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I am 8 Almost 9 months out and I can pretty well drink the same as I did pre surgery. It gets much better as time goes by. By 3 months I could down a drink within like 5 or 10 minutes. Also I don’t think it’s a problem that you add flavoring to your water. There are those who think that artificial sweeteners are bad but I believe most bariatric programs say that they are okay. I don’t drink anything but crystal light.

My health is in the toilet, and I desperately need help and advice. RNY summer 2019, goal met in 2020, happy, maintained/healthy/active for a long while. I'm 51F btw. But since roughly March of this year I've unintentionally lost at least 50lbs while eating exact same nutrients/calories/macros/etc as my maintenance diet. I even started adding calories to try to stop it, bc my face looked awful/old. My BMI is now underweight and I look awful and ill. Also in March, the pain started. I had NO pain or issues from surgery 2019 all the way until March this year. It started as occasional lower right side abdominal pain, like a burning, hot coal sensation. Maybe 1 x a week. As the months have gone by, it increased and increased until now it's a daily agony. I wake up okay, but as the day goes on it gets worse and worse, until I go to bed with an Ambien at 7pm to escape it. (Mornings okay, it worsens as the day goes on) For many months it was bad but not so bad as to affect my calories/nutrition/appetite/etc. It's only in the past month it's gotten unbearable. (I still eat and get all my required protein/calories, I just do it earlier in the day). Trying different elimination plans didn't help btw. Then, 2 mos ago my hemoglobin went down to 8.5 despite my taking daily iron and I required 2 iron infusions to bring it up. I never had anemia since surgery until then, out of nowhere, with the same diet plan, all my vitamins, iron, etc. So here's the deal: FULL GI workup, normal, normal, NORMAL (CT, colonoscopy, upper endoscopy, CT enterography). Finally the GI doctor was like "I have no answers for your problems. Some things are just par for the course with a post bariatric patient." Verbatim (message in patient portal). No more follow-up or more testing offered. I felt slapped, I was LIVID at that message, I feel totally dismissed. This kind of suffering and drastic symptoms should NOT be "par for the course" for a 2 1/2 year post-RNY patient right? I know 2 others personally that had RNY years ago and they've never experienced anything like this. I just can't imagine this being normal! Has anyone here gone through anything like this and gotten answers and help? Or does anyone just have any ideas at all? (FYI I did see my bariatric surgeon first, a couple of months ago, he said my issues were NOT normal - this is before the GI doc. My surgeon ordered a CT but insurance denied it, which is why I went to that GI doc instead). So now I'm sitting here, suffering, deteriorating, with no answers or help in sight. :( Please please if anyone has any ideas, I'd be so grateful for some guidance here!

Agree, chewable supplements taste and feel gross to me. I had a lot of nausea and vomiting post-op (uncommon), but even from the first week, I took a 1-a-day Bariatric Pal capsule. I ordered the ones with no iron at first, and took it with a separate slow release iron pill from a pharmacy. After a few months, I was able to tolerate the ones with iron.

Try a one-per-day capsule! I use BariatricPal Multivitamin ONE "1 per Day!" Bariatric Multivitamins from https://store.bariatricpal.com/collections/bariatricpal-multivitamin-one! BariatricPal has a special offer where it'll cost you only $99 for an entire year supply! Check it out at https://store.bariatricpal.com/99 With just ONE convenient & affordable BariatricPal Multivitamin ONE each day, you can get the bariatric vitamins and minerals you need to stay healthy! BariatricPal Multivitamin ONE was designed and developed by a team of the world's leading Bariatric medical professionals. Please take a calcium supplement separately to prevent interference with absorption of iron. You can view a large selection of bariatric-friendly Calcium supplements at https://store.bariatricpal.com/collections/calcium. You can also find many other brands of bariatric multivitamins at https://store.bariatricpal.com/collections/multivitamins.

I also found it disgusting and asked for a refund from Bariatric Advantage. They gave me a refund and I ordered the capsuled from them which I use now. They are also bad tasting but you swallow them quickly and it is fine. I just could not chew that disgusting pill.

