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Everything posted by James Marusek
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Do I have the right doctor?
James Marusek replied to fernowl's topic in PRE-Operation Weight Loss Surgery Q&A
There is a lot of information in the booklets and you need to know this info. Do you have anyone to help you. Perhaps they could read this for you. You might ask your surgeon if they have the information in electronic format. I suspect once you capture this media electronically, you will be able to manage on your 42 inch monitor. -
I am 35 months post op RNY gastric bypass surgery. This article describes my perception of the "Maintenance" phase. http://www.breadandbutterscience.com/Surgery2.pdf
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One month postop and a very specific milestone
James Marusek replied to 2goldengirl's topic in General Weight Loss Surgery Discussions
Congratulations on your first milestone. -
Surgery Date 5/9/16
James Marusek replied to alyharwell's topic in PRE-Operation Weight Loss Surgery Q&A
Good luck on your surgery. -
Is my passionate love affair with food over?!?!? Are we breaking up?
James Marusek replied to YumiMumi's topic in PRE-Operation Weight Loss Surgery Q&A
In life there are trade offs. I traded my love of food for good health. I am 35 months post-op RNY. After surgery food lost its taste. You can't enjoy food without any flavor. I did find out that mixing food groups did restore some of the flavor. But never like before surgery. So I relied on chili and Soups which does give some enjoyment. -
It can be hard with the calciums because there are so many of them. It can be easy to lose count during the day. So I have a small finger bowl that I fill in the morning and periodically I take these throughout the day until the bowl is empty. If I am on the go, I take a zip-lock bag and fill these before I leave for the day.
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It is important to take a good before photograph so you can compare it with your after photograph. Don't just rely on the photographs the surgeon's office take. Many of us do not really look at ourselves prior to surgery and it is hard to see the weight we have lost in the process. I have very few photographs of myself because I am the photographer in the family.
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Band to Bypass Revision Success for Super Obese?
James Marusek replied to Daenerys Targaryen's topic in Revision Weight Loss Surgery Forums (NEW!)
One of the individuals in our bariatric surgery group meetings went from a lapland to bypass and lost about that much weight. His band started to eat through his stomach so he had to have it removed. He was pleased with the RNY surgery results. -
Transitioning to regular diet
James Marusek replied to kahula18's topic in POST-Operation Weight Loss Surgery Q&A
It can be difficult to transition to solid foods. meats can be especially hard on your stomach. I found softer foods such as chili and Soups went down much better. They also added flavor back into my meals. I have included a couple recipes at the end of the following article. http://www.breadandbutterscience.com/Surgery.pdf -
What Have Been Your Greatest Long-Term Challenges?
James Marusek replied to Vagrant Violet's topic in POST-Operation Weight Loss Surgery Q&A
Not sure what you are asking for. I am 35 months post-op RNY. One of the things that I wanted to do (a challenge) that I probably would not have been able to do without the surgery was build an underground shelter. There was a lot of physical labor involved, so in 2014, I moved 100,000 pounds of gravel and 60,000 pounds of concrete blocks by hand. And in 2015, I moved about the same amount of weight. I am 67 years old. This article talks about my experience in the Maintenance phase. http://www.breadandbutterscience.com/Surgery2.pdf -
Walk as much as you are able. It will help with the gas pains.
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10 months Post Op! (pics)
James Marusek replied to Martene81's topic in Weight Loss Surgery Success Stories
Congratulations. -
Help! How do I know of I have a blockage?
James Marusek replied to LisaMergs's topic in Gastric Bypass Surgery Forums
It sounds like a stricture, especially since you cannot tolerate fluids. https://www.realself.com/question/stricture These conditions may also be related to an ulcer. http://www.njbariatricspc.com/weight-loss-surgery-articles/stomach-pain-after-bariatric-surgery/ Either way the inability to drink or keep liquids down is a problem that should be brought to the immediate attention of your surgeon. -
Preop suggestions
James Marusek replied to msmreed47's topic in PRE-Operation Weight Loss Surgery Q&A
I always found that Quest bars were good. They come with a lot of different varieties, have good Protein, low on sugar and high in Fiber. The fiber was important because sometimes post surgery, constipation can set in and the fiber helps. -
After RNY gastric bypass surgery, the most important elements are meeting your Protein, Fluid and Vitamin daily requirements. Exercise is important also. Generally 30 minutes of walking each day. food is secondary because your body is converting stored fat into the energy that drives your body. Weight loss is achieved by meal volume control. At 3 weeks post-op that should be 2 onces per meal, 3 meals per day. Just be a little patient and let the magic happen.
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I wrote a short article about my experience with RNY gastric bypass surgery. Here is a link. http://www.breadandbutterscience.com/Surgery.pdf I would recommend 2 things at your stage. 1. Walk 30 minutes per day. That will help the recovery process go much smoother. 2. Cut out all caffeine now. I suffered through a week of severe headaches and body aches when I gave up my 6 diet coke a day habit. You do not want to mix caffeine withdrawal with the effects of surgery.
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Calcium Citrate alternatives?
James Marusek replied to PaulaB72's topic in POST-Operation Weight Loss Surgery Q&A
I never heard of an allergic reaction to calcium citrate so I searched the internet and found the following article. http://www.drugs.com/cdi/calcium-citrate.html -
I am sorry to hear that you are in pain but you are probably in the right place for the doctors to figure out what is going wrong. So be a little patient. I will pray for your recovery.
