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Hi there! I hope some of you could enlighten me. I am potentially having surgery next year, and my bariatric nurse recommended I do the Liver Shrinkage DIet for 2 weeks to add favour to my referral to the surgeons. I am 9 days in and I have only lost 0.6kg (just over 1 pound). Prior to this, I was eating "normally"-carbs, and treats when appropriate as part of a normal lifestyle and I was losing around 2-3pounds a week (just under 1kg). I feel really deflated and feel like I won't hit my weight loss for the surgery referral, and that this diet is just not working. I've read other forums, and people have said they're losing 21 pounds in 2 weeks! I really don't understand why I'm losing LESS than I do on a normal diet. Typical intake: -Breakfast: 2 pieces of fruit or meal replacement shake -Lunch: Soup with a side of poached egg or a piece of fruit. -Dinner: Salad (Lettuce, cucumber, onion and spring onions. Small amount of added vinegar and light salad cream) with some protein of choice eg chicken, ham, beef etc. -Drinks: Water, diet Pepsi (one a day) and 1-2 cups of tea with sweetener and milk. All of these are done to the portion recommendations, and free foods and allowances. Please note I am using Orlistat every day and have been for the past half a year. Hope someone can relieve some imposter syndrome! TIA x
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- liver
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Considering revision
Bmordan replied to Rachelm1985's topic in Revision Weight Loss Surgery Forums (NEW!)
I’m on the same boat Rachel. I had the sleeve in 2013. Dropped 100 pounds but have gained 65 back. I want to look into a revision. My job has open enrollment and there’s a plan that covers bariatric surgery. -
I've been video-conferencing weekly with a highly recommended counselor who specializes in eating disorders @$115/hour. However, while she is both a dietitian and a counselor she usually works with bulimics, anorexics, or bingers. I don't have those problems. The first few sessions were frustrating because she kept up her usual spiel directed to those forms of disordered eating. I gave her a list of reference books before our first session, but it was obvious she had not read any of them. I had to educate her on food addiction, bariatric surgery, and my experience with my own wonky metabolism. I sought a counselor because I've gone off the rails a few times while pre-op when confronted with some really delectable food in front of me that I could not resist--namely coffee cake, strudel, pizza, Irish soda bread. As soon as I ate them my sugar/flour addiction was triggered and it took weeks to get over withdrawal again and to get back on track with my pre-op food plan. I don't want to do that after surgery so I was looking for tips and tricks for avoidance of temptation. Well, I'm not getting that type of advice. However, I am getting nutritional/dietetic information that I have not gotten from my clinic's nutritionists. I'll keep talking to her for the next two weeks because my RNY-RNY revision is just 17 days away. I'll wait and see post-surgery. The honeymoon period won't be difficult to me. The problem will arise once I'm eating "real food" again. Good luck finding a compatible counselor at a reasonable session cost.
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Hey guys! I have looked into bariatric therapy and so far the only place I’ve found in my city does not take insurance and cost over $250 a session! Gulp! I’ve adjust my search to exclude the words “bariatric” and include “disordered eating, behavioral therapy”, to hopefully find one that does take insurance. I’m really curious for those that have (and/or continue to) use therapy, what are some main take away? General advice? I’m not suggestions this thread/forum could replace therapy, being that it’s very subjective, but maybe if you could share some basic lessons you’ve learned at therapy or homework they’ve assigned?
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I loathe taking my vitamins. I’m a month out. I’ve found if I eat a couple spoon fulls of sugar free pudding right after i swallow, it helps weigh it down. After I have the pills in my mouth and the water, i lean my head back dramatically and tap on my throat to center the pills…. I’m sure I look REAL crazy. I also stand there a while convincing myself not to to throw up and I sorta pat my belly to get burps out, hahahaha. This is everyday, every time. I couldn’t stomach the bariatric advantage chew or calcium chews. So now I’m taking a centrum womens and a target brand calcium that I can swallow. I have an iron I’m to take every other day. A sublingual b-12 once a week. And a high dose thiamin every day, because I was deficient.
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Hey There! Any December 2021 Surgery Friends?
