ChunkCat

You know, now that you ask it, I DID enjoy myself more!! LOL I had to be very contemplative with eating which translated into more thoughtful conversation while we ate. We've been married 17 years and sometimes you get lazy and end up in that zone where you just shovel food in and get out of there. But I can't do that now!! So I pick places to go more carefully, and we've committed to putting our phones away during our meals together, so we get more face time and I really connect not only with the people I'm with, but the food I'm eating too! I'm two months post op now. I've eaten out at a lot of different places and we did a road trip to visit family for the holidays. That might have been a nightmare food-wise for some people, but I just packed snacks and protein supplemental food that I could eat if we hit a 3 hour mark and no one else was ready to eat. And we even ate at a pizza bar (not my favorite choice even before surgery) and I just got the grilled wings with a mild sauce. I've found that eating out is easier than I thought it would be. I even go eat pho---I just ask them to leave the noodles out and I eat the beef and bean sprouts and enjoy the broth. We still eat mostly at home but I was really relieved when traveling to see that our enjoyment of travel was not affected by my new diet! Also, we seem to share our food more because for me, satiety comes from trying a variety of things (always has) and now I just stick to a few bites of this and that while I meander my way through the meal and it is nice and relaxing and very enjoyable. You will still be able to enjoy yourself, it is all in how you approach it!!

Just wanted to follow up on a few things from the post above: 1. DS patients do not typically experience dumping syndrome. We maintain our pylorus valve during the sleeve part of the surgery, so we dump at the same rate as the non-surgical population. 2. Bypass patients have about a 30% chance of dumping, lower if they avoid the food behaviors that trigger it. For all but a few it is a manageable phenomenon. 3. Diabetes goes into remission MUCH more frequently with Bypass and DS patients because of the alterations to the small intestines. As do most other co-morbidities. 4. I don't personally view my DS surgery as "punishing". My body has done nothing wrong. I feel no need to punish it. I personally don't have emotional eating issues but I don't judge those that do, nor do I think it is a reason to punish the body... Having my small intestines rerouted was not a punishment. It was a BLESSING! My fasting blood sugars normalized within 24 hours of surgery. So did my high blood pressure. I'm not on medication for either one. I'm currently 7 weeks post op. I consider remission of those two conditions to be a modern medical miracle... I didn't choose the DS to be harsh to my body. I picked it because it had the best chance of restoring my health and keeping the weight off long term. My surgeon put it best "You have a metabolic disorder. You need a metabolically potent surgery. The DS is the most potent one available..." My bowels habits have changed, but nothing unmanageable. I have to watch my carbs, that's no different than before surgery. I no longer have to count calories because I malabsorb a portion of them. I'm at risk of vitamin deficiencies if I don't take my vitamins, that to me is no different than risking a blood sugar or blood pressure emergency from not regularly taking my meds pre-surgery. Nothing about this process is free. There are always trade offs. Any GI issues that occur with the DS can also happen with Bypass, including vitamin and protein deficiencies. But protein and vitamin deficiencies are also possible with sleeve patients. They may happen at different rates, but they are unusual across the board. As are serious complications. Gallbladder failure can happen with ANY surgery. It is caused by the rapid weight loss and low fat diet many adhere to post surgery. It is not unique to the DS or Bypass. I don't think DS and Bypass patients are choosing to punish themselves because they pick these surgeries. They pick these surgeries because of their own individual medical challenges and what they need out of their surgery. Most of us are working to heal various dysfunctional relationships with our bodies, or with food, or both. None of us are exempt from that. These surgeries are ALL support tools, not a punishment for past misdeeds.

