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And it will still be considered bogus and bs. Trolling a bariatric forum with your posts isn’t going to “help” the company you’re trying to “promote” FYI, I’ve been a nurse for over 20 years. Claiming I don’t know what I’m talking about when it comes to nutritional information and your UCLA claim is silly at best. But go ahead and keep insulting members here with your horrific grammar and obvious juvenile anger issues, it doesn’t do anything for your case.

Hello Ladies, I was approved for gastric sleeve surgery late last month. I have to see my nutritionist once a month for 6 months consecutively, I have to have bariatric counciling report done that takes 3 sessions before surgery and one after, they did a ton of blood work, I have a upper GI and a echo cardiagram scheduled this week and I have to see my cardiologist to get approval to go off my blood thinners before they will scheduled my surgery date. I'm at my heaviest weight now 471 lbs. I don't know what my goal weight should be, I just want to lose enough to have my knees replaced as there bone on bone and I'm in a lot of pain everyday. I'm 49 and this is me now with a couple of my granddaughters sitting in my wheelchair.

Not a shill at all and thats a promise on all 5 of my grandchildren! I just got tired of hearing all the misinfo being spread around and look at what your respected member "TOMO" replied in this posting and TOMO has been around here and is in no way a "shill". TOMO said replied: "Genepro is endorsed and recommended by many medical facilities, including UCLA School of Medicine to all their bariatric patients. The science is sound but people believe whatever they want to believe. http://surgery.ucla.edu/workfiles/bariatrics/healthy-eating/UCLA-Post-Op-Diet-Updated-2021.pdf"

You're so obviously a shill for this stuff. You come and you register an account just so you can post this. You contribute literally nothing else to the site. And for what it's worth, I started in the bariatric program at UCLA and have never heard anyone suggest GENEPRO. Protein is protein. What your body doesn't need, it gets rid of by pooping it out. "WhY wOuLd YoU pUt YoUr BoDy ThRu ThAt" lol, literally everyone poops, there was a whole children's book about it.

Straws can bring air into your stomach which can cause gas like pains. Some people don't have problems other do. I imagine if someone was going to have problems it would be in the first six to 12 weeks, while the stomach is healing and is still tender and they are getting use to restrictions etc. I am not one to typically use a straw, so didn't have a need to use one or test it out. I think using straws is one of those variable things about weight loss surgery - depends on your surgeon and/or what you may read. Some were told never to use a straw again, others maybe in time, others were not told anything. These two links were just the first two I found, I've linked them for no other reason. https://www.obesityhelp.com/articles/drinking-through-a-straw-after-wls/ https://mexicobariatriccenter.com/bariatric-surgery-myths/

Genepro is endorsed and recommended by many medical facilities, including UCLA School of Medicine to all their bariatric patients. The science is sound but people believe whatever they want to believe. http://surgery.ucla.edu/workfiles/bariatrics/healthy-eating/UCLA-Post-Op-Diet-Updated-2021.pdf

If it’s anxiety around eating because you’re worried about decreased appetite then just know you can eat smaller meals and always go back for something else if you’re still hungry. The types of food you’re adding in may also be the culprit. I know I couldn’t eat or stomach much eggs, chicken breast or dry cooked meats for a while after surgery. So maybe try something different than you were before. Same with the protein shakes, some don’t sit as well after surgery as others and drinking the same ones repeatedly can make us feel nauseated at the thought of having another. If the problem continues after trying some of the suggestions a call to your bariatric team might be in order to rule out anything else that may be going on or give you peace of mind. Hopefully it’s better soon!

Do people get dehydrated quick from the Bariatric weight loss Sent from my octopus using BariatricPal mobile app

I'm sorry you're going through this. It sounds like your surgical team definitely failed you. The surgery does change your relationship with food forever. While your surgeon may have overstated things by saying the effects of the surgery only last 18 months, it is true that over time your sleeve will be less intrusive. The restriction eases somewhat and you get to the point where you can eat a small but regular-sized meal with no problem. I'm 2 and 1/2 years out from surgery and I don't have to take tiny bites or sips anymore. As far as eating "normally", that's not something most bariatric patients aspire to because that's what got us obese in the first place. If you really did go back to eating exactly how you did before, you'd simply gain all the weight back. My program had so many educational requirements that it got irritating, but I can see from your story why they are necessary. I hope you find some peace, particularly as time passes and your sleeve matures. God bless!

I agree with lizonaplane, some depression and anxiety is common post surgery but your sounds clinical. I would seek out a therapist, bariatric if possible, but if the waiting list is like it is near me I would see a regular therapist in the mean time.

I'm so sorry you're having such difficulties. It sounds like you should definitely reach out to a bariatric therapist. I'm also having a lot of difficulties because I didn't expect to be hungry all the time. I hope you can find some healing.

