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I don't see where you can find what you want to ask bc there are a million posts with a million answers. So why not make a new one that is subjected to yourself! Basically don't be snotty just bc you see a repeat and I think if you do then your in the wrong tab! Bc I look at this daily and I don't see repeats by different people usually it's the same post from days ago bc someone new posted on it... Also drinking and smoking should always be a no it's not good for y'all in the long run Sent from my iPhone using the BariatricPal App

Hello fellow canadian! I know how you feel! I am patiently waiting for my scope now(which takes forever here in BC) and am hoping to have the surgery in september Good luck with your journey!

I'm wondering if anyone else is having to complete the following checklist from their PCM with Tricare Prime? I'm actually Tricare overseas Prime Remote. I just spent the entire AM on the phone trying to explain that this is not the requirements per the Tricare Manual Chapter 4 Section 13.2. After I couldn't get a clear explanation on how they came up with this checklist through International SOS (3rd party used by Tricare Prime overseas for referrals) I spoke with the regional Tricare office in Germany. I was informed they came up with this checklist so "not just anyone" could get the surgery. I was then informed I could just go to the PCM and have them submit a letter addressing my Hx of attempts, comorbid Dx and etc. But was informed approval was on a case by case basis and if denied could appeal. (Duh Rolling eyes) So aggravated that the requirements are not the same across the board for Tricare Prime. I'm 5'1 and approx 198lbs with sleep apnea. I'm aware that b/c I'm not 100lbs overweight according to Metlife charts I will be denied although my BMI is and has been above 35 with the comorbidity for >5 years. I have tried every diet known to man as I'm sure you all did too. I loose the weight but it never stays off. We have been overseas now for 6 years but I don't have the documentation they are requesting in my medical record b/c we are remote (not at a MTF) and these diets are not covered by Tricare therefore paid for out of pocket. I also recently read in the Fed Recorder that the requirements will change from the Metlife Chart to BMI on 3-16-2011. Anyone else aware of this and have spoken with Tricare in regards to the change. Right now I'm afraid that I've stirred the pot too much and will be denied just for demanding where they came up with this checklist. If anyone has a better contact through Tricare I'd love the name and number. Any advice is appreciated. Wish me luck. I plan on seeing a PCM on the 16th of March and keeping my fingers crossed. Step 1: Patient Review (All items must be checked by the PCM and applicable to the patient) Documented morbid obesity for 5 years. Meets definition; body weight is 100 pounds over ideal weight for height and bone structure, according to the most current Metropolitan Life Table, and such weight is in association with severe medical conditions known to have higher mortality rates in association with morbid obesity; or, the body weight is 200% or more of ideal weight for height and bone structure. List any co-morbid conditions: ________________________________________________________________________________ DEROS date at least 12 months from the anticipated surgical date. Date of DEROS: _____________ Participation in a documented nutrition/exercise program for a cumulative total of 6 months with documented ability to lose 10- 15 lbs within the last two years. (Patient‘s inability to comply with a diet and exercise regimen prior to surgery indicates poor compliance and an increased risk of adverse outcomes) Comprehensive evaluation and review of significant medical or psychiatric history by their Primary Care Manager (PCM), surgeon or mental health professional/counselor indicating good candidacy, readiness for bariatric surgery, and confirmation of positive family support system. Education regarding the need for lifelong follow up. The patient has been advised that TRICARE policy does not cover breast lifts, thigh and arm reduction, and that a panniculectomy must be deemed medically necessary to be covered by TRICARE. Step 2: Post-operative Management Primary Care Manager must acknowledge capability to provide appropriate post operative medical management to include: (all items must be checked in order to be considered for approval): Dietary Counseling Mental Health assessment or referral Laboratory assessment plan for possible nutritional deficiency _________________________________ __________________________

Before my surgery, I always wondered what if would feel like to lose 100 lbs or more. It was such a surreal thought, one I couldnt fathom even in my wildest dreams. It seemed like a dream that would just stay that way - a dream - my very own fantasy. I struggled to get to my 100 lb loss. My weight loss was going great when I reached my 75 lbs mark, then it all went backward. This was my 5 months post surgery. This is when my appetite really kicked back in and I always knew I could eat more than your average Sleevester. I had a goal to reach 100 lbs by Thanksgiving - well that didnt work, even tho I had plenty of time to do it in...so then I moved the goal to Christmas...still didnt make it. I think I finally reached it in Jan of 2009. So, now its been 13 months since my surgery and Ive lost 111 lbs....in one way, Im totally thrilled with that, but on the other hand, Im really angry that I havent lost more...why am I angry, bc Ive done it to myself by continuing to eat the wrong things which has made me go up and down in weight.. One good thing Ive realized is that I do know how to maintain...which is not what I want to yet...but at least I know how to do it.. For the past few weeks, Ive steadily lost about a lb a week, sometimes more, sometimes less...but on average, about a lb/week. Im not giving up. Im not even halfway to my goal. As my ticker indicates, I have 137 lbs to go to reach my goal of 150 lbs. Even at that, I wont be "skinny" but I will feel like a million bux!

