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I've had several of these, but none post surgery and none that called for 192 oz in 24 hours. It's not the taste nor the shitting. I'm concerned about the amount of fluid intake in a short period of time. My stomach is small. You'll understand after your surgery. They want 64 oz the day before at 8am, then another 64oz at 5 pm then another 64oz at 8am the day of the procedure. I normally have 64oz total in 24 hours. This is three times the amount I normally have. My post surgery doctor said there is a modified prep for bariatric patients.

I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again. For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight. I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up. I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision. I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

They certainly do perform RNY gastric bypasses now. It's still the gold standard. Some doctors talk their patients into the sleeve because it's easier for the surgeon, not necessarily better for the patient. I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again. For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight. I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up. I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision. I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evalutation.

This is funny, thanks for starting! Moist does not bother me, but I get how it could bother people. I am guilty of journey and have recently caught on to my over using it, especially with weight loss. I am trying to look for better alternatives, although I am not bothered by its use. Words I hate-FAT, OBESE, BARIATRIC 🤢😖🙁 (yes, I realize I am on "Bariatric"Pal! Sorry, BP, I like the website/ app/company😉😊🤣).

I think it's important to talk about what we're eating. We do a lot of that. In minutia. We lable foods good and evil. We obsess about the "right" diet, calories, choices, etc.... But that's really the easy part. The hard part is figuring out WHY we're eating. WHY we ate ourselves to morbid obesity, and what need we were trying to address when we put that food in our bodies. I feel like if those needs aren't figured out and meaningfully delt with this whole process is really vulnerable to failure. I feel like we never talk about why we ate so much. I'm not saying we need pity party hour with extensive confessionals chronicallying every challenge, insecurity and poopy life event...lol. But I feel like sharing those little eureka moments were we've identified some little unmet need that resulted in bad choices....would be a good thing. For instance.... I used to get the KFC six million calorie dinner with the 12 pieces of chicken, 3 sides, biscuits and the chocolate chip cake....after grocery shopping. It was almost an unwritten thing. I deserved it. In some weird justification, I figured that I was shopping, carrying stuff in, putting things away, selflessly giving up time to a task I sort of despised for my family. Of course I deserved chicken! But really, what I wanted at the core of things....was support. I wanted to feel appreciated, and rewarded for being a good doobie. I wanted to feel nurtured after a stressful task that I hated. These days....we have a new rule at the house. The person who does the grocery shopping gets to relax and take a bath while the other person does the cooking. And you know what? It works. I feel appreciated, supported. And I eat a more balanced decent dinner and have a win. That feels good. I learned that I geninely don't like asking for help...and that I need to more often. Just writing that makes me cringe. My bariatric therapist did a lot of talking about the "whys" of over eating, and finding ways to get the desired needs met that aren't self sabotaging. I wish we talked about the "whys" more.

