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Timeline of weight loss surgery
summerseeker replied to PCOS_Mama94's topic in Pre-op Diets and Questions
Hi PCOS mama94, welcome to this great site. I am in the Uk and the huge amounts of Covid here mean that for the last 16 months all hospitals have only dealt with that and the most urgent surgery. 15 months on we have a huge back log of people needing medical care. Here we have little to no chance of NHS bariatric surgery. Four months ago I decided to go private and have done psych evaluation, seen the bariatric nurses and signed for the surgery. Every day I hope for the 'date' Then I will have to do a milk and veg diet for three weeks. -
Timeline of weight loss surgery
vikingbeast replied to PCOS_Mama94's topic in Pre-op Diets and Questions
I don't know what happens in Australia, but here in the US most private insurance requires a series of prerequisites. I had a very low number of these, and it was still a round half-dozen steps before they could even request that insurance pre-approve it. Some insurance requires a 3- or 6-month medically supervised diet. But then after the insurance bit, there's a bunch of other things that need to happen, like medical clearances (cardiovascular, pulmonary, scans, etc.) and the pre-surgical diet. My center also has a timeline for when certain medications and supplements need to be started or stopped, so I'll be on bariatric vitamins for three weeks before surgery and have to leave off caffeine two weeks before surgery, etc. It's definitely not a fast process. I will say this, though, I'll be crossing the holidays soon after surgery and I'm taking this as an opportunity to learn to celebrate without a giant plateful (or multiple!) of food. It's likely that I'll only be able to take a few bites of food at Thanksgiving (late November here). This is going to be a lifelong thing, re-learning to eat correctly, so I'm not trying to schedule around it (no "food funerals"). -
Elevated liver enzymes after sleeve?
catwoman7 replied to K-Lynn's topic in POST-Operation Weight Loss Surgery Q&A
I know this wasn't directed at me, but the original post was from six years ago, so not sure if the person is still active on the board or not. But I just wanted to say that high liver enzymes are not uncommon after bariatric surgery. Rapid weight loss can be tough on livers. My enzymes were high for the first year or so - after that, they went back down to normal. My PCP at the time didn't know this and thought I had "fatty liver" - but I checked around on the internet and on bariatric boards and found that this is actually fairly common. And mine DID go back to normal once my weight loss slowed down (she had them checked again at that point --- normal). -
we didn't get calorie goals, but I've been hanging out on bariatric forums for the last seven or so years. 300 calories seems pretty common the first month when you're doing liquids or purees, but after that, most people are eating around 600-800 calories/day until they get to about 10-12 months out.
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At two months out from a mini gastric bypass I was just trying to get enough calories in to be able to function at work and the rest of life! I found it really hard to consume anything, even enough fluids. I was probably around 400 calories at that point, some days up to around 800. From a healing and metabolism point of view I am not sure much below 800 is very helpful, in my opinion. Could you get a second opinion from an independent nutritionist with bariatric experience? Edited to add: in the UK actually it would be a dietician rather than nutritionist, I don't know if you have that distinction where you are from?
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Honestly, I was eating less than 300 calories a day but that was when I was at the liquid & purée stage so first month. It slowly increased to almost 900 at 6months & then 1200 for me to maintain at about 18 months or so. But that’s me. Your needs will likely be entirely different. I was never given a caloric goal just portion sizes which I was advised to slowly increase as I was able. I was also encouraged to snack from about 2 months (?) usually twice a day. I ate yoghurt &/or cheese &/or fruit. As I was adding more vegetables to my diet, the snacks ensured I was still meeting my protein goals & eating some fruit too. Broadening my food options for a more balanced diet was more important to my nutritionalist from soft foods. As with most things bariatric, those who are given caloric goals seem to be given a variety of calories to aim for as they progressed. A lot of people are successful eating several small meals like @Bluebonnetgirl versus 3 meals a day. Or they put the leftovers in the fridge to finish later which I often did. You’ll work out what works best for you. Personally, I think your nutritionalist is not being realistic or sensible. Part of this process is to make us more aware of what, how & why we eat & introduce healthier ways of eating & more nutritious foods. Then when you get to your goal weight you have adopted a sustainable nutritious eating plan. How can you introduce fruit & vegetables into your diet if you can only eat 300 calories a day? All you are eating must really just be protein. An extremely low calorie eating plan is not sustainable nor healthy in the long term.
