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I fired my clinic's nutritionist today
learn2cook replied to vikingbeast's topic in POST-Operation Weight Loss Surgery Q&A
I’m so happy you’re speaking up for yourself @vikingbeast! I’ve noticed that’s a positive attribute many of us achieve after WLS. Maybe it’s the process of fighting for ourselves to get the surgery, and all the work before and after? I’ve also noticed a big difference between a nutritionist and a fully fledged dietitian with licensure. Dietitians also can meet nation accreditations in specific areas like bariatrics. Look before you listen! -
I agree 100%. I under went VSG in 2015 at the recommendation of my surgeon. I was initially looking into getting RNY but he stated since I was young and without children, it would be best to undergo the sleeve procedure. However, I'm 7 years post op, experience severe GERD, regained a good portion of my weight loss (my fault completely) and am now in the self pay bucket for revision as my current insurance under my employer outright refused any type of bariatric surgery. I'm not saying all this to scare anyone, I'm just saying DO WHAT IS RIGHT FOR YOU. I wish I would have put my foot down on the decision between VSG vs RNY but all and all, I did it and it is what it is. It works for some, but not for all. Unfortunately I fell into the "not for all" and it was definitely USER error. I can't speak on it, but I feel I would have had a better success rate with RNY vs VSG which is why I'm looking into the self pay option for the revision surgery. I would say to anyone looking into bariatric surgery to RESEARCH and ask a lot of questions at appointments/support groups. In the end like I said, do what is best for you. 😁
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Hey there! I was wondering if I could get some feedback from individuals who have combined bariatric surgery with the ketogenic diet, and what your progress has been with it. Specifically wondering if you've seen it maximize your weight loss.
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As long as you qualify for surgery by your insurance's rules (usually BMI>40 or BMI>35+comorbidities) at the time your bariatric center applies for authorization, you should be good to go.
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What do you consider "Starting Weight"?
samjourney replied to Pete-TheTimeIsNow's topic in PRE-Operation Weight Loss Surgery Q&A
For me, I use my highest weight of all time. Any weight loss progress is progress! I didn't start the bariatric surgery process until April of 2021 when I was 318lbs. However, my highest weight was in January of 2020 when I was a little over 330lbs so that is what I consider my "starting weight". Good luck to you ❤️ -
What do you consider "Starting Weight"?
Sunnyway replied to Pete-TheTimeIsNow's topic in PRE-Operation Weight Loss Surgery Q&A
I use my highest weight. I lost 24 during COVID on my own, then regained 10 before I started with the bariatric clinic. That high figure represents the beginning of my journey, not the weight when I started at the clinic. -
Check out this book and its companions. Its plan is what I intend to follow when I'm back to normal food post-surgery. I've been following this pre-surgery and have lost 50 lbs, This seems to be the most logical and nutritionally sound food plan that I've found. It's not "keto" but there are similarities. Particularly look at the Metabolic Reset (on page 20) if you are stalled. The Author's premise is to eat far more vegetables, unlimited fruit, snack only on these and nuts & seeds, and use animal protein as flavor not as the star of every meal. Matthew Weiner, MD, A Pound of Cure. He's also written The Bariatric Guide and Cookbook, and How Weight Loss Surgery Really Works. I recommend all three books, available in paperback and Kindle. The author is a bariatric surgeon.
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How long for hospital weight to drop off?
Arabesque replied to greenchilegoddess's topic in POST-Operation Weight Loss Surgery Q&A
It differs person to person. Some say a couple of days some say a week. I didn’t drink much for the first 3 or so days because of pain on swallowing from swelling so the IV fluids likely compensated for me not drinking. I wasn’t peeing any more than I usually did. I weighed myself day 4 post surgery & I was 1.5kgs less. I didn’t notice much abdominal swelling either & had no gas pain at all. This was totally different after my gall removal surgery - gas pain for days, bloated & took 4 days of peeing like a racehorse to lose the 2kgs I’d gained. But as I said we’re all different. We retain fluids differently. Our body reacts to trauma differently. Our surgeons operate differently (mine uses little gas in bariatric surgeries but uses more for gall). We heal differently. As long as you realise any weight gain is likely from the surgery you’ll be fine. It certainly won’t be from eating copious amounts of food 😉. Hope all goes well with your surgery. -
Do your best, it’s all anyone can do. I’ve watched WL surgeries on TLC UK and Dr. Shaw Summers would comment on large livers as, “ some people just have big livers.” The docs will alter plans if it’s so. Stick with your bariatric plan.