This is my review of mexico bariatric center Cliff notes: I would absolutely recommend them. Dr. Lousinana Valenzualla A++++ MBC hospital facility B+ not the fanciest but clean. MBC nursing staff A++++ very nice and attentive This review is long and detailed. I am a late 40's male about 5'11and over the course of the last year my weight balloned to 255. Enough to the point where life just wasnt as fullfulling as it used to be. My weight was definately limiting me. I had a friend have the gastric sleeve surgery at MBC about 5 years ago and she had zero complications and lost around 140lbs. She reached her goal weight. She highly recommended MBC. 3 years ago i actually scheduled the surgery with MBC but then i made the big mistake of getting on the internet and only looked for horror stories about what could go wrong. 2 weeks later i was so scared i chickened out and cancelled my surgery. Giant mistake on my part. So in april of this year i decided to go through with surgery. One of the hardest parts of making this decision is bringing up the subject with your spouse. I eventually got the nerve to talk to her about it and she was wonderfully supportive. That should not have suprised me. So i made the decision and sceduled the surgery for June 11th and bought my airfare. But i made one other important decision and that was to get off the internet and stop reading about complication and stop playing the "what if this goes wrong game". My bmi was around 34 so i only had to do a 1 week preop diet. In those 7 days of all liquids i lost no joke 20lbs. I went to my surgery on June 11th at 235lbs. Was it hard to be on an all liquid diet for 7 days, not as hard as living with the shame of obesity i have felt all my life. Mexico bariateic center had there driver call me the night before my flight and confirm the flight info and my pickup time. When i arrived in san diego i called the driver and he showed up promply in an unmarked white chevy van. The van was just a passenger van nothing fancy at all but it was clean and the driver drove responsibly. He took me straight to my hotel. The hotel in my opinion was 5 stars. Very very nice. Probably one of the nicest hotels i have ever stayed in. Rooms were huge. The place had a lounge in the lobby that served all kinds of broths. A+ place. I was told that i would be picked up at 730 the next morning to go to the hospital. The next morning i went down to the lobby at 715. There was a very nice unmarked van waiting for me and 1 other patient. The driver was well dressed, friendly, helpful and pretty funny. He took us straight to the hospital where he escorted us into the building and brought our bags in for us. We checked in and waited in the lobby for about an hour for a nurse to come get us. Apperently some of the patients that were checking out were slow and that was the cause of the delay. Eventually a nurse came down and escorted both of us up to our rooms. On a 1-10 scale i would give me room a 7. It was clean but no frills. Small tv, older style medical bed. Just dont expect any fancy room when you go. This isnt a vacation. My room was located right infront on the nurses station. That i thought was a good thing. So they told me to put on a gown and compression socks and then promptly did a 12 lead ekg on me that came back normal. I asked what time my surgery would be and she said within an hour. Here we go I thought. Before the surgery happened and after the ekg i met with 2 doctors the first one came in and asked me all the screening questions i had already filled out. He was thorough. He spoke good english, he was polite and was able to answer any of my questions. The second doctor to come in was my surgeon Dr. Lousiana Valenzuella. She was very kind and professional. I told her that i had gallstones and that i wanted her to take my gallbladder out to if it looked like it wouldnt be too complicated. She in own words told me it wouldnt be a problem. She answered all of my questions and then left to prep for my surgery. 20 minutes later a nurse arrived with a wheelchair and i was off to the OR which is on the 4th floor i think. I was wheeled into to the OR which was clean and a buzz from all the people ready and prepping for my surgery. I laid down on the table and the anathesioligist quickly introduced himself and said he was giving me something to relax and that is all i remember of that. Out like a light. I woke up in my room a few hours later and my thoat was just a little sore and my stomach had a touch of discomfort but really overall i felt way better then expected. The nurse promptly came into me room and gave me some pain meds and anti nausea meds. I went back to sleep. When i woke up the second time i felt pretty good. It was time to do some walking. When i got up to walk i felt great. Really no gas pains. My stomach was a little sore from the incisions and drain but not bad at all. I spent 2 nights in the hospital. The nurses came onschedule to change my iv bag, give me meds, and change me dressing. The nurses were great and very attentive to my needs. Long story short the recovery was way easier then i thought it was gonna be. Your result may be different but those were mine. Before i was discharged on day 3 i met again with Dr. Valenzuala. She tild me the sugery went perfect, that my liver had shrunk frim my preop diet as intended and that she removed my gallbladder without complication. She also told me she used a 34 fr bougie on me and that i would be skinny very soon. I kinda giggled when she said that. I would definately 100% recommend Dr. Valenzoula based on how good i felt after the surgery. On the day i was discharged they took all the patient being discharged and brought them to the lobby. Karla went over all the discharge instructions thourghly. She gave us helpful tips on what medications to get at the pharmacy. Karla was great. I would describe her as the mama bear who does her best at herding cats. She looks out for everyone at the same time trying to keep everyone moving in the right direction on time. From there we all went to the pharmacy together to fill our perscriptions. I think i spent 135 us at the pharmacy. Then the driver took me to the hotel and got me a room for just a few hours were i could rest till my flight. When i got home i was 142 lbs. I had actually gained 7 lbs after surgery. Easily explained though. They gave me a ton of iv fluids well i was there to keep me hydrated. Those extra 7 lbs came off in like a day and a half. By the end of clear liquids week i was down to 229lbs. Clear liquids week was tough, i felt pretty weak. I took lots of naps. I was very carefull to keep my incisions clean and bandaged up. I had very little pain or nausea. That was a win. I moved on to thick liquid week which included protein shakes. I felt way stronger. My incisions were healing nicely. Thick liquid weeks wasnt that bad and at the end of that week i was down to 223. I am currently on puree week. I still feel good. I walk 3 miles every morning. I dont lift anything heavy. My incisions a nearly fully healed. I can tell my stomach is small because when i try to eat anything i can on take about 3 bites before i start to feel full. Past 5 bites it can cause some discomfort. That is the tool you will use going forward is my thought. Tips for anyone considering using MBC 1. Just do it, dont get on the internet and look for reasons not to. You will end up scaring yourself and backing out. Sure there is a very low complication risk leaks, blood clots, gerd. Accept it and move on. 2. Follow the preop diet and doctor instructions to a T. 3. Walk and stay hydrated Thats all i got folks. Good luck. I will answer question. Save any negative comments cause i just dont care.

