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I started the day trying to figure out if 60mg of iron was actually a little too much post sadI and stumbled upon one article that says fbaf supplemental calcium may not do anything to help with our bones but some research has linked it to kidney stones )which I had heard before) but also heart disease and gastrointestinal issues. There was mention of this on Hopkins.gov and Mayo Clinic plus ncbi.nlm.nih.gov. Further investigation lead me down a rabbit hold of all the various nutrient deficiencies people experience post SADI and there are so many, OMG. Now my anxiety is getting the best of me. One article made it sound like people with all of The bariatric surgeries suffer so many issues in the long run. I am not scheduled to see my surgeon again until the morning of surgery and I honestly don’t know what good scheduling To talk to him would do me now. I mean he wouldn’t have scheduled the surgery if he felt it was going to put me in worse shape So he either has better research to prove these studies wrong or he just hasn’t heard of all this which seems impossible since I stumbled upon It my accident and it’s not even my field. I am honestly not sure what I am looking for here other than others take on all this and maybe some reassurance from the only ones who can possibly understand what I am feeling right now. I’m just so overwhelmed by what I have read And my husband couldn't have possibly dismissed it any faster. Am I crazy for letting this stuff freak me out? When I did my sleeve I didn’t do this much research And I wasn’t nearly this freaked out. Maybe I just need to get offline.
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Modified Duodenal Switch
ShoppGirl replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
Instead of posting this as a new topic I’m hoping to get the attention of those who have already had this surgery so I’m posting here. I have a question about SADI vitamins but I think the experience of Duodenal switch is pretty close with vitamins. So I thought I had really found something great when I came across the pro care health Sadi/ DS multi with iron and ADEK. . Then I started googling and the 60mg of iron in them is toxic and potentially fatal for normal anatomy. I realize we won’t absorb as much of some vitamins but since we dont know exactly the degree of malabsorbtion would I be better to start with a little lower iron like 45mg and up it if my labs are low? I already ordered two bottles of those capsules because I had points from this forum and they sell them in the bariatric pal store but now I’m thinking I may just take them a couple times a week or something. Just curious what amount if iron others take who are a little while out from SADI or DS. -
How confusing re your bloods! I have quarterly bloods taken which have some overlap with those requested by the Bariatric team. I queried this and all they did was take one lot of bloods, put all the results on the system and alert both requesting consultants. I certainly didn’t want 2 separate lots of blood being drawn that say the same thing 😬 Isn’t it annoying when either you do as they ask and they tell you off or they haven’t told you to do something but should have and then tell you off for not knowing?? At least it seems that you have a grip on things, are able to keep on doing what’s best for you knowing that things are moving forward for you. Well done on your success so far. I hope your stall breaks sooner rather than later!
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Thank you for the reassurance and encouragement! I suppose it’s good that these things are happening now so that I can raise these concerns with the Bariatric team when the time comes. Hopefully my complaint will be addressed and I will be able to discuss my concerns with the surgery without losing my rag (hair-trigger at times - thanks menopause!)
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I have to admit, I have had the same kind of experience with my GP! They've messed up my meds a few times, ones that I NEED post-surgery, and they have just been awful with communication. I completely understand your frustration and anxieties around this. With that being said, with a loud mouth (I have my dad to thank for that), and a lot of persistence, I have been able to resolve things 🤣 I also got my bariatric team involved, and they were able to issue letters to my GP to get things moving along, so always speak to your team if you are worried. It will all work out ❤️
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Unexpected weight loss problems or almost problems.
Tomo replied to Arabesque's topic in General Weight Loss Surgery Discussions
I'm up for my driver's license renewal and my face has changed due to the weight loss in the last 10 years. Sorry you had to go through that, but thank you so much for the heads up! -
It’s been one of *those* days and it’s all been because of various medical people (not WLS-related) and I’m completely fed up. Hospital and meds delivery people not talking to one another so no idea if I will receive my delivery in time for my next jab this coming Monday. I mean, it’s only for my Rheumatoid Arthritis so not important, obviously. Then there’s the absolute joy of dealing with my doctors surgery when chasing up a prescription for pain relief that was requested last week. Rang my pharmacy - no prescription received. Rang Drs - oh, it was refused because you need to have yet another meds review (already having one on 27th for unrelated meds) No pain meds and no one thought to contact me to tell me (the wonder of doing everything online) Staff at surgery doesn’t think that the reviewing clinician can fit a 3rd med in to the upcoming review, so yet another review booked for Saturday. This will mean I’m without pain meds for a week by the time it gets put through and delivered 😤 I am just so 😖😖😖 I know we all make mistakes but today has just been a Micky-take from start to finish. I’ve put a complaint in with the Drs for the lack of communication and care, hospital already miffed with the meds delivery company so I’ve left that in their hands to deal with. The only thing going through my head now is what if the surgery is as crap when it comes to issuing meds post Bariatric surgery?? I’ve no confidence in them dealing with requests in a timely manner generally so I’m dreading how much they screw up when I have to go to them for all the Bariatric stuff. Sorry, I just needed to get it off my chest. Hubby is dealing with some work issues at the moment that’s stressing him out so I don’t want to add to that right now. 🙁
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Unexpected weight loss problems or almost problems.
