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NEW GLP-1 Program at BariatricPal!
SleeveToBypass2023 replied to Alex Brecher's topic in GLP-1 & Other Weight Loss Medications (NEW!)
For those that are interested in this, is HSA and/or FSA accepted for payment? Is this compounded and not the commercially available stuff? How long after you have bariatric surgery do you have to wait before you can take this medication?Personally, I won't be partaking, but I've seen many posts on here from others who want to, so I was just thinking of questions that weren't mentioned in the original post. -
Is there a standard guideline?
NickelChip replied to NovelTee's topic in Gastric Sleeve Surgery Forums
At my surgeon's office, they have one set of guidelines for bypass and another for sleeve. Interestingly, bypass moves out of the liquid phase faster, perhaps because we don't have that long line of staples to worry about? But as far as I can tell, the American Society for Metabolic and Bariatric Surgery sets certain guidelines for programs to be considered Centers of Excellence, which many insurance programs require in order to cover the procedure. But these do not include a lot of specific dietary guidelines. A lot is left open to personal preference by the doctor or practice, although they are required to stay up to date on medical research. -
On the pre-op diet, I liked the Bariatric Fusion chicken soup flavor, and I also was able to do two scoops of Syntrax Nectar unflavored in a tomato basil soup. It gave it a creamy consistency, similar to if you added some milk or cream. Post-surgery, the only one I can still stomach other than the unflavored powder is Syntrax Nectar Naturals in orange flavor, which is somewhat convincing as an orange-juice-adjacent drink. Think TANG.
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VSG revision to gastric bypass vs Mounjaro
TwinkleToes87 replied to J’Marie's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi there!! Thanks for sharing your experience! I will let you know that mounjaro does make my reflux worse!! because it slows down my digestion. It also causes constipation in some people. But if you don’t have these issues it’s good! I have not had it yet but I’m going to get vsg. However I do wish I could get the SADI but my insurance won’t cover that one. I have heard people do so well with the weight loss and reversing diabetes. It’s just expensive without insurance. But would if I had the financial freedom! Bypass is also very successful too! Check out some podcasts like “the skinny truth” or check out Dr. Roller’s instagram. I listen to “Core Bariatrics” and “The Bariatric Grind”! They’re good listens in the car and super informative. Of course following your trusted surgeon’s recs are #1! -
Capella Plastic Surgery reviews?
catwoman7 replied to Dani64519's topic in Plastic & Reconstructive Surgery
I haven't, but lots of bariatric patients on the east coast have used him and have been very happy with his work. -
Ache or pain months AFTER surgery and...
BlondePatriotInCDA replied to BlondePatriotInCDA's topic in POST-Operation Weight Loss Surgery Q&A
I've been researching (its part of what I do for a living anyway soo) this topic and have found several papers regarding pain after bariatric surgery: "Results: Nineteen of the respondents fulfilled the criteria for hypermobility. There were no significant differences between the groups with and without hypermobility regarding pain in weight-bearing joints before or after surgery. There was a significant difference between the groups with increased or novel pain in the ankles, shoulders, hands, and feet (P<.05) after the weight loss. Furthermore, the patients with hypermobility had increased or novel pain in a significantly higher number of weight-bearing joints, other joints, and joints in total (P< .05). Conclusion: Even with a small sample size, a tendency can be seen for people with hypermobility to experience increased joint pain after weight loss compared with those without hypermobility." https://pubmed.ncbi.nlm.nih.gov/28274706/ I do have some hypermobility. Its a very small sampling for a research medical study, but its in line with what I'm experiencing. Also, I'm only experiencing pain in one hip (weight bearing) and my back, the rest; hands, shoulders and elbows aren't. It could just be wear and tear from 14 years of gymnastics and later on physical alterations with much larger combatants for 15 years.. So life stressing my body rearing its ugly head as I age. 😥 Either way, perhaps if someone else experiences this after surgery it will help knowing they're not the only one and give them a stepping stone to some answers. -
Does Patchaid Really Work?
