Creekimp13

Acid reflux after sleeve was a possible side effect discussed at length in my pre surgery seminars. 45-50% of sleevers will experience some degree of GERD after surgery. Most symptoms are managable with medication. Some become severe enough to require a sleeve to bypass conversion. Try to be patient with your healing process before jumping to conclusions about what your situation will be long term. Also, keep in mind that getting your microbiota (the bacteria that live in your gut) rebalanced in healthy populations can affect symptoms. That will happen as you heal and add more foods back to your diet. Wishing you the best, and a quick reduction in symptoms.

Be patient. Don't despair. Stay on your program. Be consistent. Do your food journal. Be patient. All is well.

nite Fluff:)

I haven't been diagnosed NES, but I do have issues with night time eating that I've discussed with my therapist. What's helped me a lot: 1. Swearing off eating after dinner. No more late snacking. I have herbal tea only after dinner. Kinda like a gremlin, I should never be fed late. LOL 2. Taking melatonin at 9pm really helps. Gets you to bed at a reasonable hour, and helps cut evening cravings. Improves your sleep quality and duration...which also helps with hunger. Improves your circadian rhythm.

Don't get discouraged. Sleevers lose for 18 months. Stalls are just part of the process. Be patient, consistent and just keep following the plan. We've all been there. What you're experiencing is normal. Don't panic and don't despair. It's gonna be ok.

Find someone more experienced. Most bariatric surgeons that are current and practice with centers of excellence...are very familiar with hiatal hernias and their management and repair. Rather than thinking less of your surgeon for not being willing to fix it...think well of him for admitting his limitations and not doing surgery he doesn't feel confident in. Takes good character to admit your weaknesses and not take unnecessary risks. There are lots of doctors out there who have the experience to face your surgery with confidence and competence. There should be no issue finding one and getting both done safely and effectively. Good luck!

High blood pressure can cause them (have you been taken off or had blood pressure meds reduced?) Dehydration can contribute to your nasal membranes being more easy to rupture Blood thinners and even hormonal changes...can cause nosebleeds. Some ideas... Run a humidifier. Drink more water. Monitor your blood pressure 3 times a day...report it to your doctor if it's high for you. Keep track of every bleed. Time of day and duration. Give this info to your doctor. https://www.livestrong.com/article/396797-vitamin-k-nosebleeds/ Check out the different vitamin deficiencies associated with nosebleeds in this article. Vitamin K Deficiency Vitamin K is required as a cofactor for an enzyme that catalyzes glutamic acid into gamma-carboxyglutamic acid, which is necessary for coagulation to occur. Coagulation is the process of stopping the flow of blood by clot formation, which is critical to heal damaged blood vessels. Vitamin K deficiency leads to uncontrollable bleeding once a blood vessel is ruptured. Trauma to the nose easily damages its small arteries and, without adequate levels of vitamin K, the nose loses more blood than it normally would. Other signs of vitamin K deficiency include easily bruised skin and muscles, bleeding gums and blood in the urine and stool. Vitamin C Deficiency Vitamin C is necessary for the development of normal collagen, which is the main component in connective tissue. Collagen resides within skin and blood vessels. A deficiency of vitamin C weakens blood vessels, which can lead to a condition called fragile capillaries. The fragile vessels and capillaries of the nose are especially reliant on healthy collagen to prevent rupture and leakage. Severe vitamin C deficiency, known as scurvy, commonly leads to easily provoked bleeding from the nose and gums, as well as bruising of the skin and muscles. Severe vitamin C deficiency is extremely rare in Western countries, although marginal deficiencies do occur in people who do not eat fresh fruit and vegetables. Vitamin B-9 and B-12 Deficiencies Deficiencies of vitamins B-9 and B-12 could lead to increase risks of nosebleeds because they lead to elevated levels of homocysteine in the blood, which damages the walls of blood vessels and makes them more susceptible to aneurysms and ruptures. Vitamin A Deficiency Vitamin A is needed to keep the mucosal membranes of the nose, sinuses, mouth, eyes and digestive tract moist and healthy. A deficiency can lead to dryness and inflammation in the nasal cavity, leaving it more susceptible to injury and bleeding. Dry mucus membranes also increase the risk of infection, which can also cause bleeding from the nose.

Best wishes for a safe effective surgery and program:) Good luck!

I have Blue Cross. My doctor's office processed everything for me. Like you, I was nervous about some last minute denial of benefits. Toward the end, my insurance company sent me an approval letter that outlined the date, the surgery, and that it was approved. Maybe ask your insurance company if they do that? It put my mind at ease to have it in writing that everything was covered.

I won't give you crap...cause it seems apparent you realize you screwed up. Luckily...ice cream is a good slider...with luck, it should squish through without harming your sleeve. That said...you're probably in for some digestive distress and rebound hunger...neither are pleasant. If you have multiple slip ups where you're consuming way more than you should....you should consider talking to the therapist. Hopefully....this is a one time moment of madness...and you can take the unpleasant digestive side effects as a lesson learned and not repeat it. Tomorrow is another day. Good luck, and be well!

