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I wouldn't. But only because of the amount of sugar alcohols. It could play havoc with your still healing anatomy. That said, I eat them all the time, just make sure to clear the calorie count with your daily maximums and you'll be fine. Arctic Zero isn't any better than halo top for sugars, they both have the same amount. But Halo Top wins out on ingredients, sugar isn't in the top 3 for halo top, but it is for arctic zero. Halo Top also has more protein than Arctic Zero. Overall, the 2 of them are pretty evenly matched. Halo Top wins out slightly for higher protein and not having sugar in the first 3 ingredients. Halo Top is creamier and more like ice cream than Arctic Zero because of the fact that Halo Tops uses milk, Arctic Zero uses water. Arctic Zero wins out in the amount of flavors available though. Either way, these 2 are miles better than regular ice creams. https://spoonuniversity.com/lifestyle/halo-top-vs-arctic-zero-which-healthy-ice-cream-is-better

Just checking in, thought I'd share my experience thus far... RNY surgery with hiatal hernia repair was May 11 at 1pm. I don't recall waking up until about 8pm... then the next thing I know it's 6am May 12. I was very tired/sleepy throughout May 12. My foley catheter was removed about 10am May 12 and I was waking and getting up to pee about every hour and a half. Apparently, the fluid drip I was on was quite a lot. I managed to eat a sugar-free popsicle, have a few bites of sugar-free jello, and a few sips of broth that day. My belly felt like I'd done a 1000 sit-ups! I was able to walk the hall about three times. Received dilaudid once and norco three times throughout the day. Also had an upper GI done: drank a little contrast while they took pictures... all good, no leaks. Sleep, sleep, sleep. May 13 I woke still feeling woozy, tired, and belly was still painful, but not too bad if I didn't move. Felt slightly more awake as the day went on. Had a SF popsicle and some SF jello. Still peeing every hour and a half! Went home about 1pm. Slept through most of the day, waking only for bathroom use and sips of clear protein drink (Protein2O from Costco.) Took total of four doses of norco throughout the whole day and managed a BM in the evening. Today, May 14, I feel alive again! Sipping Isopure coconut-flavored protein water with Crystal Light lemonade added, not bad. Took a norco this morning but that will likely be my last one. Belly only feels like I did 100 sit-ups now instead of 1000. Been wearing a "binder" since May 12 and have decided to wear it for at least the first week, though I was given no instructions about it. A few other comments about my journey thus far: have been using infant's simethicone antigas drops every six hours as instructed. Occasionally pass gas, occasionally burp. NO nausea at all during this entire experience, YAY! Was asked by the curious Nurse Practitioner if I drink alcohol much (I don't) because the anesthetic had such a surprisingly long effect on me. Apparently my body just isn't used to depressants and didn't clear it very quickly. And I'm not too worried about getting in an appropriate amount of liquids yet because just one look at my hands shows that I'm still full of the IV fluids they were pumping into me, LOL. Feeling optimistic!! (EDIT: Don't know why that QUOTE box is there at the beginning of my post.)

2 months post op. Down 81 pounds. I tried the insurance route 3 times and all 3 times the ins.co would pull the no bariatric rider at the last minute. I paid out of pocket for mine, $13k. I gave them a check on 10/01 and was on the table 10/15. Dr required 2 visits. One was a “physical” more or less and the other was a sales pitch, the next day he was playing with my innards. 10/15 the day of surgery i was 381, 12/15 I’m 300. do what your dr says and the procedure will work. Water is critical, lots of protein, as few carbs as possible. I try to stay under 1000 calories and 20 carbs a day, and I’m usually able to do that the key is reading labels. Meat has few/no carbs- cook it simply and it’s perfect. Sauces and seasonings are the devil. I use a lot of garlic, salt, pepper and rosemary. And I grill everything beef, bird, fish... everything Dont graze eat. Figure out what you can “hold” and then only put 75% on your plate. i guess I got lucky- I have had ZERO complications post op. No bleeding, no dumping, no major pain, nothing. I went back to work after a week off... I was bored silly sitting at home that week I live and die by my 30oz yeti. I drink 3 cups plus a day. One before lunch, one before dinner, one before bed. Sometime I shoot some MIO or lemon in it. Somedays I have unsweet tea. I’ve been able to keep the soda and alcohol monsters away, but somedays I’d kill for a ginger ale Pouches of tuna and salmon and chicken are easy to carry in the car or work bag. A little thing I do is when I’m on dinner duty, I hit the free sample display at the deli. One cube of meat, one of cheese and I’m half full, keeps me from over indulging with actual dinner for a sweet treat, sugar free popcicles are just sweet enough to do the trick. Atkins has some good low carb/high protein bars. One thing I learned is the more you pay, the better they are. Exercise is difficult for me due to the nature of my work- I’m on a seagoing tugboat 9 months a year. So the whole boat is my gym- everything is 100 pounds or more, it’s difficult to get the cardio in though- you can walk only so many laps around my 150’ steel island.

I have one suture site that won't heal up. I thought I had caused it because of wearing an underwire bra. It was all pussy and I would drain clean it with alcohol each morning and night. then I got to going around braless~not pretty at this stage~ anyway, got the infection cleared up and in cleaning the site yesterday it is still open! 5 weeks post op. Well, looking in I think I see a blue thread. I tried to get it up to the surface with tweesers, but no luck. I guess I will go to the Dr. on Monday? Has anyone else had this happen? What did you do? Of course I had to discover this on the weekend. Is there anything that will disolve the stitch? All my other wounds are healing nicely. Just the one under the left boobie is a problem.