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I’m on Bariatric Advantage, for the dose I need to take, the multi is only $23.75 USD for 45 days. The chewable calcium is a bit pricey, but the non-chewable isn’t much.
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Hello, I was pretty set and OK with spending like $100 a month for vitamins that are specifically for bariatric patients until I wrecked my car. I have to make car payments on the totaled car, and the new car until the GAP insurance goes through and pays for the remainder of the loan. So basically I'm hard up. What is the cheapest way to do vitamins? My understanding is that I will need: complete multivitamin Vitamin B12 Calcium with Vitamin D Iron with Vitamin C What can I do to keep costs down, maybe for just three or four months until I'm no longer shelling out an extra $420 a month for a car I no longer have? Thank you for your help, and for listening to me complain.
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Getting very nervous and anxious
KarmaNina replied to Vanessa Kiro's topic in PRE-Operation Weight Loss Surgery Q&A
Good morning Vanessa, I went though all of those same feelings about 1 year ago. At first it was a lot to think about, but take each day one at a time. You will get through this just fine. 1) stick to the diet the doctor and nutritionist give you and follow it to the letter. This is critical for the stomach to heal. And less side effects. 2) The nutritionist is there to help and guide you through the readjustment of your new eating habits. Don’t be shy to ask for guidance from the Bariatric team. They want you to succeed as much as you do. 3) Gas pains only hung around for a few weeks for me, but you may have a different experience. 4) Bear in mind that once you are able to eat solid and semi solid food, that one bite too many “may” cause pain but eating slowly helps immensely. 5) I find drinking tea with Vanilla Protein shake as the creamer/sweetener calms me and soothes my tummy when I feel hungry. I have been doing this since before my surgery. If you shake the protein drink a lot it makes it more like a latte. 6) WATER! H20 is your friend. I have water at my side ALWAYS. Pretty much all I drink now is water, protein shakes and tea. Everything else is empty calories. Sugar is not your friend. 7) You have taken the huge first step of a great journey and you will be so happy you did this for yourself. So proud of you! -
What are all the Vitamins you take a day?
SummerTimeGirl replied to mzlove10's topic in POST-Operation Weight Loss Surgery Q&A
Before Surgery: 1 B12 1 Vitamin C 1 Viatmin D3 3 Fish Oil 2 Iron Metformin Lisinopril Hydrochlorthyazide First 3 Months After Surgery: 2 Flintstone's Chewables Complete Vitamins 1 B1 1 B12 2 Viactive Chewable Calcium w/D3 1 Iron Metformin Lisinopril Now: 1 One a Day Multi Vitamin 1 Magnesium Metformin Lisinopril I had the sleeve. When it comes to what I'm taking now, I just started that regimen like a week ago. I have switched to ProCare Health Bariatric Once-A-Day Multivitamin w/45mg Iron. When I ran this new vitamin by my dietician and surgeon for approval, they told me to STOP taking B1, B12, and Iron as an extra. That everything is provided in the new vitamin. At the same time I told them that I never took Calcium prior to surgery but that after surgery at some point I remember being told to start taking it. Looking back on my records I could NOT find where or who told me that so I told them this. It could have just been the discharge nurse who said it. Not sure. Either way they looked into it and couldn't find it in my paperwork from any of the doctors either so they told me to stop taking that too. So now I'm down to the stuff listed above. Come the middle of next month I will have my blood work done again and guess I'll see where we go from there. If what I've been doing is enough or not. My guess is that I'm not getting enough iron due to my anemia. I usually almost always need more than the daily recommended but I figured I'd just take what they said for now to see if it is indeed enough or not. I can adjust accordingly if not. I'm also hoping to be taken off or cut back when it comes to my two remaining prescription medications. At least that's what my family doc said we're gonna be looking into once I have my appointment with him next month. -
I lost my sense of hunger for about five months - and I could have given a flip about food. In my case, I saw it as a positive - it was never in my life easier to stick to a program and lose weight than it was when I honestly didn't care about food AT ALL. In some ways, I wish it all had never come back. And btw -- loss of hunger after bariatric surgery is very common - and it usually comes back sometime during the first year. however, I'm not sure about the twisting sensation. Some of the things Arabesque mentioned may be what's going on - but I'd check in with your medical team on that just in case - if nothing else, for peace of mind.
