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What do you wish you had done BEFORE your gastric bypass surgery to get ready?
NickelChip replied to DianeF's topic in Gastric Bypass Surgery Forums
100% this! I bought a lot of bariatric versions of things that I think helped me mentally before surgery, because feeling like I was preparing made me less anxious, but that I truly did not need. This includes portion plates and special containers, not to mention way too much protein powder and things like jello packets I've barely touched 5 months out. -
Considering Wegovy or Ozempic for weight loss post gastric
ShoppGirl replied to greekgoddess2468's topic in POST-Operation Weight Loss Surgery Q&A
There is a dr who covers these meds from just about every angle in his podcasts. His name is Dr Matthew Weiner and he is a bariatric surgeon who prescribes the meds to patients before to try to prevent surgery as well as after if they can’t reach their goal or experience regain. He wrote a book about nutrition called pound of cure and if I remember correctly that is the name of his website as well. I subscribed years ago so I get emails about the podcasts and they cover a few things on each epksode but there is almost always something about these meds lately. -
Considering Wegovy or Ozempic for weight loss post gastric
GreenTealael replied to greekgoddess2468's topic in POST-Operation Weight Loss Surgery Q&A
I am a huge fan of these new meds because: they work and it’s moving the research of obesity forward instead of continuing to moralizing it. For our population, it’s not clear whether or not this a life long commitment because there are no current trials for this. https://onlinelibrary.wiley.com/doi/full/10.1155/2022/6820377 (section 2.9. Potential Roles of GLP-1 RA on Prevention of Perioperative and Postoperative Complications of Bariatric Surgical Individual) https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30157-3/abstract GRAVITAS Trial from 2016-2018 -
Considering Wegovy or Ozempic for weight loss post gastric
GreenTealael replied to greekgoddess2468's topic in POST-Operation Weight Loss Surgery Q&A
If only it was this simple! The exciting thing about the new anti obesity medication is the renewed efforts into researching the causes and solutions to obesity. We now know that some of these complex processes are beyond our control. -
Considering Wegovy or Ozempic for weight loss post gastric
BlondePatriotInCDA replied to greekgoddess2468's topic in POST-Operation Weight Loss Surgery Q&A
True for most, but as I said I have two friends who didn't have bariatric surgery and have been able to maintain their GLP-1 weight loss. One for a year and a half and the other for 10 months both quit taking it. They said it can be tough but they maintain by eating right and getting their steps! So happy ending for them! There will always exceptions to the rules. -
Oh I’m so excited for you to have gotten your authorization. I asked my Dr yesterday about the Colace since I was there and he say I could go ahead and start it too. I don’t remember constipation being an issue last time but maybe it’s something in the protein shakes that can cause it when you have so many in the day? If you mean your bariatric vitamin I would definitely call. My book says to START them with the LSD. I’m obviously already on them because I had the sleeve but the book is for the general audience who hasn’t been on them for years. 😆 OMG the pincushion thing happens to me too. I wonder if our veins are harder to see because of our weight and that will get better. I have started to actually get a little anxious when I go because it’s always such an ordeal. They usually do a butterfly needle in my hand and then the girl always complains because it just dripping and sticks me again. This time I was like idk how long it takes veins to recover but I have surgery soon and they are gonna need a vein so please let it drip. It will fill up eventually. A friend of mine said they always have a hard time at drs offices and she has much better luck at stand-alone labs. Kinda makes sense since they do nothing but draw blood all day whereas a nurse only does it when a patient needs it. I assume you are allowed protein shakes. If so take your meds immediately as you finish one of those. I take my bariatric multi that way and it makes me nauseated without enough in my stomach but with a FULL shake I am fine. I tried to get in a hurry one time and took it when I had only finished half so I could get out the door and it came right back up but I have taken it forever with the full one and it’s fine. The protein in the shakes is actually quite satiating physically. It’s the head hunger that will get you and the jello does help with that. So do the sugar free popsicles if you are allowed those. It just feels good to sorta chew after a while. As long as you are conscious of the fact that you may be a little testy because of your diet you should be okay. You could tell your family ahead of time to tell you if they feel like you are not yourself if you think that would help. I am on day two and as long as I keep busy it’s really not THAT bad. Now ask me Again on day 16 and it may be a different story.