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I got my labs back today from my checkup!
James Marusek replied to Sajijoma's topic in General Weight Loss Surgery Discussions
Congratulations on your results. About a year post-op, my blood work showed I was also low on Iron. As a result I did 2 things. I moved all my iron supplements to the end of the day just before bedtime. I had to separate Calcium from iron time wise. Since milk contains calcium and since I did drink milk in addition to my calcium tablets, it was difficult to make this separation, unless I scheduled it as the last supplements of the day. I was told by my nutricianist to add a 65 mg iron tablet to my regiment. The iron had to be ferrous sulfate. -
Some of the recommendations from past links on this website made the following recommendations for constipation: Apples with the skin Smooth Move Herbal Tea Prune juice (warmed) Prunes (4 in the morning and 4 at night) Magnesium citrate Insoluble fibers (Garden of Life Raw Fiber or Renew Life Triple Fiber). Haribo sugar free Gummy Bears Aerobic Magnesium 07 Low Fat Bran Muffin (recipe). 80 calories each 1 cup flour 2 teaspoons baking powder ½ teaspoon baking soda ½ teaspoon cinnamon 2 cups bran Cereal 1 ¼ cups milk 1 egg ½ tablespoon applesauce optional: banana, berries, mini chocolate chips Bake 400° F for 22 minutes But if you haven't had a bowel movement in about a week, you may have to go with a more extreme method because you are bound up. These are Glycerin Suppositories. You have to insert these in your rectum. They are pretty fast acting. But you might need to do this a couple times in order to free yourself up.
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I agree with Threetimesacharm. After surgery they start you out at 2 ounces per meal and over the next year and a half that slowly increases to 8. The most important things after RNY gastric bypass surgery is to meet the daily Protein, Fluid and Vitamin requirements. food is secondary because your body will convert the store energy in your fat into the energy that drives your body. Thus you lose weight. Exercise is equally important. You should be walking 30 minutes per day, or equivalent. The weight loss phase after surgery is relatively short and then you will gradually slide into the maintenance phase. Weight loss after surgery is achieved by meal volume control. If you want to maximize the weight loss achieved during the weight loss phase, you need to limit the volume of your meals. It is important to consume protein during the weight loss phase because your body will be damaged without it. Normally this is done using protein supplements such as Protein shakes. Since your meal volume is so small at the beginning there is no way to achieve your protein requirement without using supplements. The protein supplements is a separate requirement than the meal volume requirement. In other words it doesn't count against your total volume limit. So when you drink a Protein shake, it is not considered a meal. The liquid portion of the protein shake counts towards meeting your daily fluid requirement, the protein grams count towards your daily protein requirement but it doesn't count towards your meal limit. Since you are mixing in the protein powder into your meal, it seems like it is a little hard to figure meal volume. So what I see is 9 A.M. meal (only 1/2 your meal volume requirement) 10 A.M. protein (good) 12:30 A.M. meal (2-3 ounces over your meal volume requirement) 3:30 P.M. protein (good, in the form of milk) 4:30 P.M. meal (3 ounces over your meal volume requirement) 6:00 P.M. meal (this is interesting because this could be considered your fourth meal of the day. So overall during the day you have exceeded your meal volume requirement by 8-9 ounces.)
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There are two phases to weight loss surgery: the weight loss phase and the maintenance phase. This article records my experience with the maintenance phase. http://www.breadandbutterscience.com/Surgery2.pdf
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So frustrated with waiting for surgery
James Marusek replied to j16's topic in General Weight Loss Surgery Discussions
Its alway a struggle. But hang in there, it is worth it. -
Generally there are several clues to dumping syndrome. They might include coughs or hiccups. You can feel a build up of mucous. Also the taste of food changes. At first the food taste very good and then all of a sudden it tastes bad. These are warning signs. Generally if you consume more after this stage, you enter into full blown dumping syndrome. In your case, it seems hard to believe that just one Protein bar by itself could lead to dumping syndrome, but the symptoms are there.
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Recovery Time After RNY
James Marusek replied to DannyDelToro's topic in PRE-Operation Weight Loss Surgery Q&A
After RNY gastric bypass surgery, the recovery process has a degree of complexity to it. First, you will be unable to drive until all narcotics from surgery and pain relief are out of your system. (In my case, I rejected all pain medicines after I left the recovery room. But I may be an exception.) Second, taking your Vitamins throughout the day, giving proper spacing between them, not mixing the calciums with the irons and also giving yourself the injections to prevent blood clots will take some time to master. Then you integrate in the fact that you have to space out your fluids, your meals, your Protein. It will take you awhile to get in the groove. You may be too optimistic for 7-10 days. Since you have a sedentary job, you will probably want to break several times a day and just walk a little. Climb stairs. Move around the office. After surgery, I found that I could no longer swallow. I had to split most pills and vitamins or crush them. You might want to rely on premixed Protein shakes because you cannot take a blender to work. Since you sit a lot, you might want to buy a gel cushion for your chair, once your weight begins to drop off dramatically. Also I would recommend that you walk for 30 minutes each day from now on. It really will help the recovery process go smoothly and will substantially reduce your pain levels.