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Surgeon's advice after vomiting
Guest replied to lizonaplane's topic in Gastric Sleeve Surgery Forums
I don't think I've given anyone reason to believe I am not fully aware of what the 2-week pre-op phase is intended for. This can be achieved by any calorie deficit, does not require a liquid diet, and you need only to be in immediate caloric deficit for a short time for the liver to shrink. Like I said, great that it worked for you. I have absolutely no motivation not to lift you up. But ceteris paribus, fewer people will get life-saving bariatric surgery if put on a months-long diet to qualify. The surgery is designed to help that diet work. We don't require ACL patients to go to physio 3x week for six months to qualify for ACL replacement. -
Is Breakfast The Most Important Meal of the Day?
lizonaplane replied to GradyCat's topic in Post-op Diets and Questions
I have heard this on 2 different bariatric podcasts hosted by nutritionists, plus I believe they mentioned it when I had my last call with my surgery center -
Is Breakfast The Most Important Meal of the Day?
Splenda replied to GradyCat's topic in Post-op Diets and Questions
I would phrase it this way: as a bariatric patient, my first meal of the day is the most important. I want to get a great start on getting my protein in. I think my body does best when I start with protein and I don't want to be playing catch up on my protein throughout the day. That doesn't mean my first meal is solid food -- it almost never is. I usually start the day by putting a Premier Protein premade shake (30g protein) in the blender and adding two scoops of Chike protein coffee (20g protein). This way, I start the day with 50g protein and some caffeine. It has made it very easy for me to hit my protein goals, gives me some energy and doesn't take up too much room in my stomach. On days when I don't do that, I feel off all day. But if your first meal is at 6 am, 9 am, noon, whatever....different strokes for different folks. -
Over 2 mo po and stalled
Mo'Nique replied to DarkSoul's topic in POST-Operation Weight Loss Surgery Q&A
I had revion from VBG to RNY 12/3. SW 230. CW 205. Im having the exact same issues you are. The more I read I am noticing that many bariatric patients say stalls happen alot. Dont worry. Youve done very well for 9 weeks post opp. Be happy for yourself! -
I had a lot of regret for the first few months after surgery. I hated eating; it hurt and nothing tasted right. I'm not sure where in this process you are, but at almost 5 months out, I'm now more comfortable. Since the first month I've eaten out frequently - I travel for work and eat out able half my meals. You won't be able to finish a ginormous restaurant portion, but you can still enjoy the food (once you are able to eat "regular" foods). You can have your partner finish your food or take it to go and enjoy it the next day! I order full meals because appetizers sometimes aren't that healthy, but I don't have any shame in not finishing. I agree with everyone that you might try to connect with a bariatric therapist, but that can be hard to find. Can you figure out what, besides large portions, are missing from your life? Is it the comfort of being able to overeat? Is it being to turn to food when you have big emotions? There are solutions to these.
