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Collagen supplements after surgery...chews anyone?
Alex Brecher replied to Flab-U-Less Forever's topic in Protein, Vitamins, and Supplements
The BariatricPal Store carries a nice selection of Bariatric friendly Collagen at https://store.bariatricpal.com/collections/collagen -
what about seeing a bariatric nutritionist on a regular basis? To help keep you on track? Too many people revert back to their old habits, and that is just so heartbreaking, after all that hard work!!!!!! Video games as a distraction... sorry, that's just not healthy life habits. No way, that's just not an answer. We're not children, we're adults who need adult habits. Productive. Constructive. A bariatric nutritionist or a life coach or a therapist... that's worthwhile. I'm not trying to be harsh, but video games sounds like the road to self sabotage again.
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Welcome to our bariatric community. You'll find a lot of helpful information about what to expect before, during, and after surgery in the forums and threads. Feel free to browse around and read and you'll learn a lot to be better prepared for your surgery. Good luck on your WLS journey.
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Should I even try
DaisyAndSunshine replied to Jean123867's topic in Pregnancy with Weight Loss Surgery
I am surprised this wasn't brought up during any of your pre-Op appointments since most bariatric programs strictly recommend not getting pregnant at least until a year or two post-Op. My program recommends no pregnancy until 18 months out and they make sure patients are on double control protection if sexually active. -
Too Big for Sleeve?
catwoman7 replied to simplysmile's topic in PRE-Operation Weight Loss Surgery Q&A
I worked with the pre-op classes in my clinic for about three years (until COVID hit and they went online). Yes - tons of people have their surgeries in the 300s. It was unusual to see someone who appeared to be 400+ (I saw maybe a handful the whole time I did it - and I don't think they were *much* over 400..or didn't appear to be. Certainly no one approaching anywhere near the size of the folks on "My 600 lb Life"). I'm guessing my clinic had a cut off, but I'm not sure what it was. I was over a 60 BMI at my heaviest, so I think my surgeon had a slightly higher ceiling than yours. Whatever they're comfortable with, I guess. But yes - I imagine at some point they refer patients to someone like Dr. Now, who specializes in high risk bariatric surgery. -
I take naturelo bariatric and I've had zero issues tolerating them so far.
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Welcome to our bariatric community. Congratulations on having your VSG and good luck on your WLS journey.
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I had VSG in Tijuana, Mx. I did about 200 hours of research before my surgery and based on that research, finances, and other personal considerations, decided to go the Medical Tourism route and have been very happy with that decision. These hospitals ONLY do bariatric surgeries and are geared towards medical tourists. They run a VERY well oiled machine from intake to discharge. The process was so smooth, I was completely confident going alone. The surgeon I chose is highly accredited, has done thousands of WLS procedures, has relationships and mentorships with some of the most well known US bariatric surgeons for continuing ed, is board certified, etc. He is just as qualified, if not more so, than many of the bariatric surgeons in my area. The reality is, there are amazing surgeons in the US and just as many in Mexico and other places. Conversely, there are terrible surgeons here and everywhere else. There are pros and cons to each, and every person has different needs. Ultimately it boils down to doing your research, finding a surgeon you trust, and a program that fits your needs.
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I did not have that problem after my surgery, but I also wasn't on hormonal birth control at the time. There are other posts on here talking about this symptom. Breakthrough bleeding (a small amount of bleeding between periods) is one of the most common side effects of hormonal birth control. I did have that as a symptom when I was on hormonal birth control. In addition, bariatric surgery usually causes your hormone levels (including lady hormones) to fluctuate, often for quite a while after surgery. This is because hormones like estrogen are fat soluble and get stored in your fat, so as you lose weight, those stored hormones are released into your bloodstream. If it's a lot of bleeding - ask your doctor immediately. If it's just spotting, then it's unlikely to be a significant issue and you could probably wait until your next appointment to mention it to your doctor.
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I was in the same boat as you. I've decided to go with Blossom Bariatrics. My surgery is scheduled for 03/24. They do check and see if any portion of their costs can be billed to your insurance. I didn't ask, but I'm guessing the blood work, stress test, etc. My out of pocket cost is $9800. I'm using Care Credit for most of the procedure. I'm also bringing my mother for support. The hotel is included with your quote and I believe the hotel has all the bariatric patients on the same floor. Air fare is not included.
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If i were going to go the Mexico route. I would have gone with Dr Guillermo Alvarez at Endohospital Bariatrics. The places is amazing and all they do is sleeves. He is a USA educated doctor. His hospital looks amazing and very very upscale. he post videos on youtube weekly regarding sleeves and his instagram channel is also impressive with constant stories on what he does. I think at his place a sleeve is just under 10 grand. Here is his youtube channel https://www.youtube.com/c/Endobariatric . I am also self pay. Doing it in Florida and costing $18-19K. Insurance wont cover.
