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I agree about the protein bars. I've never heard of these. I don't consume any protein bars, so I'm unfamiliar with them. There's a "10:1 ratio rule" and it is a guide to use to determine if the calorie to protein ratio is bariatric friendly. For every 1 gram of protein, you should have no more than 10 calories. So in the almond butter Perfect Bar there's 320 calories, but only 13 grams of protein. For a food that has 13 grams of protein per serving, to be bariatric friendly it should have no more than 130 calories per serving. Sent from my SM-G991U1 using BariatricPal mobile app
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Psychiatric Evaluation done... Finally.
liveaboard15 replied to liveaboard15's topic in PRE-Operation Weight Loss Surgery Q&A
Yea for some reason my location is very picky. I talked to other bariatric centers and they dont even require any kind of psyc exam. -
yes - that does become a challenge for most of us as we get several months out (or sometimes a year or more) and "diet fatigue" sets in. It's a constant battle. I just have to keep reminding myself of where I came from, and how much I DON'T want to ever go back there... as someone suggested, working with a therapist who works with bariatric patients (or even eating disorders in general) might be helpful - I haven't done that myself, but I know several others from various forums who swear by it. P.S. no - your stomach almost certainly hasn't stretched back out also, sometimes I'll do things like eat a big bowl of bran cereal - or eat a bunch of raw carrots (which irritate my stomach if I eat too many of them) to stop a snacking attack...(when nothing else - like talking myself down - works!). Or just get the hell out of the house...
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Sleeve or Bypass? Apprehensive...
Splenda replied to MissNicole's topic in PRE-Operation Weight Loss Surgery Q&A
I was in a similar boat where my surgeon told me that either RNY or VSG would be fine and left it up to me. I considered the pros/cons and worried about the effects of RNY. I ultimately went with RNY because I wanted the surgery that gave me the best chance to lose the most weight. If you know you will be self-accountable for your Vitamins, you have already drastically reduced the chances of long-term bad effects. Obviously, there are no guarantees that everything will turn out OK (and that weighed on my mind when I was on the gurney, waiting for my surgery to start). But long-term complications are relatively rare in people who are committed to taking their Vitamins, hitting their Protein goals, etc. And taking the Vitamins isn't difficult -- get a good bariatric multivitamin and find a workable routine for taking it (I keep mine at my desk at work and take it when I get to work). I am very happy with my surgery. I am 41 and am in the best health/shape/weight I have been since college (it has been at least 20 years since my weight was so low). I was also a sweet tooth and addicted to food. But I have to say that not being addicted and not being constantly tempted by sweets is such a liberating feeling. The surgery definitely changes the hormones in your stomach in ways that change how you feel about food. I am 6.5 months out and here is my response to most foods: meh. It's there. It has nutrients. It will taste fine. As someone said in another thread, I no longer feel like my body is fighting against my efforts to lose weight. -
Self pay questions
liveaboard15 replied to RaisnHL's topic in POST-Operation Weight Loss Surgery Q&A
LOL Yea cheapest was $15,500, One reason i chose this hospital is because they do offer a type of insurance that covers any complication that may come up during surgery because my insurance will not cover anything involving bariatric surgery or complication. But yea USA hospitals are very expensive compared to the rest of the world and yes most doctors do drive exotic cars. One doctor near where i live use to drive a McLaren. tho a few years ago that doctor was having his car transported by a semi truck and it got stuck on railroad tracks and got hit lol. -
Went to the support group, now cold feet?
Splenda replied to mrsjo's topic in PRE-Operation Weight Loss Surgery Q&A
I think this article gives a very fair view of what life is like with bariatric surgery and a good layman's explanation of how it changes you, beyond just shedding pounds. Read it if you have cold feet. https://www.nytimes.com/2016/12/27/health/bariatric-surgery.html -
Went to the support group, now cold feet?