kwonsmommy replied to shexmoves's topic in Protein, Vitamins, and Supplements
I've been using them for 3 years now and have had no issues my blood work has been great since been using them. Where the regular bariatric vitamins weren't working at all even taking extras I was always lacking against my teams advice I started using the Gastric Bypass package vitamin patches And even my team was surprised at how high my numbers were -
Sleeve Veteran researching revision to SADI
ShoppGirl replied to ShoppGirl's topic in WLS Veteran's Forum
I finally have some appointments lined up. I am seeing the PA at the surgeons office tomorrow, the dietician in two weeks and I do a pre screening for a bariatric therapist this week. They don’t take my insurance and I THINk it said it’s $175 a session but I’m hoping I don’t need too many. None of this is mandatory for revision but I want to dive in this time 100% readh!! I am just excited that I should finally be getting answers and some help. -
Sleeve Veteran researching revision to SADI
Shanna NYC replied to ShoppGirl's topic in WLS Veteran's Forum
Check out Fluscheeitaway on IG. She had the SADI 2 years ago and her husband had it as well a few months back. She also recently started a podcast with her bariatric surgeon so that might be a good source of information. It definitely isn't as common as the sleeve and bypass since it's a bit newer and not all insurances cover it, but I have heard it is slightly easier to go from a sleeve to the SADI since they may not have to resleeve you just reroute the rest. -
So at this point, I am confused to say the least. Started the bariatric Program: 336lbs Day of surgery: 326 CW:279 2 weeks shy of 5 months post Vsg GW 220-230 In the morning I can not eat food without first, drinking, something hot it’s the only time I really feel restricted. I am two weeks away from being five months out. Noticed I’m will only lose about 1-2 pounds a week but I fluctuate the same 1-2 pounds. I can’t get my protein from real food after eating 3oz of chicken at noon. I can’t eat real food for the rest of the day. Water intake is not a problem. But I have been at a stall for a month!! dietitian does not want me to rely on protein shakes, but that’s the only way to meet my protein goal. Any advice???
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Great advice from the others. I’ll add track what you are eating now, how much, what & how often. It can help identify where you’re veering off course. It can also help to note your emotions or why you may be eating when you do. (Why do I want this snack? Am I bored, angry, sad, happy, frustrated, etc.) Then start making changes. Make one or two changes every two weeks or so. For example, cut back on portion sizes & up your fluids, then reduce how often you eat (drop a snack) & meet your protein goal, then try switching up your ingredients & cooking styles, etc. It’s easier to adopt & adapt to one or two small changes at a time than making huge changes all at once. Also find a therapist who can support you as you work through your relationship with food. If you didn’t see someone before your surgery, your team should be able to recommend someone who deals with bariatric patients & disordered eating.
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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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Background.... I am a teacher in Missouri and not a single insurance plan covers anything dealing with bariatric surgery. Does anyone know of any supplemental insurance I could get that would cover it. I tried to finance but couldn't. Any info would be great. thanks
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If you don't already have some bariatric cookbooks, I can highly recommend these three of the several I bought: Bariatric Meal Prep Made Easy by Kristin Willard The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner The Easy 5 Ingredient Bariatric Cookbook by Megan Wolf All three have sound nutritional advice as they are written by bariatric experts, as well as some really nice recipes. They talk about portion sizes and what to aim for nutritionally as you go through the honeymoon period and into maintenance, and even give you different portions for different phases. None of the books give specific calorie goals, but that's rather standard with many programs. The focus is often for you to discover what works for you and not get sucked into a dieting mindset by counting everything so closely you drive yourself crazy. But the basics are generally to fill one half of your (small, child or luncheon sized) plate with a 3-4oz portion of lean protein and no more than a 1/2 cup serving of starch/grain, and the other half with non-starchy veg. Consume 60-80g protein. Drink at least 64 oz water. (Apologies for not having the metric measurements). Using a small plate is a really great visual cue. Check out the Portion Perfection plates, which are 8-inch melamine and printed with exactly how much of each food goes where. If you need to retrain yourself, this is an easy tool to use. They have bowls, too. (All the books and the plates can be found on Amazon in the US). Going back to liquids is extreme. I would think it would be sufficient to go back to three meals per day as described above, and either no snacks or only fruit and veg or a protein shake as a snack if truly hungry, and make sure you weigh your portions and get all your water in every day. The other thing is to look for processed foods that have crept back into your diet and get them out of your house. You can't be tempted by what isn't there. Good luck to you!