Andrea_099 replied to armartin98's topic in Gastric Sleeve Surgery Forums
Hi! I had my surgery on the 26th of November. I'm so happy to find you guys! I'm from Argentina, and bariatric surgery is pretty new here. I'd love any advice you have ♥️ -
I found my nutritionist’s pre-op notes and read the following unflavored powders: 1) Designer Whey Isolate (contains 1g added sugar…deal breaker?) 2) Optimum Nutrition Gold Standard (1g added sugar) 3) Inspire Bariatric: 24g scoop, 92 calories, 20g protein, at $2.10 per serving (expensive) 4) Syntrax Nectar Unflavored Whey Protein Isolate: Calculated to compare to others, 22g scoop, 20g protein, at $1.02 per serving (reasonable) Has anyone tried Syntrax Nectar Unflavored? Taste, smell, texture? Thanks!
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Losing too much weight...
Highly_Undermedicated replied to Highly_Undermedicated's topic in Gastric Bypass Surgery Forums
I'm 5'6.5" According to the CDC, as my NP stated yesterday, I'm not underweight until my BMI falls under 18 or 19. But According to bariatric standards, I'm on the low weight side and my ideal weight should be 63kg and I'm 60.something kg.so, they said some people don't lose weight, some a little, some a lot and some they have to intervene to stop it. This, I'm now terrified of. I know where I've been, I don't want that and I know what it took to get me where I am now and it was hard. Good luck with your surgery. When are you scheduled? -
Losing too much weight...
Highly_Undermedicated replied to Highly_Undermedicated's topic in Gastric Bypass Surgery Forums
I don't have access to a therapist any longer. Nor a dietician..I saw the dietician once, during month 1 pre surgery and the therapist like 3x pre surgery. It's like it's been a DIY on your own type situation. At one point, around 8 months pist surgery, my team was like "you're eating too much" or "you're not losing enough" and now I'm losing too much but yet they say in the same breath "it's not your fault, it just happens ". I'm waiting for my plastic surgeon to contact me back with details on how much was removed so I can report that back to my team as they want to see how it correlates with the weightloss. Also, the abdominal tightness pist abdominoplasty and having to wear a binder for 24/7 for 2 months due to swelling makes you feel like you can barely eat..even when you take it off to eat...they say this feeling will go away in a few months. But it makes you feel like you did coming out of bariatric surgery...no room to eat 2 oz. So, we shall see what happens. I can only do what I can do and hope for the best. Right? -
There are lots of recipes online for the pureed stage if you use google search. There are also many bariatric cookbooks available that cover all stages from home-made protein shakes, soft, pureed, and "normal" food. Here are some of the cookbooks I've accumulated.
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Medically supervised weight loss visits for revision due to GERD?
Daddyof4 replied to chach123's topic in Revision Weight Loss Surgery Forums (NEW!)
I got my lapband in 2012 and got down to 206 from a high of 293. When I complained about my horrendous reflux the doctor took the fluid out of the band. The reflux eased up but I put on 50 pounds very quickly. I am in the process of qualifying for revision surgery. Federal BCBS requires the whole program again to qualify for the revision to bypass. In my case the revision is totally considered bariatric surgery. -
Lapband revision question
Daddyof4 replied to Juniper123's topic in Revision Weight Loss Surgery Forums (NEW!)
I got my lapband in 2012 and got down to 206 from a high of 293. When I complained about my horrendous reflux the doctor took the fluid out of the band. The reflux eased up but I put on 50 pounds very quickly. I am in the process of qualifying for revision surgery. Federal BCBS requires the whole program again to qualify for the revision to bypass. In my case the revision is totally considered bariatric surgery. -
Cleveland Clinic - Dr. Feng
Elidh replied to ladygodiva's topic in General Weight Loss Surgery Discussions
I was sleeved at CC (main campus) in July 2020. My surgeon was Dr. Rodriguez (he’s since transferred to CC Saudi Arabia). I was self-pay, and could have had the surgery elsewhere for half the price, but I have great confidence in CC and I wanted the peace of mind. They have a great Bariatrics team. You’re in good hands! You’ll be fine! -
Collagen supplements
Alex Brecher replied to GreenTealael's topic in Protein, Vitamins, and Supplements
My personal fave are the 25g shots https://store.bariatricpal.com/collections/collagen-for-bariatric-patients/products/bariatricpal-25g-whey-protein-collagen-power-shots-crisp-apple . They're very tart so if you don't like tart this isn't for you. -
I would guess that bariatric surgeons are used to dealing with people with diabetes and can accommodate that - but I'd contact them with your concerns just in case.