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Is my new stomach broken?!
BlondePatriotInCDA replied to ImaniO's topic in POST-Operation Weight Loss Surgery Q&A
Gurgling stomach is completely normal before and after bariatric surgery! It doesn't mean hunger it means its digesting! I too never feel "full" and have never had the honeymoon phase of not being hungry. Just be aware you're this way and be vigilant in your eating and portions. We're all different, just stick to the plan you were given and have faith it will work! -
Considering Wegovy or Ozempic for weight loss post gastric
BlondePatriotInCDA replied to greekgoddess2468's topic in POST-Operation Weight Loss Surgery Q&A
My bariatric team and GP both suggested it when I hit a three month stall and was becoming discouraged and angry. I was prescribed Ozempic and it broke my stall the first week! I've lost 10lbs in one month so my stall is over. I stuck to my "diet" plan the entire time so some might just say it was nothing more than my stall finally ending, who knows? I receive the compounded version with B12 and its $120.00 a month without using my insurance (I didn't want to go through the hassle of pre authorization). So, its a possible option for you. I've had no side effects as of yet, I'm starting on my second month with a higher dose so I can't speak on the head cadence beat of the drum to EAT yet, perhaps its diminished a bit and my hunger has quieted. Your best bet is talk to your doctor they'll know what's best for you and it can't hurt to ask. I hope this helps. Good luck! -
Update on progress Since June
Bypass2Freedom replied to Clark Griswold's topic in Gastric Sleeve Surgery Forums
Congratulations on your weight loss so far! I bet you are feeling amazing! I definitely empathise with the low energy - especially early on! I feel that mine is only just starting to get better 😂 I am going on holiday in September, but I am trying to put off buying clothes until the last possible moment! How is your eating now? I am free to eat "whatever" I want now, but find that I am struggling to manage anywhere between 6-11 mouthfuls. The bariatric nurse says I need to be having at least 20 mouthfuls per meal! Eeek. All that being said, definitely loving feeling healthier, more confident, and more happy! -
I also think that all the stages reiterate how serious this kind of surgery is too. It certainly isn’t for the faint hearted or those wanting the loss thinking this is the easy way. My first group session sounds very similar to yours. The nurses said right at the very beginning that jabs like Ozempic or Wegovy were not available and you could see that some were disappointed. My next group session is in August so it will be interesting to hear from others at that session. We were given a lot of reading matter to familiarise ourselves with the whole process and encouraged to contact the Bariatric department if we had any questions or concerns, which I found reassuring.