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The surgery changes things. During the surgery, a lot of the area that signals hunger is removed. After surgery our sense of taste & for many the sense of smell are temporarily altered & some things taste or smell awful. Plus liquids go through our digestive system more quickly & some nerves have been damaged so you don’t really feet that full feelings while on liquids & into the purée stage . Once the nerves heal & you’re eating solid foods you’ll start to feel full again. I wasn’t hungry or really wanted to eat for ages. I first felt hungry about 8 months after surgery after a busy day when I hadn’t eaten much. But it felt different - actually didn’t know what was wrong at first. Real hunger feels different to hunger that is driven by our head, emotions & habits. To combat not being interested in eating I tried to eat to a routine, still do. I I ate to my plan & to ensure I met my protein & fluid goals. I didn’t care if I didn’t eat the full portion as long as I was eating something. And honestly, to begin my food choices were pretty narrow because of my altered tastebuds. It did get better & easier after a couple of months. I actually enjoyed this period because it gave me the opportunity to really assess the food I used to eat & decide how I wanted to eat in the future. Not sure about the twisting feeling. My first thought was it’s your restriction but that’s usually a tightness or heavy weight across your upper chest. Do you want to thump your chest to move the food? Foods that are too dry or coarse can cause that tightness, foamies (gluggy saliva) or make you gag &/or bring it back up. As can eating too quickly or eating too much. Speak to your medical team to be sure. Did you have a therapist assigned to you during your pre surgery process or did you have one to support you through your eating disorder? Many weight loss patients continue to seek the support of a therapist after surgery. If you didn’t or don’t have a therapist look for one with experience with bariatric patients &/or disordered eating. Your medical team should be able to give you some recommendations.
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5 Year Bariatric Failure - Please educate me on the basics
AmiLou posted a topic in Gastric Sleeve Surgery Forums
So, I have gained 40 lbs back since my surgery five years ago. I find myself eating for comfort again and have basically forgotten (and broken) ALL the rules of the bariatric diet! I welcome any encouragement, tips, and advice. I remember the keys to early success were: protein shakes, water, extremely small portions, balanced healthy diet, walking, and taking supplements. I quit taking the bariatric supplements after a couple years and uh... well the small portions have gotten bigger (I no longer vomit). I crave sweets and I allow myself to eat them! Ugh... I still take regular multiple vitamin but nothing else other than prescriptions for depression, thyroid and a blood thinner for clots. My legs absolutely hurt ALL the stinking time so there is that. I am seeing doctors to try and figure that out. I've seen my primary doctor, a hematologist, and a cardiologist. It does interfere with my desire to walk or exercise. It is just too painful. I think I am at the point I am ready to start again though to work through that pain. -
Husband refuses to drop me off or pick me up from the hospital. Now what?
ShoppGirl replied to DoodlesMom's topic in PRE-Operation Weight Loss Surgery Q&A
Well the bariatric center at my hospital offers support groups every month and nutrition classes. I haven’t gone cause they were virtual because of covid but may go now that they’ve started up again. But I bet if you asked there for someone to be a surgery support buddy you would have a nice group of people that all want to help. -
Cheapest calcium citrate that works
STLoser replied to ShoppGirl's topic in General Weight Loss Surgery Discussions
I buy Citracal Maximum Plus. I get them on Amazon and they're about 14 dollars for 180. I take 4 of the them a day. I tried Bariatric Fusion chewables early on, but I but I couldn't stand the texture or how sweet they tasted. Pills are much better for me. Sent from my Nokia 7.2 using BariatricPal mobile app -
dumping syndrome is pretty rare with sleeve, but it does happen to some people. However, it occurs very shortly after eating - like within an hour or so (usually less), so yours might be something else. Reactive hypoglycemia (sometimes called "late dumping") happens to some people who've had bypass - not sure about sleeve. Similar symptoms (well, the rapid heart rate, anyway - and dizziness), but that happens two or three hours after eating a bunch of sugar - but that doesn't sound like what you have, either. Not sure what's going on. Maybe you should check with your bariatric clinic and see if they know what might be causing it. I'm wondering if maybe you've developed an intolerance to certain foods or something (??).