ms.sss replied to Arabesque's topic in General Weight Loss Surgery Discussions
i gave a 10 yr passport also (got it in 2017, had wls 2018), and it expires in 2027 i inquired, and apparently i can get the picture updated by applying and paying for a new passport. it'll cost me $160 (for the new passport) + a $45 admin fee for renewing before expiry. i know it will probably save me time at immigration and security at airports, and really its only $45 measly bucks, but i just dont want pay that extra $45 for a new pic ON PRINCIPLE! i'll put up with the extra questions and sideways looks for a couple more years just to be stubborn. -
June 2024 Surgery Buddies
SnowierApple replied to Bec K's topic in PRE-Operation Weight Loss Surgery Q&A
My surgery date is tomorrow. I just found out about bariatric pal and I'm looking forward to sharing this journey with you all! -
A much better week than last week with a 7.5lb loss to show for it 😊 16.5lbs lost so far on this ‘try to eat healthier’ plan I have begun. It would be lovely to think that I could carry on like this, just losing weight quite happily and give the WLS a swerve but past history tells me that I will eventually pile weight back on (and more) so why set myself up for failure? I also know that I have a stall coming up, sometime between week 3 and week 7 if past experience is anything to go by. I just tell myself that it’s my body having a sulk because I’ve taken its goodies away, so it’s try to get me to give in by being stubborn. Huh…I have a 4 year old granddaughter who is the epitome of stubborn at times and if I can deal with her then this should hopefully be OK 😉 I had hubby take photos after my 1 stone loss, just so I can compare against the 1st photos. Oddly enough, I could see a teeny bit of difference, so that was a real positive sign. I’m looking forward to ‘shopping in my wardrobe’ once again - trying on all those clothes that are too small for me at present, and just generally getting some wear out of them. I just need to remind myself to try things on regularly, especially as I seem to have several sizes to go at! I read through all the information on my hospitals Bariatric area of their website yesterday, things like dietary advice, example menus, info regarding vitamins etc. From what I have read, it will be a couple of days of liquids, then 6 weeks of purée post-op before moving on to mashed foods for 4 weeks and then hopefully reintroducing normal foods. I now understand why bread, over-cooked rice and pasta are to be avoided but still not sure about caffeine? I am a tea junky so I will have to find a decent decaf to try. Any recommendations UK people? Anyway, the next couple of months are busy, taken up with both physio appointments and, much more excitingly, the bariatric-related appointments. This week is Oximetry so hopefully that goes well. I hope everyone has a fantastic week. Onwards and downwards!
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Successful maintenance (and a cheeky before and after)
ms.sss replied to Lilia_90's topic in POST-Operation Weight Loss Surgery Q&A
i really depends if you can handle it. lots on here cannot, as it gives them angst and anxiety. if this is the case for you then don't do it. not worth it, honestly. the ultimate goal is to be able to maintain your weight LONG TERM (whatever weight that may be) more or less effortlessly. if it takes too much effort, gives you too much angst, is too restrictive and/or goes against your chosen lifestyle, then eventually, ultimately, it will let you down. case in point: a was a card-carrying carb-o-phobic. during weight loss phase and the first year of maintenance, i limited myself to 20g NET carbs a day (which is basically nothing). during that time, i was all, hells ya, i can do this forever! spoiler alert: i couldn't. pizza and pasta in italy has carbs. as does rice in asia, and mangos and bananas in the caribbean. there are no bariatric-friendly tasting menus at Michelin Star restaurants. i am an avid traveller and latest-and-greatest-restaurant-frequenter sprinkled with a touch of party-goer. and most likely a a high-functioning alcoholic. the low-to-no-carb M.O.just didn't fit. so i just ate it all. granted, i am an exercise addict and have (self-described) superhuman restriction, so it works for ME. my M.O. may not work for others. aside: i am almost 6 years post op and have maintained below goal weight this entire time. i look and feel pretty effing awesome, despite all the shite i eat and drink. again, i think this is just a personality thing. i am totally anal and LOVE stats and spreadsheets and data gathering and analysis, i get hot and heavy for graphs and rows and rows of aggregated data. so when you ask how do i NOT get bored..i answer with HOW COULD I POSSIBLY GET BORED???? this shite is RIVETING. it is legitimately FUN for me. and for those who don't share my specific brand of craziness, what i do is probably perceived as bonkers. but thats cool, different strokes and all that. the lesson here (as it always and forever shall be) is: Find what works for YOU, and do THAT. there will be a billion and one people on here and elsewhere that will tell you what to do and how to do it. they will tell you that this is terrible and that is the only way that will work. take from them what works and chuck the the rest. good luck! p.s. you look AWESOME!!! -
It's weird to see how different some of the advice is from different bariatric doctors/clinics. At 800 calories, your body would think it's starving and you would be hard pressed to lose anything because it would hold onto every calorie. Did they give you any guidelines for Protein grams per day or carbs per day? Right after surgery they had me on 90 grams of protein per day and 30 or less grams of carbs. That put me around 700-900 calories per day. Once I started the soft foods phase they bumped it to 100 G protein and 45 G carb. At my 3 month check in it's still 100 Protein but they raised the carbs to 59. I do workout everyday and I'm constantly wanting to eat/snack on some kind of protein or carb. No garbage snacks, mainly veggies & fruit. I would definitely follow their guidelines. But ask questions about meeting protein and carb goals. You definitely need protein, if they didn't give you a guideline for it you should ask how many grams min/max should you be eating. Every body is different, so the 800 calories maybe something you need. I wish you the best!