1. Do you FEEL the LAP-BAND® around your stomach? Does it feel tight or uncomfortable? - NO 2. I think giving up soda will be really hard. WHY must it be done? CARBONATION DOESN'T AGREE WITH THE BAND - IT MAKES YOU FEEL BLOATED - 3. What is the purpose of the liquid diet pre-surgery? And post? PRE-SHRINK YOUR LIVER - POST - HEALING 4. Did your insurance company cover the procedure? How long did the pre-auth take? Did you have to do psych evals, etc? YES 2 WEEKS AND YES 5. The port - does it physically bother you? Can you see it initially, after losing, etc? My husband is kinda freaked out about it.... PORT SITE HURT THE MOST RIGHT AFTER SURGERY - MINE STICKS OUT A LITTLE NO BIGGIE 6. Does getting a fill hurt? Or does it feel like getting a flu shot / giving blood? MY DOC NUMBS ME PRIOR TO FILL SO NO IT DOESN'T HURT 7. Do you have restrictions with taking pills? I.e. is Tylenol still effective, does it digest regularly, etc. - YOU ARE INSTRUCTED TO TAKE LIQ TYLENOL - SMALL PILLS AREN'T A PROBLEM FOR ME - I CAN EVEN TAKE TYLENOL CAPLETS - IT DEPENDS ON YOUR RESTRICTION AND SIZE OF PILL 8. What about drinking alcohol? Is it OK occassionally? YES - I DRINK OCCASSIONALLY - BUT REMEMBER EMPTY CALORIES.. The Band is only a tool - you have to change your eating habits for life and add physical activity to your life. Good luck on your journey

BUT, I looked it up and pretty much it can be all kinds of things.. What ever, all I know is that for two weeks, I am in pass out mode.. all times of the day and with seemingly no cause.. It wont matter how long or how hard I have slept..and I have NEVEr slept nor drempt (lol, is that a word) so much in my life. Its totally different than anything in my life I have EVER experienced. I have tried and tried to get on a schedule.. doesnt work I have checked my meds to make sure I am not suddenly without realizing it, taking too much. .... I am not. I have thought long and hard about it being depression.... WHo knows I have not checked my blood suger and I guess I will go to lab next week and check it.. but ITs NEVER my diabeties whenever I think it may be. I am eating like CRAP.. worse as I ever have, but still think I get enough nutriants and stuff not to have some weird sleeping disorder. Its ticking me off.. I cant live like this!!! I looked this up.. but what do you guys think? Anyone go through this? Hypersomnia leads to the urge to nap during the day, no matter what you're doing. Thats what I am doing Other symptoms may include anxiety, always increased irritation, well yeah when the house isnt quiet and my body is in pass out mode decreased energy,duh restlessness, yes, dont know what to do when I am up, but I dont do anything now cuz I feel like I am just gonna have to be asleep soon slow thinking and speech, loss of appetite,well I cant ever eat cuz I am always 'waking up' and I wake up swollen.. hallucinations the dreams I am having are pretty darn close and memory problems. hard to tell Hypersomnia may be caused by narcolepsy (or sleep apnea, another sleep disorder)Not that I know of, drug or alcohol abuse, No, not unless my pills are affecting me different all of a sudden (pain pills) But I dont feeeel anything when I take them (like high or euphoric or nothing a tumor, or injury to the head or central nervous system. well thats broad Multiple sclerosis,no depression, I dont know encephalitis, ??epilepsy no or obesity so there it is.. THATS IT!!!!lol can also be contributing factors. grrrr

Sean - I followed a nearly liquid diet with some limited cheating and dropped almost 15 #s in two weeks before my surgery. Heck, the day before the surgery I broke every rule and did a pizza buffet with a friend (but severely limited what I ate).. I was afraid that was going to cost me the surgery. It was hard but I cut out all the fun foods - soda, pizza, Panda Express, Pasta, Soups, BEER, alcohol, and marijuana... and even when I traveled, I would still go to Panda Express, but get teriyaki chicken with NO sauce with white rice and drink Water. My doctor had a *very* strict diet, as I guess they get a high failure rate of people who can't lose the weight. But a lot of water, fruits & veggies did the trick for me.

That is so important to hear. At another site where I post I was told that it is people like me who never served, who don't understand. I have posted this many times before, so you can look it up. When I was 19, in 1964, I was gung-ho military and tried to enlist in the US Air Force. I failed my physical because of injuries suffered while playing freshman football in college. The last step of the pre-induction physical was a 26 page questionnaire and the last question was "Are you the sole surviving son of a man killed in the service of the US Military". My father was a US Army Sargent killed in Berlin in WW11 on the day after I was born in 1945, so I answered “yes”. I was told that I failed the physical that day and about 3 weeks later a new draft classification card came in the mail with a classification of “4A”. I was ready to serve, though knowing what I know now, I am glad my knee kept me out of that war; Another war in which we dismissed the French. We laughed at the French for leaving Vietnam and we kept laughing at the French until 65,000 of our youth were dead, many times that many more maimed and many times that number who had miserable lives because of much higher rates of alcohol abuse, drug abuse, crime, spousal abuse and suicide than that of the people who did not serve in Vietnam. And for what? We lost. The dominoes never came down. We were fed a line of crap, just like in 2002 leading up to the 2003 Illogical Illegal Iraqi Invasion. When will we learn? Aren't you glad you asked? I contributed my father. Can you top that?

So update.. After finishing my first fast day yesterday of my second week I'm holding steady at 168 (no loss today) last week I started at 171 I had been stuck at the number for months. After first week of the fast I went down to 169 which was very exciting! After a major party and much alcohol I went down to 166!! (dehydration I know) Evened out at 168. I'm good with it and I know my body well enough to know it will probably stay there this week. Oh and the first two fast days I was grumpy and off yesterday being my third, I felt a lot better

I agree. I would HOPE that people would have enough sense not to marry their sisters, or at least not to have children with them, but to legislate stupidity is....well, a losing battle. Are we going to legally prohibit drug addicted, alcoholic women from marrying and delivering brain-damaged babies? I doubt it. My oldest son and his wife are not related, yet their first child was born with Hirschsprung's Disease, a rare birth defect that is genetic, and which never shows up unless both parents carry the recessive gene for HD. Should they have been denied by law the right to choose to have more children? (They had a second child, by the way, and he does not have HD.) People should be entitled to choose their marital status, and that includes WHO they marry, as long as both are consenting adults. Every state in the union allows convicted criminals to marry, even though the marriage will never be consumated. That does not fit the mold of "traditional marriage", yet it's not illegal. I think it's a shame that violent offenders are given more consideration than productive, tax-paying citizens.