I had the RNY bariatric surgery Sent from my octopus using BariatricPal mobile app

I did not, however I do break out in hives if I take amoxicillin. Hives are generally not a big deal but they do require finding out what the allergy is and treating it as you seem to be. Normally an antihistamine should do the trick as long as you remove the allergen. The hives could be food or medicine related and have nothing to do with the surgery itself. Like any allergy you may have to write down when the hives begin to show again and track what you are consuming. I also know most bariatric patients don’t realize that there is titanium staples left in your body for life. I believe there may be minimum nickel in the staples as well which can cause allergic reactions for some. Point being, even if you locate others who got hives after surgery, it doesn’t mean their hives are from the same source as yours. Hives are a common allergic reaction, unfortunately. Best of luck!

I am just over 3 months out and most days I am able to get all of my protein from whole foods. I always eat my protein first, then veggies if I have room. At this point, I'm still not eating any starchy veggies or simple carbs, simply because I don't have room for them after my protein & fibrous veggies. Occasionally, my restriction is higher which further limits how much I can eat, or if I'm out and about, I'll drink a shake or have a protein bar, but that's definitely not the norm anymore. As for bariatric foods, I do not and have never used them. When I decided to have surgery, I committed to eating regular, whole foods as much as possible and completely get rid of "diet" foods. I don't do keto/bariatric/low carb/low fat/whatever diet foods or substitutes. I didn't have surgery to eat crappy diet food for the rest of my life; I want to eat GOOD food. Stuff that tastes good and is good for my body. That is just a personal preference though, and lots of people use bariatric foods with great success and truly enjoy them. You have to find what works for you!

Thank you so much! My surgery was 11/26. I've lost 17 pounds. I have not gotten my daily walks in like I should. I need a new hip and back surgery. But using a glider 3 days a week.fkr about 15 minutes at a time. I walk in the house and making sure I'm up every 15 minutes for some reason. I'm an older woman that's 5'3 and now 219. Nov 3rd I was 247. I lost 10 pounds before surgery. You took so much time to explain it to me thank you. I'm at another stall. And the wonderful constipated! I take the bariatric fission and have had nothing but dark green stools since surgery.. Sent from my SM-A716U using BariatricPal mobile app

I'm post op almost 5 weeks. And I have had only dark greenish black stools. Is this from the vitimans? I take the bariatric fusion Sent from my SM-A716U using BariatricPal mobile app

I saw a study that said about 10% of gastric sleeve patients seek a revision, 5% of bypass patients have a revision & 26% of lap band. In 2019 around 256 000 people had bariatric surgery: 18% had bypass. 59% had sleeve & 1% had a lap band. (Included lap band just out of interest.) Some people develop GERD after sleeve surgery (I read it was about 10% so that seems to match the above revision stats) & consequently require a revision if medication or other management options don’t work. If you already have GERD sleeve is not for you. I had reflux before my sleeve which, like @Hop_Scotch, I mostly managed with dietary choices. Still have reflux but it manifests itself differently now. Some surgeons recommend bypass to patients who have more weight to lose or who they think need extra help to loose their weight as bypass is considered the ‘stronger’ surgery. Sleeve is a less invasive surgery (fewer changes to your digestive system). Generally though the average stats on how much weight is lost with either surgery is about the same at the 5 yr mark (about 65% of the weight to be lost). Malabsorption issues & dumping are a consideration with bypass. You’ll need to continue to take vitamins & may have to adjust medications you take. Malabsorption is rarely an issue with sleeve & dumping is not common. Sleevers often do not need to continue taking vitamins (individual health issues may mean they have to). Personally I haven’t taken vitamins since goal as I absorb all I need from what I eat. Some choose to have a revision because they have had regain or want to lose more weight. Regain can occur because of complacency, bounce back weight, medication, changes to your lifestyle, job, health, etc. or sometimes just life in general which can just throw crap at you. Have a long conversation with your surgeon as to which is the best surgical option for you from a medical perspective & which can best help you achieve your goals (health, weight, lifestyle). Then you know yourself best as to which surgery best suits how you want to live your life after surgery & whether you will need the stronger surgery to get you where you want to be in the long term. All the best.

