Capt Derel

Anything can be made to be be transdermal through the use of DMSO or Plo-gel. Oils, acids, and other liquids are easily absorbed without the added DMSO. But I understand what you were getting after. And your right about the gel making products easierto be absorbed by the skin. You can take any kind of pill or Vitamin and crush them up and mix well with DMSO "its in the vet section at a feed store" and make your own transdermal products. Now keep in mind that you would need to use more of the Vitamins crushed up to get the desired strength that you want due to the lower absorption rate. I know it seems like alot of mess but when you have a hard time chocking down pills this is an easy alternative. (null)

You caught that homeopathic and OTC products are FRAUDULENT. The real HCG come in injectable form. It is a white crystalline powder that you add Bacteriostatic Water and men take a dosage of 1500ius ed for a period up to 2 weeks to help induce natural testosterone production. Bacteriostatic water has 1% benzyl alcohol (BA) added in, while sterile water is just sterile H20. Bacteriostatic antibiotics inhibit growth and reproduction of bacteria without killing them. Bactericides will actually kill bacteria, and bacteriostatic solutions will only prevent bacteria from forming. So it's just like the name implies--it's bacteria-static water. Whereas sterile water is just water. You can make bacteriostatic water by mixing correct portions of Benzyl Alochol and distilled water (for example 99 ml water+1 ml BA) through a filter, but it's just easier and safer to buy it yourself... (null)

Your skins like a sponge. Hence why they make transdermal products. I thought it was cocoa butter that one would use to lighten scars. Blackanese25 Pm me on what you know about HCG. And I will tell you what its made out of (null)

Catracks. Shhh dont say that to loud. The man might see you. I just know that next month After they bring me to my hotel I am walking to a pharmacy. I am getting some hydromorphone or dilaudid as some know it by. I want to have it on hand because some peoples stories say "it wasnt bad" to others "I felt like I was dying". If imma die in Mexico i dont wanna hurt while doing it Lmao I know yall say wtf is up with that guy. Hes nutts !!! I just take control of my life by grabbing the bull by the horns while saying you either do it my way or imma dye trying. I say congrats to all the people that didnt take the meds. But if your in enough pain I have seen people that swore they would never touch drugs eat half a bottle of lortabs due to a kidney stone. Just saying its nice to have a failsafe (null)

Bunch of candy butts. Lmao For the life of me every one says NO Aspirin. Heres a quick Wiki Hydrocodone/paracetamol (also known as hydrocodone/acetaminophen) is a combination of two analgesic products hydrocodone and paracetamol (acetaminophen) used to relieve moderate to severe pain.[1] It is usually found in tablet form, produced and marketed under the trade names Vicodin, Vicodin ES, Vicodin HP, Anexsia, Anolor DH5, Bancap HC, Zydone, Dolacet, Lorcet, Lortab, and Norco, as well as generic brands. Hydrocodone also comes in a combination with ibuprofen, available under the trade name Hmmmm no nsaids? Hmmm hmmm somethings wrong huh (null)

Who did the surgery? (null)

I think thats awesome that you did so well. Congrats (null)

Sounds like you were allergic to the fats you use to consume. Since its gone now you will be able to find out what was doing it. Good luck. And its nice to have an added bonus (null)

Throw it away. Thats what I did last time I was home. She argued saying I was wasting money. I went through cabinets of stuff and trashed abunch of stuff then took it to a church for the poor. If they love you they will help adapt to your needs. My wife was pissed lol. But she knows now that the rest of the things that I left has to be gone by the time that I get back home feb 14th You should have cleaned house before hand though. If nothings there then you cant cheat. Its not the end though. Try and do the last 3 days on clears and take an Anema 3 days prior to surgery to cleanse yourself out. Thats simply the best advice your gonna get hands down (null)