those who eat well are also foodies - unless you are strictly bound to meat & potatoes or cafeteria eating I like anything sweet - so as not to taste the alcohol is my deal!

well had my first fill. Nothing to it really. It was in Newport (s.wales), Fred was there, asked how I was. Weighed me lost and kept off 2 stones, whey!! Then I lie down on the table, he prodded and felt my port then he wiped with alcohol swab then injected the saline. 2 secs its was all over and painless. I was made to drink some Water to see if I could keep it down. Ive got the french band so the 1st fill is 4mm max. He said that if you have the Johnson and Johnson, they are 6mm for the 1st fill as these are a larger diameter band, im guessing for bigger people. Next fill is end of July. He also said that 1st fills were pretty much un-noticable so I could eat almost anything, which it aint true coz now I deffo cant do bread, meat or other such foods as it gets stuck and I have to bring it back up, which isnt a good situation to do all the time. I reckon the second fill will be a massive charge. Roll on end of month

Thank you, CCwriter! I had no idea regarding the connection between alcohol and Seratonin! That's an amazing piece of information, and I'm going to be sure to pass it along, as well. Luckily enough, I don't enjoy drinking when I'm feeling sulky. Somehow, things have just turned out that way. Yesterday was a good day. I ate well, got all my nutrition in, stayed in range, and even had a small walk. I felt better, just by writing down my feelings! Having people on here offer encouragement and support is a giant plus, and I feel so lucky to have found this community. Thank you. I've got a meeting today regarding my transfer, and I'm really hoping things pull through!

I don't like the taste of alcohol, but I love me a good amaretto sour - Disaronno, of course. I PBed today. Happy anniversary to me. But when I weighed this morning I was down another 4 lbs which makes a year total of just under 130lbs. And I'd drink to that!

When I do intermitten fasting I stop eating foods but I may have a cup of tea, or coffee before my workout in the morning. I was taught that you can drink whatever you want but as always limit your sugar intake to about 60g during an entire fast (16-24 hours) and If you must eat something let it be no more than 100 calories within an entire fasting period. NO ALCOHOL I generally stick to Water, tea or coffee. It has helped me finally reach my water intake, because I'm usually still awake 6 hours after I begin a fast.

I was on the boards for over a year pre-op, and inhaled all kinds of stories. I was (I believe) adequately prepared for how the VSG would be a tool, would offer a brief time (1 year) to build new skills, deal with surprising upsets about not being able to soothe myself with food. I also realized I needed to be in therapy, during my journey -- I call it my Year of Losing Weight, my Year of Maintaining my Weight, and Boring Real Life. That's my therapy commitment -- three years. I'm old enough to know that life isn't an endless honeymoon. Boredom, habits and real life end all honeymoons. And then the marriage begins. So I was well prepared. I do see those who are starstruck and want to wake up 365 days later and find themselves Cinderella at the Ball being chased around the floor by The Prince. I see some who are, frankly, not smart enough to appreciate what they're doing to themselves and what it will mean. I seem some who thought they were ready, but find it so much harder to adapt than they'd dreamed. Some of those adapt. Some of them don't. I see some who can't be compliant because they're too food-addicted or simply unable to follow directions or those who can't let anyone be the boss of them or those who think they're too special to do it the boring way everyone else does. I see the perfection puppies, the alcoholics, the ones whose lives are a train wreck with no space in it for self-protection, the wounded adult children, the smart ones who can fix everything but their weight. I see those with bad surgeons and inattentive care. I see those with no support at home or outright antagonism and hate disguised as nagging. People who are desperate enough to have weight loss surgery are not all in mental spaces or physical spaces that are safe enough for them to undergo WLS and its aftermath. Of course, I see people who do well. A lot of them are older. They know it won't be perfect, but they're patient. They have seen tough times, and they aren't shocked by some tough things about WLS. They're a bit long-suffering and don't bitch about every new food that doesn't thrill their palate. They can tolerate temporary discomfort to get to the easier times two months out. In a word, they're just compliant -- or as compliant as they can be. They don't beat themselves up when they're not perfect and they are resilient enough to get back on the path without being a drama llama about it. They don't start threads with titles like: "Oy vey ist mir!" or "Will I ever be happy again?" or "Please tell me this won't last forever." They already know they'll be happy again, that this won't last forever, and that ein bischen vey doesn't require a clickbait thread title.

