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Found 17,501 results

  1. I am 19 days post op and I am still struggling to drink the fluids. I am not even able to drink the protein shakes their now nasty to me , I tried the protein bars & it didn’t end well. I have chest pains & I can barely eat. I am weak & my mouth is always dry, and feeling nauseous. Can anyone provide any advise. At least I doing the vitamins. Recently my chest & stomach have a burning sensation. 

    1. SamanthaC12

      SamanthaC12

      I had a very difficult time finding protein shakes that tasted okay and didn't make me sick. I ended up drinking FairLife Core Power protein shakes. I love the chocolate (tastes like chocolate milk to me). I like to blend it with some ice and PB2 powder (or real PB) to give the smoothie consistency. I also found that if I put Panera's Turkey Vegetable soup through the blender, I could eat it. I survived off those two things. My chest pains were from the gas, which was incredibly bad and took so much longer than I expected to resolve. I'd definitely stay away from bars or anything solid until you've conquered liquids. I'd love to tell you the dry mouth will get better soon, but it didn't for me for a very long time (months). The plus to that was that I drank a ton of water. The good new is I suspect you are close to the light at the end of the tunnel on this first and hardest part of the journey. It gets SO much easier after this part.

    2. Iluvbats

      Iluvbats

      I am 2 days post-op and really struggling with everything. My depression isn't helping any. I couldn't even finish one shake today and swallowing meds is just excruciating.

  2. craving fried chicken today.... I think I might cave..... chicken is protein :) 

    1. XtinaDoesIt

      XtinaDoesIt

      I didn't do it.... but I did put some bbq sauce on my grilled chicken!

  3. I am now 52 years old and I have had a Lapband in Monterrey, Mexico in 2009  and a Bariatric Sleeve in Tijuana in 2017.  With the Lapband I lost maybe 2-35 pounds and gained it right back and then some. It was not an adjustable band it was just a ring around my stomach according to the surgeon (who had a hard time removing it) when I did my Gastric Sleeve.  When i decided to do the Bariatric Sleeve in 2017 my weight was 348 pounds and I was struggling with walking, breathing, no energy, buying/finding clothes and I was put on 2 blood pressure pills and a cholesterol pill. My Sleeve surgery went great and I was feeling so good down to 321 and loving it (I didn't even mind the liquid diet I was still on) and then I started to feel sick 2 weeks out of my Sleeve surgery and it ended up being a stomach leak on the staple line.  I struggled with drains for about 2 years and finally in December of 2019 i was drain and leak free.  After all that I was down 100 pounds and was weighing 248.  When I had the drain I never exercised I would just walk a bit with friends every other day maybe until we didn't because life got busy or I got sick again.  At the hospital I found that I was now lactose intolerant and I have not found any protein shakes I can drink without feeling sick to my stomach.  I have regained about 26 pounds and i just want input on how to lose weight since i am not on any particular diet and eat all kind of bad food until I am full ( i would love some recipes or a daily menu).  I have been considering the Gastric Bypass since I have horrible reflux and have been researching the pros and cons and would appreciate any input. 

    1. melvin5ft2

      melvin5ft2

      You might try the Thrive Lifestyle Mix. Its a protein shake but it does have some carbs. I have a problem with protein shakes. They make my stomach hurt. I recently started the Thrive 3 step which is a vitamin (in capsules) and a skin patch and a shake mix. The shake works for me and I think the reason why is because it has digestive enzymes in it. This makes it a lot easier for your stomach to break it down. It has amylase, bromelain, cellulase, protease, lipase, papain, and protease. Its like taking a whole digestive enzyme capsule with your protein shake, but its all in an individual serving envelop and you mix it with whatever you want. I mix mine with either water or almond milk, but you could mix it with soy milk if you wanted to do that. It is the easiest to digest nutrition shake I've ever done. If you decide you want to try it. I know a gal who will probably send you a sample or two. I actually have enough packets of this that I could send you a couple packets to try if you message me your address.

    2. Mixfex

      Mixfex

      https://lbwic.com/

  4. I am having a very fast heart rate after my surgery post op surgery (sleeve) my rest heart rate is around 94-110 - sometimes even when i walk it goes up to 145! 
     

    it’s literally killing me - i just had the heart mointer placed but I’m not sure what to do about it . I’m post op 6 months i was 230 and now I’m 189 and at a stand still!

     

    probably my fault i still have a healed time eating food especially protein - i do workout but i know food is important (previous body builder ) 

    1. XtinaDoesIt

      XtinaDoesIt

      My heart rate and blood pressure were extremely high after surgery. They were going to keep me an additional night because of it but ultimately let me go. I think it was just because my body was in pain... I was fine a few days later. Congrats on your surgery!!!