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I am really sorry to hear you so full of regret. It's very common after any life-changing event, and perhaps it's worse with bariatric surgery because we chose it and made happen (and some of us even paid for it). You're grieving for your old best friend - food. Probably unhealthy food at that. I certainly did and I think lots of us hit a point post-op where we think 'what have I done??' Everyone here is giving good advice - especially about seeking professional help from a therapist. I will just say be kind to yourself, give yourself time to recover properly, and then reassess your feelings. Once you start losing significant amounts of weight you may feel way better. I really hope you do. 🙂
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The drs office with Nutritionist and PA VS THERAPIST CONFLICTS
Guest replied to berryboo97's topic in PRE-Operation Weight Loss Surgery Q&A
LOL, yes. It's not a bug, but a feature ... in a way. The medical side of things look at your physical structure. The psychologist understands how obesity impacts you mentally, socially, and devises (if they're good) a way for you to accept yourself and work positively towards change. I've enjoyed both sides once I became my own (and honest) patient advocate. My therapist is right that our worth really isn't determined by our weights; that we should eat until we're not hungry regardless of weight, and that the biggest gift you'll give yourself is making peace with the negative self-image. The medical team is right there's a diet that works with surgery. That being said: it's becoming increasingly settled science that going hungry - as in hungry-hungry, not 'mmh I'd like some ice cream' - has profound hormonal, mental, physically negative effects. You should not go hungry. And that's where you as your own patient advocate comes in. ----- EDIT: I'm sorry, I'm an idiot. And so is your psych! I'll leave the above for general thought sharing, though. I thought the psych said eat and the medical team said don't eat. . Your medical team has it right here, and that's the same position your psych should take. I bet they're just telling you that because they don't want to give you advice that extends beyond their field of expertise (that being said, "hunger" as a state of being should be part of a bariatric psychologist's field of knowledge). -
I agree with everyone above who recommended seeing a bariatric therapist. And I think you need to remind yourself the reason you had this surgery to begin with. You have a desire to become a parent, and this is a tool that you chose to help you get to that goal. If you get on board with your surgeons program and follow it, and seek therapy, hopefully the PCOS will be reversed and you can have a child. Visualize your goals. You can do this!
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How long after RNY can you stop reflux meds?
toodlerue replied to mrsjo's topic in Gastric Bypass Surgery Forums
For me it’s forever 😑 I had a RNY to correct a failed (12 years old) surgery to fix my hiatal hernia. Before RNY my esophagus was L-shaped and half of Diaphragm was above where it. Lately I have also been having to take Pepcid to control the reflux. I need to find a new bariatric Doctor Who can monitor me. Because of the reason that I had the bypass my surgeon was not a bariatric doctor he actually told me to get all of my information about the surgery and what needs to be done after in my lifestyle changes from the Internet I also need to find a Gastrologist because pills are getting hot when I swallow them just like they did before the bypass. I think my esophagus needs to be stretched again. I’m very sad about all of this because I was told that by having the bypass it would fix all of my problems permanently. Losing 70 pounds was a big plus out of it! -
Items I have found and purchased that are made for bariatric patients
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From the album: Items for Bariatric People
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February 2022 Surgery Buddies
mmsackett replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Started my pre-op liquid diet today and it has been hard. I got lots of sample packs of different protein shakes and waters to try. My pre-op diet is 2 shakes and 1 can of broth based soup and 1-2 Sf jello, yogurt or cottage cheese. I have a water jug for bariatric peeps that holds 64 ounces. It has times on the side so you can keep up with getting it all in. It has little encouraging phrases along the way. Im having trouble finishing it all now. Im scared of how difficult it’s going to be post surgery. I guess practice makes perfect. I had my last pre surgery appt with nutritionist this morning. I am trying to keep myself busy to stop thinking about food. -
I am sorry you are feeling so regretful about your surgery. I wonder how much of your despair comes from your medical team not fully informing you of what to expect as you progress through the process coupled with dealing with your inability to turn to the food that used to offer you comfort & working through the issues you are dealing with in regards your health. @sleevemealone suggested, a therapist may be very helpful. Ask your medical team for a referral to one who specialises in eating disorders & bariatric patients. There are many people on this forum who have benefitted from the support of a therapist. As you progress, you will be able to eat more food (portion size will increase until by maintenance you are eating about recommended serving sizes) & a broader range of foods. Many still eat some of their old favourite foods - just not as often & in smaller portions. Having a sleeve does not limit your social life at all. I went to a 60th birthday party two weeks after surgery. Sure I didn’t eat or drink any of what was provided (I took my own drink) but I still had a great time being with friends. I go out to dinner often. I socialise with friends & family often & did from pretty early out. I just make better food choices than I used to before my surgery. I have weekends away with girlfriends & family. My sleeve doesn’t stop me living my life. It helps me live it better because I’m fitter, physically & emotionally healthier & happier. I wish you all the best.