What Your Doctor Can’t Tell You If you are considering bariatric surgery, you’ve probably done some research. You may have looked up “gastric bypass” on the internet, read some blogs, or perhaps you’ve gone so far as to discuss the possibilities with your doctor. You may have a decent grasp of the physical side of this surgery. But there are some things even the best surgeon can’t tell you. I’m talking about the emotional side of taking this life-changing step. The emotional roller coaster of trying and failing to lose weight does not disappear when you decide to use bariatric surgery to get control of your life. But, it does become easier when you know what to expect, and when you see that you are not alone. I speak with authority on the subject of bariatric surgery and the emotional struggle that goes with it — I’ve been there. Seven years ago, I had a gastric bypass. This process took me from being barely able to function to living a magnificent life as an authentic and productive person. But it wasn’t a walk in the park. As a person who has been through the surgery personally, and as a clinician (I am a licensed Marriage and Family Therapist) I bring deep experience to this subject. And I’m anxious to share what I learned. I want to make it clear up front that I am speaking as a clinician and someone who has been through weight loss surgery and the difficult recovery process — I am not a nutritionist or medical practitioner. The full tale of my own personal journey is recorded in my book Recovering My Life: A Personal Bariatric Story and in videos and Facebook posts I recorded during and after my surgery. I began emotional eating as a response to childhood trauma. And, though I had dieted over and over again since high school, I weighed over 200 pounds at the birth of my second child. At that point, my medical problems included sleep apnea, high cholesterol, high blood pressure, and hypoglycemia (low blood sugar). By the time my third child was born, I was pre-diabetic, with gestational diabetes. Many days, I was too tired from sleep apnea to even get out of bed. I could barely take care of my kids, and I felt like the worst mom on the planet. Fighting My Way Through I had always thought only slackers had weight loss surgery. But when a friend had a gastric bypass, she convinced me that, for people with weight loss resistance, this was a good option. I consulted my doctor. He approved, and I began fighting my way back to health. And it was a battle. I made mistakes, but I learned from them, and I persevered. Today, I have maintained my weight loss, and I am healthy. I am a better mom to my kids, and I have a thriving group practice and run a nonprofit foundation I created to assist people in our community to heal the brokenness in their lives. And I met and married my second husband and have a great marriage. If you’re thinking about bariatric surgery, or if you’ve already had a procedure done, it’s important to move forward with all the information you need — including the physical and emotional ups and downs. My recovery was a difficult journey, but I would do it again a million times over. Knowing what I know now wouldn’t eliminate the challenges I had to overcome before and after surgery. But, it would make the whole thing less scary. That’s what I hope my story does for you — help you avoid the mistakes I made and feel more confident in your success. Understanding Weight Loss Struggles & Bariatric Surgery Causes of Morbid Obesity What is Bariatric Surgery? Getting Ready for Surgery Mental & Emotional Preparation Advocating for Yourself After Surgery is Approved Building Support Planning Pre-Surgery Weight Loss What You Will Need Immediately After Surgery In the Hospital The First Few Days at Home Ongoing Recovery Physical Issues Emotional Issues Other Issues Potential Issues After Weight-Loss Surgery Emotional Challenges Health Problems Relationships Understanding Weight Loss Struggles & Bariatric Surgery Why Do People End Up Morbidly Obese Well-meaning acquaintances, friends, and relatives may suggest that you’re “taking the easy way out” by pursuing bariatric surgery. They can make you feel guilty for even considering this as a last resort. Why can’t you just lose the weight on your own? Genetic predisposition. Some are genetically predisposed to gain weight, even when they exercise, even when they try to diet. Certain hormone imbalances and disorders can also make it hard to stay at a healthy weight. Emotional eating. The barrier that keeps most morbidly obese people from losing weight is that our eating is connected with our emotions. Early on, many of us learned to use food as a way to cope. Food for us is not just fuel; it’s the way we deal with life’s problems and blows. Regardless of the particular cause, some of us have been on one diet or another all our lives. We have lost the same 50, 70, or 100 pounds over and over. In fact, our attempts to lose weight have made us worse off. Along with the health effects of too much weight, we carry the shame of failure and frustration. Weight and Your Wellbeing The physical health problems associated with obesity are many and serious: high cholesterol, high blood pressure, acid reflux, gall bladder disease, congestive heart failure. Type two diabetes, hypoglycemia, asthma, sleep apnea and other sleep problems, fertility problems, arthritis, lack of energy. Knee and back pain, gout, migraines, psychosocial stress. Even scarier: liver disease, increased risk of cancer, risk of stroke, and earlier death. Associated emotional problems that stem from these conditions can also make it harder to overcome them. For example, you may be struggling with depression, anxiety, and guilt. Sometimes, the biggest problem we have to face is the low self-esteem that goes along with being the biggest person in the room. What Is Bariatric Surgery? Bariatric surgery is not a cosmetic procedure. We may hope to look better after losing weight, but the best reasons for undergoing this major surgery are to extend and improve our lives. The common term for bariatric surgery is “weight-loss surgery.” It means any surgical procedure on the stomach or intestines that aims at weight loss. Doctors have been performing these surgeries since the 1950s, with a good success rate. The most common procedures are lap band, with a success rate of 47%; gastric sleeve, with a success rate of 80%; and gastric bypass, which has an 85% success rate. Another procedure, duodenal switch, has a success rate of 95%, but is more complicated and less common in the U.S. These procedures support weight loss while requiring lifestyle changes. Drastic weight loss can motivate you to keep on the road to better health. Whichever procedure you choose, pre- and post-operative education is key to developing lasting, healthy habits. Getting Ready for Surgery Mentally and Emotionally Preparing Convincing others — and yourself — this is the best solution Your first job is to conquer your own hesitance about weight-loss surgery. Even asking about it takes courage. Then, when you’ve reached the point of seriously considering it, you need to be prepared for a long haul. You will need to get lots of people on board with your decision. First, your family — maybe not extended family, but certainly the people you live with day to day. Next, you need your doctor to approve your decision. No matter how much you hate to get weighed, you will need a referral from your primary physician. And, you need to convince your insurance carrier that bariatric surgery is necessary for your health and to prolong your life. Navigating Relief and Fear You will probably feel a profound sense of relief just to know there’s a solution to obesity- related health problems. But along with that relief comes worry. It’s major surgery. Things could go very wrong. You might even die. Will having surgery be worth it? What if you can’t get the weight off during those post-surgery months? What if you can’t keep it off and all this trouble and pain is for nothing? After all, you’ve tried and tried to lose weight and it hasn’t worked — or only worked for a short time. Then there’s having to consult with medical personnel and, even worse, insurance representatives, to advocate for yourself. You’ll have to talk about your weight, which means confronting the shame that goes with it. You may worry that people will think you’re weak — that you’re taking the easy way