  5. {{$title = \IPS\Output::i()->title;}} {$title} Marketing weight-loss surgery is competitive. A strategic plan and experienced guidance can help you win. Bariatric surgery marketing and advertising are commonplace… and necessary. That’s because the CDC says nearly 40 percent of Americans over age 20 are obese. As obesity rises, so does the interest in bariatric surgery, which has opened up opportunities for surgeons to change their case mix and help make a difference in more people’s lives. There are new techniques, new options for patients, and new ways for surgeons to provide appropriate, effective treatment. What also has increased is the competition between bariatric surgeons. To compete, bariatric surgeons must stand out. The increase in both demand and opportunity has created a much more competitive market for bariatric surgeons, one of the most common challenges we’ve seen for these types of practices. In some areas, there is a virtual deluge of bariatric surgery marketing messages from weight-loss surgeons. In most markets, candidates for weight-loss surgery have plenty of choices. So, how do you compete? At BariatricPal, we know that competing in a crowded market means standing out from the competition. And that means having a compelling bariatric surgery marketing message, getting it heard and having it drive response. Marketing works, even in healthcare, even for referral-driven surgical practices and especially for practices — like bariatric surgery providers — who must directly appeal to prospective patients. Competitors are marketing. aggressively. To stand out from them, you can’t merely market your bariatric practice. You have to market it well. You have to promote it strategically. A strategic path to marketing bariatric surgery effectively to grow your practice. Strategy is the hallmark of our approach to helping bariatric practices maximize their success by marketing effectively. With strategy at top of mind and more than 20 years’ experience to their credit, our professionals come to the table with knowledge not just of healthcare marketing but specifically of how to most successfully plan and implement bariatric surgery marketing. Our strategies for weight-loss surgery practices consider the need to create a compelling message while also speaking to potential risks, complications, the mental-emotional aspects, and the level of commitment patients need to make. We know stoma from stomach and duodenum from jejunum. Our marketing professionals are also familiar with the differences between today’s modern procedures, from lap band and sleeve gastrectomy to gastric bypass and even duodenal switch. And we understand that the highest standard of ethics is of paramount importance. Marketing bariatric surgery ethically because your reputation is everything. As a surgeon, your reputation is your chief asset. At BariatricPal, we never forget this, and reputation management and enhancement are woven into the fiber of all of our professional services. Everything we do is to solidify your good reputation, which is why take a strong position for marketing ethically. While ethics are clearly not insisted upon by all bariatric surgeons in their marketing, we see no distinction between ethical medical practices and ethical messaging. We believe in marketing our bariatric-surgery clients with the same commitment to reputation that they demonstrate in the operating room. Scientific marketing: measure the results of your efforts. Branding. Internet strategy. Referral-building. Practice representation. Staff training. Print collateral. TV and radio marketing. Our marketing strategists will devise a customized plan that will help you achieve your goals within your marketplace. We do this scientifically, basing what we do on what we know works in markets like yours for weight-loss surgeons like you. Also, our scientific approach to marketing bariatric surgery means that we measure the results of your marketing efforts, as well. It’s vital to know what is and isn’t working so, together, we can make adjustments to your messaging in order to best achieve your goals.
  6. BariatricPal Deals - Down Payment BariatricPal is pleased to announce BariatricPal Deals! This exclusive new program offers unbelievable deals for weight loss surgery with the top weight loss surgeons in Mexico. We cut out the middleman and pass the savings on to you! We guarantee our prices and are willing to beat ANY advertised prices. Financing options are available to help patients pay for the program. All applications and questionnaires are reviewed by our Internal Medicine Doctor. Following the review of your questionnaire you will be entitled to a free consultation (Exclusive to BariatricPal Deals Applicants).
  7. Black Friday Special! Hey Everyone, This is a first peek at one of our Black Friday Specials. From today through Friday at 6PM any surgery that is booked and has been confirmed through a deposit is eligible to be entered into our $500 deposit rebate raffle! You can reserve your surgery for up to 1 year in advance at the current promotion pricing. * Promotion only applies to new deposits. BariatricPal Deals BariatricPal is pleased to announce BariatricPal Deals! This exclusive new program offers unbelievable deals for weight loss surgery with the top weight loss surgeons and best service in Tijuana, Mexico. All-inclusive packages start at only $3899! We cut out the middleman and pass the savings on to you! We guarantee our prices and are willing to beat ANY advertised prices for Dr. Carlos Altamirano, Dr. Jaime Ponce de Leon, Dr. Jesus Martin Lopez Dominguez and Dr. Juan Francisco Zavalza. Financing Options are available to help patients pay for the program. All applications and questionnaires are reviewed by our Internal Medicine Doctor on staff. Following the review of your questionnaire you will be entitled to a free surgeon consultation via phone or Skype (Exclusive to BariatricPal Deals Applicants). Want to discuss BariatricPal Deals or find out more detailed information about the surgeons and services we offer? Head on over to the BariatricPal Deals Forum. We now offer FREE Skype Consultations with our weight loss surgeons! Please complete this form and mention in the comments that you'd like to schedule your free Skype consultation. Call us toll free at 844-WLS-DEAL or at 844-957-3325 for more details. These are the weight loss surgeries and surgeons that are offered. You will receive additional information about the program, including a 24-hour phone number and direct contact information for your patient liaison after you complete the short form. Completing the form does not commit you to anything! Complete the form Dr. Altamirano Dr. Ponce de Leon Dr. Verboonen Dr. Lopez Dr. Zavalza Dr. Camelo Ramos Dr. Corvala Gastric Sleeve Surgery $4199* $4999 $4499 $4199* $4250 $3899 $5999 Gastric Plication Surgery n/a $4999 $4399 $3899 n/a n/a Call Us Gastric Sleeve Revision Surgery $5199 $5799 $5499 $5199 $5299 $4999 Call Us Mini-Gastric Bypass Surgery $5199 $5799 $7499 $5199 $5299 $4999 Call Us Gastric Bypass Surgery $5499 $5799 $5799 $5499 $5599 $5299 Call Us Gastric Bypass Revision n/a $6799 $6799 $5499 $5599 $5299 Call Us * hernia repair is included for free if needed. Check out some of our current Specials below. Dr. Altamirano Dr. Ponce de Leon Dr. Lopez Dr. Corvala Gastric Sleeve (Including Meds and Follow Up) n/a $5399 n/a n/a Angeles Hospital Gastric Sleeve Package n/a n/a n/a $5999 How Can BariatricPal Deals Really Be Possible? How can we offer such good deals on weight loss surgery in Tijuana, Mexico while being so confident in the quality of the care you receive? This is one of the most commonly asked questions when interested members like yourself come across these fantastic deals on weight loss surgery in Tijuana, Mexico. The truth is, it's quite simple! With such a large number of potential weight loss surgery patients, we were able to negotiate the best deals possible on your behalf. Take a look at some of the steps we took to make this happen. We cut out the middle manBariatricPal works directly with each participating surgeon instead of paying a third party to act as a go-between. Without paying a middleman, each surgery instantly costs $1,000 to $5,000 less, and we pass the savings to our members. We receive the wholesale rateBariatricPal has so many potential weight loss surgery patients that surgeons are able to provide deep discounts to the BariatricPal Deals program compared to the prices they need to charge for individuals who walk in off the street. We only invite selected weight loss surgeons to participateWe approach only those weight loss surgeons who we are confident provide a safe and positive experience in a caring environment. Some of the ways to do this include knowing the weight loss surgeons personally, inspecting their facilities, looking at their patient outcomes, or checking their weight loss surgery credentials and licensure. Top Weight Loss Surgery Hospital in Tijuana, Mexico You will have your weight loss surgery performed at the only hospital with an official medical tourism certificate issued by the state of Baja California, Mexico. The hospital is among the top weight loss surgery centers in the world, having performed over 20,000 procedures. The hospital's credentials and experience