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Phase 3 Gastric Sleeve
ShoppGirl replied to Lulu60's topic in POST-Operation Weight Loss Surgery Q&A
Ooh. What about the protein shots they sell right here on bariatric pal. Maybe they would be better for you. -
July 2024 surgery buddies
Famof4 replied to Zazu_89's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone, new to Bariatric pal but excited to be here. I’m a few days out from my surgery on the 22nd and I’m starting to feel nervous. Hospitals have never bothered me in the past but for some unknown reason I’m fretting over having to stay this time. Hoping this anxious feeling passes quickly so I can enjoy the journey. -
Yeah, there's a definite bias of information (unintentionally, of course) when you frequent bariatric spaces. I've been on this board almost a year, and I really enjoy it, but at five months post-op, one thing I've noticed is the vast majority of people who were posting regularly a year ago, or even 3-6 months ago, are not here any more. That's a lot of diverse experience that goes away, and I would guess that the people who remain are a combination of those who are the most dedicated (possibly to the extreme), those who get the most out of social interactions, and those who experience the most complications in their journeys, along with people who return after several years to get back on track because of significant regain or needing revisions. The people who are hitting their goals easily, losing weight at an average pace, eating and exercising in a way that isn't particularly noteworthy, maintaining within a reasonable weight range, and generally living life without stressing about bariatric issues, quickly become underrepresented voices. So it's easy to start thinking that the average person struggles a lot at every stage, can barely eat or drink for months, exercises like they're training for the olympics, tracks every bite of food and never strays from their macros every day of their life, experiences all the most severe complications regularly, and will gain back all their weight plus some if they even dare to glance at a piece of bread or a dessert on someone else's plate let alone allow a bite to pass their lips. It's easy to become very obsessive about it (raises hand: yes, that's me). And in a situation like after surgery where a lot of things change at once, sometimes it feels like the more you can control and anticipate, the better. At least it does for me. But my advice would be, especially when you are feeling particularly anxious about something, to think about whether there are perspectives you aren't getting that might reduce your anxieties if you were able to hear from them. Like, if there were 20-30 people who used to post in your surgery month group and now you're down to 4 or 5, what might those other people say if you asked them about the thing that is worrying you? My guess is, if they're not posting anymore, it's usually not because they're suffering in silence.
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After 6 months I finally chose- basic questions
FifiLux replied to Chlo0oeeee98713's topic in Gastric Sleeve Surgery Forums
I have no guidance or experience to offer for the surgeon selection aspect as I went through the public insurance system where I live and once you go to the obesity clinic and they accept you (high BMI etc.) then the government takes care of the costs for pre-op testing, surgery, post-op tests and consultations. I did get a list of their surgeons to pick from, which I did and met her a few months out but then she didn't do the op for some reason and no-one ever had the decency to tell me, I only found out after the surgery! For the vitamins I was told to take the special bariatric ones just for the first year and then after that it was ok but if anything showed up in future blood tests to possibly start taking them again. I am only a year on from my surgery so I have decided (for now) to continue with the batch of bariatric vitamins I have at home and then just switch to basic over the counter ones going forward and not panic if I miss a day or three! -
Happy Friday everyone! 😁 Hope we are all doing well! It is bloody hot in the UK today so I am doing my best not to melt in my office 😩 My bariatric nurse has flat out told me I need to be eating more, and I am really struggling to get on top of this. She tells me to aim for 20 mouthfuls per meal 😥 I will keep pushing myself by eating more frequently, but I would love to introduce more fruit into my diet. Are there any fruits which I should stay away from to avoid dumping with the bypass? I know berries are like the gold standard, but I am a bit nervous about other fruits! So far I have only had some raspberries and kiwis 🤣
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I just got my labs and EKG today. I’m really hoping that’s okay because the lady put four of the little sticky things under one of my boobs. They have always put them on both sides so that was weird. The dr looked though and didn’t say it was bad or anything. I actually just had one like a month ago but they said they wanted the labs to be within a month of the surgery so I said let’s just do it again just in case. I don’t want anything to push my surgery date. Im trying to get back into the habit of taking my vitamins too. It’s really hard to remember them. I take the procare health multi and bariatric advantage calcium chews but i did try the bariatric pal ones and they aren’t bad. I just want to ask the NP about them before I make that switch. I bought the bariatric advantage chewable multi for the first month. That’s awesome to hear about the smoking. I quit a while ago and it’s definitely an accomplishment. I remember it being kinda freeing that it was one less thing I always had to keep track of and worry about. And now I don’t now how I ever was a smoker. I smell it and it takes my breath. It’s so weird. I meet with the NP tomorrow to verify but I think my liver shrink diet is supposed to be a week long. If so, that means next week I will do a low carb diet to prepare. That’s not required but I just don’t want to go from eating like I do now to the LSD. If I’m correct, I will be starting that process this Tuesday. I am trying to tie up all my loose ends by next week. I don’t want to have anything extra to do the week I am on the liver shrink diet. I figure I will take that time to get my house in order. Every surgery I ever had I sit here and look around at what I could be doing if I wasn’t physically restricted so I hope to get it all done this time.
