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HELP!! 3 weeks Post Op: I Ate 5-ounce dinner!!
NickelChip replied to Avea9's topic in POST-Operation Weight Loss Surgery Q&A
Take a few deep breaths, and then watch this video for reassurance from a bariatric specialist: -
First Appointment on Tuesday (finally)
BabySpoons replied to carrielee's topic in General Weight Loss Surgery Discussions
I had an abnormal heart ultrasound preop and feared the same for myself. My bariatric surgeon told me they wouldn't cancel my surgery, just postpone it if I needed heart surgery. Fortunately, I didn't need it, so my WLS went forward. I'm not sure at what point a doctor would refuse to do WLS due to medical risk but have heard one say he had to with a few of his patients. I'm hoping the best for you!!! -
Deciding between bypass & sleeve
Jalapeño replied to pinkneymm@aol.com's topic in PRE-Operation Weight Loss Surgery Q&A
I have always had a dilemma about the sleeve, because patients can expand their stomach pouch, by poor compliance. The majority of people who have bariatric surgery experience psychological problems with their relationship with food rather than a physiological problem. Therefore, not withstanding a brain transplant, I don't think a sleeve would be successful for such individuals. I think that's one of the main reasons for revision from sleeve to bypass. With bypass, this is my own experience, you can eat as much as you want, but you don't put on the weight. I feel sleeve is suited to people who need a helping hand to lose weight but are strong enough to comply with a lifestyle diet change. Those of us who would continue to struggle with our relationship with food regardless, I think are better candidates for the bypass. The bypass comes in various strengths. There are several variations of the bariatric gastric bypass surgery, including: 1. Roux-en-Y gastric bypass (RYGB) 2. Mini gastric bypass (MGB) 3. Biliopancreatic diversion with duodenal switch (BPD/DS) and While Roux-en-Y gastric bypass, mini gastric bypass, and biliopancreatic diversion with duodenal switch are the most well-known variations, there are other less common types of gastric bypass surgeries, including: 1. Single Anastomosis Gastric Bypass (SAGB) 2. Loop Gastric Bypass 3. Sleeve Gastrectomy with Transit Bipartition -
~ 4 Years Out - Struggle Bus is REAL
BlondePatriotInCDA replied to MandoGetsSleeved's topic in Gastric Sleeve Surgery Forums
Exactly this. A lot of Baritastic patients go into this thinking its a "diet" its not! Its a new LIFETIME way of eating. It is nothing more than nourishment to keep your body healthy. "Diets" are meant to be a temporary way to lose weight, bariatric surgery is a permanent way to eat. I'll try and heed your words of warning! -
Is there anyone who takes their vitamins any way other than taking the chewables? Like I just can’t stomach the chews and they are awful to me but I’m trying to try different things even if I would need to take multiple pills I do not care I just do not want to take the chewable ones. Anyone have any routine with vitamins that meets the needs we need as bariatric patients?
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I had VSG in 2017 and found myself pregnant with my first! I have not taken vitamins as I was supposed to post op. But I have been taking prenatal vitamins since finding out. I lost a total of 150lbs since surgery, and this last year another 20 due to stress. I’m concerned the weight loss will continue (I know I’m just stressing more, it’s kind of my thing) For you bariatric mommies, were you able to hold enough food for you and the baby?
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I want to address those who might be struggling with the big decision on if they should go through with bariatric surgery, let me say this; 1. I have lost 33% of my weight so far. Even like you, I struggled with it having tried every diet known to human kind - I'd lose and gain..you know the routine. 2. I have officially been taken off all my meds; pre-diabetes and hypertension meds, this alone should convince you that having the surgery is a healthy choice and will help extend your life and reduce the drag on your wallets having to purchase meds for the rest of your life with the possibility of more being added. 3. You've probably tried everything else, what do you have to lose other than your weight? Its one of the most successful safe surgeries out there. 4. You'll have so much to look forward too in your life, I'm sure you have a mental image of how you'd like to see yourself if you were healthy and thinner. Having the surgery IF recommended by your bariatric surgeon will bring about that change. Let you be the thinner person you know is in there deep..waiting for you to bring the healthier you out! 5. Lastly, you will find the welcoming, understanding and empathy on these forums to help you when and if you reach out. There are years of experience here by people who at one time have been standing in your shoes and can help you, who want to help. I bring all this up because I know the doubts you're facing, but you'll never know the great outcomes available to you, unless you take the leap of faith that this life altering surgery will give you. I had a friend who self doubted and unfortunately she is no longer with us because she listened to those doubts and "taking the easy way out" nay sayers. Please take the leap and live the life you want to live before its to late. - End preach 🤗
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Having doubts.. lost a lot pre surgery.