can give you peace of mind as you get ready for weight loss surgery in Mexico. The price you get through BariatricPal Deals is all-inclusive. It covers the following: Personal Transportation All Medical Fees Included All Surgical Fees Included Two Nights with full care in our Hospital Luxury Recovery Condo for you and a guest 24 hour personal valet service Free Long Distance Calling to Family and Loved Ones When you arrive, the hospital staff provides the best service and is the friendliest you'll ever meet. They will put you at ease during your entire stay. The hospital also provides the following services for your convenience and comfort: Bilingual staff Transportation to and from the U.S. Direct phone calls to and from the U.S. Wireless internet Cable television in English and Spanish Personal nursing staff 24-hour security and video surveillance Fill out the short form below to get more information or reserve your weight loss surgery date. When you complete and submit the form, you will instantly gain access to important information including videos, diagrams, more information about the hospital, surgeons, and surgery types, patient testimonials, and pictures. complete the form Dr. Carlos AltamiranoIs an expert in General Surgery and Advanced Laparoscopic Weight Loss Surgery. Dr. Altamirano completed his formation as a surgeon in Dr. Valentín Gómez Farías Hospital (one of the most renowned hospitals in Mexico). He trained in basic and advanced laparoscopic procedures like cholecystectomy, inguinal and post incisional hernia repair, Laparoscopic Nissen Fundoplication and bariatric procedures like Gastric Sleeve and bypass. He also has experience in the management of emergency and critically ill patients, is certified in Advanced Trauma Life Support (ATLS certification of the American College of Surgeons) and Advanced Cardiovascular life Support (ACLS certification of the American Heart Association). He was a Red Cross volunteer for a year and has worked for multiple Non-Profit organizations. read more Dr. Jaime Ponce de LeonChief Weight Loss Surgeon at INT Hospital in Tijuana, Mexico Dr. Jaime Ponce de Leon has the official endorsement of the Baja California Board of Tourism. The board recommended his services after a thorough review of his credentials and reputation. Dr. de Leon has 19 years of experience as a surgeon, including extensive experience as a laparoscopic surgeon, and is recognized as a top weight loss surgeon in Mexico. He received his M.D. as a general surgeon from Saint Nicholas University in Hidalgo, Mexico, and completed his residency in Tijuana’s. read more Dr. Sergio VerboonenA Leading Weight Loss Surgeon in Tijuana, Mexico Dr. Sergio Verboonen, a Certified Bariatric Laparoscopic Surgeon, is one of the first three bariatric surgeons to pioneer Bariatric Surgery in Mexico. Dr. Verboonen received his M.D. from Universidad Nacional Autonomy de Mexico (UNAM) in 1990 and completed his residency in 1994 at Hospital General de Tijuana. With 19+ years of experience, Dr. Verboonen has performed more than 10,000 bariatric laparoscopic procedures and continues to be recognized as one of the most experienced bariatric surgeons worldwide. read more Dr. Jesus Martin Lopez DominguezA Certified Bariatric Surgeon with over a decade of experience. Dr. Lopez has 10 years of surgical experience and is bilingual. Dr. Jesus Martin Lopez is one of the leading medical practitioners in Tijuana dedicated to change lives for people with weight related problems. read more Dr. Juan Francisco ZavalzaTrusted bariatric surgeon & backed up by thousands of successfully performed weight loss surgeries. Dr. Zavalza has 5 years of surgical experience, is bilingual and was proctored by Dr. Jaime Ponce de Leon. Dr. Francisco Zavalza has performed and assisted more than 3000 bariatric surgeries. Dr. Zavalza continues communicating with his patients years after surgery, providing extensive follow up care, to insure long term and successful outcomes. read more Dr. Mario Camelo RamosCertified Bariatric Surgeon Dr. Mario Camelo Ramos is an accomplished weight-loss surgeon, who practices in Tijuana, Mexico. He has trained under one the world’s top bariatric surgeons and has performed over 6,500 bariatric surgeries. Dr. Camelo Ramos Performs Surgery at Florence Hospital. read more Dr. Juan Antonio Lopez CorvalaCertified Bariatric Surgeon Dr. Juan Antonio Lopez Corvala MD FACS has over 30 years of experience, more than 10,000 laparoscopic surgeries, and more than 6,000 bariatric surgeries. Dr. Juan A. Lopez Corvala is one of the 10 most renowned bariatric surgeons worldwide, a true expert, member of C.A.B. (Council of Advance Bariatrics). read more Fill out the form below to get more information or reserve your weight loss surgery date. {block="bp_surgery_deal_form"}
  8. The BIG Book On The Gastric Bypass Everything You Need to Know to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass Surgery View Preview Paperback Price: $24.99 BUY NOW Kindle Price: $9.99 BUY NOW eBook Price: $9.99 BUY NOW PDF Price: $9.99 BUY NOW About — The Big Book on the Gastric Bypass Are you sick and tired of struggling with obesity? If you've been obese for years and have tried every weight loss diet without lasting success, weight loss surgery may be the right choice for you. "The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass" is your complete guide to the Roux-en-Y gastric bypass. Like so many other patients who have struggled with obesity for many years, you may find that the gastric bypass is the tool you need to eat well and finally lose weight for good. The Big Book guides you through each step of the journey, from deciding to get RYGB, finding a surgeon and paying for surgery, to recovering from surgery, following the bypass diet and losing weight and keeping it off for life. "The Big Book on the Gastric Bypass: Everything You Need to Lose Weight and Live Well with the Roux-en-Y Gastric Bypass" treats you with the respect you deserve and provides facts and analysis in simple language. It discusses everything related to obesity, weight loss, the gastric bypass and the weight loss surgery diet so that you can make the best decisions for yourself. The book further helps you by being a source of advice and motivation. It contains stories from real-life bypass patients, told in their words. When you're ready to learn all about losing weight and living well with the Roux-en-Y gastric bypass, grab your copy of the book and get reading! Read more about the authorsAbout the book's authors: Alex Brecher Founder and CEO of WLSBoards.com Natalie Stein Vice President of Health and Nutrition With every page of "The BIG Book on the Gastric Bypass" you will learn important details such as: The options for surgical weight loss and what is involved with the Roux-en-Y Gastric Bypass. How to make your decision and what questions to ask before surgery What your diet and exercise will look like following the procedure How to adjust to your incredible new body And so much more {block="gastric_bypass_about"} {block="gastric_bypass_table_of_contents"}
  9. The BIG Book On The Gastric Sleeve Everything You Need To Know To Lose Weight and Live Well with the Vertical Sleeve Gastrectomy View Preview Paperback Price: $24.99 BUY NOW Kindle Price: $9.99 BUY NOW eBook Price: $9.99 BUY NOW PDF Price: $9.99 BUY NOW About — The Big Book on the Gastric Sleeve Are you sick and tired of struggling with obesity? If you've been obese for years and have tried every weight loss diet without lasting success, weight loss surgery may be the right choice for you. "The Big Book on the Gastric Sleeve: Everything You Need to Lose Weight and Live Well with the Vertical Sleeve Gastrectomy" is your complete guide to the vertical sleeve gastric, or gastric sleeve. Like so many other patients who have struggled with obesity for many years, you may find that the gastric sleeve is the tool you need to eat well and finally lose weight for good. The Big Book guides you through each step of the journey, from deciding to get the sleeve, finding a surgeon and paying for surgery, to recovering from surgery, following the sleeve diet and losing weight and maintaining your weight loss for life. "The Big Book on the Gastric Sleeve: Everything You Need to Lose Weight and Live Well with the Vertical Sleeve Gastrectomy" treats you with the respect you deserve and provides facts and analysis in simple language. It discusses everything related to obesity, weight loss, the gastric sleeve and the sleeve diet so that you can make the best decisions for yourself. The book further helps you by being a source of advice and motivation, too. The book contains stories from real-life sleeve patients, told in their words. When you're ready to learn all about losing weight and living well with the vertical sleeve gastrectomy, grab your copy of the book and get reading! Read more about the authorsAbout the book's authors: Alex Brecher Founder and CEO of WLSBoards.com Natalie Stein Vice President of Health and Nutrition With every page of "The BIG Book on the Gastric Sleeve" you will learn important details such as: The options for surgical weight loss and what is involved with the Gastric Sleeve. How to make your decision and what questions to ask before surgery What your diet and exercise will look like following the procedure How to adjust to your incredible new body And so much more {block="gastric_sleeve_about"} {block="gastric_sleeve_table_of_contents"}
