Mhy12784

i cant speak for people with the bypass as their digestive process is substantially altered. But with the Sleeve I genuinely dont believe that to be true. The human body is smart and designed around not having a constant source of nourishment, and can take hours to fully digest food. Especially for those of us who are relatively bigger (ie most people who havent lost their weight yet) the notion that we could only absorb 25-30g of protein in a sitting is crazy. With the Sleeve our stomachs are smaller so we cant eat as much, but digestion is otherwise normal. Now ideally we would spread our meals out, but if youre trying to get a higher protein intake (150-200g a day) theres no fricken way youre going to be able to accomplish that only getting 25-30g of protein in a meal while eating 7 meals a day I have a relatively higher protein intake (I aim for 175g + a day) and try to have 4 meals with 40-60g of protein at each, and while anecdotal im in the best shape of my life (on a side note I dont think the Labrada shake is a good choice, but I did use it for a few months post op as I enjoyed the flavor and it helped me get through the early stages of my post WLS life)

I used to drink these shakes. They taste pretty good, cookies and cream was something I consumed regularly for a while. But theyre too expensive, and have too many calories. Im much happier with premier protein shakes than the Labrada ones. The only positive about Labrada is its lactose free (but id still rather take a premier with a lactose pill) I would encourage only buying the Labrada shakes when they are on sale though. Many of the websites that sell it frequently have 20-30% off coupons, which lowers the price to something less insane.

I don't understand this. It's incredibly easy to add carbohydrates. She wants you to get some carbs have an isopure and some applesauce after. This makes no sense to me. And isopure is very common postop, hell that's what my hospital gives you while you're there

I would take your endocrinologist advice over your surgeons when it comes to this. Ideally you want to take care of both, but your endocrinologist is going to know and understand your diabetes, while the surgeon knows surgery. Personally I would get your endocrinologist advice in concrete clear language, and share this with your surgeon. (be sure not to misonterpt anything or change someone's words)

It does say on there use a shake of your own choosing. Those are all powders and not RTD drinks. It's fine as recommendations but honestly what protein powder you use doesn't matter, as long as the macros aren't ****

I think the answer to this question is it depends. I think for a sleeve you'd be better off having it done laparscopically. The Da Vinci only has 30 and 45mm staples which don't come with seamguard reinforcements and the literature behind their staples doesn't have sufficient long term data The bypass doesn't need reinforcements as the critical part of the procedure is the anastamosis and the surgeon suturing is what's important. And the Da Vinci offers benefits for the surgeon when it comes to suturing especially the 3D vision , so I think it's good for that. Ultimately I think the most important thing is how many and how often your surgeon does this case with the robot. If he does 100+ robotic bypasses a year and has for years I think the Da Vinci will be better. If the surgeon had done not many or doesn't do them often, I think it'll be worse for you. And I don't think at this time having the sleeve robitically is a benefit to a patient, a bypass on the other hand it could be if the surgeon has done plenty. And ive assisted with thousands of robotics cases

It's possible that being a cash pay you're a more complicated case, making you less attractive as a patient. Were you going for a bypass or sleeve

Previous surgeries likely means adhesions and scarring. I've never seen a case where it couldn't be done because of that. It will. Absolutely take longer (the actual surgery) but unless your insides are an outrageous disaster a good surgeon can do it laparscopic. That said I have seen them abandon a bypass to do a sleeve instead because of extreme adhesions. So that's a possibility

Are you sure that's GERD? I've had some severe crippling bouts of GERD in my time and I never would've described it as going into my back

It's hard to say what it'll do. If you're worried about falling asleep bring it with you and ask if you can take it. If you're worried about faking sleep apnea to get insurance approval, well I don't know if there's a surefire way of doing that with legal OTC drugs.

I mean some sleeve surgeons don't want their patients using nsaids, but it's not a universal thing (I've been taking celebrex daily since the 7 month mark) Yeah the bypass carries some challenges. It's a more proven surgery totally and likely has greater benefits, but it's negatives and it's risks are sown thing always worth considering. I'm not sure if I have autoimmune disease yet. I definitely have arthritis, but my lab work from my preop and during my sleeve has actually caused my team to identify some abnormalities that I have been getting worked up for several months. Autoimmune is suspected though. I've been on celebrex the last 2 to 3 months, and I think a DMARD trial is coming soon to see how that impacts my lab work as they don't want me on celebrex long term. Can't say I've noticed a difference of anything physical since the surgery. Only differences have been in the mirror (and mental} but **** I'll take that And yeah below my initial goal, but I still have such a long way to go. This is still the beginning of getting to where I wanna go!