Guest replied to mrsjo's topic in PRE-Operation Weight Loss Surgery Q&A
You're very welcome. Honestly, bariatric surgery - even just being a person who needs that - was such a big thing pre-op, and it's such a minor thing in my life 15 months out. Do some digging into obesity studies. You won't doubt it afterwards. Check out (citing from memory, but it's a start for your googling): Harvard Health Biggest Loser study (shockingly, people's metabolism slows and is still much slower even after regaining all the lost weight) Studies on rat populations that have their calorie pool reduced (lowest social hierarchy rats do not starve as predicted, they get fatter!) Studies on how childhood stress and trauma alter your body's idea of a weight set point (trauma or stress = your body stops wanting to maintain a healthy weight, but wants to add weight constantly) Overfeeding studies (it turns out feeding people 1000 calories per day in a 100% controlled environment does not, at all, mean a similar weight increase - so calories in, calories out is dead as an absolute concept. Obesity is a chronic disease. It's one we have tools to manage. But we need to get rid of the idea that bariatric surgery is capitulation, an easy way out, or for losers. You two's feeling of We Can Do This! is spot on - but why do it without using the tools we know work? Best of luck. -
Went to the support group, now cold feet?
Guest replied to mrsjo's topic in PRE-Operation Weight Loss Surgery Q&A
This. People think about bariatric surgery in a way that's nowhere near close to reality. Surgery won't change your dieting behavior. Sure, it will in the short term, but if I wanted to gain weight at 15 months out, I probably could. Surgery will change your body's response to the diet behavior. It will stop fighting you. You'll need both the mindset of 'we can do this!' and surgery to make it happen. I hate to push surgery like this, but there's no real data to support any other way of thinking about this: Find out why you're obese. If disordered eating, fix that first. Make a plan. (This is the We Can Do This! phase) Choose a surgery carefully. Look at the data, lifestyle requirements, cost, recovery etc. Make plan for how you'll get the surgery and for how you'll recover. Start path and new lifestyle. Note: it's not about what you weigh now. Most bodies will want to get to their highest weight without surgery. We all know the high from having lost 20 lbs on our own. And we all know the "wtf happened?!!" when you gained it all back. The body is really that powerful. It will make you eat, eventually. That's why surgery works. It's not a behavior modification. It's a hormonal intervention to give you a second chance to be a healthy weight (whatever that may be for you). -
Went to the support group, now cold feet?
Splenda replied to mrsjo's topic in PRE-Operation Weight Loss Surgery Q&A
I can only speak from my experience. I had several of those "I can do this without surgery" moments throughout my life. I first started down the path of surgery in 2013/14. I was doing the Tim Ferriss Slow Carb Diet (6 days/wk, eat only beans/meats/veggies, 7th day is cheat day) and having great success. I explained what I was doing to the bariatric surgery coordinator and her response (paraphrased) was, "That's nice, but you won't be able to do that post-surgery." I didn't want to hear that, figuring that I had already lost 40+ pounds this way and cancelled my appointments. I ended up losing roughly 150 pounds on that diet, but gained it all back. Why? It reinforced binge eating habits and didn't set me up for future success. Like a lot of overweight people, I thought my next lifestyle change (clean eating! intermittent fasting! keto!) would be the one that allowed me to lose the weight and keep it off. I finally realized that I was only fooling myself. It takes an incredible amount of discipline to lose weight and keep it off without surgery. You have to commit to eating a certain way for the rest of your life; I have yet to meet someone who did a diet for 6 months, lost the weight, went off the diet and kept the weight off. I reached a mental state where I had two choices: 1) continue living my life as I had been or 2) making a truly radical change, the change most likely to keep the weight off. I chose Option 2, because I owed it to myself, my wife and my kids to be the healthiest person I could be. I do not regret my choice. But while I do not regret my choice, I don't go around telling other people to do it. I don't think I would have succeeded in 2013 the way I have today with the surgery. In 2013, I would have seen it as "I do a surgery, I eat less, I lose weight, winner, winner, smaller chicken dinner." That is a set up for long-term failure. Now, I see it as "I have been given a great chance to live a healthy life and I need to take advantage of it." Until you reach that mental state, you are not ready to succeed with this surgery. -
Any UK surgeon or hospital suggestions or recommendations please?