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February 2022 Surgery Buddies
SoCalEm replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Hi @freckledmegan! I started chewable multi on day 1. I got the Bariatric Advantage brand and they are tolerable enough. I start the calcium chews 1 month after. The same brand and the variety flavored pack. Those are actually tasty. This was the surgeon’s suggestion following the VSG. -
Have you had bariatric surgery? If so when, and what type? Can you fill in the stats in your profile - that can help other people see what stage you are at. Good luck with your weight loss journey anyway - however far along you are. 🤩
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Hi ! So I been doing so much research on the ESG procedure. I much prefer it to VSG . I found that Mexico Bariatric center will start performing this in March . I was able to get a date and I read up on the doctor who will be doing the procedure. While I am nervous I do like the idea of no scars and quicker recovery, I’m more nervous about having it done at at this facility. Please share any experience you’ve had at Mexico Bariatric center . Thank you
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PNW Recommendations?
blackcatsandbaddecisions replied to blackcatsandbaddecisions's topic in Plastic & Reconstructive Surgery
Oh man, now that I am hearing others combined the surgeries that might be a deal breaker for me. I want to just take care of it all at once if I can, because getting time away from work/taking care of my parents will be hard enough for one surgery much less multiple. As it is I feel like getting time off for my bariatric surgery took about my entire 6 month waiting period to coordinate. It’s funny because in terms of where the loose skin is, my stomach is obviously objectively worse, but my arms are what bother me the most. I dream of wearing a sleeveless top someday, or waving at someone and having my arm not make a “thwack, thwack” noise. -
you won't be eating 4 oz meals for the rest of your life - that's only early out. I had bypass (not sleeve, but it's the same for sleeve patients) and although I eat much less than I used to, I can go out to dinner and eat enough that no one would ever expect that I had bariatric surgery. I'll usually order an appetizer - or I'll order an entree and eat half of it, and take the rest home with me. Honestly, that's about as much as many of my never-been-obese women friends eat. As I said, no one would ever guess at this point that I've had surgery.
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So I was diagnosed with PCOS and could not get pregnant. I became very symptomatic and desperate. I was told bariatric surgery could resolve infertility issues related to PCOS. After I had the sleeve I became very regretful. I know it seems ridiculous. I was so sick of dealing with PCOS. My periods were not coming and I was on a pill to create an artificial period so the lining of my uterus would not thicken (causes cancer) but the thought of only eating a 4 ounce meal for the rest of my life makes me regret the sleeve. I know how it sounds…I just wanted to know if there’s anyone out there that has stretched it. I’m still in the early stages…
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I went with the sleeve because, fundamentally it does the same thing as an RNY - amount of weight loss, regain resistance, etc., but "costs" less in terms of trade offs and potential problems. The sleeve is predisposed toward GERD problems (that simply means that more people in that population will suffer from that problem than in the genera; population. In contrast, the RNY is predisposed to marginal ulcers, dumping and reactive hypoglycemia.. It is also fussier in supplement need - you can get into more trouble if you are lazy about your supplements with an RNY, while a sleeve can be closer to that ideal of getting all of your nutrition from your food, if one is so inclined (and your natural body cooperates.) Even with all the supplements in line, there is still a greater risk of iron issues or osteoporosis with the RNY as its malabsorption is focused on minerals. And, the marginal ulcer risk makes it more limited with some medications (it is the origin of the "no NSAID" rule in bariatrics - the sleeve based procedures are more tolerant in that area. If I need something stronger than the VSG, then the DS is readily available, as it starts with a sleeve and adds a stronger malabsorbing component than the RNY offers, so there is better weight loss and most importantly, regain resistance provided there if needed. Finally, there is the "Plan B" factor of what if it doesn't work for me and I have/want to revise? The sleeve is readily revisable to either the RNY or the stronger DS, while the RNY is something of a dead end procedure which is very difficult to revise (it can be done, but there are few surgeons around who are qualified to do so.) Overall, that is why I would start with the VSG and move up later if needed (or if I was starting from a very high BMI or otherwise challenging metabolic situation, I would go straight to the DS and avoid the risk of having to revise the bypass if it wasn't strong enough.)