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I think all traces of pot pretty much leaves your body within about two weeks - I don't think it's necessary to detox for that to happen. I'd eat the protein - your body needs it - esp after bariatric surgery. EDITED to add this. Just found it on WebMd: If you’re a chronic user, more THC will build up and remain in your body. That’s because your body can only break down THC at a specific rate. Your body stores the excess THC in your fat cells. More frequent marijuana use means a longer time for THC to leave your system. Here are the average detoxification times: One-time use: one to three days Moderate use (three times a week): five to seven days Daily use: seven to 14 days Heavy use: 14 to 90 days
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Anyone here from London and want to share their experience with me? Just got sleeve 2 weeks ago no one to talk to about bariatric stuff!
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February 2024 Surgery Buddies?
Beljer72 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
My surgery was Feb 27th. I began at 217 and now am 177. Your posts describes my roller coaster ride from the beginning. I am working on real food and what causes issues and what doesn’t. I know anything greasy is a no (I now rinse any grease off, if used). I go back to shakes for a day if I have problems to settle things down. As long as I keep the portions very small at a meal, I can eat most things. I bought a Bariatric cookbook. It has some very tasty recipes. I cook them for my husband and even guests. No complaints! -
How much protein is too much?
Dawn Gant replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
Do you all buy any of bariatric pal foods? I’m about 3 days away from my 4 month post op. The bariatric foods hep me a lot to stick to my 60+ mg of protein a day still drink one shake a day because I get about 40mg protein in one shake. I usually drink around 4-6 pm so with my meals and snacks. I get the rest or more of protein through out. I too have sm stalls depending on if my right leg is swollen or I need to have a good bowel movement sorry TMI but I’m on pain management with chronic constipation. But I’m losing steady not as fast as first surgery but since I’m more sedentary then prior it’s expected but losing. Day of surgery was 304 now 272 -
How much protein is too much?
newbegining2024 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
I don’t personal buy it on bariatric pal, but might look into it. Before my surgery I bought some protein soup and protein pudding on Amazon. I picked the one that is bariatric friendly like low in carb, and low in sugar. The protein pudding I tried the variety pack first, but the 0 sugar one didn’t taste to my liking and I bought the one I like that have 2garm of sugar in it. The soup and pudding have extra 12-15 gram of protein. I only use it when my meals does not meet my protein requirements and it can give me a boost, or I use it when I am craving dessert. It does help a lot for me. But I had only used 2 time after surgery. I used it more when I was in my pre ob liquid diet. -
The Centennial is a paved walk that goes along the Spokane river and Lake Coeur d'Alene and then some, its 60+ miles long: https://www.seattletimes.com/life/travel/want-to-bike-from-spokane-to-coeur-dalene-take-the-2-state-60-mile-centennial-trail/ We do have a "mall" but its failing so it would probably work for walking well! I hope you find a walking buddy! I just thought I'd be nice to have a bariatric walking buddy. 😁
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Does your pre-op diet weight loss "count"?
Splenda replied to NickelChip's topic in General Weight Loss Surgery Discussions
When you look at calculators for post-surgery weight loss (I used this one -- https://mexicobariatriccenter.com/bariatric-surgery-weight-loss-timeline-calculator/), they are giving you a median view of what you can reasonably expect. Of course there are outliers (I'm one -- I am about 25 pounds lighter than what the calculator says I should be), but it is designed to give you reasonable expectations. I also struggle with what number to use for how much I have lost. From my absolute highest recorded weight: 285 pounds From right before my pre-surgery diet began: 270 pounds From the morning of my surgery: 240 pounds -
Congratulations on your success for starters! I would not say you are weird, the excess skin is a badge of honor and proof of your hard work. That being said I completely 100% understand feeling self conscious of it. I am not a fan of the stomach folds and flappy arms on myself either. However, once you meet the right person, they will look past that to the person that you are. Yes it will take effort and bravery on your part to put yourself out there, but you've been on this journey I'm sure to live your best healthier life to the fullest which includes companionship. Maybe also seek out some therapy or a bariatric support group that can help with your anxiety. You are not alone in your feelings. I know plastic surgery here in the US is quite expensive, but I definitely will be looking into it when i'm closer to goal. If that is something that is attainable for you, may be something you can work towards. But in the meantime try not to hold yourself back from enjoying this new lease on life.
