catwoman7

I just checked MyChart for my liver enzyme levels from a few years ago (I had surgery in 2015) - I had my liver enzymes checked a couple of times until they stabilized. My alkaline Phospate level was normal, but my ALT and AST (also liver enzymes) were way out of range (again, they stabilized at a normal level during year 2, once my rate of weight loss had slowed down to a crawl). But see what your surgeon says. It may be perfectly normal for the alkaline phosphate level to be way out of whack during the weight loss phase, too. I Just know it's pretty common to have crazy high liver enzyme levels that first year out of surgery.

you're probably going to be sleeping almost the whole time, so I definitely wouldn't pack much. Your cell phone and charger for sure. Also, some people have dry mouth/chapped lips after the surgery, so you might want to bring some dry mouth spray (like Biotene) and chapstick just in case (I didn't have that issue, but many people do). And big, easy-to-put on comfy clothes for the ride home (I just wore the same thing to and from the hospital). I also brought toiletries, but they gave me a small bag of them when I was in the hospital, so I didn't need mine (they gave me a toothbrush, toothpaste, shampoo, deodorant) they'll have a hospital gown for you and those slip-resistant socks, so you won't need anything like that unless you prefer your own.

they may be able to treat it medically (i.e., with stronger meds) - but there are some people for whom the only remedy is a revision to bypass. Although it's a lot more common that it can be treated medically - so fingers crossed! (I have nothing against bypass - in fact, I have one (got it because I had GERD prior to surgery) - but it's just a much bigger deal than taking some med!)

I have a virgin bypass, but I've been eating a normal diet for years. for your questions: 2. Yes, of course! It's not going to be much different than it was with the sleeve, from what I've read. Protein- yes - you need to make sure you're getting enough. For most people it's around 60-80 grams a day (although isn't that true of sleeve, too? My clinic told both types of patients to get that much) My first few weeks post-op I couldn't drink 15 minutes before eating and 30 minutes after, but once I moved to solid food, I was told I could drink up to the time I started eating. Still am supposed to wait 30 minutes after eating to drink, though. Chewing thing - at my clinic, they had both types of patients chewing everything at least 20x before swallowing. I was religious about it the first few weeks, but I don't really do that anymore. I probably should because after surgery (both types) your stomach doesn't churn as much as it did before, so you have to do some of that "churning" before swallowing it, but I don't think I normally chew things 20+ times. from everything I've read/heard, weight loss is slower after revision than it is with a virgin surgery, but I know people who've lost a lot of weight after revising (and others who've just lost 20 lbs or so) I don't think you're going to find it much different than sleeve. One big thing to remember, though, is that you need to keep on top of your protein and supplements. Of course, sleevers should as well, but the consequences are greater if you slack off with a bypass.

it's common for liver enzymes to be high that first year or so out of surgery. Rapid weight loss is really hard on livers. Mine were really high the first year - then they went back down to normal sometime during year 2 (I was still losing weight during year 2 since I had over 200 lbs to lose) how high is your B12? mine is always over 1000. It's met with a shrug at my clinic. Once it got over 2000, and the PA at my surgeon's office just said I should cut back a bit on my supplement. He didn't seem alarmed by it at all. I know several people who say they feel better when their B12 is around 1000 or higher.

I had my skin surgeries in 2017 and 2018 (and a face/neck lift a year ago). Before I started doing consultations, I'd read on bariatric internet forums (and it might have been this one) to expect $8K-$10K per procedure, with a lower body lift counting as two procedures since they do both front and back (in other words, it's more extensive than a panniculetomy). I had three consults in the US, and that range rang true. I did one email consult with a surgeon in Mexico, and his estimate was maybe half that (although I chose to stay in the US for my surgeries). I've had a lower body lift, an arm lift, a breast lift, and again, a face/neck lift. EDITED to add: part of it depends on where in the country you have it done. You're probably going to pay more in a city like NY, Chicago, or LA than you will in a place like Knoxville, Tennessee. I know there are some people on this forum who had theirs done in Florida, which for some reason seems cheaper than other parts of the country.

yes -- that first one can take up to a week, and just a warning - it can sometimes be a doozy! You might want to take stool softeners just to prep for it. and as Arabesque said, chronic constipation is a common problem with WLS patients. A lot of us take Miralax, stool softeners, or magnesium tablets every day to keep on top of it.

whoa - fantastic job!!

Not every surgeon requires a pre-op liquid diet. Some, like yours, just require clear liquids for a day before the surgery. Be glad for it - the pre-op liquid diets are a huge PITA.

most people seem to use either Baritastic or MyFitnessPal

when I was an early post-op, I found some recipes on the blog "The World According to Eggface" https://theworldaccordingtoeggface.blogspot.com/ now I just modify regular recipes - you get the hang of it after awhile. Some really can't be modified to fit our plans, but many can...

burning, "bubbling" feeling in my stomach, acid-y feeling stomach. Although on top of the GERD, I felt nauseated after eating, too. At first after a few things - and as it progressed, I couldn't keep food down at all.

I can't remember - I might have. I just remember the GERD-type feeling and the nausea. I might have had burping - but it's been so long my memory has faded a bit...

check to see if something like orange juice is OK (I'm guessing the surgeon said no to the Coke because of the carbonation - we were supposed to avoid that the first few months post-surgery, and preferably for life (some people can handle carbonation when they're a few months out, but some can't. I can't. It really bothers my stomach...))