  10. {{$title = \IPS\Output::i()->title;}} {$title} Roux-en-Y gastric bypass (RYGB) is the most common type of gastric bypass weight loss surgery.1 It is usually laparoscopic. It is reversible if necessary, but is designed to be permanent. The surgeon first divides your stomach, leaving a smaller upper portion and stitching shut the larger remainder of your stomach so that it can't be used any more.2 Normally, food in your stomach empties to the upper portion of the small intestine. In RYGB, the surgeon attaches the small stomach pouch to a place lower down on the small intestine, thus "bypassing" the majority of your stomach, the duodenum (upper portion of your small intestine) and at least part of the jejunum (middle portion of your small intestine). A long-limb RYGB procedure bypasses more of your intestine; in this case, the surgeon attaches your newly formed small stomach pouch to a place even lower on your small intestine. The long-limbed RYGB procedure can lead to faster weight loss because of greater nutrient malabsorption (fewer nutrients absorbed). Why is the procedure called "Roux-en-Y?" The gastric pouch is called the "roux limb," and the "Y" shape is formed by the three arms coming together at a junction. The three parts are: The small stomach pouch that holds food The large stomach pouch that secretes digestive juices The far portion of the small intestine that the two portions of the stomach are connected to Buchwald H. ASBS 2004 consensus conference statement: bariatric surgery for morbid obesity: health implications for patients, health professionals and third-party payers. Surgery for obesity and related diseases, 2005;371-381 Ibid. Advantages and Disadvantages of the Gastric Bypass Advantages of the Roux-en-Y Gastric Bypass No bands, staples or other foreign objects in your body An established procedure with more research on safety and effectiveness than the vertical sleeve gastrectomy and sleeve plication More weight loss in the first year than the gastric sleeve and the adjustable gastric band (lap-band)1 Reversible if necessary (but not easily) Can be revised to a longer-limb Roux-en-Y gastric bypass if an initial short-limb procedure does not lead to expected weight loss. Quick improvements in your health, especially in your blood sugar control with better insulin resistance, lower blood sugar levels and possible resolution of diabetes May be a good choice for individuals with a sweet tooth because sweet foods are not typically tolerated Jackson TD, Hutter MM. Morbidity and effectiveness of laporscopic sleeve gastrectomy, adjustable gastric band and gastric bypass for morbid obesity. Advances in Surgery, 2012;46:255-68. Disadvantages of the Roux-en-Y Gastric Bypass Higher risk of nutritional deficiencies due to malabsorption than the lap-band, sleeve plication and vertical gastric sleeve Weight regain can occur after a couple of years if appetite levels increase and/or the stomach pouch is stretched High-sugar and high-fat foods can cause dumping syndrome, with symptoms of shakiness, nausea, vomiting and diarrhea Stomach pouch can be stretched if patient overeats, leading to less restriction and less effectiveness Complications are less frequent, but are more likely to be serious Possible Complications/Risks of the Gastric Bypass Intolerance to certain foods Gastroesophageal reflux disease, or GERD, with severe heartburn Nutritional deficiencies due to low food intake and nutrient malabsorption Dumping syndrome Staple line leaks from the stomach and intestines where they were cut and stitched during the procedure Vomiting, nausea, diarrhea Strictures Weight Loss and the Roux-en-Y (RYGB) Rapid weight loss in first 6 to 12 months About 65 to 70% of excess weight loss (EWL) within 2 years Often more than 100 pounds lost Many RYGB patients regain about 20 or more pounds after the first two years of weight loss The RYGB is restrictive and malabsorptive and it affects your appetite hormones. Restrictive: Right after surgery, the top portion can hold only about one ounce, or two tablespoons, of food. This forces you to have smaller meals you fill up faster Malabsorptive: With RYGB, food doesn't go into your duodenum, which is where a lot of nutrient absorption usually occurs. Absorbing less protein, fat and carbohydrate leads to fewer calories and faster weight loss. Hormonal:1 2 changes in your hormones after RYGB can decrease hunger. Ghrelin: a hormone that causes hunger and whose levels decrease after RYGB PYY: (neuropeptide YY) a hormone that reduces hunger and whose levels increase after RYGB GLP-1: (glucagon-like peptide 1) a hormone that reduces hunger and whose levels increase after RYGB Mechanick MD, Kushner RF…Dixon J. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity, 2009;17(S1):S3-72. Morinigo R, Moize V, Musri M, Lacy AM, Navarro S, Marin JL…Vidal J. Glucagon-like peptide-1, peptide YY, hunger and satiety after gastric bypass surgery for morbid obese subjects. JCEM, 2006;91(5):1735.
  11. {{$title = \IPS\Output::i()->title;}} {$title} Several types of weight loss surgeries are commonly performed and can lead to successful weight loss. How do you choose the one that is right for you? Patient needs to consider and discuss their individual situations with their surgeons before deciding on the procedure that they feel is best for them. This page has some of the factors to consider when you're deciding on which weight loss surgery to get. You'll notice that Cost is not on this list. It should not affect this life-changing decision about your health! Speed of Weight Loss: The gastric bypass and biliopancreatic diversion with duodenal switch (BPD-DS) have the fastest initial weight loss. Some patients can lose 5 to 7 pounds per week shortly after surgery. That can be good for patients who are in severe discomfort from joint pain. Fast initial weight loss may also be easier mentally for patients who need to see results quickly to stay motivated. Starting Weight and Health: The adjustable gastric band (lap-band or Realize band) is a more common choice for patients who have a lower starting BMI. The vertical sleeve gastrectomy (gastric sleeve) is an increasingly common choice for higher BMI patients. The gastric bypass is known for improving blood sugar control quickly, and many patients with type 2 diabetes choose this procedure. Long-Term Results: The gastric bypass and lap-band have been used for years and are well established. The gastric sleeve and sleeve plication are newer procedures. Clinical trials are still gathering scientific data on their long-term results and complications, although it looks so far as though weight loss from those surgeries is similar to that of lap-band or gastric bypass. The gastric sleeve can be converted to a BPD-DS if weight loss isn't satisfactory, but it cannot be reversed. The gastric bypass can be redone or a band can be added ("band over bypass"). The gastric band is reversible if necessary, so any of the other weight loss surgeries can be tried if the band doesn't work. Adjustability: The adjustable gastric band is the only option that's easily adjustable. Filling the band increases restriction to help speed weight loss, and decreasing the fill volume of the band reduces restriction to let your esophagus heal if you get esophagitis or to let you increase your nutrient intake when needed, such as during pregnancy or when you're sick. The other surgeries are not adjustable. Maintenance: The adjustable gastric band requires more attention. You need to visit your surgeon each time you want an adjustment (fill or unfill). This can happen several times in the first year. If you have trouble getting time off work to see your surgeon, the lap-band may not be for you. Fear of Needles: Adjustments require your surgeon to stick a needle in your access port near your belly button. You might feel a small prick or have topical local anesthesia applied so you don't feel anything. However, if you have a fear of needles, the gastric band may not be for you. Fear of Implanted Medical Devices: The gastric band, connection tubing and access port are all permanently inside of you if you get the lap-band. The gastric sleeve or gastric bypass don't require permanent medical devices, and may be better choices if you worry about malfunctioning parts. Restriction and Malabsorption: All of the surgeries are restrictive; they reduce your stomach size so you fill up faster and can't eat as much. The gastric bypass and BPD-DS are also malabsorptive. They reduce the calories that you absorb from food to help you lose weight faster. They also prevent you from eating sweets because high-sugar foods can cause shakiness, nausea, vomiting and diarrhea from dumping syndrome after these surgeries. If your sweet tooth caused your obesity, gastric bypass and BPD-DS might be better choices for you.
  12. I just had conversion to gastric bypass on November 1 due to hiatal hernia and acid reflux issues. Surgery was a success. The sipping water after surgery is much easier this time for some reason. I am craving savory foods like crazy...hummus, salsa and marinara sauce so I cannot wait to incorporate some of those things in my diet. 