I’m 2 years & almost 8 months post surgery & I haven’t had a protein shake (or used powders) since the first day of purées. I ate ‘regular’ food from that point on. It was always my intention to get all the nutrients I needed from ‘real’ food. It can be done. I make choices based upon nutritional content of any food I buy (which isn’t a lot as I try to prep most of what I eat from scratch). I look at the protein content, sugar, carbs, fats & artificial sweeteners & make choices based on that information. Find a good high protein yoghurt & yoghurt drink (watch the added sugars or sweeteners though) to help with your protein intake especially while losing. I still count my protein every day & it is the focus of every meal I eat including all my snacks (except fruit). At the beginning when you ate eating so little it can be a challenge to get your protein in so bariatric protein enriched foods like the soup can be helpful. Have a chat with your dietician to identify high protein food options or what you can do to add extra protein. For example I made my scrambled eggs pretty milky & same with the rolled oats I ate. All the best.

Yep! My surgeon wanted me to try plant based protein powder which I never tried so I ordered a couple different flavors of Vega protein. I also ordered sample packs of ghost protein powder (chips ahoy and fruity cereal milk flavored) mixed with 8oz almond milk…. Sooo good! I ordered Bariatric fusion chewable multi vitamins and calcium which seem to work best for me. I tested a couple pills like celebrate one and they made me nauseas. You will figure out what works best for you! I found it easier to test things out before bc it can be overwhelming after and I didn’t want to try to deal with that on top of all the physical changes. Any questions at all just ask 💜

Not once have a used a 'bariatric' food product. I was expected to get my protein and other basic nutritional needs from actual food from day 1. The first three weeks I did as well as I could, which was not enough. After that everything fell into place. My plan didn't call for x grams of whatever, rather it was 3 meals a day, each meal consisting of 3oz protein and 1oz veggies, eventually small fruit. Somewhere in the first year I wanted to compare my 3 meals a day plan to other folks plans and I was generally a bit over 60 grams of protein per day. Snacks were not on the menu but if I simply had to have snacks SF popsicles were acceptable. Who's kidding whom.. SF popsicles were fantastic! I got curious about how my plan measured up to other folk, since they were given instructions including x grams of this and y grams of that. After I converted my 3 meals to grams of this or that I learned that my plan was very close the what most other folks were consuming. With the bonus that I don't need to count grams of stuff. Counting grams of this or that feels like one of the zillion weight loss diets I encountered previously. I went into this with the idea I would never diet again. My surgeon agreed that he didn't want his patients viewing this as another weight loss program. Doc and I agree on this point, a match made in heaven. Good luck, Tek

So i called for my psyc evaluation appointment today here in Florida and was told next available appointment is at the end of March... 3 dang months. No way to skip it. I tried going with a online psyc bariatrics evaluation doctor and my hospital rejected it and said no because they dont do it their way. I didnt think i would have to do this since i am paying cash and not using insurance. Endo Hospital in Mexico doesnt require a Psyc Evalucation.

Samesies! Well not quite the same, I had SADI-S. My surgery was in November 2020 and I had no complications and a quick recovery. I've lost 130 pounds so far. Mexico Bariatric Center was very thorough and professional in my experience. I am happy with my treatment there and very happy with the results. I also believe I could have had the surgery covered by my insurance but with the deductible, co-pays, and lead-up treatment (counseling, nutrition, etc.) I would have probably ended up paying about the same amount. And as Vassarini said, it would have been a 12 to 18 month wait time to actually have surgery. With MBC, I scheduled it 7 weeks out (for convenience, probably could have made it quicker if I wanted to). I did bring a companion, even though he had to stay at the hotel, and I liked having him close by while in the hospital and with me for the two nights in the hotel. In retrospect I don't think I would have liked having him staying in the hospital room with me overnight but visits would have been nice in a non-covid environment. Also useful for carrying bags in the airport. Didn't need a wheelchair. Piece of advice: If you can afford it, get a first-class seat for the return flight. I don't really have a PCP (I know, I know. . . ) so I haven't run into any problems with follow-up care.