I think many of us have our own places where we self-sabotage. For me, going into this surgery, I knew consistency was going to be a challenge because I have ADHD and my brain really struggles with routine, even though routine helps my life flow better... The biggest thing I've done to help myself is to not allow things into the house that I'm not supposed to be eating. I put them all in a basket and put them in my partner's office. Out of sight, out of mind. LOL To support me, they keep the snacking in their office, thank the gods. The other thing I did was educate myself on what will happen to my body if I consistently fail my protein, vitamin, and hydration goals. Some other surgeries can get around this, but DS patients cannot. It is a very unyielding surgery. When I was younger I had a friend who had an old school bypass and was non-compliant with the dietary advice and vitamins. She'd sit there and chat while eating M&Ms, breathe through the dumping symptoms, and keep on eating them. Her hair was falling out and brittle, her skin was dry, she'd get heart palpitations with the slightest bit of exertion because her calcium was off. I can't even imagine what was happening to the strength of her bones... I don't say this to scare you, I say this to illustrate what can happen long term when we can't get our habits under control. I know for her, she just had the surgery. She had no aftercare. No psych care. No mindfulness coach. No dietician. No one supporting her through these difficult changes and helping her understand what was happening to her body when she was making less than stellar choices. Every time I'm tempted to ignore my vitamins or skip a meal I think of her and march my ass to the fridge and eat some cheese. 😂 You have a good list of things to help course correct. I've seen you post before, I know you are trying. Where is your support system to help you achieve your goals? If you have no one local, where and how can you cultivate them? I find when it is hard for me to act in my best interest, that's the time when I most need my support system to kick in and give me a helping hand...or a kick in the ass. Instead of focusing on what you need to NOT do, how can you frame those things as a list of supportive things you can add to counter those behaviors? It is so easy with our dieting history to get into a restrictive mindset, but I've been working with a mindfulness coach who has been encouraging me to be additive instead of subtractive and that helps a lot with the mind game that surgery is! So instead of fussing at myself for missing my 3rd snack of the day, I've instead added a morning protein cocoa made with Fairlife milk, Genepro protein, collagen, and a hot cocoa mix. It packs almost 30 grams of protein in one go and soothes my queasy early morning tummy. Plus by front loading it in my day, I increase the chance of having time for that post dinner snack! And yes, dehydration and lack of protein will make you snack and feel hungry... Try a snack/meal with protein and fat.

Totally worth the stress and worry of it. I'm 7 weeks post op so those hard, early weeks are very fresh for me and I'd do them over every year if I had to. I've already been able to stop my diabetes meds (my blood sugar is in the 80s!), they also took me off my blood pressure meds (it is now normal!), and we expect my labs to have improved when we draw them in January. Truly, I think it is a modern medical miracle that a surgery can do that and do it so quickly. My biggest wish is that I'd had it sooner. I let a lot of fear and misinformation get in my way for decades. I knew a woman when I was in my 20s who was an old school bypass patient and non compliant with her vitamins and protein. The health issues she had from not complying with good treatment were scary and I didn't want to be like that! I also didn't understand that these surgeries have a METABOLIC effect as well as the effect of making our stomachs smaller so we eat less. Those metabolic effects are something we can't get from a medication. Can it make things worse? There is a small chance it could. But there is a much bigger chance it will improve your life by leaps and bounds. WLS is about as risky as gallbladder surgery and you don't see many people having a cow and panicking over a loved one having their gallbladder out. Educate yourself on the facts, read all you can, talk to the surgeon, have them talk to the surgeon, and really think over what you are willing to change in your world to make this work for you the way you need it to work. It is YOUR body and your quality of life being impacted here.

I agree with the others. That's how I told my family, in declarative sentences because I knew if I asked their advice they'd immediately shut it down, they are pretty suspect of the medical community as a whole and think if I'd just return to a vegan diet all my weight issues would be over! Nevermind I gained a chunk of my weight on said vegan diet. LOL Thankfully my close friends and partner supported my choice fully and my family came around in the end. I'd offer to have them come to an appointment to talk with your surgeon. I took my partner to my appointments and the surgeon was really great about pointedly asking them if they had questions or concerns. It is always nice to have someone else chime in with their worries and have them openly discussed. Most people have a LOT of misinformation about WLS and Dr.Google sure doesn't help.

I haven't heard of anyone getting a waiver for it. But I don't read many VSG groups, I'm a DS patient. You might want to check with the more popular VSG groups on FB.

Welcome! Congrats on your surgery!! Yeah, I never lost my hunger but it sounds nice... Good luck with advancing your diet! It can take a few months for those tummy cues to all come through accurately since so many nerves are cut and need to heal. But I certainly feel it when my stomach is ready for food!

This is awesome!! Congrats!!

I had the same experience as NickelChip on the GLP-1 meds. Saxenda I lost about 15 lbs on, when insurance decided I didn't lose that fast enough they stopped covering it. I gained the 15 back plus another 10 almost immediately. I then went on Victoza, no weight loss. I did Ozempic for two years, also no weight loss. And on both of them I actually gained weight until my highest weight of 320lbs. They did help my A1C levels but that was it. They all had unpleasant side effects and cost a ton. I'm 7 weeks out from a duodenal switch. I've lost 26 lbs since the surgery and while there have been tough moments I'm so glad I decided to go with surgery instead of trying more medication... I've lost 40 lbs since my highest weight! I've never lost that much weight with anything, ever, not even with keto plus the meds. Usually if I have issues with a doctor's office not returning my calls or responding to my messages, I eventually go in there and talk to the office staff in person and wait until they send a nurse out to deal with my issue. 😂 It is quite effective! I'm super nice about it, but still... I had a LOT of scheduling issues with my surgery and in the middle of it they lost their scheduler and I had to deal with some really rude staff on the phone. But it all got sorted out in the end! Hang in there!!