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Removal of gallbladder with VSG
catwoman7 replied to Gabriela Ruanova's topic in Gastric Sleeve Surgery Forums
it used to be standard years ago that they'd remove people's gallbladders when they had bariatric surgery. Now they typically wait to see if the person actually has any gallbladder issues after surgery, because most of us actually don't. So to answer your question - yes, that used to be pretty routine a few years ago. There may be some people on here who've had that done. -
Cheapest calcium citrate that works
ShoppGirl replied to ShoppGirl's topic in General Weight Loss Surgery Discussions
Wow. Can’t believe how much cheaper than what I am getting now (bariatric advantage chews). I really hope my clinic Okays these. -
you're probably going to have to call them directly to see if your particular policy covers it. A lot of insurance companies cover it, but employers can pick and choose which services they want in the policy they offer their employees. Some don't want bariatric surgery coverage included because it adds a lot of the cost of the policies. my insurance company (not Empireblue) has offered coverage for years, but until two years ago, my employer decided not to include it, so when I had surgery six years ago, I had to switch to different insurance. hopefully yours will cover it...
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I agree with you. When I got to my room they brought me ice water and a straw. (My instructions were room temp. No straw). Made me wish they had a bariatric surgery floor there, but they don't. Also I had the same issue with telling them I needed to get up and walk. I was totally paranoid about it. Glad you're home. My surgery was Monday and it still hurts to sit down or get up. My bruising colors are coming in nicely now too.
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Just saw this post. I have a separate FB account that I use for bariatric groups and information only.
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what vitamins brands do you recommend?
ShoppGirl replied to cheryl o's topic in General Weight Loss Surgery Discussions
The bariatric advantage also has iron and is a chewable multivitamin. I take two of those a day and two of the calcium citrate chews they also make. Both taste pretty good. They have lots of flavors and are more than happy to return them if you don’t like a flavor. They also have an auto ship program where they ship them every month and you get free shipping. -
No coffee, seriously
badgirl814 replied to nicole525's topic in PRE-Operation Weight Loss Surgery Q&A
Following bariatric surgery, it's important to avoid irritating foods to avoid gas and vomit. Caffeine is a diuretic. Drinking too much caffeine increases urination, which can lead to dehydration. Following any surgery, you don't want to risk dehydration! Sent from my SM-G986U using BariatricPal mobile app -
I've been reading so many stories on here about people having to go fight for their insurance to cover things. I even started taking notes about things people said to their insurance so that I could just be ready for what I thought was inevitable. I even got a letter from them saying they needed all these pieces of paper that I know were submitted (turned out to be a kink in their process). But CIGNA approved my pre-certification in THREE BUSINESS DAYS. I just got the notification! Now we just schedule a date, do all the pre-surgical testing, whatever they require for a pre-op diet (it looks like just one day of liquids, which is weird) and pray it doesn't get cancelled due to the Covid surge. My insurance coordinator at the bariatric clinic was 100 percent on top of things and had all my ducks in a row before I was even aware I needed ducks. 🤣 This isn't a flex... I really, truly, was expecting to have to fight, and I'm so relieved I don't, that I feel like I lost thirty pounds already!
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Gastric Sleeve Surgery in Tijuana/Experiences
SGarza_VSG replied to Dennis Moore's topic in Gastric Sleeve Surgery Forums
Just had my sleeve done with Dr. Elias Ortiz at his Bariatric center in Tijuana. 2 nights in the hospital, 3 nights in the Grand Hotel Tijuana, shuttles to and from the San Diego airport. Wanted for nothing the entire stay. Was wonderfully cared for! $4500.