Fat is the last safe prejudice...people are stupid casual about insensitive fat remarks. And yep, as thinner people now...we get an earful of that from people who would have filtered around us when we were heavier. It's messed up and sad. I've heard some awful remarks about fat people from people I would have otherwise said were typically very kind. It's shocking and disheartening. The problem with how unkindly this was said...is that it's probably a truthful observation clinically. Cross over or transfer addiction is very real. Most bariatric clinics don't meaningfully address this component of obesity. They don't provide enough support to address the core issues of how folks ended up obese to begin with. They want to cure the symptom (the obese body) without understanding the whole illness. In my opinion, that's a huge mistake.

As @arabesque mentioned, have you called your surgeon? The ED docs and general med docs for sure should be consulting with your surgical team-not all ED teams and inpatient medical teams are familiar with bariatric surgery patients.

Try not leaving such a long time between eating & taking your antibiotics. Try swallowing them with milk, yoghurt or protein shake if you’re waiting to take them so you’re not drinking water 30 mins after you eat. Antibiotics taken on an empty tummy can make anyone nauseous even non bariatric patients. Though our tummies can be fussy & sensitive. Give your medical team a call if the prescriptions aren’t working or causing you more distress. You can’t keep vomiting multiple times a day.

Though regain and difficulty with maintenance is very common....Few people who are struggling with regain stick around and post on this board. Most folks here are new to surgery and excited about possibilities, going through the process...high energy. You will see a few people talking about regain on the veteran's forum and revision boards. If you want statistical information about percentages of people who reach goal, regain, what is considered "a success" in the industry...talk to your bariatric surgeon. They are excellent, tough questions that you really should ask.

The chocolate soft chews from this site taste like candy! Bariatric Pal Belgian Chocolate Caramel. I also have a liquid calcium citrate, Nature’s Blend blueberry flavor (online or a specialty pharmacy can order it). Easy digestion and not as sweet as the soft chews if I’m not in the mood for sweets.

I consider the Bariatric Advantage chews a treat, they are that good. I have Chocolate, Caramel & Orange.

I never experienced pain or spasms of any kind. Do you just mean it's hard to swallow? Difficulty swallowing, or feeling like you can't swallow anything else because your esophogus is full of saliva....is pretty normal for a couple weeks after surgery. Can you describe what you're concerned about in more detail? Do you have someone at home set up to do your post-op care and answer bariatric surgery questions medically? If so, I'd contact them. If not, I'd try to find a bariatric group here to establish a relationship with in case this needs follow up.

I have really enjoyed the bariatric advantage chews as well. The fruit flavors remind me of starbursts.

Hi all! I am new to this forum and looking for some support. I’m having my sleeve surgery on July 26. I am hosting a bbq pool party for family (first time we’re seeing each other post COVID) but I will still be in phase 3. What are some good food choices that don’t scream “I just had bariatric surgery”? I was thinking deviled eggs with light Mayo would work…. Any other thoughts? Thanks!

Get her lined up with an app where you can video chat while playing a game together, like checkers or something simple. You could read her your favorite kid's books. You could try fun novelty items together instead of food...puzzles, little toys, new art supplies. And heck...there are lots of fun snacks that aren't that bad for you. You could send her bariatric snacks to try with you...get an honest opinion!

