catwoman7

definitely could be lactose - it's not uncommon to develop lactose intolerance after WLS. It's usually temporary, but not always. Another common culprit are certain kinds of artificial sweeteners. Sugar alcohols (those whose names end in -itol, such as xylitol) are especially troublesome for some people.

if you've been following your clinic's recommendations, then it's likely water retention from the IV fluids. That's basically salt water, and a lot of people retain that. There are some people on here who've even weighed 10 lbs more when they left the hospital than when they arrived! It can take a week or occasionally longer to work its way out of your system. stick to your plan and the weight will come off. Everyone is different due to different factors, many of which you have little to no control over (like age, gender, starting BMI, metabolic level, how much weight you lost prior to surgery, etc). The two things you DO have control over is how closely you stick to your plan and your activity level. If you do well with those, the weight will come off, whether fast or slow. also, the 20 lb loss you said you think you should have lost in the first two weeks - banish that thought. If you started out at 600+ lbs, then yes - maybe - but for us more "normal" WLS patients, losing 20 lbs in two weeks just doesn't happen. Most of us lose somewhere in the 15-25 lb range the first MONTH. Yes of course you will find people who've lost more or less than that the first month, but they're outliers. You're probably doing just fine. Give it more time and remember to stick to your plan! I thought i was a terribly slow loser - and I WAS a bit behind others with similar statistics (starting weight, etc), but I ended up losing over 200 lbs.

Protonix is a PPI, too, so you're fine from that angle. They'll be able to tell once they do the endoscopy if there's something weird going on. Sorry you're dealing with this!

you're in a stall. They usually last 1-3 weeks, so you should be nearing the end of it. I wasn't eating that much at a month out, but then, you're exercising more than I was. i don't really trust those machines because I think they overestimate how many calories you're burning, but you're definitely burning some calories. Once this stall breaks, if your overall trend is down, then you're fine.

I was eating around 800 for most of that first year. I went over 1000 at around the year mark. Your weight loss WILL slow down and do some yo-yoing the further out you go, so that's not abnormal. As long as your overall trend is down, you're still good.

that's definitely not dumping. Does your doctor have you on a PPI, like omeprazole? Many of us have to take that for the first 3=6 months while things are healing up. The endoscopy is a good idea - that will tell them what is going on.

I was told the insurance company had a month to respond, although not sure if that's a state law or ??? At any rate, in my case it only took the insurance company about two weeks. After that, it really depends on the surgeon's schedule. I think i was offered a date about two months after my approval came through, but since I worked in education at the time (I'm now retired), I asked to be scheduled in June (about four months after approval), which of course was fine with them.

protein bars are good to take. I used to sometimes take beef jerky and cheese sticks with me, too (they can be out of refrigeration for quite awhile - as in hours if not a day or so). Once you're there, you may be able to find a grocery or convenience store that has things like yogurt, cheese sticks, etc.

I think it's because our pyloric valve is bypassed, so the med will just go through the stoma and into our small intestine once it's small enough to pass through. So they don't stay in our stomachs long enough for that (extended release). At least, I think that's why...

our clinic originally said we had to crush meds for the first four weeks, but when I asked the PA who worked there, he said if the med was the size of a pencil eraser or smaller, it was probably fine to swallow them whole - so I did. There were two that were bigger than that. One was a calcium tablet, so I either split them in half and took them that way, or else I had a calcium chew. I can't remember what the last med was, but the PA said I could probably go a couple of weeks without that one, so I did. At that point, I was able to swallow it whole. so long way of saying - I never had to crush mine. Thankfully.

I think most of the people who've had SADI-S put "DS" - SADI is basically a newer version of the DS. Although now that more people are getting SADI than the traditional DS, yes, it might make sense to put that on the list....

I had a "virgin" bypass, but I imagine pain is about the same for revisions and that is - it's all across the board. Some people have very little pain (or none at all), others have a lot - but it seems the majority are on the "no or little pain" end of the continuum. I didn't have any pain at all and at first wondered if they even did the surgery! I really didn't have much in the way of gas pain, either. The only discomfort I had was getting in and out of bed. I was fine if I was lying in bed - and fine once I got up - but the transition from one to the other was tricky - I felt like I'd done 1000 crunches. But...it only lasted a few days, as I recall. even if you're one of the people who has pain with the surgery, they'll send you home with something for it. Just take it when you're supposed to to keep ahead of the pain. It'll probably only last three or four days. as far as what life is like, pretty much the same as sleeve. My clinic had everyone on the same food and vitamin regimen, regardless of surgery. The only difference is that if you slack off on your supplements, the consequences will be greater with bypass when they were with sleeve. Otherwise, from what i've heard from others who've had revisions, it's not that much different.