    1. Road Runner

      Road Runner

      Congratulations on your success! I'm scheduled for a revision in December and I'm so afraid I will not succeed,, since I had very little success with the lap band.

  13. Good Morning Everyone!

    I am fairly new here, just a few days on the app and website. I am 16 days pre-op and on the liquid diet currently. I chose to start liquids 4 weeks out to ensure I hit the pre-op goal from my doctor. I'm 10 days into the liquids and I've already shed 13lbs. The liquid diet has not been easy and really brought forward the realization of how addicted to food I was. Smells of real food still make me hungry, but I try to avoid them at all costs and keep myself full with protein shake and veggies. I can't wait until my VSG procedure. Being on this app and reading all of your stories and experiences has really helped me and I want you all to know how much I appreciate you.

    Hope you have a good Monday! :)

  14. Today is my first day back at work since my surgery 10/16. I thought I had thought about everything and returning to work, meals, protein, water, etc. One major thing I didn't think about was me getting dressed for work this morning and putting on slacks that I wore pre-surgery...they looked ridiculous and were entirely too big. It was awesome and stressful at the same time. Luckily, as I rummaged through the closet I found a smaller size that I kept for some strange reason, and while still a bit baggy, they were much better. Guess I'll need to get a couple pairs of slacks tonight to get me through the next month or so, then swap those out. What an awesome feeling to get rid of clothes for being to big for a change.