Hi friends. Question for those who are farther along the journey than I am. I was just sleeved 12/9 and am in the puréed food stage. I’ve ordered a few things like soups from Bariatric Pal due to convenience and elevated protein content and it got me wondering about long term food strategies. For those that are a year or more past surgery, are you able to meet your protein goals with food items from the grocery store, or are you still supplementing with protein shakes and/or specialty bariatric products?

That would be awesome to have a bariatric friend nearby. Yes, I was told to only weigh in on Fridays too, but I just want to see the scale budge. Patience is my enemy lol. I will try my best to stop checking daily. You can text me at 347-620-4969 if you like.. just mention who you are when texting. This is just an app number that I use since I would never put my real number on here. We got this!

Interesting dilemma. A few perspectives. Would you tell if you had planned knee surgery? Or would you make up a story about getting run over as the day came? In a lot of ways, and forgive me for being frank, I think your own approach to WLS has been influenced by the idea that suffering from obesity is a moral failure, not a medical issue that can, in fact, be managed. If you read any of the latest scientific studies on the subject - and avoid people who make money from you suffering perpetually from obesity like weight loss programs, fitness coaches on Instagram, diet products etc - you'll find that some of us simply never had a chance. Rat populations who get put on too few calories start seeing obesity in the rats lowest in the social order. Isn't that food for thought? Studies where you put subjects under complete caloric input/output control (literally measuring exhaust 24/7 to monitor expenditure) and feed them 1000 calories too much a day see vastly different weight gain rates. Huh? Didn't we just learn calories in - calories out? Often, and even worse, the societal idea of obesity = moral failure leads to eating disorders, which compound the problem. --> You need life-saving medical intervention. You're not 'taking the easy road'. Does this influence your thinking on who and when to tell? For me, it made it much easier to share. And my attitude towards it has been this story, more or less, for my close-to-kinda-close people: "Hey, nobody loses 100+ lbs by going to a dietitian. And I have a life to live, so I got my head in order first, did the work of getting rid of using food as a stress relief mechanism, and then I was ready to take the road with the best chances of success: minor bariatric surgery, a planned diet, and moderate but frequent exercise. It's been great, really great. I'm now finding my balance point, I think most people gain a bit, so I'm expecting that and frankly, I could stand to gain a few" Surprisingly, people love this story and it definitely adds social points. Even among people not known for their empathy. Notice how this story is peppered with all the things that don't involve surgery. I want their story to be much more than surgery. Do you share intimate medical details with everyone? Or do you feel that's nobody else's business? The other - or rather, third - side of this is that it's your body and only you are entitled to learn about it. Medical information (yes, also in 2021 and 2022, freaks) is private. You don't owe anyone any explanation on what goes on inside you. I have a few co-workers who know, and who have kept it to themselves, but I don't think it's "office news". It's my body and my life and despite the time I took off (six weeks!), it doesn't concern them. Period. Remember that. As much as you shouldn't be ashamed of having WLS, you shouldn't feel the opposite of shame is self-exposure. Reality time: you'll end up telling her. And it won't be a big deal. Here's a good outcome, and there's a million variations on this, but I think you'll want to tell someone you share an apartment with. At the end of the day, we need people on our journey. Some of them will let us down, but we'll need to keep reaching out and accept the fact that sometimes, we get burned. That's the price for social connections. I think you'll tell her some time before, and that you'll tell her in a confident manner that actually, you've decided to think about your health and in a new way. Instead of beating yourself over the head about your weight, you realized this only helps sell more WeightWatchers classes. And here you are, back at square 1. So you've started the road to WLS, you've done your homework, you know outcomes aren't guaranteed, but you want a shot at something that will give you a better life. And dear Emily, we're close, we live together, and I want you to be a confidant on this new chapter because I like you. I trust you'll know that this is my information to share or not share; it should obviously go without saying with any private medical decisions, but I'm just saying it to avoid any confusion. I'm really excited for this, and well, you're probably going to see kitchen scales, mini-meals in the fridge, and a lot more weird protein products in the cupboards. Feel free to try them! I don't think it'll be a big deal. I think how you approach it will set the tone for it. Make sure you take the stress OFF yourself in that close-in living situation by managing expectations subtly like "hey, most people lose 50-60-maybe 70% of their excess weight, I'm not doing this to get a BMI of 25, just so that's clear. If I wanted a guarantee for that, I'd have to go with much more drastic surgery types and for now, I'm going with the first line of procedure recommended for people in my situation to avoid unnecessary complications". This removes the pressure and hey, anything above 60% will be a shared celebration. I told my close people I wanted to get to 220, but that the surgery on average would get me to 230ish. So getting to 220 was a huge milestone and well, I'm at 197 now. People react how you set them up to react is what I'm saying. Alright, sorry this got long. I hope some of it is helpful.