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with the lack of hunger thing - take FULL advantage of that ! Your hunger will eventually come back (mine came back at five months out), and things got A LOT harder after that. It's so much easier to stick to the plan and lose weight quickly when you're never hungry and don't give a flip about food! So I personally would not cave and start eating fast food. Just eat according to your plan. it sounds like you're craving the fast food for emotional reasons - so I agree with others - find yourself a therapist who deals with bariatric patients or other eating disorders. If your clinic doesn't have one on staff, ask for a referral. the depression thing is common for the first few weeks after surgery because your hormones go haywire. Just hang in there...they'll settle back down again...
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Blossom Bariatrics in Vegas has an all inclusive self pay program. They include your hotel, all pre-op testing, and surgery in their own surgery center. You can check out their website for more info. My surgery with them went very well. I didn’t lose much weight, but that was totally due to me. Others who had surgery at the same time did great and lost lots of weight.
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For me I was a little worried about breaking up with my favorite foods and I needed to test the waters to see if I was going to be able to tolerate them. I tried tiny bits of pizza, pasta, chocolate, etc., once it was medically safe, but early out. Some may say this is counter productive during the weight loss phase but for me I just needed to know that I would be able to have them again someday and I ate such small amounts that the calorie difference wasn’t really that bad. Anyways, I had been able to stay away from those things until 11 month out. But then I had a death in the family during which I turned to food again. I have been looking for a bariatric therapist in my area with no luck but if you have one in your area you may consider seeing them to uncover why you are craving McDonald’s right now. If it is like many of us and you have a form of disordered eating, unpacking that in therapy sooner than later will be your best bet to set yourself up to be successful.
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On the weight loss slowing, everyone here has already said that's totally normal. But since I'm a total nerd and tracked my weight loss, I can tell you exactly how mine slowed down. I've lost a total of 70 lbs over 23 months. Month 1: 3.5 lbs a week, reached -22 lbs Months 2-4: ~1.5-2 lbs a week, reached -41 lbs Months 5-12: 0.5-1 lbs a week, reached -63 lbs and passed my original goal weight at 11 months out Months 13-20: 0.2 lbs a week, currently at -70 lbs, 12 under my original goal Does this mean that you pretty much never dieted before you got surgery? Or are you comparing now to the first 6 months after surgery, where you didn't care about food much simply because you weren't hungry? After reading these boards for a few years, it seems that the people who have long term success do have to pay some attention to their diet to maintain their weight loss. But that takes a lot of different forms according to the specific issues and goals of different people. You won't necessarily have to pay as much attention to it in the long term as you do right now. Right now you're learning what works for you; later it will become habit. Especially if what you said above means that you never dieted much before - in this case you would be learning about what works for you for the first time. But for everyone, after bariatric surgery, you have to learn what your "new normal" is. Personally, my long term goal has been to maintain without having to calorie count. Before surgery, I was pre-diabetic and low carb was the only thing that ever helped me lose weight. After surgery, carbs are still an issue for me, though much, much less of an issue than before. Rather than limiting/counting carbs every day, I've found that having a 4-5 day period of low-carb every 3-4 weeks keeps my carb cravings in check. I still start my day with a protein powder latte and make sure that I have protein with every meal. Veggies help keep me full. If I feel hungry, I eat a snack, but I usually start with a piece of cheese or a few frozen meatballs (I love these things) before I have anything more junky. I eat sweets some days, but not all. I use things like sugar free ice cream or low sugar yogurt for a bit of a treat on other days.
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FYI, this is an outcomes calculator that many bariatric professionals use: https://mbsc.arbormetrix.com/Registry/public/calculator/uiCalculator/7?menuId=1013 When you fill it out, hit the button at the upper right of the page
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Nutritional shorthand needed
GradyCat replied to Mona Ometuruwa's topic in POST-Operation Weight Loss Surgery Q&A
I found this on the internet, does it help? General recommendations suggest to eat 40-65% of your calories from carbs. If you apply this to the bariatric population that consumes about 1000 calories a day then the carbs would be about 100 g carb/day at the low end. Many bariatric centers suggest sticking to 75-100 g carbs per day in the maintenance phase. -
Has anyone used the vitamin patches?