So... I finally heard & it's not great news. I was denied bc my coordinator jumped the gun & submitted with missing pieces of information. They obviously didn't read the bulletin from Aetna which specifically states that they req 2 consecutive years wts. They only had medical records from 2009, which means I've been lied to &/or given misleading information multiple times by Aetna & my surgeons coordinator & her assistant. Last wk I had to re-request my records for my dr office (from old dr), which makes me crazy bc why did no1 realize that only having 2009 records was odd?!?? I switched drs a year ago. Im uber frustrated. So now, we wait for the records...& hope it's not too late for the appeal...bc I've lost my trust in my coordinator at this point. ++++++++++++++++++++++++++++++++ 347*294/284/135 (*347HW/294SSW) | (twitter) @Mwrarr | mwrarr.wordpress.com

Starting weight: 283 Height: 5'8" Starting BMI: 43 Goal: 150ish. I'd be happy with higher if I thought I looked and felt good. I guess it depends on where my body feels comfortable. I have been overweight all of my adult life and really, as long as I can remember. I feel like I've been on some sort of diet forever. The first diet I can remember is at the age of 16, my mother sent me to Weight Watchers. I've been on Jenny Craig, Richard Simmons. I've taken Redux and just about any over the counter "dietary supplement" known to man. I've been able to lose weight with these things but I've never been able to keep the weight off and the pounds usually bring a few friends back with them. It's really amazing when I look in the mirror. I don't think I look that bad, but when I see photos of myself I am shocked at how big I look. I'm ashamed of what I look like. I am looking foreward to the day when I have the lap band as a tool to help me keep on track. I was born with a condition known as congenital hip dysplasia (my hips weren't formed right and were dislocated). I'm told that I'm lucky to be able to walk, but I had a good doctor as a child and with many surgeries, I'm whole again. It's hard for me to participate in high impact exercise, but I walk, ride bicyle, swim and try to keep active. I enjoy reading and music. My favorite author is Stephen King. My husband and I own a travel trailer and do a lot of camping in the summer time. That keeps me active with walking and bicycling. I had my surgical consult on 1/14/05 and am currently waiting for insurance approval for adjustable gastric banding. 2/3/05 I got word that my insurance approved me for the lap band. Hooray!. 2/9/05 I've scheduled all my pre-op testing and dietician appointments. They tell me my surgery is scheduled for 4/4/05!. WOW. This is happening faster than I thought. The nurse from the office had told me yesterday that 4/4/05 was a possible date but didn't tell me they were going to schedule it. 02/11/05 I got a letter from my doctor's office and from the hospital advising me that my surgery has been scheduled for 4/4/05. What a way to notify someone. Well, at least it's official. Now the waiting game begins. I'm trying to follow the post banding diet so it won't come as such a shock for me post operatively. I'm "in training" so to speak. I think I find the no drinking with my meals and trying to time my fluid intake around my meals the hardest. 2/23/05 I had my first appointment with the office nurse who does most of the follow ups. She was doing my lap band teaching. All the pre-op, actual operative and post op advice I understood and was prepared for except for one thing. She told me to start eating with a baby spoon and a pickle fork so that I could get accustomed to small bites. I don't even know what a pickle fork is!. Is this something I'll have to do forever? I can't find anywhere on the forums where anyone has been advised this except for other patients of Dr. Duckett. I guess this will just become part of my "in training" whether I feel good about it or not. How am I gonna explain those utensils to my co-workers since I've tried to keep the whole surgery from them to begin with? 2/26/05 Had my consultation with the dietician today. It took 2 hours! Who knew it would take 2 hours to go over food? She made me feel very comfortable and she gave me a lot of hand-outs on the different types of diets should I ever stray. There's even examples of menu's. Although, that's exactly what I've been researching ever since I decided the lap band was for me. I felt very informed going in and very confidant going out. OH, and one more thing. I weighed myself today. I'm down to 272.5!. That's 9lbs gone since I've started trying to follow the lap band diet after my consultation with Dr. Duckett. WooHoo! 3/2/05 I found this on a post tonight and thought that it spoke volumes for my situation. I wanted to save it in case I forgot all the reasons I chose lap band. Once in awhile, someone will come around asking for the reasons why I chose the Band, so I'll compile my reasons here: More natural rate of weight loss: * Minimal sagging skin * No "window of opportunity" * Plenty of time to develop better eating/living habits, including exercise Least invasive surgery: * Lower rate of complications or death * Complications are easier to manage * Quicker recovery time; less painful * No cutting/rearranging of body parts * No changing the natural digestive process * No necessity of taking vitamins or supplements; I can get all I need from food Most innovative technique: * Adjustable for permanent weight-loss aid * Removable, should something more effective become available * "Cool" factor Generous but effective learning curve: * Better eating habits must be adopted from day one - no coasting * Has been labeled as "thinking person's WLS" * No punitive "dumping syndrome"; may eat like a normal person * Ability to drink normally and get in enough water * Safety-net effect; may put weight loss on hold to concentrate on other matters without gaining I never seriously considered RNY. When I heard about the Band, it was like a light bulb going on for me. By the way, I weighed myself again. 270.5! Another 2lbs gone. I don't want to get in the habit of weighing myself more than once a week, but I couldn't help myself, and I stepped on. 3/18/05 I had the upper GI and venous doppler studies today. Man, I felt like I was playing twister on that x-ray table for the upper GI. It was like, "turn left, more left, turn right, more right, now on your stomach, bend your knee, roll over." Venous doppler was a piece of cake other than the goo they use for the ultrasound. It was kind of hard to get all of it off. I haven't lost any more weight, but on the bright side, I haven't gained either. Once I'm banded, my portions will be significantly less and with the liquid diet required, I'm sure I'll get moving again. 4/2/05 I've been on the full liquid diet since 3/30/05. Sometimes I feel like I'm being tortured. I dream about food. Is that sick or what? I feel really sorry for those individuals who have to do this for longer than the 5 days I'm required to follow it. 4/6/05 I'm home and banded. I read about this gas pain, but geez it really is the worst. I'm not nauseated or anything. But the pressure in my chest and upper abdomen feels like I'm having a heart attack sometimes. I try to walk it off, but last night it was even hard to breathe. I'm trying to sip my water and eat a little at a time, but really I'm not hungry. I'm only eating out of fear that I'll get run down and not feel well if I don't. 4/8/05 Feeling better today. I've been up and about the house. The only discomfort I've had is from moving too quickly. I do have an odd sensation of bloatedness. It seems like I have it all the time. I'm trying to learn the language of the band but it's hard when everything feels like different levels of full at this point, even when I'm only consuming liquids. 4/16/05 Feeling back to my old self for the most part. I'm up and around, even starting to feel hungry. I have 2 more days of full liquids then I can move onto pureed. I can honestly say I'm really looking foreward to that as I'm getting tired of soup! I plan on going back to work on 4/18/05 and although I am physically ready, I would like more time off. Who doesn't like being home and relaxing? 