Hello! This is my first time posting and I figured this would be the best place to ask for advice. I'm going to be getting a gastric sleeve surgery in mid 2022. I've been meeting with a nutritionist regularly, and in January will be month 6 of supervised weight loss. After that I'll meet all the requirements for insurance and can go ahead with scheduling the surgery. In July/August of this year, one of my coworkers (Emily, whom I had recently met in April), had asked if everything was okay after I came back from a doctor's appointment. I had been feeling a little overwhelmed at the time with all the information I was receiving, but I didn't want to tell her that I was considering WLS. I told her that I had a small hernia that needed to be repaired, it wasn't a big deal, but I was going to the doctor regularly to monitor it before I could get it fixed. I hated lying to her, but I was still on the fence about telling anyone about getting WLS apart from my mom and my sister. I thought that this would be a good cover as well, since we work together and I'll need to take some time off to recover, but I knew that I didn't want to tell our other coworkers the real reason for my operation. Here is the issue I'm currently facing. Since we met, Emily and I have become incredibly good friends. We moved in together in October, and the living situation has been perfect. We have a very healthy and communicative friendship, and get along perfectly as roommates and as coworkers. She is one of the best people I've ever met and will be a part of my life for as long as I live. And I've already lied to her about the surgery. I realize this might be more of a moral dilemma than anything; I want to tell her that I'm getting WLS. I know that she'll be supportive. But I also don't want to put her in an uncomfortable place with the rest of our coworkers where she knows something that they don't. I don't know if I should roll with the hernia story and tell her that I've decided to get WLS at the same time (since small hernias can be repaired at the time of bariatric surgery), which will still be true to the rest of our coworkers as far as she knows. Emily isn't my boss in any capacity; she's been there a bit longer than I have, but we're in the same position so there's no issue there. Or maybe I should come clean and tell her the truth and that there is no hernia, which will then hurt her because I've now carried out this lie for 5 months. I'm going to have to tell her something, especially since we live together and my eating habits will drastically be changing. I wish that I had never lied to her in the first place; she's very important to me and I want to be honest with her. But I also don't want to put her in an uncomfortable position with the rest of our coworkers either. And yes, I realize that I should have been honest at the beginning. I didn't know her as well then and was scared that she would judge me. But I love her and I want to be honest with her without hurting her. Any perspective or advice is appreciated, I really don't know what to do from here.

The protein supplements are good for now but I agree with minigastricbypassdude that you should see someone because clearly there is something going on that needs treatment. I would see a bariatric surgeon if possible. It would seem that if you are losing hair in the last few months that you have been getting more protein than you are getting now over the last 20 plus years?? Did something change? A good question for the doctor.

You need to see a doctor; one that has some kind of experience with bariatric surgery. It's impossible for anyone here to tell you what's wrong, but clearly something is wrong.

The end of 2021 is upon us! I can't believe how FAST this year went. Anyone here planning to 'get on track', 'refocus', 'reset' etc in 2022? I fell off the rails a bit in the last several months and looking to get myself back on track. I've been doing very traditional keto level eating for the last 5 years but I would really like to go back to a more traditional 'bariatric' style eating with lower fat etc. Would like to keep my carbs low but really focus on protein again and I honestly don't really remember what that would look like-having been so submerged in traditional keto for the last several years.... Anyone have any good resources for this? I never reached my ultimate goal (came within 20 lbs). Had a health scare and although it's under control I do have some weight that I would still like to move off.