GradyCat replied to JessiPhoenix's topic in Protein, Vitamins, and Supplements
I haven't tried the patches, but one of my doctors, not my bariatric surgeon, but maybe my primary care doctor said she wasn't fond of them/they didn't work. I don't know. I take soft chews and they work just fine and I've had no absorption problems. -
First Post - Not feeling full yet
GradyCat replied to Leftonlisa's topic in POST-Operation Weight Loss Surgery Q&A
Hi there, congratulations on your successful surgery and welcome to our bariatric community. You'll find lots of answers to all types of situations you might encounter along your WLS journey here in the forums and threads, so feel free to browse around. I remember feeling "full" pretty fast, and actually I still do, thank God, 3 years later the sleeve is still working for me. -
Hello Everyone, I am new here and am pre-op. I have been working with my bariatric team for about a yr or so no give or take and looking forward to getting the hopeful green light for surgery. It has been a wild and crazy journey to say the least but I am so excited to be on it. My whole thing is trying to figure out what is the best to staying motivated working out. So, a little back story on this. I have had a few injuries over the yrs. I had and ACL injury in my 20s and a neck injury in my early teens. I have been able to go to the gym for a max time of an hr lately (which is about 1x a week or 2x a week). Sadly I feel like I have lost motivation because despite feeling goo while at the gym and so proud of myself I ended up getting the worst migraine and neck pain of my life since I had worked on my shoulders and back muscles that day. Needless to say this has made me a little unsure about going back due to the pain and a reward for the hydro beds at the end. But if I don't my team is worried I cant maintain it when surgery is over. I feel so stuck. I also feel stuck because PT therapy walking was ok as long as it was 30 minute min. a day but my psychologist wanted more like 150 minutes a week and weights then recanted. (ugh sorry I am rambling and all over. Please be patient with me it is 1:30 am here) I guess long story short here I am wondering: 1) What were you recommended from your teams? 2) What work outs work for you? 3) What keeps you motivated? 4) and if you have an injury, disability or pain what do you do to overcome fears at the gym with it? Thank you. Have a good one, Destiny
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March 2022 Surgery Buddies
Kelly Sweetheart replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
I'm 2 days after you. I'm doing the fast track "safe sleeve" with Blossom Bariatrics. I've been looking into it for quite some time. I'll be doing all the pre op testing when I get there. Literally, I fly in on Monday, meet them in person on Tuesday, testing Tuesday and Wednesday. Surgery on Thursday. Should be a whirlwind of emotion. Do you have to "shrink" your liver? That 2 week diet is going to be hard for me. I'll be here for moral support. -
Has anyone used the vitamin patches?
elp93 replied to JessiPhoenix's topic in Protein, Vitamins, and Supplements
The patches don’t work and the people with normal blood lab levels may just simply have normal lab values because sometimes it takes a while for your vitamin levels to decrease. Almost vitamin deficiencies occur slowly over years. I do liquid d3 +k2, biotin, b complex and silica, they are just drops you take under your tongue once a day. I also take bariatric vitamin CAPSULES and have had no adverse symptoms like nausea, plus they are affordable -
Interesting, it must be a UK thing then. Have you had your blood tests done then or are you still waiting? Mine are scheduled in for month 6 for the first lot. I actually went to school with the nurse at the GP surgery and she is going to look into it further with the Dr, my bariatric nurses and the pharmacist so will report back when they come back to me.
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I'm not sure how your program works, but the people I deal with regularly are the nutritionist and the PAs, more than the surgeon (I am now 6 months out). Unless something goes wrong, I'm not really going to see her anymore or often. If I need advice on stalls, plateaus, whatever, the nutrition team deals with it. Surgeons are surgeons - they are really great at doing surgery. And while they are a doctor, just because they have a medical degree doesn't mean they are an expert in everything, including the nitty gritty details of nutrition. As long as you are dealing with a credentialed nutritionist (more on this in a min) who is experienced in working with bariatric patients, I would probably listen to them. Now, I did learn from my own nutrition team that not everyone who claims to be a nutritionist is really qualified or licensed (it depends on your state) so just something to be mindful of. Also, I think we all need to bring some common sense to the table even after surgery. Meaning, we shouldn't leave our common sense at the door just because we are talking to a surgeon/doctor/nutritionist/whatever. If something sounds off, we should ask questions. And, if needed, I wouldn't hesitate to (nicely) say to the nutrition team, "hey, your advice isn't aligning with what Dr. X said. Can we talk through it because now I am concerned." It alerts them to a problem, and they may be able to help "translate" what the doctor may have been trying to say. My guess is that it wouldn't be the first time they hear it.
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Revision completed - VSG to RNY
shriner37 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Yesterday my surgeon did my hernia repair surgery to repair a substantial Hiatal Hernia and to do a revision from Sleeve to RNY. What I found out after surgery was there wasn't actually any hernia repair completed, just the revision. I was told by the surgeon's PA that conversion from sleeve to bypass pretty much permanently resolves most potential hiatal hernia issues. Recovery and first night seemed very similar to what I underwent with the sleeve in 2015. I do believe I am more sore at a couple of the incision sites than I was the first time. The most painful was where they had placed a couple of surgical drains which were removed this morning before discharge. Relaxing at home this first day isn't really relaxing, as almost any movement, and certainly getting in and out of chars, causes significant discomfort. I'm not one to usually take serious pain meds, but I did start using the Oxycodone that was prescribed to help reduce the pain. But other than incision pain the process was flawless. The surgery center specializes in bariatric surgeries so they have the routine down very well. There were only six patients in the center yesterday, and with three nurses working each had two patients. Great responsiveness.
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