4/25/05 Gee, the last week has gone by so fast, I haven't had time to blink let alone update or post. My husband's grandmother passed away on 4/18/05 so, we had to leave for Texas on very short notice. I've been on mushies and let me tell you, traveling on mushies is a difficult task. Especially to Texas where there is GREAT Tex-Mex food available. My husband's family doesn't know I had surgery, so I had to make do. I had some cold cuts, chewed really well and some very well cooked roast beef (also very well chewed). I didn't have any problems with them, other than some extra gas, but I didn't push it and tried to stay with very soft, mushy or even foods that boardered on liquids for the duration of the trip. I got on the scale today, and I've lost 3 more pounds! WOW! I never thought I would because truthfully, I didn't think I was getting enough calories in and I definately wasn't drinking enough. I've also been fortunate enough to have some sort of cold or bronchitis and haven't been feeling up to eating or drinking. I guess, I must have done something right! This journey is so unique. 5/3/05 I had read other member's NSV's but I didn't really realize the significance of them until this morning. I had dressed for work in slacks that zipped on the side. They were loose, but I didn't realize how loose they were until...I had to tinkle and when I went into the bathroom I pulled my pants down. I had absentmindedly thought that I was wearing elastic waistband pants! They came down without any problem and as I sat there, I started laughing, my husband thought I was crazy laughing there on the toilet. This has been on my mind all day and I had to share it because I've read everyone's weight loss in the first few weeks and I felt that my own weight loss was a little slower than others. (I know, we're not supposed to compare ourselves, but it's hard not to) I had resigned myself to being a slow loser. I must be losing inches and because I hadn't measured myself, I'll never know exactly how many inches I've lost. Oh well, I can feel it in my clothes and the way I move. 5/23/05 Just a quick update. Feeling good. The weight is slowly going down. 250.5 today. I think it's been 2 years since I've weighed that. Over the weekend, I cheated a little and had some Doritos. Not a lot, just maybe an ounce or 2. Just the same, shouldn't have had them. Well it's just 1 day along the road. "one day at a time" 6/5/05 I've been 248 for about a week now, just didn't update. Hope to see some more loss soon. I haven't had a fill, so I don't really have much restriction. I follow the diet and I do feel satisfied for about 3 hours. I can't say that I'm hungry a lot or "starving" or anything. Still trying hard to get all my water in every day. 6/10/05 I weighed myself today. 244.5! I've been out of town for work and I've been eating all my meals out. I feel I've made mostly good choices, a lot of grilled chicken salads though. I do log everything I eat in a program I have for my PDA, it's called Balancelog. It's O.K., although I'm sure no program's perfect. I've been staying about 1200 cal or less. :-P once in a great while I'm over, but not by much. I've also been doing better with the water because it's been so hot here. 7/18/05 I haven't updated in a while because I've been stuck for about a month. In fact, after my last post, I gained 4 lbs and had to lose them again. I've been more active with exercising and I've been doing well with my eating habits, but still I was stuck. So...I scheduled a fill. I had to convince the doctor's office nurse first, but I did it. Today was my first fill. It wasn't so bad. The doctor did it under fluoro at the hospital where I had my surgery. BUT, I'm filled to 2.8 or "just under 2.8" according to the doctor. That seems like a lot. I watched the passage of barium through the band and it went through, albeit slowly. The doctor reminded me several times to take it slow and to call anytime, day or night if I have spitting or problems. I'm a little scared. I've been on clear liquids since the fill this morning and haven't had any problems getting those down. I guess I'm just nervous. I've never had a PB and I don't want to. 7/29/05 Oh my God! Yesterday I thought I was going to die. Or at least I wished I had for a time. I've still been on mushies. The doctor told me to take it slow after that fill and I've been ever faithful to those orders mostly out of fear. I had very finely shredded tuna salad and one of those breakstone's creamed cottage cheese with fruit for lunch. It went down fine and I took my time. I had eaten both of those items before and wasn't worried. About an hour and a half afterwards, the pain started. It felt like something was stuck. I started to walk around. I even took a couple sips of water, which I know doesn't usually help but I have found it's kind of instinct. When that didn't work, I kept walking. I walked for nearly a half hour straight, sometimes leaning over a sink hoping and wishing I'd vomit for the pain to go away. I finished my work and got in my car. By this time, an hour had passed and the pain was so bad I could hardly breathe. I called my DH who called the surgeon and told me to get to the ER to be checked. The ER is an hour from my home and I was more than a half hour from my home! That drive home was the most painful torture I have ever experienced. The pain only seemed to get worse and worse. Then, about 2 miles from my house, I felt a "pop" and suddenly the pain and pressure was gone. When I got home, DH and I decided to go to the ER anyway mostly because we were scared. I had never experienced anything this extreme (nor do I again, thank you). The doc checked my band under fluoro and to my amazement, the 2.8cc he said he put in is now down to 2cc and everything is moving just fine, band has not moved. What happened to the 0.8cc? And, what the hell was all that pain? 8/13/05 Gosh how time flies. I didn't really realize that I hadn't updated my profile since "BLACK THURSDAY". I've come to the conclusion that the pain on 7/28 was probably some solid food that I hadn't chewed well enough that had gotten stuck. My Dr. thought maybe I had eaten too fast or swallowed too much air in the process, both viable possibilities. No matter what the cause, I WILL be chewing better and eating slower. I did mushies for a day or 2 after that then continued on soft foods for another week before going back to regular food. I'm doing fine now. I was amazed to find that I can still eat bread, rice, red meat, etc. I really haven't found anything that doesn't go down...yet. I haven't lost any more weight. I'm still at 234.5, but that's o.k. I feel great. I've been kind of bad at getting my water in the last couple of weeks, my work schedule has been weird. I'll get back on track and I'm sure my weight will get moving again. 8/22/05 Been doing O.K. Weighed on Friday. I'm at 232 lbs. I'm doing about a pound a week. I'm very happy with that. I'm in a size 18 comfortably right now. Today, I had to try three pairs of pants to find one that fit well enough to wear to work. The others were so big I looked bad. What can I say, I'm too cheap to buy all new just yet. I think I'm going to have to break down and buy a couple of outfits. I've been telling myself that as I got fat, I also gathered plenty of clothes that got me there. Well, I think I skipped a size or two because I can't find many in size 18 in my closet. Darn, shopping will be such a pain I'm sure. I look back and remember that when I started this journey in January and in the pic below I was in a size 24. In January that size 24 was rather snug. 9/13/05 Feeling pretty good about my weight loss. Still doing the 1-1.5lb loss per week. Went to my monthly support group meeting last night. I realized how lucky I am to be losing steady and to be going along so well. I haven't PB'd, just that "stuck" episode. I tolerate any food I put into my mouth and I have followed my rules pretty well. I try to make good choices most of the time, but I do allow myself treats. I think that's what keeps me happy and on track. I am satisfied with smaller amounts of the things I love. This is exactly what I wanted. I can eat what I want, in moderation and still lose weight. I do track my nutritional and caloric intake nearly daily (I may take a day or 2 off on a weekend, but rarely). And, I don't cheat on that log...I track everything the best that I can. I admit I could be doing better with my exercise. 228lbs. 9/22/05 Although, I generally weigh myself on Friday or Saturday I thought I'd post today because I have plans for the weekend and thought maybe I'd be too busy to post later. The last time I weighed myself I was 225lbs. That's a total of 57lbs gone. I can't say it enough...I am so pleased with my surgery and my weight loss so far. I can't even remember the last time I weighed that. I think it was more than 10 years ago to be honest. I don't feel deprived. I have more energy. My self confidance has gone up. How could it not? So many people have noticed the loss and are making comments. Lap band was the best thing I have ever done for myself and I would do it again in an instant. 