I'm so glad you are being seen soon!! I agree, if they are a licensed doctor, they should be covered, period. The insurance industry is a disaster in this country. I know what you mean about contracting and medical coverage. My partner was an independent contractor for a long time and I have pre-existing health conditions so for a while I could only be covered by the state specialty plan until the whole healthcare marketplace thing. It was so stressful dealing with rejection after rejection because no one would cover me, and the cost was obscene, even for crap coverage. When they finally went back to working for someone else it was such a relief to have the health coverage handled by a company again!!

Thank you!! I don't know what is with Cigna lately, they are doing with with my GYN office too! I sincerely hope someone does something useful and things get settled satisfactorily so I don't have to change 3 providers!!

I don't know how common this is with Bypass, but it sometimes happens with patients who have the Duodenal Switch because the level of malabsorption from the surgery is significantly more than with the Bypass. It usually happens a few years out because that's how long it takes to deplete the body of its stores. That's why we have to have lab work done frequently to monitor our vitamin levels and protein levels. Some patients end up malnourished when their vitamin levels drop too low or their protein levels drop too low. There are medications they can prescribe to help you better absorb protein but I can't remember what it is called, it is a digestive enzyme of some sort. A GI doctor would know what it is, your surgeon might know too. The liver is very sensitive and things getting out of whack can definitely cause it to be angry. I hope they do more testing and figure out what is going on... You have probably lost muscle mass as your body takes protein from your muscles to compensate from the depleted protein levels. Try protein shakes and protein waters that are made with whey protein isolate. It is the easiest form to absorb and it will help your protein levels go up. This is what DS patients are advised to consume, most premade shakes will be made with inferior types of whey that may not help your protein levels. Unjury makes some good ones, Syntrax is another brand that makes medical grade whey protein isolate. There are a number of them around!

I had this post op. I'm 6 weeks out from a DS surgery which reroutes the small intestines as well as a sleeved tummy. I swear for about two weeks everything gurgled. It wasn't gas, I wasn't gassy, it was this literal gurgling, bubbling feeling in my tummy. Sometimes when I drank water I'd hear this sound that was like water going down a drain pipe that was narrowed. I could feel water displace air. I suspect my stomach was so swollen inside I had this narrow tunnel for things to flow through and the fluid would get backed up and slowly funnel down. LOL It gradually went away after a few weeks, but the sound effects and body sensations were really funny!

I haven't had revisions, I just had DS surgery 6 weeks ago. But I have seen a fair number of multiple revisions around here and elsewhere... I'm sure if your doctor approved you for the surgery then you are good to go! But any surgery can be scary, so I understand the worries. Sleeve to Bypass revisions are pretty common. It is likely your surgeon has done a fair number of them. The weight loss is slower for revisions, but I have seen many end up reaching their goal weight, it just takes a bit longer the second time around. You don't say what your starting weight is or what you hope to lose... Advice is just like for any of the surgeries---take it easy. Trust your team. Drink your fluids in baby sips and get in as much as possible, this will keep you out of the ER hopefully. Stay ahead of your pain. Ease into food gently. Walk as much as you can. Rest when you feel tired and give yourself extra rest for the first few weeks because surgery can take it out of you! Remember that a lot of nerves have been cut and have to heal, so you may not feel any restriction for a while. Stick to the portions your dietician advises for the first few months until you are getting accurate communication from your healed tummy! And whatever you do, do NOT let yourself get constipated!! Take the stool softeners, take Miralax if you haven't gone in a few days and are concerned. The most common complications I see are nausea, dehydration, and constipation! Most of all, good luck! Have a really routine, easy surgery and an uncomplicated recovery! ❤️

When I read about this on Instagram I just shook my head... I have an uncanny ability to pick up weird medical experiences but you have a PhD in them my friend! I hope they quickly find out what is going on. I'm really thankful you were still in the hospital when that episode happened and everyone was there to bring you out safely. It is good that they have you on a monitor for a while. I'd want to know what caused it before another surgery too!!