out. How do you overcome that prejudice? Especially since part of you still shares it. Overcoming Resistance And what about all those hoops you have to jump through? You have to have at least six months of records showing your weight on a regular basis and detailing your attempts to lose it. When you can’t bear the sight of your own body, much less the weight on the scale, how are you going to face that challenge? Your research, from articles to videos, shows people who’ve had bariatric surgery eating impossibly small portions. You hear about all the restrictions ahead: first, a liquid diet; then mashed food; then, even when you get back to “normal,” ongoing restrictions, such as not drinking with meals. How will you ever be able to eat normally again — how will you ever be able to eat out? These are mental challenges it won’t be easy to meet. But if you want to be well again, if you want a long, productive life, it is possible to work through them. Advocating for Yourself I was fortunate that my primary care physician was willing to support my bariatric surgery decision from the beginning. But you may have to work to convince your medical advisor that this route is good for you. Advocating for yourself isn’t easy, especially if, like most of us who suffer from morbid obesity, you don’t like calling attention to yourself and your weight. To succeed, you must learn how to speak up for yourself. Here are some suggestions. Decide what you want. Believe in yourself! Know the facts. Educate yourself about bariatric surgery and potential issues. Plan. You need a strategy for recovery and ongoing lifestyle changes. Gather support. It’s helpful to have family, friends, and people who have similar issues on your side. Target your efforts. Find the best medical practitioner. Find the right person at your insurance company to plead your case to. Express yourself clearly. Tell doctors and insurance agents that you are interested in surgery and why you feel you need it. Stick to the point, and don’t give up if they say “no.” It may help to role play scenarios with a friend or family member who supports your decision. Assert yourself, but don’t lose your temper. Respect the rights of others, but ask for what you need, and then listen. Finally, don’t give up. Be firm and persistent. Follow through on what you promise. (Those six months of weight-loss records, for example.) After Surgery Is Approved You’ve made the decision to have bariatric surgery. You’re both excited and scared about taking this serious step toward improving your health and your life, but you’re going to do it. Now you need to build your support system. Nobody goes through such a major life change, such a serious physical challenge, without help. Find Your Team Choosing the right people to support you on your journey is one of the most important decisions you have to make. You will need to depend on family, friends, acquaintances, and even strangers who have gone through this experience before you. The most important quality to look for in your team is respect and support for your decision. You will need help with ordinary tasks and responsibilities while you are undergoing and recovering from surgery. A few needs: Someone to care for your children and pets while you’re in the hospital and perhaps during recovery at home Help cooking meals and cleaning the house Someone to accompany you to the hospital and be your advocate when you can’t do that yourself Help dealing with the inevitable emotions and stresses of major surgery and a major lifestyle change First, you have to overcome your reluctance to ask for help. Then, you have to reach out. Share your needs with family and friends who are sympathetic to your goals. If they’re not on board, you don’t have time for them right now. If it feels right to you, you can use social media to reach out. Contact your church, work friends, fellow hobbyists, and people you’ve come to know in other ways. Trust that there will be someone who can help. Be Informed and Follow Your Doctor’s Advice Use the resources available through your medical advisors. Seek out a sympathetic nurse. A therapist can help you deal with the emotional consequences of surgery and also the issues that led to your obesity in the first place. If you don’t have a therapist, maybe it’s time to make that connection. Find a good therapy group. And above all, follow your doctor’s advice! Learn as much as you can about what will be happening to your body and mind, but trust the experts. Plan for an Extended Recovery Your time in the hospital may be only three to four days, but it will take longer for you to feel “recovered.” The period (about nine months) when you are relearning how to eat and coming to terms with the smaller size of your stomach is crucial to your long-term success. There will be lots of ups and downs. Be ready for a long road to full recovery. Having support from friends and family is important, but this is the time to get involved with a support group. Being with others going through the same experience can give you the perspective you need to keep going. Even if your physical recovery is swift and relatively painless, you will have to learn how to deal with the changes in your life. If, as with many, food has been the way you deal with past trauma, uncomfortable feelings, your need for independence, or any other of life’s problems, you no longer can depend on that comfort. If food has been your addiction, you now have to kick the addictive response to it. There will be setbacks. You need to be prepared to bounce back from them. Lose Weight Before Surgery Your bariatric surgeon is likely to require you follow a weight-loss plan for a number of months (six is common) before surgery. The reasons: to make sure you really are committed to your goal of losing the excess weight, and to help you be as healthy as possible going into surgery. This can be a frustrating time. You’ve tried so many diets and exercise programs before, and none have worked. You hate thinking about your weight, and your program requires you weigh yourself daily and keep records of your weight, food intake, and exercise. You’ve made a major decision and are anxious to get it over with. But again, following your doctor’s advice is the shortest and best way to reach your goal, no matter how frustrating it feels. Confront Your Fears To make this transformative decision, you’ve already had to overcome lots of fears. Some of your fears involve others’ opinions. “What will people think?” Some arise from self-doubt. “Am I being selfish?” These are not frivolous concerns. Believe in yourself and face them. Your decision to take care of your health so that you can be there for your loved ones is a good one. Trust in yourself. Another very real fear is the fear that anyone feels when they are about to undergo major surgery. You could die. This is not a frivolous thing. It’s serious. But the vast majority of people who have surgery don’t die from it. So, face your fear realistically. At last, the big day is here. Your surgery is performed. You wake up in the hospital. Are you a different person? Is it all over now? Not yet. The journey of recovery has begun, and it will take resilience. Immediately After Surgery In the Hospital If you have built your support team, you will have fewer worries going in. Your family and home responsibilities are covered, and you have people to support you in the hospital and after you return home. But that doesn’t mean there won’t be challenges. During the initial stages of recovery, hospital staff will be checking your blood pressure, oxygen levels, and more. You may feel as though you are always being poked and prodded at, with little privacy. Thankfully, this stage doesn’t last forever, Your doctors will advise you about the physical challenges that may follow bariatric surgery: constipation, dumping syndrome (nausea, vomiting, and weakness caused by eating high sugar meals, sodas, and fruit juices), possible infection of the wound, and possible leaks in the new connections. But medical advice may not give you the information you need about the emotional side effects. One consequence of the surgery I noticed immediately: I no longer felt like eating. My hunger hormones were gone for a period of time. I had to force myself to eat, and I felt weak. Others report that they felt hungry during the post-op period while on a liquid diet. Hungry or not, a liquid