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Do I have a revision
Spinoza replied to indianlight's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control. -
So I have been making sure that I hit 100g or more of protein every day. I typically am low carb (under 60g) low fat (under 20g). I like to be adventurous with my food and I enjoy finding new recipes that fit into my macros. However, this last month I have been trying to find recipes that are yummy and fulfill my sweet tooth without going for the ice cream, or candy. One that I discovered was a Greek Yogurt Cheesecake: 1 container of Greek yogurt (i have used Dannons light and fit , 1Tbls of SF FF Cheesecake pudding mix, 1TBL of reduced fat whip. its 115cal 12g of protein, .5g fat and 15g carbs. (you can use any variation of yogurts and pudding mixes). Carbs are higher that I would usually eat but if you have a hard workout day and have it to spare this is the best treat! Also I did not know that Splenda made a brown sugar?! So diced up apples with some spray butter and 1tbls of that brown sugar and bake to soften. You can add it to a little plain Greek yogurt or eat it as it with a dollop of low fat cool whip. I have been finding that I need to have stuff like this in my diet in order to not go off track. Not everyday, but days where all I want to do is eat chocolate or ice cream. I have been following this mom of 3 that lost 50lbs through exercise and diet, she has a ton of recipes. All her single serving recipes easily make 2-3 servings for us bariatric folk, but its healthy and realistic for those people who don't want to restrict forever. Anyone else have some yummy recipes?! Or does anyone think this might cause a slippery slope?
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After 6 months I finally chose- basic questions
GreenTealael replied to Chlo0oeeee98713's topic in Gastric Sleeve Surgery Forums
I have to say Im happy you choose the VSG over ESG. Every time I see someone post about ESG, it’s always about insufficient weightloss. But to your question, All things being equal, I would go with the surgeon with the best supporting staff because they will be with you long term. They will see you more and help you more often than the surgeon who you may see twice pre op and once post op if your surgery is uncomplicated. Normally after all the required testing is done, your case will be submitted to your insurance for approval. Once approved they will schedule you for surgery. In the meantime you can double and triple check your coverage to make sure your policy does not have a bariatric surgery exclusion, that the hospital and surgeon you choose are in network, what your copay will be, etc. Bariatric surgery so routine now that they can usually predict an insurance outcome unless you skip/don’t fulfill a key step. Good luck! -
I have an appointment with my PCP tomorrow to let her know that I want bariatric surgery & get a referral for my surgeon. Are there any certain things I should bring up to my Dr? I have no doubt she'll be on board with the surgery. Anything in particular I should say, or ask for? I've been told that I have sleep apnea by other Drs after having gall bladder surgery & colonoscopy, so I will ask for her to get a sleep study scheduled. I just assume I'll need one. I spoke to my insurance, United Healthcare Choice Plus, and was given their list of requirements for approval 😕 & I will provide her with that list. I don't want to forget or miss anything that I should discuss. I appreciate any tips/suggestions. Like everyone else, I just want this to go as quickly & smoothly as possible.
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What’s for dinner? The non cooks version.