Well with the sleeve you can take everything, nsaids included (unless you have allergies of course) . With the bypass you have to be really careful taking anything. And this played a huge role in why I decided on the sleeve over the bypass (as well as some surgeons in close with pushing me that direction as well)

There's nothing wrong with going vegan. And tons of very valid reasons to go vegan. I don't think your health is one of them. There's plenty of animal based products that are incredibly healthy and good for you and weight loss (fish, chicken, whey protein etc) so I don't see how excluding salmon or chicken breast benefits someone's health. That said co2 emissions, humane reasons etc are all very legitimate reasons. If you want to go vegan that's fine but make sure you understand your reasons for doing it. I understand there are plenty of unhealthy meats but there's plenty of unhealthy plant foods. It would be like not eating fruits and vegetables because corn syrup and sugary juices come from them

That's a fair point, but assuming you have a bypass at 72 it's not like you have to worry about the arthritis getting worse for the next 50 years. If you were in your 20s and 30s that could be 50 years of undertreated arthritis where you can't have nsaids and limited steroids, which could have a huge difference on quality of life. Especially something like RA where you should be aggressive early on It's a difficult situation and I don't think there is a clear cut answer

I have to ask, why is it you are getting a bypass if you have RA? I have arthritis (not RA) and this was a discussion that came up between me and my physician. Our conclusion was that having a bypass would limit my treatment options for arthritis. I'm not criticizing or anything of the like, just trying to understand the thought process here

Weird your surgeon would make you wait for approval before setting a date. I had my surgery date set like 4 months in advanced, and got my approval a week or 2 before Also some RA drugs make you more prone to infection and others make you bleed more which is why they wouldn't want you taking them within a certain amount of time before surgery

Pretty sure you can get a protein shake or bar from most 711s gas stations convience stores etc. Jerkeys stuff like that as well. Honestly planning ahead and having some emergency snacks is what you should be doing (it's early for nuts, but that's a great option) Getting involved with fast food long term isn't a good idea, even if there's some okayyy ish options they offer

Become a creature of habit. I think this is by far the most important and key thing. Eat consistently, workout consistently, develop a routine and do the same thing the same way all the time.

It says that because its an over the counter medication. (and they probably dont want to get sued) And if youre taking it longer than that you should be doing so under a doctors supervision (is their point of view) Theres no reason you cant take it everyday, although your bariatric surgeon should really be prescribing it to you (even though its the exact same medication) And yes many people take a ppi like nexium everyday for many many years not just 14 days every 4 months. Ive personally been taking it everyday for the last 5-6 years with no ill side effects. Many of the studies on it are selective and in the elderly population. You should obviously discuss it with a physician but its fine to take longer than 14 days

I guess it depends on how much more you're trying to lose and how quickly. Like I wouldn't mind losing maybe up to 10 more pounds, but it's not a goal of mine. I wanna not just maintain but increase my lean mass. So I'm trying to keep things constant. Plus I feel that if you under eat one day because you're not hungry it will lead to hunger spikes, cravings, and that can lead to poor decisions and be a slippery slope. But by constantly eating when you're supposed to, it'll keep you in a more stable place

Finding the right recipes and products was my key. I experimented and wasted a lot of products till i found things i like. But once i liked something id use it all the time. Now theyre habits

Everyday. However ive always had weird eating habits like that. I wouldnt reccomend someone following my exact times unless it worked for them, but being regimented like that is important if you ask me. Id say only one meal a day i eat when hungry. Otherwise i ear because its time to eat. But im incredibly strict about what i eat that helps too. 140-200g of protein and 50-60g of fiber everyday goes a long way to controlling hunger

im around 7 months out so full diet. I probably didnt start that until i was 8-10 weeks out and feeling normal again. Early on its honestly just do anything you can whatsoever to stay hydrated and hit your protein without getting constipated

sugar free vanilla pudding then add pb2 peanut butter and youre in business ate that everyday my first month postop

Maybe I'm doing it wrong, but I've completely ignored my body's sense or lack of hunger since surgery. I decided what protein fiber and calories numbers I needed to hit, and just set up a routine where I would eat meals at the same time everyday no matter what. And I just simply spread out my calories over the course of the day to hit those numbers. 6am I'm eating breakfast. 3pm I'm eating lunch, 6pm dinner, 9pm my late protein snack. I don't care when or if I'm hungry, when it's time to eat it's time to eat. And as long as getting my protein fiber and staying within my rough caloric range that's all that I care about. Otherwise I'm not getting hungry enough that I have to eat thanks to the surgery, and it's hard to imagine that I'm overeating as long as I'm making smart choices and staying in my calorie range