10/5/05 Well, I can no longer boast that I have never PB'd. I am not proud of that fact, but here goes...Today at work I started to have that now familiar epigastric pain. I had clam chowder for lunch with a small salad and a breadstick. None of those items were new to me, so I had no fears whatsoever. About an hour after I ate, the pain started. This time I even started to sweat. I figured that I wasn't going to put up with this so...(bulemics beware) I went to the bathroom and put my finger down my throat in hopes to feel better. I only brought up mucous. This only temporarily relieved my pain, so I did this same routine 3 more times. One of those, I did bring up some undigested food. This has not been a pleasant banded day. I'm still uncomfortable, but unless I can't stand the pain I'm not doing it again. I guess it's a jello night. 10/24/05 After the last update, I went to the ER and was kept overnight for dehydration because I couldn't keep anything down. Dr. Duckett took out 1cc from my band the next day. I've been really careful ever since mostly staying with soft foods. I did have a salad over the weekend and felt pretty confidant about it. Today I PB'd again. It was the best PB I've had if that's possible. The pain started, I walked, up it came. All in all it lasted about 10 or 15 minutes. If they were all like that, I would consider it a blessing. Not that I really want them. But that torture of 7/28/05 and 10/5/05 made me want to die. I'm gonna cut this update short because I'm a little sore. I'm down to 223 lbs which is good considering my band is looser than before. 11/24/05. Wow, I forgot to check my profile and hadn't realized how llong it had been. I can remember that time like it was yesterday. I feel like the whole month of October and most of November has been brutal torture for me. I had to keep going back to liquids for one thing or another and I sincerely developed a fear of food. On 11/14/05 when it felt like I was gonna get that pain again I called the doctor's office. I didn't go into a full blown attack, but it was distracting to say the least. I felt like I was eating papaya enzyme tabs like candy in hopes to help digest whatever was the problem (although really how could tomato soup and a bit of tuna salad do that?) Dr. Duckett insisted on seeing me. On 11/17/05 I saw him and he felt that what I was having was esophogeal spasms. I suppose they may have originally been started by something getting stuck, but he felt they were caused by increased stress in my life (which I've been having A LOT of). He gave me a prescription for Valium to help calm those muscles down which I'm only supposed to take when I feel the spasms coming. So far, no more really intense ones since 10/24/05 and 10/25/05 but I fear that and would avoid that with everything in me. I've been doing much better ever since. I do have a little bit of reflux, but I think that may be from eating too late at night. I'm down to 216.5 lbs and very happy with that. I cleaned out my closet and got rid of all of the clothes that were hanging on me. That's a good feeling. 12/28/05 Well, I didn't make it to my unofficial goal of "onederland" by the end of the year but that's O.K. I've lost 69 pounds and am very happy with that. Especially considering the last three months worth of trials I've had, I'm very very happy. October started with a hospitalization for pain and inability to keep liquids down that turned out to be esophageal spasms. November was more of the same then turned into reflux that went on and on which convinced me that my band was slipped. After a long struggle with that reflux, I finally called the doctor who (I think mostly to ease my mind) checked my band under fluoro. All was well. I think he thinks I'm a nervous freak-he told my husband that once my mind was eased I should be just fine. Now, my struggle is HOLIDAY TREATS. I haven't really gained any, but I'm truly shocked. Those darn cookies will be the death of me. 2006 will be good for me. My band is in place, once I'm away from the posessed cookies that call my name I'll be fine with my choices and "onederland" here I come. Only 14 lbs to go. 1/20/05 I've been hesitant to update. Not because I'm not losing weight or anything. I've just been down in the dumps about banding. There have even been times I wish I had the damn thing out of my body. I am SICK and TIRED of having these episodes where I have pain and pressure that goes on and on. I'm not exaggerating when I say I've had it for a whole day in varying degrees. I don't have a clue what causes it. I keep track of everything I eat and NOTHING, absolutely NOTHING that I eat is consistent enough to figure out what causes this. Because the pain comes about an hour to an hour and a half AFTER I've eaten I can't say whether it's because I've eaten too fast or not chewed well enough. All I can say is that I try to pay attention at each meal, mostly out of fear. I'm averaging one of these "spasms" about once every two weeks. The doctor says it's consistent with esophageal spasms. Well, FIX IT! I'm tired of having them. I'm losing weight, but not necessarily the right way. Basically I'm starving. I'll eat normally for a week or two, then WHAMO! smasm and then it's nothing to eat for a day (or 2) but maybe tea then slowly work back up to solid foods again. 211lbs 1/30/06 Here I am, still suffering to a certain extent. A couple days after that last entry, I got fed up with the poor answer from my band surgeon to "seek counseling". I started considering the possibility that maybe these attacks were not related to my band. I saw a doctor for a second opinion and found out that I have gall stones. All of these months, at least since October, I have been suffering with gall bladder attacks. I am scheduled to have my gall bladder removed on 2/2/06. These last few weeks I have not felt well, I constantly have a sick taste in my mouth. It's kind of what I thought was reflux before. Now, I'm wondering if I had reflux at all and not some weird bile overload or even infection from the gall bladder. Who knows? I sincerely hope this gall bladder surgery solves my problems. If not, I may just have the band removed. I am tired of being sick and I'm tired of being in pain. 207 lbs 2/5/06 Well, where do I begin? I had the gall bladder surgery. They say that part went fine. Somehow during the surgery they dislocated my artificial hip. Yes, they dislocated my hip. My abdomen is sore from the gall bladder surgery. Generally, I feel better than I did before although I really don't have much of an appetite. The problem is my hip. I am not to bear any weight on it. It's been 3 years since I've dislocated it. I was doing so well. I feel really low, as if I've started all over again with my hip. I hobble around with my walker and my a$$ is really sore from sitting all the time. Weight loss is really not a priority right now, but it's amazing that when you feel so bad or are in pain it really doesn't matter. 3/24/06 Well, I'm fully recovered from the gall bladder surgery. I'm still in physical therapy for my hip. They tell me that the muscles are really weak. I'm planning on going back to work on 3/27, so I hope they're strong enough for that. Other than a little bit of pain that comes and goes, I guess I'll have to go on. I've come to the realization that all of the problems I've had since October, probably even the "black Thursday" mentioned in July 2005 was a gall bladder attack. All of those experiences were variations of the same. Any vomiting I had was only mucous and came as a last resort to relieve the pressure associated with the pain. Although I couldn't testify, I believe I have NEVER had a true PB. Is that possible? At almost 1 year out, to never PB? I would have taken a PB or 2 over the torture of those months. OH Well. Now that I can eat, I do. I'm stuck at 211lbs. Yes, I gained a couple since the gall bladder surgery, but I'm not terribly sad about it. Not happy, but not really depressed or anything. I can eat, Happy. I gained, sad. I think it's also because I'm working out with weights to strengthen muscle. Muscle weighs more than fat. It's only 4lbs. I'll eventually get it off. I hope. 4/9/06 I know this is a LONG first entry for a journal, but I wanted to put my entire OH profile on here. I'm told that there's a possibility I may lose it. So...I figured I'd have it on 2 sites. What's the chances of both of them losing it? Anyway, I'm still bouncing between 210 and 211 lbs. I'm thinking that I may be experiencing my first ever real plateau. Even when I've dieted whenever my weight even slowed down I'd give up and return to my prior eating. I've been exercising more, trying to strengthen those weak hip muscles. I have had a bit of Easter candy, but I don't think enough to stall me this long. I'm sure with patience I'll break it, eventually.