We were not allowed to eat any food the first week. Clear liquids and protein drinks only. We were told not to drink more than 4 ounces per hour. One ounce per 15 minutes was the target. That tiny little medicine cup in about 12 teenie sips. Yep, it's hard...and all you're doing...all day long..is sipping and sipping and sipping....but if you do these tiny sips all day, it's tolerable, and you can get a lot in. Avoid long naps...you lose hours of the day you need to be drinking. Start drinking as soon as you wake up, keep drinking until you get in bed at night. 4 ounces per hour. Measure and record everything....it will keep you out of the emergency room. Call your surgeon's office about anti nausea medication if you're not already taking it. Don't eat food. Alternate by the hour....4 ounces of water one hour, 4 ounces of protein shake the next. one ounce every 15 minutes. Do your best. If you start falling behind....phone your surgeon's office. It's a lot easier to go to their office to have a bag of fluids run into you, than end up at the ER at night.

Oh I wish I did. The liquid diet was by far, the most challenging part of the process for me. On the plus side...Day 3 was the hardest day for me. After that I just kinda gave up and put one foot in front of the other the best I could. Got comments from friends that I seemed so miserable they worried about me. I felt like I was in a fog all the time. Had a very hard time doing mentally engaging work. Was seriously concerned if it impaired my driving. Do your best not to cheat, but if you cheat...don't eat carbs. Stick to lean protein and non starchy veggies. Take it a day at a time. I swear it gets better...but this is the tough part. Keep fighting. You'll make it.

Gotcha. I wish you a lot of luck with this. It's painful and challenging. Wish you didn't have to deal with this. I hope you find a good balance that arrests the process. Good luck and keep us posted!

I would get in to see your bariatric doctor next week, if possible.

PS...plant based proteins are terrific...but AVOID NUTS and nut butters....they are very high in oxalate.

If you have a genetic predisposition for calcium oxalate stones, you should probably be considering increasing plant based sources of protein in your diet, and cutting your protein down to the minimum required by your bariatric doctor. I wouldn't wait 6 weeks. I'd call my bariatric doctor tomorrow and get in ASAP to talk about diet and vitamin strategies.

https://www.drbrianstork.com/blog/tips-kidney-stones-weight-loss-surgery/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4249680/

Investigate your vitamin D level. High protein diets are strongly correlated with kidney stones. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1169452/ How many mg of Calcium are you taking per day? Are you taking Citrate or Carbonate?

Do you know if they are Calcium Oxalate stones? They're the most common. If so...are you taking your Calcium as directed? It might seem contraindicated to take more calcium when you're suffering calcium stones...but in the diet, calcium actually bonds with oxalate (to help prevent it from causing stones). If you have calcium oxalate stones....take your calcium as directed. Also, make sure your vitamin D level is good. If you are low, take vitamin D, as well, since it is necessary for your body to absorb needed calcium.

Switch to plain petroleum jelly at night.

I think you're safe, frust If you're postmenopausal, it really shouldn't bring you out of menopause. (particularly if it's been more than a year since your last period) A lot of heavy women suffer secondary amenorrhea (absence of periods). Surgery will often restart their period if they are not yet menopausal. Perimenopausal women (who are at the end of their menstrual years, but haven't stopped yet) can get some interesting swings from the weight loss of surgery. There's definitely a hormonal component. Mostly, it favors fertility and healthier cycles. (some of us REALLY don't want to get pregnant at this point! Caution should be taken to make sure birth control is in place)

I love leftovers. I love not having to cook I have a bag that I take into restaurants with me now that has all sorts of tiny little storage containers in it. If I think ahead and know something will need refrigeration, I even have the storage container with the cold pack built into the bottom. I just bring my own bag of rigid, watertight storage containers with locking lids.... and take everything home. Don't even have to ask the waiter to make special trips bringing me boxes that might leak on the way home. And I typically do it right after they bring my food.....cut off the portion I think I'll eat, and put everything else away at the very beginning. Makes everything look nice to take home, and no one asks me why I'm not eating.

Awesome! And extra awesome you've given her a positive experience to consider:) Nice!

The up side to losing slower...is that your skin has a chance to catch up a little. You can't expect miracles...but it's nice to give it every possible chance, right? I'm totally cool with my slower loss. I've lost 32 or so pounds since surgery a little over 3 months ago. Sleeve people supposedly lose for 18 months. I've got 30 pounds to go. I could lose two pounds a month and make goal. I'm totally ok with that. And truthfully? Even if I just make it to Onederland....I will feel so feaking accomplished:) Beats the hell out of where I was. The health improvements alone....Off all my meds save thyroid...perfect sugar numbers...perfect cholesterol...enough energy to walk 7 miles...and joints that feel good enough to let me. These things are priceless. They're the good stuff!

Morbid obesity, is, in fact, a metabolic disease (classified as such by the American Medical Association in 2013). And getting thin doesn't cure it. We will all struggle with it the rest of our lives....which is why it's so important to be kind to yourself and have respect for yourself no matter whether you're thinner and doing well, or heavier and struggling.