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The first Six weeks Post Op
vikingbeast replied to Tupelo's topic in General Weight Loss Surgery Discussions
My nutritionist b----ed me out for overeating, too. I was eating a whopping 800 calories and stalling hard. She told me that I needed to be eating 400-500 calories a day and that's why I wasn't losing weight. I told her that the week I tracked my food before starting on this journey, I was maintaining my old weight on 3800 calories a day and there's no freaking way I was bumping out of a caloric deficit with an intake of 800 calories. So she said I was non-compliant and then huffed, "I guess if you want to gain it all back, it's up to you." I fired her. Loudly. I posted about it elsewhere on this site. And I went and found a nutrition group that focuses on flexible nutrition and who have nutritionists and RDs who are familiar with bariatric patients. My nutritionist put me on 1200 cal a day to start and has been encouraging me to eat more—this week has been more like 1400. I am very active, though, and burn calories both working and working out (I'm not a "walker"... I run, I do CrossFit, I do ranch work.) I'm twelve weeks out and still losing 3-4 pounds a week. I do track everything I eat and self-discipline is hard but necessary. I figure this surgery gave me 6-12 months to re-evaluate my relationship with food, and that's plenty of time to develop new habits that are just second nature.- 1 reply
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Collagen supplements
Alex Brecher replied to GreenTealael's topic in Protein, Vitamins, and Supplements
The BariatricPal Store carries a nice selection of Bariatric-friendly Collagen at https://store.bariatricpal.com/collections/collagen . Also, netrition.com has a nice selection as well. -
Hey There! Any December 2021 Surgery Friends?
LadyH replied to armartin98's topic in Gastric Sleeve Surgery Forums
14 is so much in a week! I can see why they’re worried. I got on the scale this morning and it’s exactly the same. I wonder if I’m supposed to be doing the bariatric vitamins? I can’t even keep down the regular ones. 20 days is a lot, but you are strong. I’m jealous of all you that actually get to go in to appointments and see your bari people. I haven’t seen a single one in person yet. -
What do non-cooks eat in the 4th month?
Sunnyway replied to Amy Braun's topic in Post-op Diets and Questions
There are many bariatric cookbooks available on Amazon and elsewhere, including some on meal prep, Instant Pots, and Air Fryers. Here are some I've collected. -
Information Vs. Support
Sunnyway replied to Maisey's topic in General Weight Loss Surgery Discussions
I'm a fan of Matthew Weiner, MD, and his website & videos. I've been following A Pound of Cure philosophy since I began going to my bariatric clinic. I've lost over 50 lbs pre-op. I think his nutritional advice is better than my clinic's. For example, my clinic didn't want me to eat fruit! Can you imagine 8 months without fruit? I'm not totally following his food plan, but am inching my way through the the stations. My vegan friend has shared some of her favorite recipes so many of my meals are animal protein-free. I've cut out sugar, flour, rice, potatoes, pasta, and processed foods. I'm still dependent upon artificial sweeteners, but once I've graduated from protein drinks I'm going to work harder on that. My RNY to RNY revision is just three weeks away now! -
Considering revision
scollins707 replied to Rachelm1985's topic in Revision Weight Loss Surgery Forums (NEW!)