summerseeker replied to bombshellocks's topic in Weight Loss Surgeons & Hospitals
Hello and welcome to the forum. I think most UK companies are reputable. They get their practices checked regularly. I chose Spire, They are offering Bariatric packages at a price I could afford. If you have complications and need more days in hospital or more x-rays or a CT scan, You are not going to get a bigger bill than you expected. I had to stay 6 days instead of 1. 5 days for nausea and vomiting and 1 day for the storm that outed the power in our county. The doc wouldn't let me go home to a cold house. If he or she has a Mr or Mrs instead of doctor in front of their name then they know their stuff, they are consultants. Good luck. P.s there is a Uk forum in the drop down boxes- 1 reply
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February 2022 Surgery Buddies
SoCalEm replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Hi! My program stresses lean proteins at the stage I'm in (pureed), so I'm eating canned chicken breast, tuna, and sometimes egg salad. They cautioned me on sodium, which is usually very high in canned and condensed soups. I think the concern is sodium can dehydrate you. Sounds funny, but I searched on Pinterest for simple recipes I could make at home and customize to my liking. Many of the pins link to bariatric patient geared sites with people years into their journey, so there's lots of insight and tips. -
Lunch idea after gastric bypass
SummerTimeGirl replied to Jennifer ortiz's topic in General Weight Loss Surgery Discussions
A combo or anything below......... Tuna with some crackers and cheese, hard boiled eggs, rolled lunchmeat, chicken salad, egg salad, slices of spicy salami or pepperoni and some cheese slices/cubes, left overs, grape tomatoes, cucumber slices, cottage cheese, low fat yogurt tubes, nuts, sandwich roll ups on low carb tortillas, shrimp, etc. I also suggest visiting Bariatric Queen's website. https://bariatricqueen.com/tag/bariatric-meal-prep/ She lists her meal plans at all stages and has lots of great ideas for breakfasts, lunches, dinners, etc. -
Fruit smoothie made with water
Tomo replied to Holodisplay's topic in General Weight Loss Surgery Discussions
According to my bariatric team, any drink will count towards you 64 oz of water. If one logs, you have to count the calories/carb/protein/fat of the fruit & other things you add. -
these are the guidelines of the American Society for Metabolic and Bariatric Surgery. They give the requirements for all the common surgeries (including RNY and VSG) - might have to scroll down a ways to see it. As long as your vitamins "fit" these requirements, you should be fine ASMBS-Nutritional-Guidelines-2016-Update.pdf
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I was told that even for people it is hard to break down and absorb the nutrients in gummy vitamins and even harder for bariatric patients. I don't prefer to take 10 pills a day, so I would use the bariatric ones for that reason alone. Plus if you have to double or triple the dosage, is it really any cheaper? Frankly, who knows what is accurate or not. Every bariatric team has different opinions and requirements. If you trust your team enough to guide you and preform surgery on you than trust your team enough to take the supplements that they recommend. At the end of the day, they blood work will tell you if whatever you choose to take is working or not anyway.
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Hi guys, this is my first time on this forum. I found out about this site from reading it in a Bariatric Surgery information book. I’m considering gastric bypass because of my GERD. I’m in process to getting all my clearances. I should be finished by April. Hoping to have the surgery by the Summer. Has anyone who’s had GERD been healed after the surgery? Any other advice about this procedure. Thanks 😊
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Hi haloheather. This is definitely a question for your bariatric team! You need to contact them soon before you get too dehydrated!
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Hi Everyone, surgery coming up 3/7/22. I’m excited but a little scared. Will be starting 2nd week PreOp Diet of all liquids. Any advice? Please keep me in your prayers and best wishes to everyone, wherever you are on your Bariatric Journey!!! :) God Bless!