New to the forum, here is readers digest of my story. I am a 47 year old Caucasian male. I am on my third career. One kid to graduate HS this year, one to graduate in 2 years. Married 21 years. And I'm pretty good at lying to myself. I always told myself I was really good at dealing with stress. Never recognized I was a stress eater the entire time. I spent 15 years in EMS right out of college, 3 as an EMT, 12 as a Paramedic in a high performing urban 911 system. Then I went into the labor union world for another 10 years, negotiating contracts and working in workplace disputes. Now I work in Medical Insurance as a teacher/trainer/adult education specialist, teaching others how to handle appeals and complaints. I have some unique abilities that helped lead to me being 364 lbs (6 foot tall) in December 2020. I remain fluent in the 7-11 diet. I can look at a hot dog on the roller and tell roughly how long it has been on it. I consumed up to 2 liters of soda per day for many years. My partners all used to smoke, but I watched my grandfather die of COPD from smoking as a kid and have never touched a tobacco product. So in essence, I replaced cheap ass convenience store food and soda for smoking during my EMS career. My metabolism changed around age 30 and I just couldn't keep the pounds off anymore. And, this is important... I DIDN'T CARE. I was pretty burned out, crispy as a medic. I got a job offer to move into the labor union world, negotiating contracts and representing other EMTs and Paramedics around the country. I moved my family (wife and 2 young kids) to another state to work for a startup labor union. I took it. And I stopped exercising as I tried to conquer a new career field. What they don't tell you about labor work is that it is also high stress work. I cut soda out during those years but drank a lot of sweet tea and despite what my doctor, family, and friends would say.... I DIDN'T CARE about my size. The union I worked for went through an old fashioned union labor coup. My life was threatened and people intentionally harmed me personally and professionally. At the same time, my wife was diagnosed with breast cancer. The union I worked for was absorbed by a big national union player. I signed on with the big national player because I needed the insurance for my wife. We weren't in a good place, survival mode. I spent the next few years traveling for the new labor union, in order to have the insurance to pay for my wife's cancer treatments. When my wife was well enough (she still is chronically ill, years later) to travel, I moved our family back to our home state of Oregon. The labor union I worked for (who had approved my move) promptly laid me off. So back into survival mode, I became a statistic. Middle aged man, laid off, starting a 3rd career. I was hired by a Medical Insurance Company that paid very little, but jobs were scarce and it was what I had. I took a second job at a local grocery store and worked 60-70 hours per week for a few years. There's no such thing as dietary control when you are working that much and are that tired, and frankly....I DIDN'T CARE about my size. Over a few years, my financial situation has improved and while we are not well off, I no longer work 2 jobs. My PCP asked me 3 years in a row to look into bariatric surgery. I finally looked into it, and this is important... I CHOSE TO TAKE THIS PATH. The choice is important. The surgery is just a step to get there. It was time for me to grow up. I'm 47 years old, Life is damn hard and I need to start taking care of myself... I already have several other medical conditions associated with middle age. I frankly still don't care what I look like physically, but I can see the road ahead and don't want to go down that path (obesity gets worse, diabetes, HTN, Stroke, High Cholesterol, Heart Disease). I did this to myself by not being disciplined. So to make this lifestyle change, I need to be as disciplined as possible. I was ready. I CHOSE. IT IS TIME TO GROW UP. December 2020 - 6' tall - 364lbs RNY Surgery December 2021 - 316lbs I am 4 days post surgery writing this today. And I worked my ass off to change my relationship to food. That's my story... For what it is worth. I finally decided to grow up.

Do you know why you gave up on your eating plan? Is there something happening in your life causing you undue stress. Are you grieving a loss? Do you think you might be depressed? Are you self-medicating with food? If you have access to a therapist, they can help you try to get to the root of WHY you feel the urge to eat the wrong things (or in the wrong amounts). Unfortunately, surgery helps the body lose weight but it doesn't cure the emotional issues that may have caused us to overeat in the first place. In the meantime, I don't know what you're eating that is problematic, but maybe start by getting rid of junk food, soda, sugar, etc. Go back to protein, veggies and fruit. Don't worry about quantity, but start by focusing on making good food choices. Once you "detox" from your problem foods, it will be much easier to figure out how you should eat going forward. Have you contacted your bariatric team? They should be able to provide support and guidance (and maybe a referral to a therapist). Best wishes, hope you can get back on track soon. Hugs. 🤗