So yesterday I had to leave work early because I almost blacked out. I felt weak, faint, a little dizzy, and just plain bad. I was so afraid of going back to the hospital that I left work early and just went home to lay down. This happened after lunch and I thought it was the Soup I ate (maybe it had too much fat or oil or something) anyway I go to work today and after I came back from break I started to have the same symptoms again! I was freaking out thinking this was way serious and ended up calling on of the surgeons on call. The guy I spoke with wasn't my surgeon but I gave him a run down of everything and he said since I didn't have a fever, abdominal pain, or diarrhea it was nothing to come to the ER for. He then suggested that because this has been happening after I ate at work and then resumed standing up(for the rest of my shift) he said either my blood sugar is very low or you may be dehydrated(But he ruled out dehydration because I had gotten in all my fluids). He suggested I drink a couple of ounces of apple juice which I promptly did and I felt a little better but the symptoms returned! I drank a little more and low and behold, my symptoms were gone and I felt good as new! I really hated this happening at work though, because my boss(the assistant manager, anyway) wanted to know my business(Only my manager knew I was out for surgery). She then commented on my weight loss and asked me if I had gastric bypass! Luckily someone else was there in the room and immediately shut them down. (It's none of their business, the point was I don't feel well and I wanted to call my doctor). I was thankful for the other woman thinking it would be completely ridiculous(Word at my job spreads like wildfire, they thrive on rumors). I then gave some BS VAGUE story about my esophagus and how I can only eat certain things so as not to irritate it. After about an hour and a half I was able to resume my work shift! I have never in my life had issues with my blood sugar. I wasn't even "pre-diabetic" pre-op. So just be careful fellow sleevers!