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I find it hard to to date because i feel most people don't understand I don't always want to explain myself. It's been since August 2nd 2012. I started at 405 lb and fluctuate between 179 and 205. Right now I'm very uncomfortable because I'm at the 205 stage. I'm trying to feel comfortable in my own skin but it's too much of it jiggling around. LOL. And the bowel still smell like hell. LOL how do you allow someone in your life with this particular situation. I won't spend the night places. I will leave social functions and come home and then go back just to use the restroom. I always think that if I was to be with someone seriously I would need a bathroom of my own to use wherever I live . No one else allowed . How are you guys doing with it.
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Prayer Pre And Post Surgery
Mammysm replied to monique's topic in PRE-Operation Weight Loss Surgery Q&A
I am having Bariatric Surgery ,( the "Sadi") I need prayer that my surgeon will be able to do this surgery on me because I have alot of adhesions and have lost some of my small intestines yrs ago because of something I went through. I ask that my body lines up enough for everything to fall into place. I know there is power in prayer. And God can make things happen. I ask this in Jesus' Precious Name Amen. Thank You Donna Smith -
Any 45+ year old women on here with gastric bypass experience?
Bartender1 replied to timmytommy's topic in Gastric Bypass Surgery Forums
Hi I'm 65 and had bariatric surgery in 2008. Was 300 lb lost $175 lb took about a year I guess. Kept weight off for a good 10 years 2 years ago started gaining weight now I'm up to 200. Not sure what changed did have an ulcer had to have balloons surgery twice to help repair it. Also in the last 2 years I have stretched out my pouch definitely and my hormones are all messed up because I have cravings which I never had before and overeating which I never could do before wish me luck I'm trying to change it all around again -
What was your first desert after sleeve?
Esi replied to alandk's topic in Gastric Sleeve Surgery Forums
I chose not to have added sugar anymore. However, I use some artificial sweeteners, and a Protein One bar feels like dessert! Bariatric Pal chocolate calcium chews also feel like candy. -
Have you asked your bariatric team if only 9 lbs. the first month is normal?? But just think..The slower you lose it, the less loose skin you will have as your body will have time to adjust. I'm surprised they don't support a low carb diet. My surgery date is in December and I was put on a low carb diet for 6 months! I lost 30 lbs. After the liquid diet, etc., I am required to go on a low carb diet for the rest of my life! I'm worried about that because I hate vegetables! Good luck! Sent from my SM-T870 using BariatricPal mobile app
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Hi Everyone, I had RNY surgery on Oct, 13th, 2020, so I am just over the 12 month post op mark. I notice my weight loss has slowed down a lot, and around the 8-9 month post op mark, I have stalled and I am not loosing any weight. I know this is normal but still worried that my body has reached it's set point. If anyone here has experienced this, let me know. I seem to have gained a pound each month and my weight is back up to the weight it was when I was at 9 months post op. I have lost 100lbs since surgery, but still have around 60 lbs. to go to reach my goal weight. Should I be worried? ( I will be speaking to my Bariatric clinic soon for my 1 year appointment so I will be talking to them about this) All advice and opinions welcomed. Thanks 😀
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I fired my clinic's nutritionist today
Smanky replied to vikingbeast's topic in POST-Operation Weight Loss Surgery Q&A
She has no business dealing with bariatric patients - or anyone else if that's how she talks to clients. Bleh! To the darkest reaches of the blacklist with her! In the bin! -
Pastas, bread, pizza, steaks, sweet stuff
Sunnyway replied to Ana-Maria's topic in Gastric Sleeve Surgery Forums
You can carry ready-made or powdered protein drinks on ship and in Italy. Individual envelopes of mix are available from several companies; Bariatric Advantage and ProtiDiet come to mind. Or you could fill single portion baggies to keep in your luggage. The water onboard is safe to drink, but in Italy you may want bottled water if you are unsure. You may no lonhrt be drinking protein drinks by the time your trip rolls around. On the ship there are plenty of things you can eat both in the dining room and buffet. You can order just soup and/or starters and not the main course. They usually have sugar-free desserts. Be careful! It's so easy to eat, eat, eat on a cruise. It's so good. Avoid the bread: It's SO good! Avoid alcohol. Save some room for lobster tail, escargot, and prawns--seafood usually goes down well at 6-7 months out. I couldn't eat steak for a year or more post-RNY, pasta got stuck, and pizza crust is too much carbohydrate. Italian pizzas are not loaded with sauce, meat, or cheese like US pizza. They get a swipe of tomato sauce, and you may find things like artichokes or a fried egg on the pizza. Pizzas are personal-sized. I would say to taste your husband's pizza, but don't order one for yourself. Seafood is a good choice in Italy as well as on the ship. -
