ShoppGirl

You have to let me know some of your protein recipes. I tried the pancakes with protein powder and they were not fave but I need a few new recipes to shake things up so if you find any real good ones please share.

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

also, your surgeon may not want to do a re-sleeve. Some still do but many consider it to be too risky and it yields too little reward (the weight loss for a second sleeve is statistically less than a virgin sleeve which is already less than the other surgeries). The typical surgery for revision is usually the bypass although a newer alternative to that is to revise to a surgery called the SADI which is what I just did and it is a little more aggressive so it yields faster loss and so far the research shows more durable loss as well. I have lost quite a bit rather quickly with it. You don’t need to know any of this yet. Your doctor of course will know if any of the options apply to you and explain them at that point but just know that it may be a little different surgery if you do go with a revision. One that alters your intestines this time which is a bit riskier.

Not sure what your coverage is for them but I strongly suggest you talk to your doctor about the GLP-1 if eating different is the cause for regain. Your tool is still there, you most likely just need help switching your diet back and the GLP-1 should take your appetite away almost completely making that a great deal easier. I have a friend that lost all of her weight and was actually losing too much and had to back off of them because she wasn’t getting enough nutrition. I had to keep reminding her to get in her protein and fluids. She has great coverage for them through her work insurance (she pays $25). I actually wanted to do them when I did my revision this year but I didn’t have adequate coverage for them and financially they just weren’t an option so I went for the revision. I talked to my doctor about waiting but she thought it would be a couple years before anything changed in terms of coverage and my labs were creeping up so waiting wasn’t a good idea. I am doing great in terms of weight loss but faced with another medical issue now, the gastro changes I’ve had aren’t making things any easier for me. Losing the weight is for sure the goal but if you can do it without surgery that’s always better. As far as I know revision is for people who gain without any real known reason. You are saying that you’re eating different for an emotional reason so you probably just need help changing back to your better habits both mentally and physically. Honestly, I think the GLP-1 will be the first option for many people in the very near future. They are considered safer at this point. It’s just a matter of them becoming more accessible for people. Take it with a grain of salt but it’s something I would at least consider before jumping to the surgery option.

i know how you feel about never sticking to resolutions. One year my resolution was to quit trying to quit everything just because of feeling a failures so many times. Small goals are far more realistic than huge resolutions and because they are more attainable we can do more than one a year and achieve more in the long run than the huge goal that overwhelms and we give up. I think you will do great!!

I don’t think a surgeon will ever assure you of your loss or your ability to sustain the loss because the surgery are not always a perfect fit for everyone nor is everyone compliant in doing their part to make the surgery successful. I had the gastric sleeve several years ago and that was not a good fit for me. I lost weight a pretty significant amount, but I gained it back. Recently, I had a revision surgery and the difference has been night and day in terms of how it has helped with my metabolism this time. I have energy that I never had before and I am exercising like I never have and healthy food still isn’t preferred over pizza, but it isn’t awful like it was before, which makes the choices to have good nutrition and fitness a bit easier. Nothing is going to make them easy. I’m sure but the surgery does make them easier if it’s a successful fit for you.

I never tried the powder versions. I like the core power premade shakes because they are not thick like most shakes but I have been happy with every quest product I have tried. Not sure if that helps.

You definitely need to let your team know. You may need to make arrangements with work for you to take breaks. You may know this better than I do but I believe if the Dr writes a note they have to accommodate you. Your nutrition is medically necessary. And allowing you to get your fluids is urgent. If your truly dehydrated your team should be able to arrange for your to get fluids on an out patient basis but if not you can always go to the ER. Your team should have a doctor you can speak with after hours even today. Clear protein drinks are probably your best bet once you’re rehydrated. They will work as hydration and protein. Premiere protein makes one that was 20g of protein I believe.

Sounds like you are doing awesome. So glad to hear it. My only advice would be to incorporate some activity as you are able with the extra energy. I have done this twice and the first time I didn’t add exercise and with my revision I did and I’m telling you that made the energy I felt triple. Plus if you are more active you get to add in some healthy carbs. Congratulations on your loss.

My goal is just to stick with my fitness and nutrition as much as I am able in the midst of my other medical stuff. I actually just left my doctors office today because I didn’t like the plan the nurse had for me that took me off my bariatric diet and I was gaining weight. We came up with a new plan that hopefully will get me back on track for both goals. Well after I detox from all of the carbs anyways. 😩

That’s an awesome goal. I am rooting for you. Can you train some days on a stationary bike if it’s like lightning at least.

Kindle unlimited is great if you don’t have it already and don’t mind electronic books. It auto renews so I put it in my calendar as a recurring monthly reminder for a while to make sure I didn’t forget to cancel it if I wasn’t using it (I am the worst with them subscriptions things). I get my moneys worth for sure, though. You also don’t have to buy a special device. You can just download the app on your phone or tablet. I also learned about an app that the library has that you can check out audio books on for free. I thought that was pretty cool too.

I think the best reply to that is just that your doctor is pleased with your weight and your fitness. And if they keep pressing that you’re going to defer to the one with the medical degree. I honesty believe that some people are just a tad jealous.

If you have someone to travel with you what about consider renting an RV?? Would for sure take longer but you could have a few places figured out to stop along the way and you could literally be in bed if you needed to be.

I think the trick for me is going to be to wait until the actual holiday to have one cookie instead of having them for an entire season. Someone told me a long time ago if you just have desert or cake for holidays and various special occasions that’s still like twice a month. Maybe if you are in maintenance and do a small piece that would be okay but for weight loss that is definitely still too often.