I’d always bounced between being a healthy weight & being on the top end of overweight. Then I became perimenopausal, then menopause & I became obese I swear overnight. Couldn’t lose more than a couple of kilos which would come back even more quickly. I battled for a good 4 years. A friend who’d lost a lot of weight told us she’d had the surgery and about three months later I woke one morning & decided enough. Got an appointment with my GP who gave me a referral to a surgeon (the one my friend saw). It was about 5 weeks between the morning I made my decision & my surgery. So very glad I did. I didn’t have any comorbidities though I knew if I continued at that weight I soon would. I was fed up with my large body because it wasn’t who I really was. My energy was compromised & I felt I couldn’t play with my younger nieces & nephews as I wanted. Looking back I realise I also used to work harder & do more at work or home to prove my weight wasn’t limiting me. Another factor was I love fashion, clothing designs & fabrics & my choice was being restricted by my size (about a US14). To me the difference between the surgery & medications is you’ll always have the changes to your digestive system but medications are a temporary artificial change. Of course in the end both depend on your willingness to make permanent changes to how you eat, what you eat & why you eat. If you go back to eating how & what you did before you will regain weight regardless of the surgery (you can eat around your surgery if your determined to) or medications. All the best.

I call my band "big ang" BC its like having a reallt tall big n strong friend that makes or in my case force u to stop overeating..lol....when I get hungry n want to conquer all foods close by..."big ang" steps in n stops me....so did anyone else give their friend the band a nick name? If not.what would.u call it Sent from my SGH-T989 using LapBandTalk

. I had my surgery last Monday and Charlotte was my surgeon as well. My insurance had a cap of $20k and I had to pay some directly to barker. I'm having a very hard week and yesterday and today especially have been very emotional. I've broken down in tears several times bc I'm feeling so hungry and just over all overwhelmed.

broth decaf unsweet tea italian ice I strained a lot of soups and still got the flavor. not sure if u can have yogurt but smoothies are good just watch ur sugars carbs etc. . . and if u haven't tried milk go slow bc I instantly developed a lactose intolerance to it and sat on the toilet for nearly 8 hours.. i so wish I were joking. Also, watch movies from dvd and not tv.. food porn can kill u..

I'd still go out alone for drinks bc you just never know who you'll meet! Plus, going out alone helped boost my self esteem and I loved that no one knew me. Don't give up keep living your life it'll happen when you LEAST expect it! I know bc that's what happened to me. I was single 5 yrs, met a guy out of State. We kept in touch and a month later her relocated from NY to Texas. We've been married 5 years!!!! Just go w the flo & keep moving forward!!!

I was up walking within 4 hours of waking up and out shopping less than 24 hours Walked a couple miles that first two days. Flew on a plane, drove 5 hours, plowed my driveway, fed horses, more shopping, errands, laundry, etc all within the first 5 days. Back to work within a week.

Hi just read a suggestion on this in another forum...they suggested doing non eating dates or when you go out to eat doing the Soup salad combo bc it goes down easier/ you can put away most of it without looking like you had two bites and pushed ur food around the rest of the time..hope that helps...good luck!

[ My biggest concern was the port, I asked my Dr a couple times just to be sure it was coming out and each time she looked at me funny and said "Yes Miriam, I would never leave it there" I knew it I just wanted to hear it I haven't had a full on dumping episode but I had something that I think was maybe dumping. I have (had) this horrible habit, when I go grocery shopping I will go to the dairy dept and get a chocolate milk. I usually couldn't eat and the chocolate milk would stay my hunger during the shopping trip. I did the same thing last week, thought it would be fine bc I wouldn't drink it all at once... It wasn't. I felt gross, flush and my stomach hurt and that was after drinking 2 oz. I paid for it and threw it away, won't do that again. I am doing great, approaching week 4 and have lost 25lbs which is shocking to me as I was a lower bmi and was told id lose slow. I am now back in Onderland which makes me extremely happy. I do have struggles, portions.... I don't get the signal that I'm satisfied or full, I don't know if it's just me or I'm broken but I don't so I have to measure everything out. I have over eaten. Attraction to slider foods, I'm so used to it that I have to remind myself I don't need those anymore. I also have a strong fear of stretching my pouch and failing. My pouch is larger than a virgin pouch, years of band abuse stretched the hell out of the top of my stomach. I also have a very good friend with RNY who did amazing for the first 3 years and is now heavier than she started. She has always sang the praises of the band citing she she wished she would have gone with it instead of bypass. I do learn by example so hopefully I can keep on the straight and narrow.

