Pckeys

I'm not going to speculate what or where your pain originates except to say there are no nocioceptors (pain recepters) in subcutaneous fat.. period.

I always avoid any powders or drinks that are sweetened with Acesulfame Potassium (Ace-K) or Sucralose. Although both dont act to increase blood glucose, they do act at the pancreatic level to increase insulin. So measuring blood glucose will see no apparent increases, but insulin levs will be elevated.

Your lack of water intake seems based more on fear than anything else. So think about this... it take 2 - 4 grams of water to mobilize 1 gram of fat (this is the real reason it is drummed into every bariatric patient to GET YOUR FLUIDS). If you DONT get enough fluid, you will severely hamper your ability to mobilize/lose adipose tissue - with the added bonus of ending up in hospital from dehydration. CHANGE your habits, that's the only thing keeping you from getting enough fluids.

Your Hematologist is useless... If you want to see if iron is responsible for your symptoms, take an iron supplement, the first thing that will resolve upon taking an iron supplement almost immediately is the feeling of being dizzy (especially when walking more than 20 - 40 feet in the morning)... if that resolves within 24 hours of supplementation, then you're almost assuredly iron deficient.

You first have to define what YOU mean by intermittent fasting. Do you mean time restricted feeding where you still eat each day but within a small time window of 6 - 8 hours? Do you mean water fast only beyond 24 - 48 hours? or a 5 day eating/2 day fasting schedule? These are all very different beasts with very different considerations.

lots of walking, gas-x strips

Even without the extreme carb limiting, the caloric restriction (less than 900 calories) will eventually put you in some degree of ketosis. The telling factor here is that it happens when waking (after an extended period of fasting overnight)... if getting fluids is an issue at the moment, start thinking less about water and more about other ways of getting fluids. Bone broth/soups/almond milk etc..

you're very likely in ketosis. The metallic taste (at the back of the throat and sides of the tongue?) is a result of breaking down and using ketones, the by-product of which is acetyl-CoA and acetate.... dont worry about it it indicates your insulin and blood sugar levels are dropping.. also a good thing. It will resolve through the day then come back periodically. This goes away entirely for most people who enter ketosis and stay there after a few weeks. More info, look up "keto breath"

Frankly, if you have managed to go for 4 months without a stall, then you are extremely lucky!

What you do with your previous results is up to you, but keep in mind A1C is glacial, it is a 3 month window into your blood glucose levels. Expecting the result to be even slightly different in anything under 4 -6 months is completely unrealistic. So unless you had 12 months of so to wait for your A1C to come down with strict carb restriction, trying for a different result in the short term is pointless.

Those with a BMI under 35 but with one or more comorbidities such as hypertension/CVD/dyslipidemia/diabetes or other metabolic syndrome related issues are very often considered good candidates for WLS. I, like many here, started at under 35 BMI but with hypertension and pre-diabetic hyperinsulinemia. Weight does tend to come off more slowly with those of us that started with BMI less than 35

Please do let us know if you manage to get a handle on this, many experience the same thing for many different reasons. Always helpful to see what works for different causes.

You'll probably want to start pinning down what is causing it. do you get it after eating/drinking? Or on an empty stomach? I cant see how adding more antiemetics on top of the 2 you already have are going to be anymore effective. It may be acid... you might want to test this by taking Gaviscon or similar to temporarily neutralize the acid and see if it resolves within a few mins.

I used effervescents for awhile... I added them to big jar of water then let it sit in fridge overnight (no effervescent bubbles by then). You might also try vitamin patches as a last resort.

Cover the basics first... you absolutely must get your water intake up. Many are unaware that water is needed to shed adipose tissue. Dehydration will severely hinder FAT loss efforts, as will iron deficiency.

I dont know what the "desired" size is for surgery, but the "normal" size of an avg weight person along transverse diameter is 20-23 cm or less than 16 cm in the midclavicular line ... but 21 cm is a meaningless number if you dont know if this is the traverse length or midclavicular line

Lower insulin levs are what allow the liver to start releasing all the stored glycogen (glucose). Higher insulin levs are also responsible for water retention (which is actually a result of kidneys reabsorbing/holding onto sodium). This is why a lower insulin lev as a result of caloric restriction will see a lot of water weight lost (its the sodium being excreted)

As far as I'm aware, that data breach was in February 2018. Anyone using MyFitnessPal should of at least changed login credentials if still using it..

I live in Thailand and can tell you that travel restrictions are very close to being lifted. There is going to be a decision on it by July 1st. At the very least you might want to wait till then. You'll need a COVID19 test to enter, most of the hospitals/clinics performing WLS will also require that you have that test result handy before admission as well.... should add there is also discussion about prioritizing medical tourism for early entry

So I was sleeved exactly 2 weeks ago and many of the things I bought in preparation have gone untouched or I just dont like them anymore. You'll read that many peoples taste preferences change, that may not happen to you, but there is no point in buying a heap of stuff until you know you can tolerate it or like. There are of course a few staples that most people do ok with aside from a protein shake, a good quality bone broth would be next on my list for the first week or so. Yogurt is another, cottage cheese... then eggs as we progress... I skipped the whole jello/pudding fiasco since I'm not a fan of encouraging a sweet tooth (thats not to say it wont work for you.) Brisk walking was not a problem for me even 3 or 4 days out. Jogging on the other hand is not on the horizon for me anytime soon. I suspect this is going to be dictated more by the incisions rather than the sleeve since those are felt with any movement far more than your sleeve is. Biggest problem for me has been getting a good nights sleep, I have insomnia at the best of times and always sleep on my side. Some can do that very early on, for me I get a weird pulling sensation when on my side. Best of luck.