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Starting my Gastric bypass surgery journey
JennyBeez replied to Missy4391's topic in Gastric Bypass Surgery Forums
- I found a small digital kitchen scale was my best investment, it helped me get a better idea of portions and made it so much easier to track nutrition stats throughout the day. - tracker apps are great! it took me a while to find one that worked for me personally, but there's a lot out there. I'd suggested testing a few free versions out ahead of time so you're ready before you get there. - bariatric portion plates or just tiny dishes. I actually couldn't find a portion control plate that worked for me (in Canada), but I found a bunch of cute little appetizer dishes and tiny bowls that make me happy to eat from. - if you don't have it, nab a blender or a handmixer when it's on sale. Makes the puree stage much easier, and also helps with smoothies and shakes in the liquid stage. Don't spend a lot of money on one though (unless you honestly feel you'll get a lot of use out of it after you're through those stage). -
5 years out, tried semiglutide to restart weight loss
KarenLR75 replied to KarenLR75's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Yeah, I worry that people, including 'us bariatric surgery patients' who haven't done the mental/headspace work (and I don't mean this in reference to the 2 people you know that have done the weight loss injections) that most of us try to look or are 'made to look at' at when preparing for gastric bypass will have to stay on them 'forever'. Of course, doing a sleeve or gastric bypass is a very permanent 'anatomical' decision that can, if we are not vigilant also not be successful in the long term for people who feel the surgery is the 'only fix' needed. Since all of my health issues are already under control after my gastric bypass - I NEVER had high blood pressure despite weighing almost 400 lbs and I was not a diabetic but I could tell the toll that being that heavy was taking on my body (my knees, sleep apnea, DVT's/PE's, etc.) I was leery of doing anything that would require 'forever' outside of the bypass surgery. I'm looking for a new therapist right now that specializes not only in anxiety and depression but in working with bariatric patients/weight loss as I know I can I have to be constantly vigilant with my headspace or NOTHING will work. I also am not willing to take the shots for the rest of my life for myself. For other people weighing risks versus benefits I can see this being a highly individualized and personal decision especially if weight loss surgery is not an option for them no matter the reason (leery of it, insurance won't pay, BMI not high enough, etc.). Everyone's journey is their own. The only thing I advocate is for everyone to be as informed as possible and to do their research and make the best decision for themselves. I need to do more research about long term implications of these drugs, but I haven't found much data out there (too new to have that much historical data yet). I'm within 10 lbs of when I told the clinic I'm going to that I would be tapering off and ending the weekly shots. Will try to remember to post more when I've been off the shots for more than a couple of months to talk about struggles or successes I have. -
Schizophrenia and the sleeve operation
Neostarwcc replied to Neostarwcc's topic in Gastric Sleeve Surgery Forums
Funny you should mention Vraylar. I learned the hard way before I was put on Latuda that I couldn't take that. Why? It caused a 7 month long manic episode that was just terrible. It was one of the worst episodes I had ever had I nearly died from the experience and had I actually passed away from it my wife would have been able to sue the pants off of my psychiatrist for malpractice because she definitely was in the wrong. I was on Saphris beforehand and she took me off of Saphris cold turkey and then immediately stuck me on Vraylar. She later said she shouldn't have done that. Anyway, we're supposed to be talking about bariatric surgery not Psychiatric meds. I just figured I'd share my own personal story since we seem to have similar med history. The only reason I'm concerned about Latuda and getting bariatric surgery is you're right, it needs 350 calories to be absorbed properly and if im on a 1k calorie diet that's going to be problematic because thats almost half of my daily calories. But I do so well on Latuda (it really, really helps stabilize my moods and my psychotic symptoms) that it's really stupid to take me off of it and stick me on something else. So my surgeon and nurse practitioner/psychiatrist have to all work together and figure out how it's going to work. I'm not discouraged by your weight in fact, I wish I was your weight I weight almost 440 pounds lol. But I get what you mean you gained 4 pounds. But that's what happens when you don't follow the diet. I've heard lf many people regaining the weight because they got discouraged. I really hope that once I lose the 200-250 pounds I want to lose I'm able to keep it off!