Thanks to all for the well wishes. My hubby took me to the ER around 3p yesterday when he got off and aftwr running several tests they admitted me to the hospital for observation, pain management, and antibiotics. First of all I have a UTI, I'm mildly dehydrated, and the severe pain is coming from my kidney. The area around my kidney is swollen and the pain is now radiating from the right flank (around my kidney) to my upper right quadrant in my abdomen. They did blood work and there were some small abnormalities, but nothing too drastic and they also did a CT scan which showed no failure or swelling to my kidney at this time which is good news. The bad news is that they are unaware of what is cashing the swelling and severe pain around my kidney. They are stumped and of course I'm frustrated bc I want to know what is going on and how to fix it. They are wanting to do a couple days of antibiotics to see if that inadvertently helps with the pain bc there is a slight chance that the UTI is causing the swelling. Not likely bc the UTI isn't that severe, but weirder things have happened. So, all that said, I'm getting 4mg Morphine every 2 hours and Phenergan and IV antibiotics every 6. I'm typically very sensitive to pain meds, but the morphine is not touching my pain. It is very severe and very bizarre. The doctor, whom I've actually not seen today, refused to change my pain meds until he can speak to me tomorrow so while I'm getting some managemwnt of my pain I am disappointed that they aren't trying a little harder to control it. If it weren't for the phenergan, which knocks me out cold for about 3 hours at a time, I'd probably be much more miserable. I am hoping to get more answers soon, but I am at least at a facility where I'm being somewhat taken care of. Thanks again for all of your prayers and for checking in. Rachael

Hey everyone! Im suprised too that there are not more people! Esp since stl is such a big city! So I have a thought and I wanted to see what kind of response I get to it. I am currently in school to be a Dr. of Chiropractic. I work in a clinic is South County. WELL..... I was thinking I would like to start a support group. That met like once a week or every two weeks. I mentioned about the clinic bc I think they would be happy to host us there in the evenings. And we would have a doctor on staff to answer any questions. He is not to familar with band surgery but he could be there for any other questions about the body and fitness and the way our bodies respond (I would be able to do the same). I think this would be a great way for us to get together share works and dont works stories and keep eachother motivated! I am already a part of a core excercise swiss ball class that happens there every other Wed. if anyone would be intrested in that maybe we could attach it to that class or something. Just brainstorming right now and looking for everyones feedback! Talk to yall soon!

I had the two week preop, cheated on day 9 not bc I was hungry bc I'd gotten threw that phase but bc my family went to the mall where my fav meal was. Tried it, was discusting, made me angry but I survived. So, postop day I had complications so for the next 5 day stay in the hospital, no drinking, just iv fluids, on day 6 they let me drink. Day 8 came home for another 2 wk liq. I'm no hungry, physically or mentally but my doc makes me drink the 1 oz med cups 4/hr. So I'm constantly drinking shakes, crystal lite lemon flav, some chicken broth I'd done myself prior to surgery ( low sodium) and jello in the oz cups. Ik I prob didnt help u, bc u do know what ur feeling, but the routine of drinkn that I'm on, keeps my mind settled away from head hunger. I cooked for my family today, was hard smelling it but I did good. I guess smelln it everyday in the hospital helped a lot. God bless and gl and if ur able to walk, take a stroll, read a good book, play spades on ur phone like I Do, lol. And most of all, all u can do is one day at a time, so don't waste it on the next day or the ten other days. Just get threw today.