OK - scratch what I said above about the scrambled eggs. Too bad - they're almost the only thing on the menu I thought I would actually eat...but not if they're swimming in butter! What's the point of that, anyway? Sheesh.

unless I was going to some holiday party where people bring treats, then no. But if I AM going to a party (and I've gone to at least one this year where people bring things), then yes. I don't bring a lot because I always hope the people at the party will eat most/all of them, but if they don't, I toss them in the freezer when I get home and kind of mete them out. I'll occasionally have one, but my husband eats the majority (if not all of them). the last party I went to (last week) I made oatmeal/cranberry bars. They at least sounded somewhat healthy in case I gave in and splurged (but so far, I haven't - they're in the freezer and I've let them be). The party before that I made biscotti. Most got eaten - but my husband ate the leftovers (I did have one after it came out of the oven because I wanted to be sure it tasted OK, since i was taking them to a party)

it takes a long time to wear down your iron stores , although I don't know what your iron level was before surgery. it's super common to lose your sense of hunger for several weeks or months after surgery (up to a year for some). I know it seems weird at first, but take FULL advantage of that. It'll never in your life be easier to lose weight than it will right now, when you're not hungry and don't give a flip about food. I found it very liberating, too! My hunger came roaring back at five months out, and I honestly wish it never had. It was so much easier to stick to plan when I was never hungry!!! and no, what you described was not dumping syndrome. you're extremely tired because you just had major surgery, so I wouldn't worry about that, either.

more likely a stricture. You're in the window for it (they almost always occur 1-3 months after surgery - very rare after that) I had one at four weeks out and another at eight weeks out. I had the same symptoms that you do. if it's just food you can't keep down, you'll be OK for a few days - people can live without food for awhile. But if it gets to the point you can't keep fluids down, either, then you need to go to the ER. People can't live without fluids for long. They'll do an upper endoscopy and stretch it out - and you'll feel a million times better afterward! strictures get worse over time - so keep an eye on it. Again, if you can't keep fluids down, go to the hospital.

first of all, only about 30% of bypass patients dump. If you're getting the sleeve instead, then the percentage of dumpers is way less than that (not sure of it - but it's not common in sleevers). secondly, a lot of us have no appetite or hunger for several weeks - or even months - after surgery. so suffice it to say, you MIGHT be fine to continue to work. I had pretty much zero interest in food for the first five months after surgery. I just looked at Denny's menu (I haven't been there in probably 20 years), and yea - there's almost nothing on there that's safe or anything I'd eat (I can't tolerate really fatty meals anymore - not only do they bother my stomach, I just think they're gross). The scrambled eggs and the salmon would be OK - but keep in mind a lot of people can't tolerate eggs for the first few weeks out of surgery (I never had issues with them, though), and you wouldn't be able to eat salmon until you're cleared to eat solid foods. hopefully if you stay at Denny's, the management will let you take your own food to work. That would solve it. I would hope that since you'd have a medical reason, they'd be fine with that.

can't remember - maybe 2 or 3 weeks? (I had my strictures at four weeks out and eight weeks out - so that was over seven years ago - my memory of it all is a bit fuzzy...but I do remember it took awhile for it to come on. Not as long the second time, though, since I realized what was going on much quicker since I knew the symptoms...)

I had two strictures (I had RNY). At first, I felt like I had GERD after I ate anything - which seemed weird to me since GERD is fairly unusual after an RNY. A few days later, I'd get very nauseated every time I ate anything. I don't know about DS, but they can definitely see strictures if you've had an RNY. They do an upper endoscopy and can stretch it out while they're in there. if you get to the point where you can't even keep fluids down, go to the ER. People can live without food for awhile, but not fluids.

I had the normal prep - which at my health clinic means fasting + a bottle of magnesium citrate followed the next day by that gallon (or whatever) of GoLytely.

some people can vomit, others can't. I don't know what the percentage of people who can't vomit is, but it's not uncommon. vomiting isn't the dreaded event it used to be. It's more like a baby spitting up after eating. There isn't much food to come up since our pouch is so much smaller than our old stomachs, and you don't have much acid in there anymore, so you don't get that horrible taste in your mouth. It basically tastes the same coming up as it did going down.

basically, the closer you get to a normal BMI, the slower the weight will come off. I lost 16 lbs the first month, c. 10 lbs (give or take) until I was about six or seven months out, then it dropped down to maybe 5-8 lbs a month, then after the first year, it was less than five lbs a month - sometimes just 2 or 3 lbs. it's because the lighter you are, the fewer calories you need. When I weighed over 300 lbs, I was probably eating over 3000 kcal/day. When you're eating that much, you can cut 1000 - or 1500 - or even 2000 calories a day, meaning you're going to drop weight pretty quickly. I'm trying to lose 10 lbs right now. My maintenance level is about 1600 kcal/day. Cutting even 1000 calories is unadvisable. That would put me at 600 kcal/day. if one were to eat 600 kcal/day for more than a couple of occasional days, they'd need to be under medical supervision. And cutting 1500-2000 calories from my daily intake when I normally eat 1600? Ha. Impossible. I can cut 200-300 calories safely. That translates to very slow weight loss - about 1/2 a pound a week. anyway, long way of saying, yes - your weight loss will slow down the further out you go.

I don't think there's much - if any - difference. The first few weeks after either surgery is challenging - but once you get a few months out, you no longer have any food restrictions - you're just eating a lot less than you did pre-surgery. You've brought this all up before - and we've told you that it's really not going to be any different. Lots of us can eat pastries (well, occasionally - else you risk gaining weight back, just like you would have with the sleeve!), drink wine, and try new foods when we travel. I"m not sure why you think you're going to have lots of unpleasantness. I would say that's very rare.