    1. Newme17

      Newme17

      That’s a great problem to have!!! Glad you had a quick remedy.

    2. Rainbow_Warrior

      Rainbow_Warrior

      I had surgery 12th Oct and returned to online work (one of my jobs) after 12 days.

      I did a one-hour home-consultation with a referral customer on the fifteenth day. (Fri Oct 27)

      I returned to my Tuesday evening office job, a 1:45pm-6:45pm regular slot on the 31st (last Tuesday).

      It seems we are on a similar pace with work.

      (I'm officially retired ... July 2016 ... but I have a skill set in demand which means I get almost as much part-time and casual work as I want.)

      Is your work full-time, part-time, casual?

    3. MG1776

      MG1776

      I work full time, usually 8-4 in a professional setting, so slacks, shirt, tie, or polo daily. Today is my 5th day back and all has been great so far. Just keeping up on my liquids and protein. Thankfully, the owners are understanding and supportive so I can do as I please for the most part.

  15. Had my surgery on Friday 10/27 afternoon. I was doing so well in recovery that they released me after only one night in the hospital :) I've been super fortunate so far, only needing one pain pill in the hospital, and right now just taking liquid ibuprofen. I've been burping since the hospital, but today was my first day at home with protein shakes and finally started passing gas - yay! lol Most of my discomfort is from soreness from the surgery and gas pressure. No issues getting my protein shakes in and keeping them down. All of my docs were super happy with my recovery, and my surgeon said the procedure went perfectly. Here's to the start of my new life!:1310_thumbsup_tone1:

    1. karen_marie

      karen_marie

      Sorry to hear that you're having a hard time with the shakes @Sosewsue61 :( have you tried different shakes? I had bought the chocolate and banana Premier Protein shakes from Costco, and some 4oz plastic cups with lids (like you'd get a side of guacamole in at a restaurant). Then I just pour out a 4oz serving 6x a day. Once I get cleared to blended/pureed, I think I'll be down to 4-5 meals a day. It can get boring, but having the pre-mixed shakes have been a huge time saver. I'm just focusing on getting enough water in between my shake portions now.

    2. Rainbow_Warrior

      Rainbow_Warrior

      So, you're 6+ days into a new life.

      Congrats on the calm post-op period.

    3. hap314ness

      hap314ness

      So so happy for you!

    4. Show next comments  333 more
  16. 5 days post op and can't constipated. Can't drink protein drinks. Took milk of magnesia and it goes around problem. Any ideas, to get things moving? Been drinking fluid.

    1. Newme17

      Newme17

      Consider adding a probiotic daily. It’ll help your stabilize your gut and get things moving as well.

    2. Heather S

      Heather S

      Things just cleared out this morning. I feel so much better. It must have been the meds they gave me in the hospital. Thanks all

    3. Newme17

      Newme17

      Ahh...relief! I should have asked you how far post op you were. Using the phone so I don’t see all of that info. I was about 5 days post when I finally had a movement. Had to use some MOM to get it going though and that was the last time too. Added a probiotic early on...really helps!

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  17. I seem to have hit another stall already--I keep waiting for my loss to hit 50 pounds but it just isn't getting there. I have lost a bit of the grip on what I'm eating and whether I'm getting enough protein and so on--a lot of changes lately. I moved about a week ago and then lost my niece (age 43) to a heroin overdose. So, kind of traumatic times. I don't think I'm going to be able to get to the funeral. Like so many things, nothing I can do about that.

    Still, shopped yesterday and have some protein shakes, much as I dislike them, to help me get back in control. Made a birthday cake for the friend with whom I'm staying, but that's gone now and I've bought some sugar-free fudgesicles for my "sweet." 

    I'm a bit frustrated by the fact that I don't really notice a change in my body and I'm still wearing all the same clothes. How much do I have to lose before the clothes are too big? Sheesh. And then I have to stop a moment and realize it's only been six weeks since the surgery--this is a long journey, not a sprint. 

    So, onward.

    1. Apple1

      Apple1

      I think we all go through these down moments after surgery and especially during a stall. Just don't let this lead to self sabotage, find the positive side in everything you have accomplished thus far and believe in yourself. Imagine yourself as you want to be 6 months to a year from now. Keep that image in your mind and push out the negative thoughts. Don't let past habits back in. Yesterday's mistakes are already in the past and today is a new day.

      You can do this!!!

      I'm Praying for you today.

    2. XYZXYZXYZ1955

      XYZXYZXYZ1955

      Thank you--I'm working to get back on track. It's been a tough period with the move and my niece's death. Tonight I made soup, mostly veggies and turkey kielbasa, very good. I'm not quite used to being able to eat just about anything again . . . able to--I know it's not necessarily a good idea just because I can.

    3. Berry78

      Berry78

      I'm so sorry for your loss. Almost 50lbs is amazing! Your body just needs a little breather, then will reward you with a 2 pound drop. I'm sure of it!

  18. SO today is day 10 and I started my diet at 224 and am know at 216 lbs. When i first got my pamphlet i thought this would be easy because I thought  I could control my self. But dear god this has been the hardest journey of my life. Childbirth was more straightforward than not eating. I have had more cravings for things that I never really ate since I started. I won't lie I have cheated but food high in proteins. I felt discouraged until I saw I was loosing weight but right know this journey is extremely hard. I salute all who are currently doing their diets and those of you who are long pass this stage. ::) just a few more days to go.

    1. OneDollarBill

      OneDollarBill

      Yes it did. I was on pre-op for 2 weeks and managed to lose about 19lbs before I went under. Surgery went fine. The biggest advise I can give is start moving as soon as you feel up for it. Even if it is walking +/- 5 minutes at first. I had my operation on Wednesday morning. I was home Thursday afternoon and just walking around my house for a few minutes. Come Friday afternoon I was taking short walks up and down the sidewalk. It really help especially if you get gas pain in the shoulder area like most do after laparoscopic based surgery.