I don't believe I said you have to do what I'm doing. Did I tell you how many calories I take in on a normal day? Did I tell you my BMR? Did I tell you how many calories I burn in a given week through exercise? No. Actually, I did none of those things. THAT would be trying to say that we are all the same. My post was pretty much for people to FIND exactly what works for them and not just starve the hell out of their body because that's what they were told to do. I AM recommending that people get out there and start researching to see what their body needs. But when you have people on 800 cal/day and NOT losing and can't figure out why - might be time for them to take a look at what they can do differently. That is what I was suggesting. :cursing: It's not a fluff term, unfortunately. I wish more people were aware of it. I'm not speaking of people that CONTINUE losing on low, low, low calories. If that works for you - go for it. I still say you're going to lose muscle. And strength test is not enough to measure that - body mass analysis can do that. But anyway...a few in the medical and scientific community that have mentioned it: Minnesota Starvation Experiment - Wikipedia, the free encyclopedia (if you don't like wiki, then find another source, This is a well-known study and produced 1,385 pages of text called The Biology of Human Starvation) Why hasn't the study been reproduced? It's hard to find people willing to put up with all that these subjects went through. Especially when you take a look at the mental/emotional trauma that many of them suffered. Other quotes: Abdul Dulloo from the University of Geneva regarding the above-mentioned study: Adaptive reduction in basal metabolic rate in response to food deprivation in humans: a role for feedback signals from fat stores. Dulloo, Jaquet 1998. American journal of clinical nutrition. Quote: “It is well established from longitudinal studies of human starvation and semistarvation that weight loss is accompanied by a decrease in basal metabolicrate (BMR) greater than can be accounted for by the change in body weight or body composition” “the survival value of such an energy-regulatory process that limits tissue depletion during food scarcity is obvious.” Doucet, et al 2001. British journal of nutrition. “Evidence for the existence of adaptive thermogenesis during weight loss.” quote: “It should be expected that the decrease in resting energy expenditure that occurs during weightloss would be proportional to the decrease in body substance. However, in the case of underfeeding studies, acute energy restriction can also lead to reductions in resting energy expenditure which are not entirely explained by changes in body composition.” Handbook of Obesity Treatment, by wadden and stunkard (two of the top obesity scientists and researchers in the world ) quote: “The starvation response - which is an increase in food seeking behavior - is most likely mediated by the decrease in leptin associated with caloric deprivation.” Biochemical And Physiological Aspects of Human Nutrition by SM. Stipanauk, professor of nutritional sciences, Cornell University (WB Saunders company, 2000) Quote: “During food restriction, thermic effect of food and energy expenditure decrease, as would be expected from reduced food intake and a reduction in total body mass. Resting metabolic rate, however declines more rapidly than would be expected from the loss of body mass and from the decline in spontaneous physical activity due to general fatigue. This adaptive reduction in resting metabolic rate may be a defense against further loss of body energy stores.” American Journal clinical nutrition 1997. Dulloo “post starvation hyperphagia and body fat overshooting in humans.” American Journal Clin Nutrition 1989, Elliot et al. “Sustained depression of the resting metabolic rate after massive weight loss” quote: “Resting metabolic rate of our obese subjects remained depressed after massive weight loss despite increased caloric consumption to a level that allowed body weight stabilization.” and Dulloo 1998: “The reduction in thermogenesis during semistarvation persists after 12 weeks of restricted refeeding, with its size being inversely proportional to the degree of fat recovery but unrelated to the degree of fat free mass recovery.” Major and Doucet in the international journal of obesity called, “clinical significance of adaptive thermogenesis.” Here’s a quote from this latest (2007) study: “Adaptive thermogenesis is described as the decrease in energy expenditure beyond what could be predicted from the changes in fat mass or fat free mass under conditions of standardized physical activity in response to a decreased energy intake, and could represent in some individuals another factor that impedes weight loss and compromises the maintenance of a reduced body weight.” --------------------------------------------------- What is leptin, then? Leptin - Wikipedia, the free encyclopedia The studies mentioned above: Dubuc G, Phinney S, Stern J, Havel P (1998). "Changes of serum leptin and endocrine and metabolic parameters after 7 days of energy restriction in men and women". Metab. Clin. Exp. 47 (4): 429–34. PMID 9550541. Pratley R, Nicolson M, Bogardus C, Ravussin E (1997). "Plasma leptin responses to fasting in Pima Indians". Am. J. Physiol. 273 (3 Pt 1): E644–9. PMID 9316457. Weigle D, Duell P, Connor W, Steiner R, Soules M, Kuijper J (1997). "Effect of fasting, refeeding, and dietary fat restriction on plasma leptin levels". J. Clin. Endocrinol. Metab. 82 (2): 561–5. doi:10.1210/jc.82.2.561. PMID 9024254. ---------------------------------------------------- Don't feed people the BS that it doesn't exist without doing your own research. I'm not even selling anything, so what do I have to gain by trying to ask people to RESEARCH this? Not a dang thing. I'm trying to help. If you don't like the info, then don't accept it. It makes no difference to me. But don't say it's not backed by the medical/scientific community - that is simply untrue. I did want to add - about the half-marathon. I didn't just hop on the road and get running. I put in a lot of work to get there, to include going through the C25K program like 3 times. It's not easy. Some days are a b*tch. I have bad running days and good running days. But anyway - I was running for about 6 months before deciding to try to work up to running one, then I followed a difficult 12-week program to build up to it. I wish I was one of these genetically-blessed people that doesn't have to train at all and can peg a personal record (yuck - one of my friends on FB...LOL). It's all baby steps.

Thanks so much for comments, made my day. I am on a 24 hour non fat diet and a 12 fast after that for my big 4 hour appt at the bariatric unit! Super excited. I feel a little blah bc I am so used to eating lots of protien and all i can have is toast popsicles boiled potatos or vegies and fruit.

Ask. I had read all these warnings on here so I asked and they said sure no problem. The pulse ox worked and they didn't need to check my toenails bc I had the pulse ox

Hi All! I’m 7 days post op. I had extreme anxiety and restless leg syndrome for the first few days. I literally got up day zero after surgery and walked the halls bc I couldn’t stay still. When I came home every hour on the hour for the first few days I was waking all around my house driving my family insane. Thankfully it went away. Now my struggle is I can’t drink anything cold it has to be room temperature or warmer all cold makes me feel like I have little cramps. Is anyone else having problems with cold things?

No, no shots!! Thankful bc I don't think I could give myself a shot! I haven't gotten anything beforehand, I think he will prescribe based on what I'm feeling after surgery. Sending positive vibes your way as well! Here's to New Beginnings!! Sent from my SAMSUNG-SM-N920A using BariatricPal mobile app

I like nioxin too I get mine on Amazon. ..mainly bc its easier for me to order it than search for it.. but that's me I'm an amazon junky ..lol

So my surgeons office finally submitted all my paper work for prior authorization I've only been waiting 2 weeks for them to finally submit it!!!! I'm extremely worried that it won't get approved, I think bc I want this so badly. I'm Worried about getting a denial... I've been praying and hoping all day for an approval so if anyone gets a free minute to say a prayer for me it would be greatly appreciated!!!