Circa. I think the problem with every single one of us is pre op we are carb monsters. There are scientific studies of people carb loading before strenuous exercising. Thats why they make some Protein shakes with a 2:1 ratio of protein to carbs in order to help aid in INSULIN activity while working out. But for us I think we should shy away from carbs until your on good grounds to tinker with simple and complex carbs and good fats. Instead of carbs we should focus on this: L-carnitine has many benefits for the body, most importantly with the fat loss process, it is responsible for the transport of fatty acids to the mitochondria, where they are burned for energy, as such enabling the athlete to lose bodyfat. The amount of body fat the athlete loses is directly related to the amount of fatty acids transported to the mitochondria. Next is L-glutamine is essential for maximum muscle growth, brain function and immune system strengthening. It is routinely used to aid the body in recovery after trauma such as workout stress, injuries, surgery and burns. This is from an IFBB pro And heres a formula for a carb/fat blocker: White Kidney Bean Extract 600mg, Chitosan 400mg, Betaine HCL 200mg, Bromelin 50mg. You can purchase individually from puritans pride I am an information monster. I just wish that I could use all this info I have in my mind and put it into actual use instead of having this surgery but I know its inevitable (null)

My question to the OP is "Do you take an Omega complex everyday?" you can pop a capsule and chase it with some Water. whey Protein isolate is the best on the market. But then theres the whey blend that I get that has multiple sources of whey protein. The best way that I can describe it is some Proteins act in a shorter period than others .So if you get the blend it works by releasing the short acting proteins first and then slowly releasing the slower ones hence you get a longer effect so its always working for you. Kinda like time released medicines. (null)

I think yall should read Muscle Building Nutrition and Beyond Brawn. I see alot of misconstrued information flying around in this thread. Protein is a must have. Carbs are to be had in lite moderation. Dieting is an art. If we had it mastered then we wouldnt be here. We all are here because we cannot master our own bodys proper diet. Grams of protein per day. The average person needs to consume atleast 60grams a day to combat catabolism. Why? Because your body wants to consume muscle first before fats. Everyone after wls is on a Ketosis diet in the range of around 800 calories a day which makes our bodys feed off of itself. Along with getting in the 60 grams of protein everyday you have to drink lots of Water.Why? Because water is a transporting agent for protein in and also fats out. I know it has to be tough but you have to be meticulous to this process in order for your body to heal correctly As far as the absorption of Proteins at any given time is up to your bodys genetics. Some can only take in so much at any given time so spread it out throughout the day Men have the ultimate advantage over protein synthesis due to our testosterone levels. Due to my HRT I process proteins more efficiently as much as 300% more than the average person. Theres alot of books and talk on the subjects of diets and so on. Thats the thing I hate most about this site is peoples quickness to blurt out information on what they THINK they know. Please be prepared to back up comments if you give information. A simple website or book reference or pubmed . People are asking questions and they should get a legit answer because ultimately their lifes on the line. Ask a bodybuilder. Any bodybuilder whats their diet. High proteins/low carbs. As far as constipation goes I would say try and sneek in some caro syrup if softeners dont work Yall make my head hurt lol (null)

Well I couldnt find the page I was looking for but when I was searching vertical sleeve deaths in mexico I found a person that had the hearst that carried John F Kennedy. And its for sale. (null)

I worked out of Freeport, Tx for years and I have seen plenty of stripmall clinics around houston. Especially in the pearland area. I guess I have become accustomed to the way mexicans operate. The only bad thing is no ICU. Thats very understandable. I know people want the safe feeling of an ICU available but in real life people in ICU die also. Things Happen. Sadly but true. I have to go search For a webpage to verify some info on where Dr Almanza currently works since 2007 (null)

Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. AuthorsAurora AR, et al. Show all Journal Surg Endosc. 2011 Dec 17. [Epub ahead of print] Affiliation Department of Surgery, University Hospitals Case Medical Center, Lakeside 7, 11100 Euclid Avenue, Cleveland, Ohio, 44106, USA, aaurora@uchs.org. Abstract INTRODUCTION: Sleeve gastrectomy has become a popular stand-alone bariatric procedure with comparable weight loss and resolution of comorbidities to that of laparoscopic gastric bypass. The simplicity of the procedure and the decreased long-term risk profile make this surgery more appealing. Nonetheless, the ever present risk of a staple-line leak is still of great concern and needs further investigation. METHODS: An electronic literature search of MEDLINE database plus manual reference checks of articles published on laparoscopic sleeve gastrectomy for morbid obesity and its complications was completed. Keywords used in the search were "sleeve gastrectomy" OR "gastric sleeve" AND "leak." We analyzed 29 publications, including 4,888 patients. We analyzed the frequency of leak after sleeve gastrectomy and its associated risks of causation. RESULTS: The risk of leak after sleeve gastrectomy in all comers was 2.4%. This risk was 2.9% in the super-obese [body mass index (BMI) > 50 kg/m(2)] and 2.2% for BMI < 50 kg/m(2). Staple height and use of buttressing material did not affect leak rate. The use of a size 40-Fr or greater bougie was associated with a leak rate of 0.6% compared with those who used smaller sizes whose leak rate was 2.8%. Leaks were found at the proximal third of the stomach in 89% of cases. Most leaks were diagnosed after discharge. Endoscopic management is a viable option for leaks and was documented in 11% of cases as successful. CONCLUSIONS: Sleeve gastrectomy has become an important surgical option for the treatment of the ever growing morbidly obese population. The risk of leak is low at 2.4%. Attention to detail specifically at the esophagogastric junction cannot be stressed enough. Careful patient selection (BMI < 50 kg/m(2)) and adopting the use of a 40-Fr or larger bougie may decrease the risk of leak. Vigilant follow-up during the first 30 days is critical to avoid catastrophe, because most leaks will happen after patient discharge. (null)

Ha. Louisiana must be superior to the rest of the world Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. AuthorsBellanger DE, et al. Show all Journal Obes Surg. 2011 Feb;21(2):146-50. Affiliation St. Elizabeth Hospital, Gonzales, LA 70737, USA. bellanger@weightloss-la.com Abstract BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is gaining acceptance among bariatric surgeons as a viable option for treating morbidly obese patients. We describe results of a single surgeon's experience with LSG in a community practice revealing a low complication rate and describing the surgical technique. METHODS: LSG was performed in 529 consecutive patients from December 2006 to March 2010. A technique is described where all operations were performed with attention to avoiding strictures at the incisura angularis and stapling close to the esophagus at the angle of His. No operations performed used buttressing material or over-sewing of the staple line. A retrospective chart review and e-mail survey was conducted to determine the occurrence of complications and weight loss. RESULTS: Follow-up data was collected on 490 of the 529 (92.6%) patients at 6 weeks. A total complication rate of 3.2% and a 1.7% 30-day readmission rate were observed. No leaks occurred in any of the 529 patients, and one death (0.19%) was observed. The most common complications were nausea and vomiting with dehydration and venous thrombosis. The percentages of excess weight loss were 42.36, 65.92, 66.11, and 64.42 with a follow-up of 71%, 68%, 63%, and 49% at 6 months, 1 year, 2, and 3 years, respectively. CONCLUSION: The LSG can be performed in a community practice with a low complication rate. Surgeons performing LSG should strive to minimize the risk of creating strictures at the incisura angularis and stapling near the esophagus at the angle of His. (null)

Sadly but your right

Drs are salesmen. Thats what I got from a seminar that I went to in the US. Ever bought a used car? (null)

Costa loss power. It has zdrive motors. No power no steering. Plus captains dont drive ships anyways. They have wheelman which are classified as Ablebodied seaman with rating part of a navigational watch or third mates. Captains are held responsible in any event. So in equation that would be a cna preforming the surgery while the doc watches. Strange aint it lmao Newest update on the Costa. They were showboating By getting closer than authorized to the island when they had an electrical fault. LoL Yeah I get up to the minute updates from Gcaptain. (null)