I fired my clinic's nutritionist today
vikingbeast posted a topic in POST-Operation Weight Loss Surgery Q&A
My clinic has not had a dietitian/nutritionist on staff for months now (part of the Great Resignation, I guess). So they've been contracting with people, and I finally had had enough of it. She asked what I have been eating. I track religiously, down to the teaspoon of mustard (which probably isn't necessary, but...). So I told her. It came to about 850 calories. She absolutely lost her mind, whipped out a booklet, and told me I'm to be eating no more than 1/3 cup of food five times a day. I pointed out that I run or work out literally every day, that I am going back to a pretty physical outdoor job, that I'm losing weight steadily, and that eating this amount gives me the energy I need. I asked how I was supposed to get the protein goal the surgeon gave me (80-100 g a day) on that little food, and she told me to stop being difficult, that I was obviously going to just gain it all back (lol, on 850 cal a day, lol lol lol), that too much sodium would spike my blood pressure and heart rate (lol, it was 114/74 during intake with a resting heart rate of 54), etc., etc. So I fired her. At the top of my lungs. Which meant that a bunch of other people came running and there was kind of a scene. I don't care. I asked a friend who's had VSG who she uses for a NUT and she recommended her folks, so I signed up there and will be given macros to meet by someone who has experience with athletes who've undergone bariatric surgery. I'm not going to be wedged into a one-size-fits-all kind of thing because she's reading from some Nth-generation copy of some manual.- 9 replies
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Am I done losing after 5 months?
Sunnyway replied to brooketw's topic in Gastric Sleeve Surgery Forums
Stalls are normal. Keep sticking with the program. Do get some bariatric cookbooks so that you can learn to cook and eat differently than pre-surgery. -
I feel like I’m failing
Queen ApisM replied to bluesupef04's topic in POST-Operation Weight Loss Surgery Q&A
I'm horrified that the surgeon is telling you one meal a day. You mention that you manage 1-2 oz of food a day. There is no way that is enough especially if you are also exercising! Are you also drinking protein shakes? In contrast, I just had my 2 month check in, and my nutritionist is telling me to increase my calories especially because I want to restart with my trainer this week. She also wants me to start weaning off the shakes (though not necessarily the protein powder). I already eat 3-4 times a day (small meals) plus a protein shake, and to make the new calorie goal I'm going to have to add another snack and try to increase calorie count at each meal. If his practice doesn't have a nutritionist, perhaps you can see about switching to a new practice that does and using one of their nutritionists? You want someone who is experienced with bariatric patients and not all nutritionists are. Also, depending on your state there may or may not be licensing for nutritionists, so make sure they are credentialed. -
I feel like I’m failing
Sleeve_Me_Alone replied to bluesupef04's topic in POST-Operation Weight Loss Surgery Q&A
I'm so sorry you're struggling. I know it must be extremely frustrating and scary to be at this point with so little support from your surgeon. I think weight loss normally slows significantly after the first couple of months, exactly when depends on each persons body, so don't be alarmed that you aren't losing at the same rate you did in month 1. However, I'm honestly shocked to hear that your surgeon recommends only one meal a day. I know that programs vary widely, but nearly all suggest several small meals a day by the 3 month mark. I had VSG, so my guidelines are a little different, but my surgeon recommends 4-6 2-4oz meals a day for RNY patients at the 3 month mark. Does your program have a registered dietician you can work with, instead of the surgeon? If not, could you find an independent one or maybe have your PCP refer you? If that's not an option, there are a ton of really great bariatric dieticians that do 1:1 coaching; you might want to look into that. In the interim, maybe try experimenting with a couple small meals a day. Focus on getting in proteins first, then high quality veggies/complex carbs. It may also be worth getting set up with a counselor. WLS is a HUGE life change and having some extra support can make all the difference in the world. The surgery is a tool, not a magic fix, and we are only as successful as our ability to USE that tool. So much of it is mental that it can feel overwhelming, and having a resource to help you work through the internal pieces of it can be a game changer. Best of luck to you! I know its exhausting, but you're doing a great job! -
I search Pinterest for some ideas for soft food and beyond and found some great Soup recipes and such a variety of thing made in muffin cups, so just the right size. I’m only 9 days post op, so still full liquids, but looking forward to different flavors next week. Search Bariatric diet.