JennyBeez replied to ShoppGirl's topic in Food and Nutrition
Ooh, that actually sounds pretty good! You just reminded me that I have a nice NSA barbecue sauce (from whatever Guy Fieri's brand is, lol) in my fridge. I used to love bbq chicken pizza, I wonder what kind of bariatric-monstrosity I could come up with. I know I have some protein wraps from FlatOut in my freezer that I haven't worked up to trying yet. -
Had my MSK appointment yesterday to discuss my poorly knees and go through my X-rays. Turns out my knees are, and I quote, ‘riddled with arthritis’ and I will need both replacing. It may sound odd but it’s kind of a relief that the pain I feel is justified if that makes sense? The areas of pain on my knees marry up with the worst areas on my X-rays. She did explain that weight loss wouldn’t get rid of the pain but would obviously help with regards to the replacements and quality of life afterwards. I really did appreciate her honesty because the last thing I would want is to think that getting the weight off would make the pains go, and then be disappointed or blaming myself when that didn’t happen. So, can’t have any replacement op until I can get weight off - that’s a given so I was prepared for that. She did say that I was ahead as I’m on the Bariatric pathway which is a huge help. I’m booked in for steroid injections in both knees in 2 weeks. I’ve had these before which weren’t successful but I’m happy to try again, just in case! A couple of weeks after that I will be contacted by physio to see if the injections worked and to have some physio if so. 3 months after that I will be back to see MSK and discuss next steps. It was a huge help that the MSK person was also recovering from a knee replacement op that she had in January. She also needs both replacing and should hopefully have the second before this year is out. She explained recovery and how long it takes etc. It sounds 😬 but needs must and all that. Hopefully, by the time I’m 60 (4 years to go) my weight will be gone, my knees will by done and I will be able to run around with my 2 grandchildren 😊
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I was given cream of chicken soup with bits in it at the hospital day 1 after surgery. I was still hopped up on anesthesia at the time and called a nurse in to question why. She took my spoon and looked at it, then said the bits weren't big enough to cause a problem???? I thought well...it is a bariatric hospital so I ate it. It did taste wonderful and thankfully nothing got stuck in my incisions but I still question it. In fact a relative of mine recently had WLS and on a phone consult within week 1 with same hospital nurses, was told to try a bit of bread for nausea??? I immediately remembered the soup they gave me and am now really questioning the nurses at that hospital and their knowledge of care for bariatric patients. I tried calling them to inquire about their iffy advice but never heard back. I need to call my bariatric team nutritionist to give them a heads up. As for OP question about salty cravings. Soup. Bouillons, strained cream soups and my fav... egg drop soup strained from a local Chinese restaurant. I even used a Vitamix to pulverize any bits that could cause problems later on. Good luck on your journey @Sami2209.
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What do you wish you had done BEFORE your gastric bypass surgery to get ready?
Bypass2Freedom replied to DianeF's topic in Gastric Bypass Surgery Forums
They are yummy! I also am scared of losing hair, but from what I gather there isn't much we can do about preventing it - but it'll only be temporary if it does happen I just take the gummies to make my hair in a better condition as it is now! Definitely! I think some vitamins like B12 & D, the absorption is actually quite poor in tablet form, so the sprays help with that! Oh bless her I know that can happen with some people! So I paid privately in the UK, and it is a 2 year package of aftercare that includes: 1 week post-op appointment with a bariatric nurse 4 week post-op appointment with a bariatric nurse 8 week post-op appointment with a bariatric nurse 12 week post-op appointment with a bariatric nurse nutritional screen blood test 10 days before 6 month appointment 6 month post-op appointment with a dietician 9 month post-op appointment with a bariatric nurse 12 month post-op appointment with a dietician and a follow-up with the psychotherapist 15 month post-op appointment with a bariatric nurse 18 month post-op appointment with a bariatric nurse 21 month post-op appointment with a bariatric nurse 24 month post-op appointment with a bariatric nurse -
What do you wish you had done BEFORE your gastric bypass surgery to get ready?
Bypass2Freedom replied to DianeF's topic in Gastric Bypass Surgery Forums
That is a lovely idea I use: Lactulose: 4-5 5ml spoonfuls per day Dulcoease: 1 5ml spoonful in the evening before bed I have only stopped using these in the last 5 days as my bowel movements are more regular, and to be honest, the dulcoease is very hard hitting, so I wouldn't use that unless you are really struggling with constipation. Just try and eat enough fibre, and drink enough water throughout the day Per day I take: x2 A-Z multivitamin gummies (even though the recommended is always 1, my dietician said bariatric patients should take 2) x1 spray of Vitamin D per day x4 sprays of Vitamin B12 x2 Hairburst gummies