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Having doubts.. lost a lot pre surgery.
ShoppGirl replied to Jordan.RNY's topic in PRE-Operation Weight Loss Surgery Q&A
Did you lose this weight on the liver shrink diet? If so, that diet is specifically designed to drop a big chunk of weight quickly but unfortunately the weight loss won’t continue to come off that easily long term. Only you know if you have given it your best shot at natural weight loss in the past but if you are like many of us here you have tried a number of times and nothing works to lose a significant amount of weight and keep it off. It’s your body and there is no shame in rescheduling if you feel like you need to give it one more try but also keep in mind that the biggest regret that many people list about bariatric surgery is not having done it sooner. Maybe make a list of the pros and cons and one of all the ways you have tried to lose weight in the past. Also keep in mind that pre surgery jitters are perfectly normal. You wouldn’t be sane if you weren’t at least a little nervous about major surgery. You are not alone. -
How Much Iron Were You Told You Needed Daily?
Hey Man replied to Hey Man's topic in Gastric Sleeve Surgery Forums
I assume my ferritin level is OK. It has been tested as part of the bariatric blood work required repeatedly over time. So I imagine he would tell me if it was low, but the next time I talk to him, I will specifically ask. My protein should be fine, but I am going to go back to ensuring it is daily. I haven't fallen off the wagon, but a year out now - I am not as focused on counting every little thing. I just eat well and proper portions and much of the food I enjoy in general is protein rich. Thanks! -
Just really need some encouragement if anyone will
RonHall908 replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
@Dchonlee I first went to the Bariatric clinic October 2023. I was 363 lbs. I had my gastric bypass surgery Feb 7th. I lost 79 lbs. from October to my surgery date. Since, I've lost 50 lbs. Right not I'm in a big stall, and I've actually gained a few pounds. I did find out I have an ear infection in both ears. Currently on meds to take care of it. So, i assume the gain is from that. But the stall is nearing a month long. I've lost a lot of weight since October. I know it's slowing even being only 4 months post-op. The stall is still concerning. But, in saying that. I can tell I have other changes happening. This is a marathon, not a sprint. Just keep doing what you're supposed to and you will be fine. -
How to pick the right plastic surgeon!
AmberFL replied to AmberFL's topic in Plastic & Reconstructive Surgery
took your guys' advice and am going to meet with two other plastic surgeons who have STELLER reviews! Both have worked on bariatric patients, they both are pricier but also more local. I am excited about this process its something to look forward to -
This happens to a lot of people, both bariatric and not. One reason, I think, is that we restrict ourselves early in the day to "be good." It's an old "dieting" way of thinking, like if I eat nothing all day, I will lose weight. So your body gets tired from lack of fuel and starts to send hunger signals, and you ignore them until evening comes, by which time you can't fight them off as much. Plus, now you are probably getting cravings for all sorts of junk food that will give your body a rapid energy burst because your body is sneaky like that. Eating your biggest meal in the morning or early afternoon can help reduce evening cravings, as can adding in more fiber with each meal in the form of vegetables, if you have the capacity. Try to shift your major calorie intake to early in the day so your evening meal is just a light bite to finish the day. If that doesn't help, try breaking the cycle of what triggers cravings at night. For me, watching television is a big one because of the association with old snacking habits, plus the constant food commercials. Sometimes recognizing the bad habit and naming it to yourself, like "I only think I am hungry because I am watching a commercial for a fast food restaurant right now" actually helps you overcome it.
