k without feeling like I'm dying in August.
3. I will be 100+ lighter on my wedding day.
4. I'm going to be a healthy wife. I. Going to be a healthy mom.
5. I'm going to ride a roller coaster without the fear of not fitting.
6. I'm going skydiving.
7. I'm going to love myself wholeheartedly.
8. My band date is March 15, 2013
 
Lets hope this works!

I have been on this site for 5 months and have noticed that post can sometimes get a little heated. I sometime get heated - when someone tells me I am doing wrong.
 
Well, if I am doing wrong them it's because my surgeon told me to. I have met with and emailed my nutrtionist with every question I have had to make sure I am on track. I go to my surgeon monthly for a fill and discussion about my progress.
 
From June 22, 2012 until Dec. 2, 2012 I have gone from 244 lbs to 199! I have gone from wearing a 20/22 to a 14/16. Obviously, I am not do that much wrong because I am losing lbs and inches. I eat healthy, good foods - do I ever eat something that would be considered unhealthy- yes, but not daily and not even weekly. I talked it over with my doctor and nutritionist and both said do not totally deprive myself, but limit. Guess what I want to lose so I limit!!!! When I am dying for a cupcake when I am pmsing I go get ONE cupcake and eat it- no more, some times it's only 2 bits and the hubs finishes it. It took my craving away and did not drive me to ruin.
 
I appreciate all the hard core banders who can preach ya da ya da is the end all be all and if you aren't living banded this way then you are wrong. I am sorry, but get off your high hourse and build a bridge, if you are not a bariatric specialist then do not tell me how I should live banded life. When I answer questions I answer from my perspective, from what my doctor has told me, I do not tell people they must take my advice I just put it out there rather than trying to choke them on it.
 
I have an excellent line of communication going with my team doctors (family doc and surgeon) and my nutritionist to make sure I am doing what I am suppose to and getting the right result in a healthy way. Last month I hit a plateau and didn't move for a month. My surgeon sat me down and told me to calm down, the month before I had lost 8lbs, he said likely my body was taking a break, that unless the plateau last 3 months to just breath and stick to the plan. Well in a few days I was headed down and hit 199.
 
Bottom line is we are all on a journey, each journey will present with different pot holes, curves and hills - it is up to us to seek guidance from our professional team to know how we need to navaigate those issues. On here people need support and need to know how your journey is going - the way you got around your curve may be different from who someone else gets around theres.
 
Tough love is needed- if a person admits to eating crap and gaining the yes it is there fault they are gaining. But until the facts are known please do not just down a person throat.