    2. Topix10

      Topix10

      I hope so and thank you. I want to be out quick so I can be home I don't like being in the hospital for more than 2 days.

    3. MSinger

      MSinger

      Pre-op is by far the hardest as far as exercising willpower. You still have all of your hunger hormones, honeymoon period will not start until post op. Hang in there!

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  19. Just had my one month post surgical appointment - all is going well. My surgeon worked to get me to not be upset with the three week stall that she turned into two weeks. All in all I'm happy with the surgery but I did the surgery to get down a 100 pounds not ten. So back to my water, protein and walking hopefully the stall will end soon. 

  20. Going on day 3 of feeling awful, I cant keep my protein down, I can get very minimal water down at this poing everything makes me want to throw up... I have No will to eat or even drink at this point... my energy is super low I do good until about 330 and then I want to crash out... Thinking Im low on fluids so I may be making a trip to the Emergency room :( 

    1. Apple1

      Apple1

      Praying you feel better today!

    2. Gen17

      Gen17

      Ice helps! I had trouble with water at first and crystal light went down easier (Weird I know but it worked) I was so swollen at first I had a similar time but it does get better. I promise! Thinking of you and hope it gets better soon.

    3. Michelle'sgarden

      Michelle'sgarden

      Sugarfree popsicles saved me when I couldn't drink

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  21. They warned me that I may not lose any weight immediately after surgery and they were right.  I've stayed the same to the tenth of a pound.  I've got my protein in every day, done my exercise (actually more that recommended), and got most of my daily water in.  And I've eaten only those foods dictated.  So Frustrating!.  Any suggestions on how to break this plateau?

    1. Michelle'sgarden

      Michelle'sgarden

      I feel you first I lost a couple of pounds then gained back more! I'm folllowing every thing the doctor said including walking, protein and fluids. I finally hid the scale because the reality is the scale isn't telling the whole story. I've had to replace my entire wardrobe- the clothes I wore in June at the end of our school year didn't fit when's i tried them on last week - two weeks after surgery ( I also lost 40 pounds pre surgery). I put on a size Xl outfit today and in June as wearing 3x! So ignore the scale and check out your clothes, also do you have more energy etc? Good luck!

    2. Apple1

      Apple1

      I'm not sure how long post-op you are, but the first week you actually gain water weight from all the IV fluids. I lost that and more by the end of the second week. Then at 3.5 weeks I hit the famous 3 week stall...lol.. so yeah very normal for some people. If you get stressed by stalls weigh less often for sure. I weigh everyday and so I am used to the bouncing up and down and don't stress about it. As long as you know you are following your plan you will lose, stall, lose, rinse and repeat.

    3. Gen17

      Gen17

      I didn't know about this three week stall but I am there right now. I agree that hiding the scale is a good idea. It's hard because I want to know my progress but my clothes are all loose. I already had to do one huge overhaul of my closet and more than half had to be donated!

      I am looking forward to more exercise besides just walking. I heard that will help too!

    4. Show next comments  333 more
  22. I am pre-op.  Just starting out.  I have a potential problem with getting enough protein.  I have dairy product allergies (this is not lactose intolerance).  Also can't eat rice or oats.  What protein drinks could I buy or use.  

    1. FluffyChix

      FluffyChix

      So I also have a dairy allergy--causes asthma. I found 3 whey isolates that work for me. I can't have soy or other veggie proteins cuz of hormone positive breast cancer so it was super important to try out the proteins and make sure I could find one/some that work!

      Isopure RTD drinks-Alpine Punch and grape. I dilute them 50/50 with water and add water drops to hide the after taste! I actually like them once watered down.

      Isopure powdered protein isolates-dutch chocolate, creamy vanilla, bananas & cream (my fave), and unflavored to add to soups, etc to up the protein.

      Synthrax Nectars protein isolates-Lemon Tea, Fuzzy Navel, Grapefruit are my 3 favorites. I ordered a sample kit from them for about $19 bucks?

      Premier Protein RTD drinks-vanilla, chocolate, bananas n' cream-I tolerate on "good" lung days since they do also have protein concentrate in them rather than just isolate.

      Hope you find something!!

    2. Fatgirl56

      Fatgirl56

      I bought some clear protein drinks. Premier protein clear and Atkins Lift. The Premier clear tasted awful but the Atkins Lift was pretty good. My nutritionist said to dilute with water might help......also thought about making popsicles with them.

  23. Well, here I am, nearly 5 days out. I'm still super tired, nauseated, in pain, and ready to feel better. I considered it a success today when I ate low-fat cream of chicken soup, strained of all the bits (Probably the first time I've been happy that Campbell's has cheaped-out and put the equivalent of a thumbtack size chunk of chicken in the whole can. Easier to strain!) I ate 1/2 cup made with water, a Tblsp of Nonfat dry milk  powder, and after it cooked I stirred in some unflavored protein powder. A hot dinner

    Wondering how does anyone else deal with taking care of family? I still needed to cook dinner for my honey. He got a turkey burger, baked potato, and mixed veggies. This was the first time I've cooked for him post-op. So hard not to be able to taste anything, and still wanting to....

    Anyway, I took my calcium chew today,  my multivitamin, my ondansetron, my omeprazole, my oxycodone, my docusate sodium, and ate a sugar free pudding cup, the soup, and about 1/2 cup of water, and took all day to drink a protein shake. 

    1. CJ Sunshine

      CJ Sunshine

      Well, I figure I need to cook us dinner right now anyway...so I make enough that we can have one meal and then the extra I put in vacuum packs and in the freezer they go! She is grateful and appreciative that I care enough to do it in advance...I like to cook anyway, but I'm not stepping foot in the kitchen in the weeks after my surgery.