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Just really need some encouragement if anyone will
NickelChip replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway. -
your body doesn't store B vitamins - whatever it doesn't use is excreted in your urine - so a high dose isn't toxic, it just might be wasteful if your body isn't using most of it. I'll check the requirements of the American Association of Bariatric and Metabolic Surgeons and post it - they've changed their Web site since I was last there, so I have to hunt for their supplement list. also, it's the thiamine part of the vitamin that smells and tastes awful. The other B vitamins don't smell. I switched to B complex capsules, since they don't start melting until they hit your stomach. Much better - these don't smell or taste weird. EDITED to add: it looks like their supplement requirement sheet is now in the "members only" section. Cripes. I'll see what else I can find. I had my surgery nine years ago, so I don't remember how much thiamine I was told to take, other than whatever it is is in the B complex capsules I take. EDITED again to add: I'm still looking for Thiamine (B1) requirements for bariatric patients, but NIH does say that 100 mg is a common dosage for people with thiamine deficiencies, which I guess would be us (for normal people, 12 mg is recommended). I'll let you know if I find anything else, but I'm guessing 100 mg wouldn't be considered too much for us, since we're prone to vitamin deficiencies. EDITED yet again: I just cut and pasted this from a very long report by the NIH. Since it says 12-50 mg twice daily, that would be 24-100 mg if you only take it once daily. SO...100 mg isn't too much. I would take it - the problems with thiamine deficiency sound pretty awful, and if you're taking the upper end of this recommended dose (100 mg/day), it should keep those at bay. Try capsules - they changed my life. Not sure if that much comes in gummies. Maybe liquids - but then with liquids, you're still going get that smell/taste. Postoperative bariatric surgery patients should receive thiamine supplementation as part of routine multivitamin therapy (12–50 mg orally, twice daily)
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Post OP pain in ankles and knees
Nabih_bawazir replied to Patrick Donald's topic in General Weight Loss Surgery Discussions
I have similar case but at lower back, I got MRI and I have inflammation in facet joints, the doctor give me 8000 IU a day of vitamin D for 3 months and 15 pain killers pills (I take every 2 days in first month, and one a week in second month), my pain is gone since 3th month after surgery, l still have multiple prescription to buy painkillers, if one year pain is not gone, she suggest to retake MRI, since my pain is not comeback after my BMI below 33, so I stop take painkillers, but I will continue take 3000 IU vitamin D (basically once daily bariatric vitamin) -
My bariatric team says my daily vitamins should be (1) Bariatric Multivitamin (1) Super B Complex where they want the Thiamin in it to be at least 100mg (seems high to me?!) and (2) 650mg Calcium chewables taken (at separate times). I am absolutely struggling with the Super B vitamin, due to its very strong odor and taste. It makes me gag easily, it upsets my stomach.. it's wretched. Yes, I've called the office about it and they pretty much politely told me 'suck it up buttercup' and wouldn't offer alternatives. Anyone else have an issue with this one? How'd you get past it? Are there alternatives that work out okay? I really couldn't give a rat's behind if its a chewable or a gummy with sugar or whatever, I just need something to go down easier than this and not taste disgusting lol Pretty please some advice/recommendations would be great.
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The start of my new healthy life
Theweightisover2024🙌💪 replied to Theweightisover2024🙌💪's topic in Gastric Bypass Surgery Forums
Thank you! I felt the username was well deserved. Lol yes I have tried everything and my brain is the problem, i can't seem to leave old habits behind or let them die. My biggest issues are snacks. I'm a snackaholic i love salty sweet crunchy gooey snacks and I'm having a hard time. Good luck to you also! You will do great! So glad I found this forum. I recently was listening to an audio book called the big book on the gastric bypass. Super helpful information and it lead me here as bariatric pal was mentioned so I figured I'd try it out. Nice to talk to other people in the same boat. -
February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@LisaCaryl I wouldn't worry about it too much yet. We're still pretty early out from surgery and according to the nurse practitioner in my office, a lot of the results at this point are in flux. My A1c went down a bit, but my cholesterol was all sorts of weird. Just keep doing what you're doing and give your body time to adjust. I doubt you're getting too much sugar or carbs at this point, but if you're doing a lot of sugar alcohols (sometimes in "low sugar" processed foods) you could maybe see about cutting those back. Otherwise, a lot of the studies for A1c and bariatric surgery are looking at results a year out or more from surgery, not a few months. -
How to pick the right plastic surgeon!
catwoman7 replied to AmberFL's topic in Plastic & Reconstructive Surgery
I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community.