ShoppGirl replied to Jordan.RNY's topic in PRE-Operation Weight Loss Surgery Q&A
Did you lose this weight on the liver shrink diet? If so, that diet is specifically designed to drop a big chunk of weight quickly but unfortunately the weight loss won’t continue to come off that easily long term. Only you know if you have given it your best shot at natural weight loss in the past but if you are like many of us here you have tried a number of times and nothing works to lose a significant amount of weight and keep it off. It’s your body and there is no shame in rescheduling if you feel like you need to give it one more try but also keep in mind that the biggest regret that many people list about bariatric surgery is not having done it sooner. Maybe make a list of the pros and cons and one of all the ways you have tried to lose weight in the past. Also keep in mind that pre surgery jitters are perfectly normal. You wouldn’t be sane if you weren’t at least a little nervous about major surgery. You are not alone. -
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. -
1 year post op help
NickelChip replied to fifi0523's topic in POST-Operation Weight Loss Surgery Q&A
In case you would find this helpful, Dr. Weiner's bariatric practice in Tucson, AZ has started a virtual nutrition support program that is open to anyone, no matter where you live or where you had surgery. You get unlimited access to monthly classes and support groups for $50 a month, and members can book a personal appointment with the dietician, Zoe, for $20 per session. Since you don't have anyone you can rely on from your surgeon's office, maybe this would be a useful resource. Here's their link: https://www.poundofcureweightloss.com/nutrition-counseling-memberships/ -
Is there a standard guideline?
NovelTee replied to NovelTee's topic in Gastric Sleeve Surgery Forums
Thanks for this! I fully intend to follow the guidance, it was just a curiosity as to how they determine their guidance. I just think it's really interesting to basically still be on full liquid to week three post-surgery. Maybe yours is tailored and mine is just sort of a set rubric? The food guidance I have isn't tailored to me––it's a PDF that's given to every bariatric patient in our medical group. My assigned nutritionist shared with me that her department always receives random updates to the diet directly from the bariatric department when the issue the new PDFs (we went through two updates while I was waiting for my surgery to be scheduled. When I have update calls with my nutritionist, she just asks me if I'm getting in my fluids and proteins and following the PDF for guidance on what I'm allowed to have. Either way, really interesting! Hope your surgery goes smoothly!! -
I use the Baritastic app. It tracks food macros and fluid intake. I track EVERYTHING that goes in my mouth, even condiments and coffee. LOL It helps immensely with staying on track. My Apple watch doesn't help with intake. It helps me remember to stand hourly. It counts my steps. It annoys me with messages all day. It reminds me to take my meds and vitamins. But it doesn't help with meals. Though there might be something to set in it to help with that? I just don't because my meal times vary a bit depending on when I wake up and eat my first meal. I highly suggest you get a pill case and dose out your vitamins for the whole week, or in my case, the whole month! A dietician can provide you with a list of supplementation or you can hunt down the ASMBS guidelines for your surgery, that's what most good dieticians use. It sounds like you may need to be watching your protein, fat, and calcium intake. Many people a few years out from the various surgeries start to show nutritional deficiencies if they haven't been keeping up with their protein intake and supplementation. Good hydration is important too. If you can, it would be wise to go have bariatric labs drawn, your GP can do this if you aren't still seeing your surgery center. A bariatric practice could do this too and would be good to follow up with if you are struggling with regain and getting back on track. You can do this!!