Well finally your doc realized that not everyone loses at the same pace and that you are doing great! So thrilled to hear that!! You should be very proud.

Calories snd weight loss aside, I was warned that immediately post op that you may physically be able to eat more than you should and you really need to measure to avoid injuring yourself by eating too much until your insides are healed. Those portions they put in your book are not just a suggestion. They are really important. Once things heal you should start to feel your restriction better but you do still need to eat slowly and to pay attention to it or you will overfill yourself. The difference between okay and stuffed can be just one or two bites for most people. That being said, I could’ve eaten more than expected with every single stage post op and I could eat more than most when I was healed as well. I still can’t eat a lot but more than most sleevers. I still lost a pretty significant amount with the sleeve and then I revised to SADI recently in which my dr didn’t touch my sleeve and I have lost a pretty big chunk of weight again. If you choose healthy foods you won’t really be consuming that much more calorie wise with an extra quarter or half cup of food, honestly. I’m talking about like broccoli or salad greens. Stuff like that. If you do your protein first and do fruits and veggies after that you still probably wont have room for much else even with a slightly larger pouch. I know that I don’t. Sometimes when I’m exercising pretty intense I do add a third cup of brown rice but I have to cut the veggies to do so.

I did eat puree fruits and veggies but meat was just gross. I made sure to get my protein in from shakes and had a bit of fruit and veggies to get in some fiber.

Maybe I will have to put that one on my list as well.

So sorry to hear about your loss. You look fantastic though. If you do get a reduction you may want to wait a bit just to make certain your weight had stabilized. Insurance does cover it sometimes if it’s medically necessary because of rashes and such as mentioned by @NickelChip which requires alot of documentation but your bariatric dr should know what to do for that and also for back pain but I was told that they have to remove a pretty significant amount of breast tissue that may not leave you with the cosmetic result you desire to do it for back pain through insurance. It’s certainly worth doing a consult with a cosmetic surgeon though to get their advice though.

I did get pain meds with my sleeve and my SADI revision. I told them right away with the sleeve to take me off right after surgery, but for the SADI I did need them (I also had my gallbladder removed but I’m not sure if that was the difference). When I was released from hospital I only took 1/2 of one because my husband forgot to buy Tylenol though. That was because I finally passed gas and when I did that a few times I felt such relief. I honestly don’t know that the pain meds were doing anything for my pain given that it clearly was just really really bad gas with the revision. Some people do need them though. I would ask to make sure if you really need it that they will give you something. Maybe even a stronger Tylenol. That may just be the typical plan but they have to have alternatives if your situation is different. If not, that would be a little concerning to me as well.

Well not to scare you but I felt something in my breast about 2.5 months post op and when I got the call I was 3 months post and it was breast cancer. I think I honestly may not have found it if it hadn’t been for the weight loss though so at least now I have a fighting chance. 🤷‍♀️. I truly do hope yours is absolutely nothing but i just wanted to mention that it’s always best to get anything like that checked (as you are). I had my mammograms annually and even had my breasts checked at my Pap smear only ten days prior to feeling it myself and the Dr had missed it so I really had to go with my gut to get it checked out anyways. It was hard to believe that she wouldn’t have felt it and I figured that they were going to just laugh at me because it was supposed to be there but it wasn’t. I would probably be stage 4 instead of 3 if I had waited until my next mammogram instead of trusting my gut. Definitely don’t worry about it until you have a real reason to, but also for anyone else reading this don’t ignore it because it does happen. Just get it checked out and enjoy your life. All we can do. Maybe when you go ask the radiologist to do a self exam with you and tell you what things you feel are so you know what’s normal and what’s not. I would only trust the radiologist that has the imaging in front of them though because my gyno when I went to tell her I felt something said that she was 99% certain it was just fibrous tissue but would send me for mammogram anyways. I actually almost cancelled the appointment because she made me feel like it was a waste of time and money. Thankfully I didn’t. I finally got into the Christmas spirit when we took my five younger cousins out for a night of Christmas Lights and Hot Cocoa. That’s usually the end to our big annual Christmas crafts day with the kids but with chemo I can’t do a whole day and night of five kids right now energy wise so we just did the lights part. I usually don’t get into the spirit until I’m around the kids. My Christmas treat is the Ghirardelli peppermint chocolates. They are individually wrapped so you can easily have just one and they have it in dark chocolate. It’s definitely off plan and a splurge but you can freeze them to make it less tempting to not waste.

Well I'm still pending results but they think that the immunotherapy is causing colitis and if so and we can’t control it that I may have to stop the med. This med of course is the most effective treatment along with the chemo for my type of cancer so it’s not good. Well I talked to the oncology dietician and she gave me a low fiber diet to start with. If that doesn’t work there is an even more strict one for me to try but it’s basically everything complete opposite of what we have been doing with the bariatric diet and I am so worried it’s going to make me gain all my weight back. I mean I have no choice but to do it but this just sucks. I have worked so hard. I am supposed to eat like saltines, white rice, white bread, white pasta, etc. Basically carbs and fat with some protein options. Hardly any fruits or veggies. I can have lean meats but without anything with them they are hard to get down right now. I gotta do this though. The doctor mentioned an even stronger steroid to reverse it or having to stop it alltogether and I just can’t let that happen. Part of me is tempted to just not eat a lot but I know I gotta keep my strength up to keep doing these treatments. I’m having a bit of a pity party this morning since I stepped on the scale and of course I have gained. 😢 I know that I know how to lose it now though so I’m just hoping that once I get through this I can. Maybe I can get the GLP-1 if not to help with the appetite suppression to get me started. It’s another year at least so hopefully they will be cheaper and more accessible by then.

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