diet can be a source of emotional stress. Be aware that different people react in different ways. The important thing is to keep following your medical and nutritional advice and trust that, in time, you’ll be feeling more normal. Another potential problem is “food grief.” Food has a special meaning for people who suffer from morbid obesity, and “mourning for lost foods is a natural step in the re-birth process after weight loss surgery.” For a long time, maybe all our lives, food was our friend. We turned to it in celebration, in sadness, for comfort, for reward. Now, we can no longer turn to food. We have to find other ways to fill the void food once filled for us. Along with the pain associated with surgery comes the challenge of managing it. The pain medication you are given in the hospital may not work for you. Keep advocating for yourself until you find one that does. It may also take time to know exactly how much medication you need. Trust your doctor, but don’t be afraid to ask for a higher dose if you are in pain, or a lower dose if you are experiencing other unpleasant side effects. It’s worth reiterating here, I am not a nutritionist or medical practitioner. And, I am certainly not advocating for you to ignore your doctor’s advice. Rather, by telling your doctor how you feel when you’re on pain medication, he or she may be able to transition you to a more effective medicine or dosage in a safe, supervised way. Other challenges: meeting the medical requirements for discharge from the hospital and meeting your own fears and expectations. Will you be ready to be sent home? How will you manage after you get there? Your First Few Days at Home Your first major challenge will be dealing with pain and managing your pain medication. If you’re like me, you will want to get off medication as soon as possible. But follow your doctor’s advice. Pain meds usually require tapering off. Quitting “cold turkey” is likely to cause withdrawal symptoms, such as feelings of anxiety or depression, trouble sleeping, headaches, night sweats, nausea, vomiting, and diarrhea. I made the mistake of not tapering off my pain meds and lived to regret it. You — and members of your family — might be appalled at how little you eat. You might worry about not getting enough of the right nutrition — protein, for example. The combination of pain, medication, and lack of hunger hormones can mean almost total loss of appetite. Feeling responsible for things at home may make you push yourself too hard, especially if loved ones need you. Preplanning for getting help during this early recovery period is important. You will need to have both physical and emotional support in place. Recognize that even though they care, some people won’t be able to help. But don’t be afraid to ask. Take baby steps. Your recovery has many facets: overcoming pain and regaining your physical strength are just the beginning. Emotional adjustment to the new circumstances of this life-changing step is major and ongoing. Therapist Lynne Routsong-Wiechers, herself a successful bariatric surgery patient, lists “Seven Steps to Improving Emotional Adjustments Post-Surgery” in her article, “Baby Steps — Emotional Adjustments to Weight-Loss Surgery.” Follow your doctor’s orders. Ask questions when you have them and express concerns, but trust your doctor’s recommendations and prioritize your physical health. Keep a journal. You can use this to keep track of the foods you eat, as well as whether or not you are emotionally eating, but you might also choose to express what you’re thinking and feeling. This will be a private record, just for you. Remember, you are more than your diet and weight. Write down realistic goals and expectations. Celebrate when you meet them! Reflect on the past. Remember why you decided to make this change, and honor how far you’ve come. Take plenty of photos and keep your old clothes. This will help you physically see your immense transformation. Call on that support team you’ve created. Look forward to living life to the fullest! Ongoing Recovery Physical Issues Even after you’ve conquered the first few days after surgery, the challenges go on. This early recovery stage can last from one to six weeks. The specifics vary with the particular procedure, but here’s a general outline of your physical recovery: Develop strategies to deal with these attacks: exercise, journaling, and deep breathing are a few suggestions. Seek help if your attacks are severe. Focus on One Part of Your Body You might find yourself focusing on one body part. For me, it was my double chin. I had lost inches from my waistline and was making good progress, but when I looked in the mirror and saw that same double chin, I felt like I was making no progress at all. This kind of body image distortion, if it becomes obsessive, can lead to Body Dysmorphic Disorder (BDD), a mental health disorder. People with BDD can spend hours a day obsessing about their appearance. These obsessions and the low self-esteem that results can make them avoid social situations, have problems at work or school, or even lead to suicidal thoughts or suicide attempts. It’s important to seek help and support if you feel yourself becoming fixated. Remember that no body is perfect, and people are much more like to think about their own “flaws” than notice yours. Practice positive self-talk and try to replace thoughts about your body with something else, such as a new hobby or activity. Now that you’ve lost weight, a whole new world is open to you! Health Problems It’s not uncommon for patients to regain some weight after surgery, although it’s a myth that many patients regain all their lost weight. Regaining Weight Regaining even a small amount of weight can feed your fear. What if you stretch the pouch and end up gaining weight back or stalling your weight-loss? What if you have to go back to the hospital for something and you gain weight because of the treatment? About half of all bariatric surgery patients regain weight after two years. But the average regain is about 8% after reaching the lowest point, and total ten-year excess weight loss is still over 50%. The main reasons for regaining weight are: how much excess weight you carried before surgery, alcohol or drug abuse, lack of a support system, or having a psychological problem or food “addiction.” Realize that even if you regain some weight, you are still healthier than you were before surgery. Take steps to avoid the main reasons for weight gain. Be aware of the dangers of a substitute addiction to alcohol or drugs. Get yourself a support system and use it. Get treatment if you suspect you are overeating because of food addiction. Plateauing Don’t lose hope if you stop losing weight for a few days. These things happen. You can overcome the weight loss plateau. Your metabolism may have slowed because you couldn’t exercise after surgery. You can start losing weight again. Focus on getting the right amount and intensity of exercise. Track your heart rate. You should be exercising at 60 to 85% of your maximum heart rate (220 minus your age). Vary your exercise routine to keep yourself challenged. Be sure to drink enough water, and continue eating right. Complications I worried that something would get stuck in the very small connection between my stomach pouch and small intestine. Would I have to go to the emergency room? Could something else happen to me? As with all surgeries, there can be complications with bariatric surgery. But this surgery is very safe (99.8% survival rate). And less than 10% of patients have a complication. Though the list of complications is fairly long, most are not life-threatening (e.g., indigestion, diarrhea or constipation, nausea and vomiting, dumping syndrome). Some can be prevented by self-care. Stick to your bariatric diet, follow your doctor’s instructions, inform yourself about what to look for, and share your worries with your doctor. Sutures I had difficulty with sutures coming out before they were supposed to. Others have had infections at the wound site. Monitor the site of your surgery and consult your doctor if things aren’t going right. Hypoglycemia Hypoglycemia (low blood sugar) happens when after eating, a rise in blood sugar makes your body produce more insulin, which then lowers blood sugar. Unless it’s extreme, this can be managed by changes in your diet. Nutritional Deficiencies Common vitamin and mineral deficiencies