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14 weeks post op no weight loss
SpartanMaker replied to Cat2336's topic in POST-Operation Weight Loss Surgery Q&A
You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck. -
Hello everyone. I am a 63 year old grandmother from Indiana. I had RNY about 9 years ago and I've gotten way off track. Although I've lost 100 pounds I really need to lose way more. I lead a very inactive life due to arthritis in my lower back. I get short of breath very easy. My inability to follow the plan is my fault entirely because I just let things happen. I really had no support from the center that did my surgery which is surprising since they are a "Bariatric Center of Excellence". The dieticians don't follow up, my surgeon retired. I now suffer from low blood sugars to the point where I should really be calling EMS......I am talking in the 50's...once it got to 46. Needless to say I couldn't function and my husband had to take charge. Prior to surgery I had high blood pressure, type 2 diabetes, sleep apnea, and some other stuff. My blood pressure and sleep apnea have gone away and my blood sugar has went the other direction where it runs too low sometimes. I go through days of it being way too low and then weeks of it being fantastic then we repeat the cycle. I need to get back on a routine and an eating plan that works for me. How does one get back on track at this point?
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What you should know about WLS they don't tell you
BlondePatriotInCDA posted a topic in General Weight Loss Surgery Discussions
Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses! -
"Otherwise my skin will waft in the breeze! 🤣" I am forever going to think of my post bariatric body as having sails...wafting in the breeze. I'll have to be careful in a strong wind storm unless I lower my rigging and trim my boom! 😂😋
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So many 'what if's'
SleeveToBypass2023 replied to Alisa_S's topic in General Weight Loss Surgery Discussions
I never had reflux or gerd so I was a fantastic candidate for the sleeve. And after the sleeve, the gerd was so bad I was on 80mg of Nexium TWICE per day PLUS pepcid for break through and TUMS if really needed (and I was always doing all of it, sometimes still with no real relief). I developed so many polyps from the incredibly high amounts of PPI over a long period of time that I needed 4 endoscopies to remove them. I also developed gastritis and esophagitis. I was told I had no choice but to have the revision to bypass. So 13 months after my sleeve, I was back in the hospital having the bypass. The recovery was SO much faster and easier, the gerd was cured almost immediately, getting my fluids down was so much easier, my only real regret is that I had the sleeve at all. I just wish I had gone straight to the bypass to begin with. If you already have gerd, I STRONGLY advise at least thinking about the bypass instead of the sleeve. The bariatric surgeon may not even give you the sleeve as an option, so maybe start considering the bypass as a viable choice. -
Share Your Keys To Success! How did you maintain your weight loss (Stay In Maintenance). Come on spill your secrets!
GreenTealael replied to Mspretty86's topic in Gastric Sleeve Surgery Forums
7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team. -
A bariatric therapist is absolutely worth any time and money invested. Also reach out to the nutritionist at your surgeon's office. Make sure you move your body everyday. Prioritize protein and fluids (try limiting slider foods and junk as much as possible). If you must snack (beyond the allotted ones in the diet your nutritionist gave you) make sure they are healthy but tasty. Look at the calories you're burning vs consuming. Watch your carbs and fats. Watch how much sugar and salt you consume. It's really all about getting back to basics. And there's no easy way to change your mindset, you kind of just have to really want the results more than you want to undo the progress you made. Then you have to retrain your brain.
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Water intake issue?
