catwoman7

yes, I am a normal BMI. I started with a BMI of around 60.

Yep! Most people (not all - but most) lose their sense of hunger for a few months. Mine came back at month 5. For others, it's up to a year. Really take advantage of that - it's so much easier to stick to your plan when you're never hungry! Things get tougher when your hunger returns...

since you're a bypass patient, you're not going to absorb the B12 that's in the multi. I'd probably just cut back on the extra B12 supplement a bit and see if your level comes down. For example, if you're currently taking the extra B12 supplement every day, cut back to every other day. I take a megadose of it. I used to take it once a week - I now take it every other week. My level was also over 2000 but now hovers around 1000-1200-ish. My bariatric clinic was never concerned about the 2000 level, though. They just said my body didn't need as much B12 as I was taking, so it was OK to cut back.

it was close to a week for me...

I don't know how far along you are, but the first few weeks you really don't get any sensations like that because 1) your nerves were cut during surgery and it takes awhile from them to regenerate, and 2) liquids and pureed foods go right through you. You're not likely to feel restriction until you move to solid food. also, some people never get that "full feeling" back. They have to rely on measuring things. I don't always feel "full" - it's more of a discomfort - and I know if I keep eating, I'll probably throw up.

complications are pretty rare - I'm sure you'll sail through just fine! Also, if you follow your surgeon's plan, you WILL lose weight!

I agree - stick to your plan. It'll break eventually. Stay off the scale if you have to...

when I had that issue (B12 level over 2000), the bariatric clinic told me to cut back on my dosage - they said I was oversupplementing. They see vitamin-related issues a lot - probably a lot more than a GP does - so I'd be inclined to believe them. You could always cut back and they can test your levels again later.

I just rode it out when I hit stalls. Stuck to my plan, stayed off the scale if I had to. They do eventually end..

well, I had my surgery at one of the top research & teaching hospitals in the country, with a surgeon who's on the surgery faculty, so I can't say he'd be one to avoid. I still think it's a matter of professional opinion. Some do it - some don't. I see you had John Rabkin - also a top surgeon. I do think it's just a difference of opinion. I would hardly call my surgeon inferior to those who don't require pre-op liquid diets. He trains a lot of other bariatric surgeons...

my clinic doesn't allow NSAIDs for any of their patients, either - regardless of which surgery they get

I don't know that I would assume that the surgeons who require it aren't up to snuff. A lot of them still require it. Some do, some don't, basically....it's just a difference in opinion.

Not all surgeons require a pre-op diet.

ah - that's A LOT! You're way ahead of the curve!

I don't know why you would need to see them face-to-face before progressing in your diet. Can you just call them and ask them when it's OK to move on to the next step? also, you'll eventually be able to eat "normal" foods again - just in smaller portions. weight loss does slow down quite a bit after the first month or so. But as long as you stick to your surgeon's plan, the weight will continue to come off. It took me c. 20 months for all of mine to come off. and lastly, even though you'll be able to eventually eat more volume, and more variety, of foods, yes, you will have to monitor your intake for the rest of your life, or the weight will come back. BUT....you will certainly be eating more - and a much larger variety of foods - than you are these first few weeks. the first few weeks ARE tough - but hang in there! It will pass and you'll be glad you made this decision!

nope. I've eaten it several times with no issues.

as has been mentioned elsewhere, not everyone dumps - over half of us supposedly do not. I've never dumped - and I know lots of other RNYers who've never dumped. And for those who do, you can avoid dumping by not pigging out on sugar. most dumpers CAN eat sugar - just not a ton of it at one sitting. Which none of us should be doing anyway...dumpers or not!

that doesn't sound right - mine was that high because my body didn't require as much B12 as I was taking, so I had to cut back. But then he/she is a GP, not me, so... Ask your surgeon. They see those kinds of things a lot. When mine got that high, my surgeon wasn't alarmed, but he said I could cut back quite a bit on my dosage.

it's definitely more common with the bypass, but still, over half of us (supposedly) don't dump. And if you're a "dumper", you can control it by not eating a ton of sugar in one sitting. (I've never dumped so I have no experience with this, but I know most dumpers can eat *some* sugar - but just not a lot of it at once. Some people actually wanted the dumping feature to keep them from binge-ing on sweets and were disappointed when they found out they don't dump! also, a lot of surgeons don't allow their sleeve patients to take ibuprofen, either - although I think it's more risky for bypass people.

it's unfortunately happened to a lot of people - and I know if I wasn't super diligent with closely monitoring my weight and logging everything I put in my mouth, it could easily happen to me as well. if you're not still tracking your food, get back to doing it. And get back to eating what made you lose weight in the first place (NOT all the way back to liquid or soft food diets - but protein first, then veggies, then, if you have room, a serving of fruit or "good" carbs, like whole grains. And watch those calories!) Fluffy's suggestion about seeing your surgeon and/or RD is a good one - they may be able to work with you as well. And she's also right in that 20 lbs is not 120 lbs. Twenty pounds you can lose. Losing 120 lbs esp this far out would be a huge struggle. Get on it before it gets too out of hand!

there may be medical reasons why one or the other might be more appropriate for you (e.g., if you have GERD, bypass is a better choice as the sleeve can sometimes (not always - but sometimes) make that worse). But if you don't have any of those issues, then it's really up to you which way you want to go. Do a lot of research - and do a lot of reading on this site and others - until you feel informed enough to make a decision one way or the other. They're both good surgeries and people have had a lot of success with both. It may just come down to which one you feel more comfortable with. I have GERD pre-surgery, so it was a no-brainer for me - bypass. If it weren't for that, I'm not sure which way I would have gone, although I've been very happy with my bypass.

yes - that seems like a lot to lose in one year. Did they possibly mean your ULTIMATE goal rather than your one-year goal? If the latter, that is pretty ambitious. I was 316 the morning of surgery and 190 at my one-year appt. My surgeon was ELATED....

I take B12 since I"m an RNY patient. My levels are always at or above 1000 - and one time was over 2000. My surgeon and his PA just shrugged. I don't think high B12 is usually a problem (unless like you said there's some underlying issue that's causing it - other than too much supplementation?). a lot of long-time RNY patients like their B12 levels above 1000 - they don't feel as good when it drops below. you can always ask your clinic - but it may not be a problem. The PA at my surgeon's office said I could cut back on my dosage a bit when my level got over 2000 - but he never said having that high a level was problematic.

juice has a lot of sugar in it, but you can buy things like cranberry beverages that have something like 5% or 10% juice that are low in sugar and five calories. Ocean Spray makes them - as do one or two other companies. They'd be in the juice section of the store. I also drink a lot of flavored waters, like Bai. And then there's Crystal Light...

I did jigsaw puzzles for awhile and need to do that again. Or something! I need to work on this as well.