among bariatric surgery patients are Vitamin B12, Folate and Zinc, iron, copper, Calcium, and Vitamin D. Potassium deficiency can also be a problem, causing nausea, cramping, and dry skin. Supplements may help. Consult your doctor and dietician. Dehydration The recommended daily intake of water — 64 ounces — may be hard to get down, particularly right after surgery. Eight cups sounds like a lot, but if you break it down to one-fourth cup every 15 minutes for eight of the twelve or so hours you are awake, it is manageable. There’s an app for reminding you when to drink at GetHYApp.com. Clothing Especially in the early weeks and months after surgery, when you are dropping weight fast, you may find you can’t find anything to wear. This may sound like a minor problem, but you might be caught off guard by how much you spend on new clothes as you lose weight rapidly. While you are changing sizes every week or two, you may want to find some ways to save money: Borrow clothes or shop at thrift stores. Shop your closet. Now’s the time to wear those too small items you just couldn’t part with when you were heavier. Don’t buy too much. Get exactly what you need until the next size change. Buy just a few practical basics and splurge on accessories. Don’t buy for the future. Clothes that fit and flatter now are better for your confidence. Alter. If you can’t alter your own clothes, find someone who can and get items altered as you lose weight. Most things can be taken in. Exchange Clothing. If you’re in a support group, consider swapping clothes with other group members. Relationships Social Life Your new body may allow you to make new decisions: to start dating or to go to the beach. But because your body image may not have caught up with the reality of your new body, you may still have the self-doubts you had before. Part of your mind still thinks the way you did before surgery. You may feel unattractive, even invisible. Inside, you still feel fat. Negative self-talk may still be your go-to response to interacting socially with other people. Counseling, a support group, and self-affirmations can help. Most importantly, give yourself credit for all you have accomplished. You’ve come a long way. Different Reactions Sad, but true. Not all of your friends and family will react positively to the new you. Old friends, even family members, may envy or resent your new look. Family, friends, and even strangers may have a range of reactions to the changes in you. Your children may support you, but carry a lot of anxiety, fearing that you may die. Some may become diet police, worried that you’ll regain the weight and ill health of your days of obesity. Some will trust you to know your own needs. Know that others’ reactions don’t mean anything about you. You are taking care of yourself, and that’s a good thing. Getting More Attention Now that you have lost weight, you are probably getting more attention. This may make you uncomfortable. Obesity goes with isolation. In fact, some people use their weight to keep from being in the spotlight. Being noticed may be flattering, but it can also be stressful. Jealousy If you’re married or in a relationship your significant other may be jealous of all the attention you’re getting from other people. Your spouse might fear that the new you might leave the relationship and so may try to sabotage your efforts to maintain your weight loss. Your overweight friends might be jealous in a different way. If monthly dinners out with your “foodie” friends were the main thing that kept you together, or if these friends are not sympathetic to your weight loss efforts, they may, consciously or unconsciously, sabotage you. Remember to surround yourself with people who support you. Don’t judge others who may be struggling, but don’t sacrifice your progress to please them. Guarding Against Judgment The different way strangers and acquaintances perceive you now may make you feel flattered, but also confused and even resentful. You may wonder — do these people like you for yourself, or are they just attracted to your new appearance? Would they have liked you before? People you don’t see every day may not recognize you. Others may make you feel that you’re being judged for your decision to have the surgery. You may be re-introducing yourself to one person and defending yourself to another. It’s understandable that you may be struggling with your sense of self. But, remember, you are worthy of kindness at any weight. Be your own best support. Honoring Your Accomplishment You can’t control the beliefs and behavior of other people, but you can be true to your goals and to yourself. Keep honoring your decision, your hard work, your determination, and your truly astonishing accomplishments. Whatever others say or imply, you are a brave and magnificent person, and you deserve a magnificent life. Embrace Your Future Bariatric surgery is a last-resort choice for losing weight that is killing you. Deciding to go ahead with it and working through all the barriers and difficulties is not for the faint of heart. But for those who choose to go forward, it can be life-saving in many ways. By arming yourself with information about what to expect, you can feel prepared to navigate the weight loss surgery process with greater confidence and ease. Keep coming back to this guide and check in with yourself at every step along the way. Before, immediately after, and long after surgery, remember these key points: Create a support system Take care of your body Believe in yourself No matter where you are in your surgery journey, you deserve the new life you have given yourself. Enjoy. Links https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers https://obesitynewstoday.com/gastric-bypass-success-rate/ https://www.caroladkisson.com/books/ https://www.bariatric-surgery-source.com/feeling-hungry-less-than-a-week-after-gastric-bypass-surgery-is-this-normal.html http://www.boxingscene.com/weight-loss/54558.php https://www.consumerreports.org/health/avoid-withdrawal-symptoms-from-prescription-painkillers/ http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/baby-steps-emotional-adjustments-after-weight-loss-surgery https://www.bariatric-surgery-source.com/bariatric-surgery-recovery.html#Support_Main https://www.mayoclinic.org/tests-procedures/bariatric-surgery/basics/what-you-can-expect/prc-20019138 https://www.bariatricpal.com/topic/239270-joint-aches-and-pains/ http://www.mybariatriclife.org/chronic-fatigue-after-bariatric-surgery/ http://www.livestrong.com/article/456678-feeling-cold-all-the-time-after-a-gastric-bypass/ https://www.leaf.tv/articles/how-to-avoid-skin-problems-after-gastric-bypass/ https://www.webmd.com/diet/obesity/features/you-lost-weight-what-about-extra-skin#2 https://www.drdkim.net/ask-the-dietitian/understanding-hair-loss-after-bariatric-surgery/ http://www.yourbariatricsurgeryguide.com/psych-impact/ http://www.bmiut.com/mood-changes-bariatric-surgery/ https://www.njbariatriccenter.com/eating-out-after-weight-loss-surgery/ https://www.bariatriceating.com/2013/11/what-medications-are-off-limits-after-my-bariatric-surgery/ https://www.everydayhealth.com/weight/the-emotional-health-risks-of-bariatric-surgery.aspx http://www.yourbariatricsurgeryguide.com/psych-impact/ https://www.tijuanabariatrics.com/blog/2017/04/18/is-a-ketogenic-diet-safe-181655 https://www.ucsfhealth.org/education/dietary_guidelines_after_gastric_bypass/ https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html#Diet-and-Life-After-Main http://www.yourbariatricsurgeryguide.com/psych-impact/ https://weightwise.com/avoid-body-image-distortion-weight-loss-surgery/ http://bariatrictimes.com/depression-after-bariatric-surgery-triggers-identification-treatment-and-prevention/ http://blog.riversidesurgicalweightloss.com/blog/manage-anxiety-after-surgery https://adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/body-dysmorphic-disorder-bdd https://asmbs.org/patients/bariatric-surgery-misconceptions https://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html https://mybariatricsolutions.com/overcoming-and-preventing-the-weight-loss-plateau/ https://www.bariatric-surgery-source.com/complications-of-gastric-bypass-surgery.html#General_Safety-Main http://gethyapp.com/ https://weightwise.com/how-to-shop-for-clothes-after-weight-loss-surgery/ https://www.bariatric-surgery-source.com/marriage-family-strangers-after-weight-loss-surgery.html