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My bariatric surgeon says she's completely in charge of my stomach now, so when I needed an endoscopy to check for GERD, instead of going to a gastroenterologist, my bariatric surgeon did it.
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I had my VSG on 4/8/2013. I lost @50 pounds and gained back about 20. I have several underlying medical issues which complicate my exercise but overall I am usually good with my food intake. Over the last year, I have developed what I think is acid reflux. It is so bad that I can't lie down and my healthy eating is now becoming more bland carb-focused because that's what I tolerate best. Even drinking a protein shake can be bothersome. I have NEVER experienced this before, not during any of my 3 pregnancies or at my heaviest weight. I am miserable! I have tried over-the-counter acid reducers and eat tums like candy. I finally talked to my PCP about this yesterday, she is sending me to a GI doctor. She mentioned she wasn't sure what my anatomy would be like now. That caused me to wonder if I should actually see a bariatric surgeon? I of course started to google and found that this can happen even so long out of surgery and that sometimes revision can fix it. Honestly, I don't hate this idea as id like to lose more weight but more so I just want to feel better. My BMI is 32.1 and I have the same insurance as I did 9 years ago. I'm clearly jumping ahead of myself but was wondering if anyone has experience with anything like this?
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Lapband to VSG now to RNY
liveaboard15 replied to southernbanded's topic in Gastric Bypass Surgery Forums
Yea my insurance specifically excludes bariatric surgery and any complications that it may arise including needing revision or whatever. It sucks. -
In 2012 I had lab-band surgery. My body hated the band from the start; nothing but problems. I lost about 82 pounds with the band but mainly only due to being unable to eat and vomiting. I developed acid reflux so bad that I slept sitting up for three years. I visited my doctor in 2017 and told him I could not deal with it anymore. He suggested converting to VSG. At the time, the surgery was not known for its acid reflux issues. I was converted in Dec 2017. Acid reflux left, and for one year, I felt normal. However, immediately after the conversion surgery, I never felt restriction. I felt I could eat normally. One year after the conversion, reflux returned. Now with a hernia, gastritis, and GERD. My bariatric doctor had passed away, so I went to a gastro doctor to have an EGD done. He sent me to a surgeon who suggested converting to RNY. I did not want to have a third surgery, so I put it off for another year as I thought the medications they prescribed would help. They didn't work. We just kept increasing the dosage. Fast-forward to this year, and I visited a new bariatric doctor who just completed another EGD on me this past Monday. All the same, issues are still there but now Barretts Esospogus. Insurance is denying the repairs as they were caused by bariatric surgery, which is ridiculous. I am a vocalist and truly worried about esophagus cancer as my lining has already been severely damaged. I will probably have to self-pay for the three-part surgery, and I am not happy about that. I am curious has anyone else had to have all three surgeries? If so, I would like to hear your stories and success. As I mentioned, I lost with the band. However, I gained most of the weight back after the band was removed and had to wait for the VSG conversion. I never really lost weight at all the sleeve. If you had all three surgeries, did you improve with acid reflux, gastritis, GERD, and were you losing any weight? Did any of you have Barretts Esophagus? I will know my fate next Friday, Feb. 11th
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Revision; VSG to RNY
southernbanded replied to EllieV's topic in Revision Weight Loss Surgery Forums (NEW!)
Like you, I suffered from the same issues. I have Barretts Esophagus, GERD, and a Hernia. I have lab band in 2012, was sleeved in 2017, and will be converted to RNY next month. Even though medically necessary, insurance is denied due to being complications from bariatric surgery, which is absurd; they will complete a peer-to-peer next week. If not approved, I will have to self-pay.