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Emotions on high post op?
fourmonthspreop replied to phoenixillume's topic in Gastric Sleeve Surgery Forums
I def understand. I don't know what resources you have available but mental health counseling is sooo helpful. I started my bariatric surgery journey because I finally got help with my mental health. I received a diagnosis and medication which greatly allowed me to utilize counseling to my advantage. I have been seeing a psychologist for about 8 months now and we work on putting distance between my coping mechanisms and food. It allowed me to really prepare myself for this part where we feel naked with our emotions, unable to hide it under eating. I think take it day by day too. That's important but if you ever are able to, having a counselor or psychologist to help walk you through the journey is good. If you don't have access to that, I also like following binge eating therapists on Instagram. They offer sound advice about emotions and eating. Check out the_binge_eating_therapist on insta. There's also an amazing free app called Brighter Bite. You can use it to log your feelings, actions, urges and it gives you really amazing advice and coping exercises in the moment... kind of like a little eating disorder journal with helpful exercises. Sent from my SM-G975U using BariatricPal mobile app -
February 2022 Surgery Buddies
phoenixillume replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Hello everyone! My surgery was on February 15, 2022. I had a VSG done. Please feel free to follow me on instagram, I don't have much on there but I'm open to making new bariatric friends. We can help keep each other accountable and also we need to talk to people who are going through similar situations! @PhoenixinJanuary on Instagram! -
February 2022 Surgery Buddies
Honey10604 replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
I understand your struggle I am 3 weeks post op I tried to take Bariatric Fushion chewables they were the worst things ever. I also decided at that point just to stick to pills so I ordered Bariatric Fushion multivitamin 1 a day. I will just have to add a calcium chew along with it. It has been hard for me to drink protein shakes I believe it is a mental thing. I tried last week and it came right back up. I will try again in a couple of days. I didn’t like premier either you should try fairlife they are not thick like protein shakes and don’t have that nasty after taste. -
February 2022 Surgery Buddies
ayomidebosede replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Heyy my surgery was 2/22 in Maryland. I’m 4 days post op and I can only get certain things down. Im trying to find a protein shake that works for me now, becaus i can’t do premier anymore. Also vitamins I’ve bought the procare health chewable and omg they were disgusting so now i purchased the Bariatric advantage chewy and hopefully they taste better if not I’m just gonna opt to taking the pills instead of the chews. Any recommendations for vitamins or protein drinks? #struggling -
Apologies if I am posting in the wrong place! I used to have a BMI of around 60 (330 lbs) - I kept being told to get bariatric surgery but managed to lose weight without it, going down to a BMI of around 22 (115 lbs). I've maintained that weight loss for a long time, but over the past year my BMI has shot back up to 33 (180 lbs) but my waist size is disproportionate from everything I have read and is currently around 51 inches. I know most surgery says a BMI of 35 is the lower limit, but would my increased waist size and history of being severely obese count in my favour and mean I could go for surgery earlier? I have had to have my gallbladder removed and have a medical condition that flares up when I am significantly overweight too. It probably sounds stupid as I know I'm obese but my waist is so big in comparison to the rest of my body it feels constantly uncomfortable and I'm feeling absolutely desperate to sort it out and I'm just not managing with dieting like I did last time, plus I'm concerned that I'll keep gaining weight without help. I know it is probably something I just need to discuss with surgeons but I thought it would be worth getting other opinions or experiences if possible. Thanks in advance!
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I had back pain a few weeks after surgery. This is common as you lose weight because you carry yourself differently. Do NOT take anti-inflammatories (ibuprofen, aleve, aspirin) without talking to your surgeon as they are not recommended after bariatric surgery. Talk to your doctor about what medications are safe for you and what you can do in terms of heat or stretching that might help.
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Is this hunger real or imagined?
lizonaplane replied to idk4w's topic in POST-Operation Weight Loss Surgery Q&A
Exactly this: I was so hungry after surgery and everyone was saying it was just head hunger, but I knew it was TRUE hunger because I would have eaten anything. I couldn't figure out if I was going crazy or if my surgery was wrong, but then I talked to the therapist at my bariatric center and she said about 20% of her patients don't lose their hunger after surgery. I eat three meals and 2 snacks a day and I'm 5 months out. The surgery center is very happy with my progress. Don't worry about stretching your stomach. Newer research suggests this is not really a thing, and it may not be possible. The stomach normally stretches and contracts all the time.