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Hi all, I had my VSG on 16th October in Vietnam! I am British and have been working here for several years. I took a long time to research and find a well qualified and experienced surgeon (as bariatric is not as popular a surgery here, as the need is less.) I am really happy with my surgeon and care from the hospital, but i’m struggling a little with the nutritional info due to language barriers. U like the US/UK/Aus etc, I can’t simply buy “products” off the shelf as they don’t exist here. Everything is going to need to be made from fresh. Anyone keen on chatting this through with me would be so welcomed. Just found this community and it seems awesome! Hope you’re all well pre/post op. Maria xx
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Looking for Surgery People 60 and UP
Elidh replied to armartin98's topic in Gastric Sleeve Surgery Forums
Hi armartin! I was 68 in July 2020 when I had VSG surgery. Minimal pain (only needed plain Tylenol), no nausea, able to tolerate the various food stages, did stairs in my house, slept in my bed, drove a few days after surgery. My weight at the start of the pre-op diet was 200. By now, my rate of weight loss is quite slow, maybe 1-2 lbs/month, but I am staying the course and am happy with the results thus far. Only wish I had done this ages ago, but I never thought of bariatric surgery or dreamed it could be done on lower BMI patients (I had to self pay). -
September Surgery Buddies!!
vikingbeast replied to happilylacey's topic in Gastric Sleeve Surgery Forums
I am five weeks and one day post-op and down 41 lbs. from surgery weight, 50 from before the pre-op diet, and 76 from my heaviest. My incisions have all healed except one that looks a little bit herniated. My surgeon said he'd look at it at my six-week appointment on Tuesday, but didn't sound overly concerned since there's no pain. I had a slowdown (not really a stall, just a significant slowdown in weight loss) for two weeks but now appear to be back on the loss rollercoaster. My dietitian told me to start eating small portions of carbohydrates (potatoes, etc.) because apparently my system doesn't function well on protein-only. This has had the added benefit of relieving my constipation, so I no longer need to take docusate. I'm on about 1000 calories a day, which seemed high to me, but the dietitian pointed out that my activity level is more intense than many bariatric patients, PLUS I return to my physical job next week. I am completely off my blood pressure medications and my blood pressure is usually around 125/70 or 125/75. Not high enough for my primary care physician to be concerned, especially since I still have weight to lose. I also am on half the dose of antidepressant I was on (and feel great), and I need to make an appointment with my sleep clinic because I think my CPAP either needs to be dialed way down, or just simply eliminated. I am allowed to return to lifting weights (slowly) next week, so I have been running. I spent the first two weeks just walking, then did short (~100 m) jogs to get my body used to it. I am now on week 3 of Couch-to-5K and my mile time has gone down by almost four minutes since pre-op. I am with you on the mental portions. I have been trying to train myself to be willing to throw away food rather than finish it just to be polite. I am looking for a therapist to help me through this. I am discovering what foods fill me up and what foods "slide" through me. Today I met a friend for coffee and ordered ricotta toast. Ended up with an absolutely enormous slab of sourdough with what had to be 250 grams of ricotta on it. I ate two bites and was done, and am still full two hours later. But if I eat, say, a hamburger patty, it just goes right down. Absolutely zero regrets. I wish I'd done this 10-15 years ago.