RNY April of 2012, so that makes 9+ years out. My surgeon no longer practices bariatric surgery and most likely isn't even in my state any longer. I have had to make due with visits to hematologists, psychologists, primary care docs and more recently, went to a different WLS center for a consult and also to an endocrinologist to address the weight creep up that has taken years to put on--really can't blame the Covid, but rather letting a combo of sloppy habits and less intense exercise run the course to the expected outcome: the dreaded regain. To complicate matters, I have been so exhausted that I have been trying to get to the bottom of that as well. Ruled out anemia (I have had to get iron infusions three times), ruled out thyroid (although I do take NP thyroid and the endo upped the dosage a little bit), and while menopause is a factor, I got on bioidentical hormones to try and feel better. Somewhere in the middle of this, I had the brilliant idea that perhaps I should wean myself off antidepressants because they might have contributed to the weight gain as well. Uh. This is not the year to get off antidepressants, being all stressed out at work with all the students back to in-person learning and no clear direction about how to distance kids who seem determined to sit on top of one another, etc. After the new bariatric consult, where I was basically told that because I had open gastric bypass and then had incisional hernia repair and fleur de lis abdominoplasty, my insides are too messy to do any kind of revision, with the adhesions and all. But what I NEEDED to hear was what I have been doing: back to basics. Push that protein--90 grams. Watch the carbs and fat. Exercise. And eat less calories. 1200-1400. Since that visit I have tracked my intake on MFP and gave myself one day a week to have a higher calorie day and some kind of splurge. The rest of the week I do two very high protein meal replacement shakes, a Greek yogurt, a couple of hard boiled eggs and something small but proteiny and veg for dinner. I have to say, keeping it boring has kept the appetite at bay. And so far, so good. Nearly back to Onderland again, and I plan on keeping going until I get back to my lowest weight, which hilariously still has me in the overweight category according to the BMI. In addition, since not crawling into bed as soon as I get home is one of my major goals, I went back on the antidepressant, at a little higher dosage after explaining my symptoms of exhaustion. All this to say that the work is never done and I wouldn't have it any other way! This is my first post and I figured I would just throw it all out there and include the juice, since that is what it is all about for me and I have been very much enjoying reading all the posts here. Didn't want to be a freeloader with nothing to contribute

Different clinics will vary drastically on this. I have heard of people who take vitamins anywhere from flintstones to CVS to bariatric. My clinic insists on bariatric. I take pro cate health bariatric vitamin with iron. It’s a capsule and it’s one a day supply has the same as bariatric advantages chewable that I had to take twice a day. Early out I took the bariatric advantage because it was chewable.

no - this is the surgeon's requirement. There are surgeons who won't operate on patients who have BMI's over 60 because that's considered "high risk". The insurance company isn't going to consider that particular piece when deciding whether or not to approve your surgery. In fact, they'd probably prefer you get under a 60 BMI as well so your risk of complications is lower. I was initially worried that if I was too successful in my six-month supervised diet that was required by my insurance company that they wouldn't approve the surgery. But that's not what they're looking for. They're looking to see if you're capable of following a plan long-term, since that's what you'll need to do AFTER the surgery. They don't want to fork over thousands of dollars for someone who's likely to not follow rules and just gain all the weight back. So if anything, this 80-lb required weight loss is likely to improve your chances of being approved -- not disqualify you for being too successful. I lost 57 lbs before surgery by working with a dietitian and gradually improving and shaping my eating habits to align with what I'd be eating after surgery (gradually increasing my protein intake, gradually weaning myself off caffeine and simple carbs, gradually reducing my calorie intake, etc). If you don't think you'll be able to do this on your own, then find a dietitian who's had some experience working with bariatric patients. I was really surprised I was able to lose all that weight pre-surgery - but I think it was a combo of wanting to do whatever I could do get the surgery -- and the accountability of working with a dietitian (i.e, knowing I'd have to report to someone every month on my progress).

Glad to hear you are back on track toward reaching your goal. Thank you for sharing your challenges with us. The stalls, ups and downs & difficult aspects of bariatric surgery are something that many, if not all of us, will face at one point. Hearing your experience can help someone know that it is possible to overcome their own obstacles in this process. Wishing you continued success & keep us posted on your progress. 😊

I wouldn't worry too much about it. If you are, say, 5'5", getting from a BMI of 60 to a non-obese BMI of 30 would mean an additional weight loss of 180 lbs. (on top of the other 80 lbs.) which even the most hardened insurance company would see requires surgery. But definitely ask your bariatric center for guidance and access to a nutritionist/dietitian to help you get those 80 lbs. down.

Most bariatric surgeons require some amount of weight loss or compliance with a pre-op program before surgery. That is very, very common. Its highly unlikely though that insurance would use that as the basis to deny surgery, given that even after the weight loss, your BMI would still qualify you. Additionally, if you have any obesity related health issues (diabetes, sleep apnea, high blood pressure, etc.) than it would further justify the need for surgery. I would say go for it and use the pre-op process to prepare your heart and mind for the life long changes that will come post-op. You're going to do great!