BlondePatriotInCDA replied to jparadigm's topic in POST-Operation Weight Loss Surgery Q&A
Yes, its fairly common! Try taking smaller sips and space it out a bit more. If it continues I'd contact your bariatric surgeons office and see what they have to say. Also, before WLS did water do this? Water always made me a bit nauseated, so I add flavor which helps. Good luck, I hope you this is your only bump on your journey! -
8 months post, 3 months of stall and poor circulation
Anomalia replied to Anomalia's topic in POST-Operation Weight Loss Surgery Q&A
Okay first, thank you so much for such a comprehensive answer. I've seen some of your tips in the forums before but this really lays things out. I'll start varying my routine more and see if I can trip things up a bit. This iron thing in particular is interesting. In my last series of labwork my iron came back very low, but not quite anemic. (The range was 50-170, I came in at 55.) I have upgraded to the bariatric multivitamin with more iron and started also taking the iron melts with vitamin c, but I struggle to do this consistently due to how often I have dairy, and I haven't felt much of an improvement yet. I get re-tested in ~5 weeks to see if the numbers are better (or rather, to make sure they're not getting worse). Interesting lead either way. -
Sometimes you have to ring some bells like HELLO, i need some aftercare and followup. Congrats you finally got your appt. and your A1C going down! I'm not sure about B12. Some labs calculate it differently as the high end of the normal range for mine is 1245. I'm sure if it's an issue it will be or should be addressed by your team. The Vitamin D for sure should be. I know for me it was getting to the higher side of normal and my dietician had me drop down from bariatric vitamin to a regular multi and cut back on my calcium chews which also contain lots of Vitamin D. Woohoo on the weightloss. And the hair loss will eventually slow down. Mine lasted from about month 3-6 at it's worst and has slowed considerably and now I'm only just slightly annoyed at all the short hairs from regrowth.
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Nothing much to report this week, everything is just ticking over. Weight is stable, no losses this week after the unexpected losses of the week before. Happily going to the gym 3 times a week and I do feel improvements even if I can’t see them. Been to see my GP today (she’s the one who put me forward for Bariatric surgery) I’ve had a sharp pain smack bang in the middle of my chest. First time was a couple of months ago - it woke me up and lasted about 5 minutes or so. Could only be eased by sitting forward. Then nothing else until the pain happened again yesterday afternoon. The area still felt tender when I woke up this morning so rang the docs and actually got a face to face appointment - the shock!! Anyway, GP listened to my heart and chest, asked a stack of questions and came to the conclusion that it’s some sort of ligament pain where something is slightly out of alignment. I then explained about the endoscopy 💩show I had - pinned down, thrashing around etc and she thinks it could be caused by that as the timing adds up. She did ask if I was taking ibuprofen and I said no and explained about not taking anything until my next set of bloods (17th) in order to give my liver some breathing space. Advised to take after my bloods if needed as it will help recovery. Thankfully the gym isn’t causing any pain so I was cleared to carry on with that. We did have a chat about WLS and how everything has been so far. She is so incredibly supportive, it makes such a change. She said she’s updated with everything from the hospital and is really pleased with how things are going, so that was nice! So, that’s about it. Hope everyone is having a great week so far. Onwards and Downwards 😉
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9 Month Post Op Fears and Worries
Arabesque replied to RollTideRosss's topic in Gastric Sleeve Surgery Forums
Great advice from everyone and I would second finding yourself a nutritionalist/dietician sooner rather than later. And maybe a therapist who has experience with bariatric surgery & disordered eating. Do you track your food? I’m not a tracker (didn’t have to) but I do random checks on portions sizes, nutrient content & protein to ensure I’m on the right path or haven’t got complacent. It might be idea to start tracking if you don’t even for a few weeks just to see where you may be missing some key nutrients, to ensure a balanced intake, etc. can’t hurt anyway. Check out some the you tube videos by Drs Matthew Weiner and/or John Pilcher. Dr Weiner has some great books too which may be helpful. These may offer some support while you’re trying to find a new surgeon & doctor. -
I’m so scared my stomach will stretch out
SleeveToBypass2023 replied to sarahzinkann's topic in Gastric Bypass Surgery Forums
Definitely worrying too much. You won't stretch anything out by drinking too much. If you follow your bariatric diet, you won't stretch your stomach out with food. You won't even eat regular food until 6-8 weeks out. And by then you'll be healed, but have a lot of restriction that will prevent you from over eating. As time goes on, your stomach does stretch a little. That's normal. But it never gets anywhere near the size it was pre-surgery. It's ok, and actually good. As you heal and increase your activity levels, you have to increase your calories and carbs, but again, nowhere what they were pre surgery. Don't be afraid to eat. You can't run a car without gas and you can't run your body without food.