    2. Callisto

      Callisto

      Oh my goodness, hang in there! I forgot to look to see if you had the sleeve or another surgery. I cant imagine cooking for someone and feeling so ill yet starving also. Luckily, my family is used to me not cooking like I used before I had a full time + job. We only have two kids that live at home now. My older son came home on the deployment last time with home cooked food on his mind and he said, "Man, I am glad I was with the generation that got dinner every night" bless his heart! I still make an effort to cook for him when he is home on leave. I still get some long faces if they realize I am not cooking dinner some nights. The two seventeen year olds and my hubby know the drill now. They had to be re-trained, though. I still cook on the weekends and enjoy cooking for my family but I just dont have the time like I used to. Plus I can't really eat in the evnings ever since I had my gallbladder out because I get so miserable bloated (I know that is odd, you would think I would have lost weight but NOPE - I just eat my heavy meal in the mornings and taper off onto lighter foods during the day. Once in awhile I can watch them eat or go out to dinner and watch everyone else eat and that became easier over time after I forced myself to do it. Sometimes I have to mentally prepare myself and say "Ok, you can't eat this because you will regret it later." However, the difference is that you really are hungry and hardly able to get much down so I just cant imagine feeling nauseated and hungry but not hungry at the same time and cooking for someone else. It is funny how we figure out how so much love and socialization goes into food until we are caught at a point when we can't do it anymore.

      I hope you feel better soon and I bet you will get to the point that you can still cook for your love, give yourself some time.

      I see we are both short girls. :)

    3. readytorunagain

      readytorunagain

      Before surgery earlier this week Monday 8/28, I made a roast with potatoes amd veggies in the crockpot so that the family would have leftovers for at least two days while I was in the hospital. Then I make chicken breast with cream of chicken soup in the crock pot. I strained the soup and put some away for myself. I left it up to them to decide what veggies they wanted. That lasted the rest of the week. They family is on their own today. Tomorrow i will make something that will last another few days, again probably in the crockpot like lasagna. It's going to be like this until I feel strong enough to cook without picking. Or when I am able to introduce solids.

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  24. Yesterday was 3 months post-op. I have lost 35 lbs since my surgery and 82 lbs since August of last year. I am so happy that I decided to do this for myself. I am healthier than I have been in years and I feel amazing.

    I was eating a low carb diet since December of last year and recently decided to transition to a whole foods plant based diet after reading the book Proteinaholic and  doing my own research. I have an incredible support system for this change as my circle of friends from church are all vegans/vegetarians. At this point my daily carb consumption has gone from 30g to about 55-70g and my protein has dropped from 80-85 down to 50-55. My blood sugar control has remained perfect despite the increase in complex carbs. I continue to avoid sugar, white flour, bread, white rice, and pasta. 

    My weight loss has actually picked up this past week, but this may just be a coincidence. I feel really good. The only slight negative I can note is am a little more drained after a run and have been unable to run my long distance of 3 miles yet. I have been sticking to 2-2.5 miles for now. I think my body is still adjusting to the change. 

    I am going to post my photo because a couple of people have requested before and after pics.  It is hard looking back, but it does help show us just how far we have come and what a difference a year can make.

     

    IMG_0109.JPG

    1. Michelle'sgarden

      Michelle'sgarden

      You look great! Congrats!

    2. Berry78

      Berry78

      Awesome!

    3. lynmar

      lynmar

      You look great! :1311_thumbsup_tone2:

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  25. Here's a nice article, science based, about where I get my proteins from, having a Whole Foods plant based diet.

    https://nutritionfacts.org/topics/protein/

    1. Newme17

      Newme17

      It's my understanding that we get too much protein (in the western diet). I am eating my complex carbs and still building my muscle. I just flexed to feel it. LOL My husband has also let go of all the animal protein and he's body building and noticeably getting larger. So, the whole notion about having to have so much protein to keep muscle isn't true in my opinion. I do weights three times a week and eat my plant based diet and I'm still building.

      There will always be blogs/articles out there to support whatever diet someone chooses. It's our duty to pick it apart and ask questions. Most all of them will be cherry picked for obvious reasons. The book I'm reading, the bariatric doctor emphasizes on really learning to distinguish what's in a report, and too many of them are written by journalists, not real scientists (they don't have time to blog); thus we all believe them to be true. I was given a website by a fellow BP member to look at. This website is fact/science based. It's not an opinion. There are many videos that explain in depth how the body works...how it breaks down animal proteins, plant proteins, etc. There are so many topics discussed on this website that we could all learn from. nutritionfacts.org Sure, the author/doctor of the website (he has a book too-HOW NOT TO DIE) advocates a whole foods plant based diet, but he doesn't just state it, he shows the science behind it all; all the health benefits from it, just like bariatric Dr Garth Davis in his book Proteinaholic. It's fascinating stuff.

      All scientific sources are cited as well.

      https://nutritionfacts.org/video/plant-based-bodybuilding/

    2. Meryline

      Meryline

      Just one last comment before we agree to disagree.

      You just had wls, you are not getting enough food to build at this point. At best, you are preserving muscles, which is great. https://www.muscleforlife.com/build-muscle-lose-fat/

      This was just the first link, I can site a ton more. This one is interesting though.

      Back in 2011-2012 I lost 67 lbs in a year, I also gained about 15 lbs of muscles. I worked out 6 days a week, but up to 12 times. I eat low carb. I lifted weights 4-5 times, and we are talking like 225 deadlifts, 160 lbs squats etc, with a trainer. I also ran (training for a half marathon), biked and swam, (training for a triathlon).

      From what I understand (I could be mistaken), these changes you have made are fairly recent, meaning, there is not enough time to see if you have gained muscles (and as mentioned above, highly doubtful). You are loosing fat, meaning your muscles are becoming more prominent, it doesn't mean that you have built.

      Last, a great link in general, nothing to do with this is better than that.

      http://www.bodyrecomposition.com/

      He has 14 articles just discussing protein, all based on research. And he talks about all different kinds. I haven't read them all, and I can't say which he favors, but it is so interesting. He is siting a lot of research under each article. I though you might enjoy it.

    3. Newme17

      Newme17

      Agree to disagree! 😊 In my benefit I lifted for the last two years. I haven't lost my muscle, but still retaining despite my diet. 💪🏽

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