Are you in touch with your original surgeon? I started there, and my surgeon refused to help me. After that, I started reading about the revision options. I did a lot of reading and decided I wanted the DS, but the doctor I went to only does the SADI. Weight loss is slower than my original surgery, but that's expected. Check your insurance plan and see if there is any language regarding revisions. If your not in touch with your surgeon, I say look at the bariatric institute UTAH. My surgeon was Dr. Medlin. -
This surgery is bullshit...
vikingbeast replied to goodmanje's topic in Gastric Sleeve Surgery Forums
It's also possible that the OP hasn't had any support from their surgical/bariatric team. That is certainly the case for me, which is why I keep turning up on this board like a bad penny. They could be just venting their frustration, albeit in an emotional way that invites emotional responses. -
I have my final psych appt in 2 weeks. After, I’ll be set to have a first meeting with my surgeon. I did some research on her and she’s relatively new - she’s been practicing for 6 years. Another thing, she has very few ratings. Two of three of them are poor, one was excellent, and they were all from this year. Bad reviews spoke of complications, her bedside manner is awful, the positive spoke highly of her patience and listening. The funny thing? She was a lead researcher in how patient ratings predict outcomes. So I’m nervous now. One of her colleagues has about 50 reviews that are largely positive and she was what originally drew me to that clinic, an hour away. She’s also had bariatric surgery herself. Prior to meeting the surgeon and submitting to insurance would be the best time to make a switch. I originally got this surgeon bc I had a recent endoscopy and that’s all this surgeon required and the other surgeons required more. I feel like I should give her a chance but that review about having complications bc she was careless has me frazzled. I know any surgery can have them but my mom and I are already nervous enough. -
So as not to hijack an existing thread, I thought I'd start a new one. Since I began looking into bariatric surgery in 2019, I've done much research and reading. On the internet, I limited myself to sites that I knew were reputable and were evidence-based (i.e., Mayo Clinic) rather than sites that were trying to sell surgery. Once I was accepted into my program, I watched videos suggested by the program (i.e., Dr. Matthew Weiner) and took to heart the information I was given from my program. I came into the program with a lot of pre-existing knowledge on nutrition and diet having grown up with a Type 1 diabetic father and myself a Type 2. Despite that knowledge base, I obviously wasn't applying it or I would not have been to the point where I was considering surgery. One of the hardest things I had to do throughout my surgery preparation appointments and meetings was to go in and actually listen. I accepted that my way wasn't working and if I was going to proceed with a body and life-altering surgery, I needed to adopt what I was being taught. As you can see in my stats, it's worked. But I know I'm not done learning, maintaining and working on making good decisions and healthy choices for the long-term. In my classes, the dietician warned about social-media, weight-loss surgery groups. I admit that I move in and out of some groups. The overall lack of information and sharing of misinformation boggles my mind. It certainly proved that there are programs and doctors simply out to make money and there are patients willing to believe anything they are told without doing their own research or taking accountability for their own actions. I was grateful to find this site and have a source of information rather than opinion. I was happy to hear from WLS veterans who have gone through the process and how they are successfully maintaining. I wanted to hear what those experiences were so that I can learn from them. I did not want them to sugar-coat the truth and I did not expect unmitigated "support." If my understanding or behavior was counterproductive, I wanted to hear that. I needed to hear that. I still do. There seems to be a misconception that in order to be supportive, someone needs to say your choices are ok. Being truthful with someone, does not always mean saying what and how you are doing things is ok.
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Hey There! Any December 2021 Surgery Friends?
AIM replied to armartin98's topic in Gastric Sleeve Surgery Forums
My surgery date is Dec 3rd. It's soooo close. Liquid diet for 2 weeks. Not loving it. I'm having the sleeve + single switch + hiatal hernia repair. EEEEEK. I should be an old hand at surgery these days. A loooooong time ago - I lost 380lbs w/diet and exercise. I was staying steady at 140-150lbs. So I had a tummy tuck & arm flap removal (Brachioplasty). Then I started yo-yo'ing and then I lost my Mom to covid last December. I've gained soooo much since then. My Mom was in the hospital - just days before we lost her - submitting my info to Blossom Bariatrics in Vegas for gastric sleeve. She wanted me to do this because she knew I was happier and healthier when I was thin. So here I am. Because she was right. I've also had my gallbladder removed, my right hip was replaced 4 years ago. My left hip was replaced 2 years ago. So I shouldn't be worried about this. But, eeeeeek. I'm not a fan of needles, etc. I just hope I can be discharged from the hospital in one day. Also, I'm in Raleigh, NC.