See the liver doc - it could be non alcoholic cirrhosis of the liver or it could be adjustment but don't ignore it. My dads liver cancer was caught very early by someone noticing his counts were off and not ignoring it. I'm not trying to scare you but i would err on the side of caution. My counts are fine but my doc said my liver was 2.5x the size of a normal liver and that I should go see a doc. I'm going.

Sure...its the overeating her sleeve which I'm concerned about. LOL. I just am trying to figure out for my personal situation, the degree that I will have to go to keep me from overeating my pouch. But I also suspect rich foods, food obsession, and alcohol played a contributing roll in Carnie's regain. I know weight gain with kids is a real issue and that it is doubly hard to lose it afterward...but I somehow think the first part of this is more in play? @BDMEPretty much, our food requirements/limits are the same. Slightly smaller for pouch v. sleeve but it's essentially a similar journey. My vitamin requirements are set in stone and different from a VSG, though!

a person i know uses xylitol based gummy bears to break constipation. gastric “side effects” happen with overconsumption of some sugar alcohols (a couple spoonfuls of the sweetener may work too)… the body can’t process it for energy so no calorie issues

Hi Jennifer. How did the weigh in go? Have you tried doing more or different exercises? 28lbs is awesome! Breakfast - 6oz yogurt with sliced strawberries lunch - 4oz Pork loin, 4oz peach fruit cup dinner - 2oz granola, 6oz Greek yogurt snack - 8oz skim milk Exercise - 30 min walk/jog with dog I was wayyy low on calories today. Just didn't feel like eating much. Met up with friends at karaoke bar for happy hour at 10.. Tons of food and alcohol around me but I just had Water. I was hungry and more food to up my cals for the day probably would've been a good thing, but I just didn't want to slip up :/ I am going to 2 parties tomorrow and know I will be eating unhealthy food this weekend so I'm trying to be balanced.

Hi all! Back in Miami from my cruise. Relieved to be away from the buffets, alcohol and cigarette smoking. I did so-so with my eating. It was hard. Every day I had a treat - one day I had 1/2 piece of key lime pie in key west, another day 1/4 piece of cheesecake, and then another day 3 chocolate covered strawberries. I also had a glass of pineapple juice each day instead of a cocktail. I feel kinda bad for eating all that stuff but trying not to get down on myself. When I feel guilty it just makes me want to eat MORE. I am proud of mysef for being active every day, walking lots, having only 1cup portions, eating protein first and having no breads of fried foods. Before the band, I wouldn't gorged myself at the buffet ALL DAY and had 2 or 3 margaritas a day. Why has this thread been so quiet?! How's everyone doing?

I'm still post-op and the dr. asked I used drugs, etc... MJ is legal here, I said yes occasionally for migraines and cramps. Nothing has ever been more effective for me. They asked how I used it and I said by vaporizer. They said just not smoke or use edibles until well after the surgery and healing. Smoking because of the healing, even stress staying away from second hand cigarette smoke or weed smoke. Any smoke, I think. The edibles because if they have ingredients that could give us problems with sugar, sugar alcohols, high fat, chocolate, etc... Sent from my iPhone using the BariatricPal App

I am 3 weeks post op and this weekend I did everything wrong. My husband and kids took me to a resort. I had half an alcoholic drink per day and I had some solids, tomatoes and a bite of lobster, but I chewed forever. I had no issues. I was expecting to get sick but I didn’t. I did this twice and now I am going back to my comfort zone. Only going to have one soup per day and my trusted protein shakes. I had lost 14 lbs but I will not weigh myself for a few days. I do not want to get depressed if I went up. I knew this would be a struggle. Gastric sleeve is only a tool to get you where you want to go. Real changes have to happen anf now I know how I gained the weight. 60lbs in 1 year. I am shocked it wasn’t more.

My doc said one year for alcohol.