OMG look at how tiny you are now!!! It just blows my mind how surgery can do that. We truly live with so many modern medical miracles... I wish you great care and speedy, thorough healing! ❤️

I agree with NickelChip, the only way I can feasibly see you dropping that much weight is to start your pre-op diet early and stick to shakes and low carb veggies. Sugar free shakes though, because that will allow you to go into ketosis and you'll drop water weight pretty quickly, which could boost your numbers. I don't recommend doing this unless you really feel you have to though. My insurance said I couldn't gain a pound before surgery. Does yours say the same thing, or is this your surgeon's requirement? Often surgeons will ask their patients to lose weight beforehand to show their commitment, I think this is kind of lame, since the whole point of weight loss surgery is that most of us have not been able to lose the weight on our own! It causes a lot of unnecessary stress before surgery IMO. I wish you luck in dropping the weight!!

Thanks for updating us!! I am so sorry they had to change their surgery plans... My 3 week liver reduction diet didn't seem to work very well either, my surgeon said my liver had not responded the way he'd hoped it would have, but he's a pretty skilled surgeon so he was still able to do my full surgery with it. I have read about a number of people with that issue that end up having to stage their surgery though... I really hope you do well with the sleeve, maybe you won't even have to have the second part done!! I'm glad you have the option to though... The feels are strong after surgery even when everything goes perfectly, so I can imagine you were feeling it with everything that happened, plus the meds coursing through your system! I hope your pain continues to ease. Keep updating!! ❤️

Have you tried things other than just walking? Like chair Tai Chi (or standing Tai Chi if your knee can handle it)? It seems gentle but it gets your heart rate up! Also, you could try just walking for 5-10 minutes at a time, a few times a day. Or whatever time feels best without stressing your knees. You can even do those walk in place videos on YouTube in your living room! I can sympathize with the knee issues, I've torn both of mine and sometimes they flat out won't cooperate! Plus I have pretty bad arthritis and fibro, so exercising for me is challenging. I have to be creative! And doing things a bit at a time is what works best for my body...

Perfectly normal. They can start coming off after 6-7 days, it isn't an issue. Don't pick at them though!!

I had the diet you have for two weeks, then the third week was shakes only. I don't recall how high my one meal's calories were, but I recall my surgeon saying that the general idea was to cut you down to 1,200 calories or a bit below, by the end of your daily total. So if you are around 800-1200 with your daily total you are probably fine. If your surgeon didn't give you a specific calorie count they probably don't care. I didn't weigh my food I just eyeballed the portions because I've been measuring my portions for years.

Following up with a GP is good for general health, but following up with your bariatric surgeon is crucial if you are still having complications from bypass. There are a number of things that can be causing your symptoms, some that can be easily corrected by procedures during an endoscopy. As far as the blood spike, do you mean your blood sugar? Some people that have bypass can develop reactive hypoglycemia which can definitely make your blood sugar levels bounce around and cause fatigue and such. I'm sorry you are feeling bad!

I've been told by a lot of vets to ride the weight loss down for as long as it lasts, even if you dip way below your goal weight. Usually the weight loss will taper off by itself unless you have extreme complications, and that breathing room will be welcome when you hit that rebound and gain some before balancing out. At least that was the advice given to me by DS vets that have maintained their weights for well over a decade, so I assume the same holds true for bypass patients. It is very rare to lose too much, but it is possible that your body's happiest set point is lower than your goal weight, and you'd never know if you don't let the weight loss continue until it naturally tapers off. I don't know what maintenance looks like for a bypass patient, but I suspect like Catwoman7 says, there is some measure of monitoring and portion controlling that will always be there, just like a lot of naturally thin women engage in to maintain their weights. I figure you either track your food (with an app), or you track the scale, or you track both. But most women I know track something regularly to maintain. I'm so excited for you being so close to goal!!

I replied on the other thread but just saw your pictures here. This is going to be an amazing surgery for you!!

Congratulations on your plastic surgery!! I'll be watching for your updates. I had DS surgery 6 weeks ago but I anticipate by the time I'm done losing I'll be wanting the same list you are getting done tomorrow! I hear the recovery can be hard when you stack them that way, but if they aren't doing the arms at least you'll be able to move them without too much pain. I don't know of any advice since I haven't had plastic surgery before, but I imagine you should be watching your fluid intake so you don't get dehydrated and stay on top of the stool softeners and Miralax so you don't get constipated!! Good luck with things tomorrow! Have a safe and uneventful surgery! ❤️