PatientEleventyBillion

So what's your issue with what I cited? And to the bold who's doing that? Seems like conjuring imaginary demons to battle.

That's cool. I've also seen videos of people being sleeved via scope as well. To @RickM my RD put me on a 3 month liquid preop diet consisting of almost entirely Glucerna and water. Each bottle of that crap not only tastes like s**t making me regurgitate the stuff but has 26g of carbs. My RD wanted me on 6 of those a day - over 150g of carbs a day on a liver shrinking diet. It costs 8 dollars a six pack for this so over the span of 3 months that's 700 to 800 dollars in food for us, not counting food my wife and daughter need as well. This is why I researched (not Google as its full of the fad diet garbage sites) the keto diet and the fact that it's premise aligns directly with liver shrinking and thus weight loss. The liquid diet is, I suspect, more a general safety net measure by RDs to gauge "compliance" by the patient. It's very clear with my RDs comments in the Canadian NetCare system that she's been pissed with my lack of compliance despite all my positive results. Which is why the surgery is moving forward without her being happy.

That was me until the point of reaching Dr. Gill where he candidly says he doesn't feel comfortable operating on people who haven't lost at least 10% of their excess body weight, and that's primarily toward liver shrinking and the direct association with weight loss preoperatively. Of course it was my last appointment where he said this, when all of my health issues connected to obesity have all vastly improved along with fibroscans 2 months into the preop diet that show significant liver improvement.

Pretty much. Well-done. mfw people think they can eat moderate amounts of nutritionless crap and expect to lose weight because it's not as much nutritionless crap as they used to eat. And they wonder why so many fail with WLS.

That's a nice wall of text there but you didn't refute a single thing in this paper, nor did you substantiate your erroneous claim of "scientific gloss" when it's clear the keto diet is getting quite positive response from the scientific community, especially concerning weight loss and WLS. All you did was move the goalposts with a projecting statement of: "one diet works better than the other". Recall that this is your argument in trashing a diet without any scientific basis.

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Have them change your date pls. The 21st just isnt as good as the 20th. Just tell your doctors I said its ok.

I dunno about you but I hate that pesky science.. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587/

Can you detail exactly what it is and the nutritional info?

Most of my pre-op diet has been a modified keto diet. Difference is, not nearly as much fat.

I could talk to you the way Sgt Hartman from Full Metal Jacket would talk to you in fat camp, but you'd have to pay me.

At least twice a day just to get a better gauge of how my weight changes over the course of a day. Part of it is being severely ADHD, part of it is just being the type of person that likes endless information.

What's a Canada? On the sage advice of @teacupnosaucer I likewise got a heating pad, will probably have my wife put some weight on it by stacking some porn mags on it. Wife liked the heating pad idea because I only intend on using it for the hospital stay post-op.. don't use those things otherwise. The mags will probably be burned and tossed with the fire wood.

That's awesome. My vice was soda. Massive amounts of it. Cherry Coke in particular. It was my fav drink to have with Captain Morgan, though I rarely had any alcohol. Along with my awful diet, the soda destroyed me. I used to joke before I was even diagnosed as type 2 that I was gonna have a big cup of "liquid diabetes". I had my last one the day before pre-op. Heck, last year I went 6 months without any of it. Would be funny if they had an AA program for soda-holics. "I'm 2 months sober!"

LOL When I brought an ex of mine from Greece to the states for the first time, when she tried American fast food she threw up. Way too greasy, carb-laden, and salty. I will point out that even with my pre-op diet I've still had Wendy's, McDonalds, and chicken + burgers from restaurants. My portions are much smaller, I chew much more thoroughly, and I found I get full much faster. I also take off the fillers, and don't consume the carb infested foods and drinks, like french fries, burger buns, soda, etc. I exclusively drink tons of water a day, and chew a lot of ice (I'm weird like that), and drink 1/2 cup of calcium fortified apple juice with my meds (because they make me want to vomit taking them with water). Many simple/small changes can make extremely positive results in the bigger picture.

If you want an example of that here go check the atheist and agnostic forum. It's deservedly (I say this as an agnostic myself) a desert wasteland due to intolerance, something I unabashedly see as inevitable for Facebook and Twitter. One of my cousins was a member of a FB VBAC community that lectures women to avoid c-sections, even in the circumstances of high risk to themselves and their child, because they believe it's immoral. I think any place that allows sensitivity to dictate the rules of discussion, to a point of nothing but affirming beliefs and "yes men", inevitably winds up in that abyss. Another example: I was only ever called a "fat ass" two times in my life, and rather than take it as an insult, I decided to look inward and see I really didn't like what I had become (while not caring what the other people thought). Sometimes the best catalyst for change can be the thing that's supposed to offend the most.