I stayed overnight in the hospital (like most of us). I didn't have any issues, but I'm glad I was there being monitored just in case I did. When I had plastic surgery, part of the reason I chose the surgeon that I did is that he required an overnight stay in the hospital. I felt safer being there and being monitored just in case something came up (nothing did - but I'm still glad I was in the hospital for a night *just in case*)

Dental issues due to WLS aren't unheard of, but based on the number of posts I've seen about it during the eight years I've been on this and other boards (i.e., hardly any) it seems like it's pretty uncommon. I talked to my dentist about it before I had RNY because I was really freaked out about it. He said he'd read about it in the professional literature, but he's never actually seen it in his patients who've had WLS. He said it's most likely due to acid - from either vomiting or GERD (or silent GERD - when people don't realize they have GERD). He had me start using a prescription high fluoride toothpaste before going to bed, and his hygienist puts a fluoride varnish on my teeth every six months. He said both would go a long way toward preventing any issues. To be honest, I think he probably did that to placate me because I was so freaked out, but that's fine - I'd just as soon do whatever I can to protect my teeth, especially now that I'm in my 60s when even non-WLS people start having issues. anyway, sorry this is happening to you. P.S. dry mouth can also cause dental problems because bacteria is more likely to grow in that environment. Could that be a culprit? (there are a lot of meds that can cause dry mouth)

I haven't heard of them, but I just googled them and also checked realself. Not much on Dr. Pablo Fok Russell. Of course, that doesn't necessarily mean anything negative - but...there's just not much on him. Tons of comments/reviews on Dr. Mayortena. They look pretty good to me!

I had "buyer's remorse" the first couple of weeks. It's common - and people usually get over that pretty quickly. a lot of women notice crazy hormones the first few weeks or months of surgery (weird menstrual cycles and emotions all over the place). It's because estrogen is stored in fat cells, and it's released during rapid weight loss. It'll stabilize once your weight loss slows down.

mortality rate on gastric bypass is 0.3%, and it's even lower on sleeve (can't remember the percentage on sleeve other than it's lower). That means you have at least a 99.7% chance of making it through just fine. Those are better odds than hip replacement surgeries. major complications are pretty rare. The most common complication with bypass is a stricture (also known as a stenosis), which happens to about 5% of bypass patients. That's a very minor issue and is easily "fixable". I had two of them - one at four weeks out and the second at eight weeks out. They just do an upper endoscopy and stretch it out. Easy peasy. You're right in that complications, if you do have them, will usually crop up during the first three months after surgery (strictures do - they're extremely rare after that), but that doesn't mean you're at any great risk. It just means they usually show up early, if they show up at all. Lots of people on here have never had any complications at all. And again, the vast majority are minor and can be fixed. After the first three months, you're pretty much home free (that's not to say that complications will never show up after the first three months, but they're very rare after that). quit reading the horror stories. I read those too and they scared the crap out of me, so I made myself quit reading them. I've been on this board for eight years, and most of us have no complications at all or very minor ones that can be fixed. you are at much greater risk by staying obese than you are having the surgery.

the first BM often takes up to a week. First of all, there's not much in there - second, the anesthesia can affect that. And just a warning - the first one can be a doozy. You might want to start taking stool softeners or Miralax to make the "passage" a little easier... and just so you know, you may have issues even after this. Chronic constipation is a common issue for us (not everyone deals with it, but a lot of us do). I've been taking a capful of Miralax every morning for at least seven years just to keep on top of it.

I'd check to see if they can put you on something else. There's so many birth control med options that I'm sure there are some that don't have those effects. I was on one once that made me really depressed - and I'm not a depressive person. My PCP put me on a different pill, and the depression lifted after about a week.

that's a distal bypass. It's not very common, but yes, I've heard of it.

oh - not that this affects you, but to someone else who might wonder - I forgot to include family practice physicians. They're also considered PCPs.

yep. Normal. You just went through major surgery. It took about two months before I felt completely back to normal, but you get better and better every day. The first couple weeks are the hardest. BUT....they'll soon be over!

OB/GYNs, internal medicine people, and pediatricians are all considered PCPs. So yes - a letter from an OB/GYN should work. Although if you want to be absolutely sure, check with your insurance company or the bariatric clinic (whichever one keeps bringing it up in their literature)

dizziness can also be related to low blood pressure. It's not uncommon after bariatric surgery, and it's usually temporary. Just transition slowly when you're going from sitting or lying to standing up.

I was reading those stories in the days before my surgery and had to make myself stop. I knew that those kinds of stories are very rare, but still, they scared the crap out of me. the people above are correct in that people are a lot more likely to post when they have issues or questions or concerns. They're looking for advice and support. People usually don't post to say that everything is great (I know some do - but it's way more likely they'll post when they're having issues). Most of us don't have complications, and of those who do, they're almost always minor things that are treatable to "fixable". I had strictures at weeks 4 and 8. They're the most common complication in bypass patients (they can happen to sleevers, too, but they're pretty rare with sleeve). But about 5% of bypass patients get them. I would hardly call something that only 5% of people get "common", but there you go. (strictures can happen within the first three months post-op - they're very rare after that. And they're a super easy fix. They just do an upper endoscopy and use a tool to stretch it out. You feel 100% better afterward). yes I am so happy I had my surgery and I'd do it again in a heartbeat. If I had to go back every year and do it again, I would. Honestly, it was one of the best decisions I"ve ever made - if not THE best. It's changed my life! another thing to consider - you are at much greater risk staying obese than you are having the surgery. These surgeries at one time were very risky and some people died from them. But that was 30+ years ago and they've come a LONG way since then. They've become very routine surgeries, and they're quite safe these days. There's a 0.3% mortality rate for bypass, and less than that for a sleeve (I can't remember the rate on the sleeve, other than it's lower than bypass). That means you have at least a 99.7% chance of making it through just fine. And you will. That rate is actually even better than the rate for hip replacement surgeries, and they do those all the time.