@ oregon. Theres no true way to find out a Drs leak rate. But if you read this correctly. Leaks are more prone at the upper stomach where it connects to the esophagus and where they use a small bougie. Majority of the leaks show up after you get discharged. So after care is more important hence why I have scheduled 2 separate tests. One at 10days post op and the other 28 days post op. Its up to the patient to make sure everythings caught if something goes wrong when you goto Mexico regardless of which doc you choose over there. I am educated more than you think lol but I have faith also (null)

Management of gastrointestinal leaks after surgery for clinically severe obesity. AuthorsSpyropoulos C, et al. Show all Journal Surg Obes Relat Dis. 2011 Apr 27. [Epub ahead of print] Affiliation Department of Surgery, University Hospital of Patras, Rion, Greece. Abstract BACKGROUND: Gastrointestinal leaks after bariatric surgery are the primary cause of serious morbidity and mortality nationwide. Enteric leaks can differ in severity, presentation, and management, depending on the type of bariatric surgery performed. Our objective was to describe the clinical presentation and treatment outcomes in patients who developed postoperative leaks at a university hospital bariatric referral center. METHODS: A retrospective observational study using descriptive statistics was conducted on data from 1499 bariatric operations performed at our institution from 1994 to 2010. The procedures included a variant of biliopancreatic diversion with long limb reconstruction (BPD-LL) in 820 patients (791 open and 29 laparoscopic), Roux-en-Y gastric bypass (RYGB) in 301 patients (105 open and 196 laparoscopic), and sleeve gastrectomy (SG) in 208 patients (5 open and 203 laparoscopic). RESULTS: Of these patients, 30 (2%) developed a postoperative leak at a median of 18 days (range 2-32) postoperatively. The primary procedure was laparoscopic SG in 12 patients (5.8%), laparoscopic RYGB in 5 patients (1.6%), and BPD-LL (12 open and 1 laparoscopic) in 13 patients (1.6%). In all patients who underwent laparoscopic SG, the leak site was along the staple line. The gastrojejunal anastomosis was leaking in 4 (80%) and 12 (92.3%) patients in the RYGB and BPD-LL group, respectively. The enteroenteral anastomosis was leaking in 1 patient each in the RYGB and BPD-LL groups (20% and 7.7%, respectively). Three patients (10%; 2 from the BPD-LL group and 1 from the RYGB group) presented with generalized peritonitis and underwent emergency re-exploration; nonoperative treatment was successful in the remaining 27 patients (90%). Stent placement for persistent gastrocutaneous fistula was used in 9 patients (30%; 8 from the SG cohort and 1 from the BPD-LL group). The overall mortality rate was 3.3%. CONCLUSION: In our experience, most leaks resulting from antiobesity surgery were successfully managed using nonoperative methods. Rapid management of gastrointestinal leaks using computed tomography-guided drainage and/or intraluminal stent placement could be the treatment of choice in selected patients. Copyright © 2011 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved. (null)

Wow. Thats an eye opener (null)

They should offer me a 60% off coupon. They should atleast pick me up from the san diego terminal in a pinto limo. Them paying people off, thats preposterous Sounds like an Obama election with all this paying people off stuff (null)

My surgery is on the 17th with Almanza in Tijuana. I am so ready but I am more nervous of falling out when I switch to the clear liquid diet in 2 weeks than the surgery itself. Thank god I will be working days and my deckhand will be there in case something happens. I plan on being a chipndale in the near future. Jk but I cant wait to be under 200lbs again (null)

Thats something that was never mentioned earlier. A body wrap. My wifes going to preshave me before hand. I am doing alot of the prepwork before hand. I have my own wound wash and hibiclense and steristrips. My wifes an RN and I am a MPIC offshore so as you can imagine I am in a better situation than most Nice to see some first hand info right before I go have mine done. Just pay good attention to yourself after day 4 Post up a log for future researchers (null)