James Marusek

Congratulations.

For your information A stone is equivalent to 14 pounds. So Eman Ahmed at 78 stones, weighed approximately 1092 pounds.

Goal weight is an artificial number. I think my surgeon told me that I could reach 190 pounds. I was happy with that. But in the end I dropped almost down to 140. As far as a goal, I would shoot for the high side of normal BMI. Normal BMI 18.5-24.9. So for your height of 5 foot 1 inch that would correspond to a goal weight of around 130 pounds. The reason why I would select that as a goal is because individuals on the high side of normal live the longest. It is important to keep a little fat in your body because when you have a very, very serious illness or accident, you need that reservoir of fat to keep you alive until your body recovers. The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes.

These are some of the Abbreviations commonly used on this site. ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) BB = belly button bc = because BCBS = Blue Cross/Blue Shield BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ff = fat free GERD = gastroesophageal reflux disease GI = gastrointestinal GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal msg = message NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous omw = on my way Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive sleep Apnea Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = Vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as protein shakes. Be willing to experiment. After surgery, my taste buds changed dramatically. Even Water changed. In the hospital it tasted excessively chlorinated and I could not drink it. So I experimented. sugar free popsicles became my best friend. Some individuals find hot or cold can help with fluids. For me, I found that I could tolerate flavored water. So I began using Crystal Light. I also found a new drink Bai which I liked cold. In the winter, I found that I tolerate Hot drinks such as piping hot cocoa. But you have to use the "No Sugar Added" variety. Also fine English teas were very good.

Congratulations.

Congratulations.

Congratulations on your surgery. Remember walk, walk, walk to keep the (gas) pain in check.

I didn't have any problems with insomnia. I did have some leg craps which is associated with a Calcium deficiency. [A leg cramp, or charley horse, occurs when a leg muscle suddenly tightens, causing pain that at times can be severe. Lack of either calcium or potassium can be the cause of cramps in the legs. The minerals calcium and potassium are electrolytes, meaning they carry electrical impulses that control the muscles.]

I am 3 1/2 years post-op RNY gastric bypass surgery and I did not experience any hair loss. But some people lose some hair and then when they transition into the maintenance phase grow it back again. It is important to ensure you meet your daily Protein requirements because this can lead to hair loss.

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. It is common for individuals after surgery to not be able to meet their protein and fluid requirement. Because your body is in a major heal mode. Just keep working in that direction and you should be able to get there in a few weeks. Protein is very important and it is important to experiment with the various forms of protein shakes until you find one that you can tolerate. You don't have to like it, just tolerate it.

The same thing happened to me. I just up my dosage and continued on.

Congratulations.

Good news. Keep us informed.

I am over 3 1/2 years post-op RNY gastric bypass surgery. Most people after the operation do not vomit routinely. That would normally be due to an abnormality such as a stricture or ulcer. And those adverse conditions can be treated. I do sometimes vomit because of dumping syndrome, but that is my fault. I had diabetes, high blood pressure, sleep apnea, and severe acid reflux (Gerd) prior to surgery. All those conditions went into remission within a few weeks after surgery and have remained there ever since.

Chewing is part of eating. The process of chewing releases chemicals within you body that help you digest food. Therefore when you are restricted to liquids or pureed foods you are missing this process. So once you transition to solid foods, this problem should go away.

After surgery, the process is very complicated and can become somewhat overwhelming. You will develop a routine that will improve over time. It wasn't until my 6th month post-op, that I reached a happy state when all these minor problems seemed to melt away. Here is a link to my experience after RNY gastric bypass surgery. I hope it will be of help to you. http://www.breadandbutterscience.com/Surgery.pdf

Congratulations.

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight. Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes. It is common for individuals to be unable to meet their daily protein and fluid requirements within the first couple weeks after surgery. This is because your body is in a major heal mode. So provided there are no medical issues, you should just keep trying and each day you should be getting closer and closer to meeting the daily requirement. So in reading your post, the things that would cause me concern is your inability to meet fluid and protein requirements. Don't worry about foods at this stage. Be willing to experiment. After surgery, my taste buds changed dramatically. Even Water changed. In the hospital it tasted excessively chlorinated and I could not drink it. So I experimented. sugar free popsicles became my best friend. Some individuals find hot or cold can help with fluids. For me, I found that I could tolerate flavored water. So I began using Crystal Light. I recently found a new drink "Bai" which I liked cold. In the winter, I found that I tolerate Hot drinks such as piping hot cocoa. But you have to use the "No Sugar Added" variety. Also fine English teas were very good. It is very important that you transition to protein shakes. There are many different types of formulations on protein shakes. I would recommend that you keep experimenting until you find one that you can tolerate. You don't have to like it, just tolerate it. I used Muscle Milk Light (vanilla Creme) powder blended with water and a half a banana. That worked for me. But on the opposite end of the spectrum, you might try premixed Isopure. If you fail to consume an adequate amount of protein, your body will try and scavenge protein from your body such as your muscles, hair, your heart muscles, your teeth. If you are unable to tolerate any type of Protein shake, the only alternative I could recommend is to fall back to milk. Combine the milk with powdered milk in order to fortify it. [ 8 ounces of 1% milk combined with 1/4 cup of dry milk provides 14 grams of protein. ]

Good luck on your psych eval today. At your stage pre-surgery, I would recommend you do three things. 1. Take a good before photograph of yourself, so that you have something to compare to after surgery. Many times we are blind to our obesity. We do not really see ourselves. Therefore when the weight begins to drop off rather dramatically, we question if this is really happening. Photographs are a good visualization of our success. Many people carry a before and after photo with them, just to remind themselves of their success. 2. Walk 30 minutes each day, every day until surgery (or equivalent exercise). Walking helps the recovery process go smoothly and minimized the pain levels from surgery. 3. Wean yourself from caffeine and carbonated beverages now. After I gave up my 6 diet coke a day habit, I suffered from a week of severe withdrawal syndrome consisting of severe headaches and body aches. I was miserable. You don't want to combine the effects of caffeine withdrawal with the effects of surgery. .

Congratulations. I had RNY gastric bypass surgery 3 1/2 years ago. One of the reasons why I had the surgery was because I developed Type 2 Diabetes. The day I left the hospital 2 days after surgery, I was off all my diabetes medicines and I haven't taken any since. I periodically check my blood sugar levels once per month and my levels remain good.

Congratulations on your surgery. As far as editing your profile - click on your name. That should open up a pull down menu. Select Profile. Then click on Edit Profile. (But if you have not already set up a profile it might give you a different choice such as set up profile.)

Dumping syndrome is a tool. After you go thru it once you never want to go through it again. So you become very aware of the pre-triggers. There are various types of pre-triggers, such as sneezing, rapid accumulation of mucus, rapid changes in the way things taste, hiccups. These will appear just before dumping. After you hit a pre-trigger, if you eat one more bit, it can result in full blown dumping syndrome. The pre-triggers will be different for different people. But if you recognize the pre-trigger and act accordingly, you avoid dumping.

Sorry to hear about your problems and I hope you recover and get well soon. Dogs can survive quite well in the winter provided you give them protection from the elements. Such as an outdoor doghouse and they love an electric heated pet pad that keeps them warm in the cold.

You might be somewhat immobile for the first few days after surgery. I was up and walking the halls hours after the operation. But some individuals found it fairly difficult to even get up out of bed within the first day. Maybe it would be wiser to have your teeth done before the surgery rather than after.