I think that's pretty normal. I'm just a few weeks out from surgery, but I am already nervous about this. Have you considered talking to a bariatric therapist? Also, agree with above posters about tracking your intake and keeping up with exercise. While exercise does not have much role in losing weight, it's been shown to be pretty effective at keeping weight off - provided your eating is in check.

Has anyone have a bariatric mindset book and workbooks Sent from my U307AS using BariatricPal mobile app

Hi Footballmom92! You can try to do searches in the forum to see if there are posts by others that started out at a similar weight. I found the article below about a young man that had weight loss surgery. He was close to 600 pounds. Have you started researching doctors yet? Perhaps you can see if your doctor or one you might go to has patients with similar starting weights so you can use the same nutritionist or be in same support group if they have one. Maybe there is a group on Facebook you can find so you can connect with others there. This forum is also a great support system, we all may have different amounts to lose, but can easily relate to, share advice with & give support to each other. https://www.treatedwell.com/i-would-not-be-here-today-kingsport-man-says-bariatric-surgery-saved-his-life/ Wishing you lots of success on your path to a healthier weight.😊

For years people would Comment on my weight...as a teen, when athletic, I was told I looked too masculine, or my grandmother would tell me (while underweight) that I needed to diet or I would end up overweight and over 300 lbs like my dad's mom....which, eventually, I got there. As an obese adult, strangers made rude comments in stores, restaurants, where ever. Their kids picked fun as they did too. And it only got worse the heavier I got and didn't matter if my kids were with me or if I was solo. Fast forward and now I get from strangers questions like "do you have cancer", "are you sick", and on 2 occasions the automatic store door wouldn't open and I was told if I ate more I wouldn't have that issue. Or one man said "let me show you where the cookies are, you need to eat those and not that rabbit food"... Recently I was hospitalized for 3 days incase of emergency surgery for bowel obstruction. My intestines had flipped, but flipped back on their own. I used to have chronic IBS-D now it's IBS-C. So after discharge I was prescribed an rx and 4 OTC meds to help me with keeping regular and avoiding bowel obstruction and surgery. While picking up the OTC meds, a rather large woman and her 18-22 y.o. daughter were on the same aisle...of course, observing my purchases and out loud the mother told the daughter "the reason why she's that thin is because she buys all that stuff to sh!t herself to death...she is anorexic ..don't let me ever catch you doing that. That woman is mentally ill." They walked away. I was left standing there in awe that , that even happened. My husband was like wtf? Well Saturday we had my daughter's 18th birthday. It was just us 4 and my dad. He hasn't seen me in like 2 months. And in front of my kids, he says "you do not look good. You look sick. You have taken this weight loss thing too far and you have got to stop. You're face and eyes are sunk in, your bones are sticking out and you need to gain about 50 pounds". I am 148 now. My HW 325. SW 311 3/9/20. I do not think nor does my bariatric surgeon feel that I've lost too much weight. Heck, his GW for me is 136. I am 5'6". I don't know what people are seeing but my point of this post, as long winded as it is, is that the negative comments just never seem to end. I thought for sure that I would lose weight, get healthy (point of surgery...healthy and save my life, not skinny) and feel great about myself. But it seems no matter what size you are, someone, somewhere always has something negative to say about one's appearance. Does it ever end? People suck. That's why I'm a cat person.

The reason they tell you to avoid spicy food is because it can be an irritant to the stomach lining especially right after surgery. Spicy food can also irritate gallbladder issues and cause heartburn in some people. If you’re not in any pain and it sat well then you should be fine. If it keeps bothering you mentally you can always call your bariatric team and talk to them for reassurance.

I am definitely going to talk with a bariatric therapist. It can sometimes be isolating, so I wasn’t even thinking about that. I do have that resource in my program ❤️

Well it has been 5-6 days wince my surgery!! I had to stay two nights in the hospital then went home in immense pain. Up until today I have not been able to get no real anything down. the most I got was 10 ounces of plain water yesterday. I can not take these lovely bariatric chewable vitamins, they made me sick immediately. I feel like a baby in that at 7pm every night I seem to get "colicky"!! I am 52 but am blessed to have a husband that does not mind burping me!!! :) This morning I am feeling stronger, I have talked with my NUT and gone over everything. I have taken two very long walks managed to get down 12oz. of water an some protein shake. I feel like I can see a light at the end of this tunnel. I am sure that I will have many more speed bumps but today I am strong!!!! Have a blessed day Everyone!!

It's great that you've taken control of your surgery, but it sounds like you should consider talking with a bariatric therapist. This should be someone they have on staff, but if not, hopefully they can refer you to someone. I'm shocked that they haven't done that. Congrats on your 100+ lbs weight loss. That's a thing to celebrate!