For preop diet I had stuff like this... - Meatballs.. with egg and instead of bread crumbs using almond meal - String cheese, block cheese (cheddar mostly) - Almonds (ate too many of these and gave me hemorrhoids) - Peanuts (unsalted), peanut butter - Scrambled eggs with tbsp of ketchup or block cheese melted into it - Other ideas: - Peanut butter cookies using almond flour and stevia - Pizza using almond flour, block cheese, low carb meat sauce, and ground beef or other non processed meats - Take a cow home and gnaw on it for a bit My first week or so home post op I already have ready: - 1 percent milk (less fat no diff in carbs) - YOP yogurt drink (only until solids.. more carbs than I'd like) - unsweetned apple sauce (might add cinnamon if tolerable) - SF jello - ice cubes.. already like chewing them anyways - Duff Beer

Nice name. Hope your surgery goes well, keep us posted.

Same here. Even though I had big comorbidities along with the crazy weight loss they were under control months ago and significantly improved on the preop diet alone (normalized liver function, massive fibroscan improvements showing likely improved liver diagnosis, hba1c dropping from 7.9 diabetic levels to 5.7 which is normal or pre-diabetic levels). My surgeon has a rep of being a huge RNY fan but because my comorbidities were under control he pointed out the risk wasn't worth it in the mid 30s. Both second opinions saw both surgeons recommend VSG as well. For much of my time in weight management I was pretty set on RNY but reading the research, evaluating risk management, and seeing in person at classes never mind on forums like this the very high positive results combined with lower risk, it turned into a no brainer by the time it came to sign the surgery papers early this year. Unless someone is older or has extremely untreatable diseases with immediate high risk to their lifespan justifying the increased RNY risk, VSG is definitely worth it, in my opinion.

He's way wrong about reflux. For the vast majority of people with reflux, even diagnosed GERD like me, only 1 out of 5 cases are worse because of the VSG surgery. The rest are either diet related or other conditions. For the majority, the underlying obesity problems causing reflux are more resolved than worsened due to weight loss and dietary improvements and awareness of what foods initiates reflux. In theory a smaller stomach makes easier reflux but not quite accurate. I would be skeptical of him trying to push you to RNY. Firstly, the added complications of the surgery makes it a better idea for older people or those like me with comorbidities like advanced liver disease. Risks associated with VSG are much less. Secondly, see if the door is open to revision if you have any issues with the surgery including reflux. My surgeon offered this.

No idea who that is.

Work, finals for school this coming week.. then next week is surgery. Nothing but busy. Trying to get to 280 (80 pounds lost pre-op) by surgery day.

Not uncommon after taking days or more of opioids. T3 esp has codeine and caffiene. Body develops dependence and thus withdrawal symptoms "coming down" from it. Shaking is one of those things, just stick to a usual diet, trying to get as much protein, water, and nutrients as you can, rest when you need to.

If you're making the same mistakes that got you into trouble before your sleeve, no Dr. or surgery is going to help you. Best to see a psychologist and handle whatever problems you still are having before even considering WLS again.

My worst experience thus far has been: 1) My case manager leaving to another city, and being stuck with a control freak case manager assigned to me. Being the proactive person I am, I made sure to change immediately after meeting her and giving her the bad news when she tried to follow up on the dietitian's demands. 2) A dietitian who freaks out. Not conducive to lifestyle changes whatsoever. Both of these people were in the minority by a long shot, when I have my surgeon, internist, family doctor, hepatologist, and every other person in the medical industry i see absolutely thrilled at the reversal of my health problems and massive weight loss at the same time, two control freaks are mad because they have a rather large ego and I'm the type of person who smashes those. Already changed case manager after telling her to piss off, but the dietitian who threatened to derail my surgery, I made sure I have one post-op appointment with her before changing to another dietitian (already have appointments with the new one as well) so I can tell her how well I did while completely ignoring her pre-op diet commands. Whether she wants to be humble about it or not is irrelevant to me, either way, she'll get a dose of reality that she controls no one.