Yes, they bypass is more prone, or predisposed to, ulcers than the sleeve (just as the sleeve is predisposed to GERD.,) but they are a different sort of ulcer than what you have. The bypass tends toward marginal ulcers around the anastomosis (junction) between the new stomach pouch and intestines. This is because the part of intestine that is now immediately downstream of the stomach is not resistant to stomach acid like the duodenum - the upper part of the intestine immediately downstream of the normal stomach, which gets bypassed along with the remnant stomach in the RNY. Consequently, that anastomosis is very sensitive and prone to ulcers, which is the root of the "no NSAID" rule that permeates bariatrics - you don't want to take any medication that could irritate that anastomosis (there are other meds that may be limited, too, but NSAIDs are the most common class.) What I would be concerned about is what caused your ulcer, and whether that cause would be relieved (or exacerbated) by your surgery. Similar to your hiatal hernia and GERD - fixing the hernia will likely correct your GERD and you will be back to "normal" - no more predisposed to it if you get a sleeve, but still possible. One of the problems with the bypass is that it leaves you with a blind remnant stomach and upper intestine, which can't be easily monitored with an endoscopy, so if something develops in that blind section, you may not know about it until things have progressed more than you would like them to progress (possibly to a cancer.) Some express a dislike for the sleeve because if they have a resultant reflux problem then it could lead to Barret's esophagus and possibly cancer, which is a fair concern; however, that is something that can be easily monitored endoscopically if those symptoms develop, and can be treated; problems that may develop in the blind stomach or intestines of the RNY may not be caught until it is too late to treat effectively, so there is a trade off there. You are somewhat caught in the middle, with some contraindications for both of the common WLS procedures. This is where some serious talk, and understandings, with your medical team is appropriate to really get a good handle on your problems going into this, and how those may play out in the future. I/m not so sure that I would be comforted by the matter that the surgeon may be able to work around a problem (such as an ulcer) if that problem is likely to reoccur 5-10 years in the future, and possibly worse - the surgeon is out of the picture by then, but you aren't. There is another alternative that might be worth considering, which would be the duodenal switch - it uses a sleeve, so it doesn't leave a blind remnant stomach, but due to its' malabsorption component, they typically use a larger version of the sleeve which is less prone to GERD problem. Your surgeon may not offer it (it's a more complex procedure, so many surgeons don't offer it) but it may be worth looking into to see if that fits your need. Good luck,

I did not have drainage tubes post surgery. I'm glad for you all, I can't get an answer from my bariatric team. If this is normal, I can deal with it. It's just this "not knowing", if I look it up online, it directs me to "a leak". Which is SCARY. Does anyone know if there is something I can do to minimalize this? Extra fluids makes MUCH more sense than gas, I have NOT passed ALOT of gas since the surgery, just a "normal" amount.

it's going to depend somewhat on whether this is for the professionally-supervised diet that a lot of insurance companies require for a few months, or if it's just a visit or two that your bariatric clinic wants you to do with their resident dietitian as part of its requirements. If the former, the dietitian will probably have you keep records of what you're eating and you'll check in with him/her once a month to review your logs and they'll make suggestions on where to improve. If the latter, it'll probably be something more along the lines of FutureSkyDiver said - they'll probably talk about the basics of nutrition, how many proteins/carbs you should be getting, how much fluid you should be getting, etc. I had to do both - meet with a dietitian once a month for at least six months (to meet insurance company requirements) and then once I was closer to surgery, I had to meet with one of my clinic's dietitians to review their requirements for post-op eating. I think I met with her once or maybe twice.

I wasn’t getting any ‘real’ answers from my bariatric team, I knew I could find help here, thanks to everyone here ❤️

Bariatric Surgery patients represent a surprisingly increasing number of patients in inpatient treatment for anorexia according to John's Hopkins. Yes, anorexia and other eating disorders are a serious risk for our population. Yes, treatment....including eating more.... will be a help even if you gain a little weight to find a managable maintenance level of calories. Passing out is incredibly dangerous and can kill you or others if you drive. It's also incredibly unsafe on stairs, around heavy equipment, and in the company of unsafe people. Being that low on nutrition is hard on your body, particularly your heart. You can do permenant damage in short order. Take your condition seriously. Your very demanding job and thinner body are of no use to you if you imperil your safety, health, and eventually your life. (it's tough on relationships, too) Wishing you the very best.

I agree with the Bariatric Advantage calcium citrate chews. I like the assorted fruit flavors. https://store.bariatricpal.com/products/bariatric-advantage-calcium-citrate-chewy-bites-500mg-10-flavors?variant=29100128436301

The BariatricPal Store carries a HUGE selection of Bariatric-friendly Calcium at https://store.bariatricpal.com/collections/calcium. Check out the newly released BariatricPal Sugar-Free Calcium Citrate Soft Chews 500mg with Probiotics at https://store.bariatricpal.com/collections/calcium/brand_bariatricpal+vitamin-form_soft-chews . They come in 4 AMAZING flavors: French Vanilla Caramel, Belgian Chocolate Caramel, Strawberry Watermelon Twist, and Wild Grape. We also carry other brands of Soft Chews at https://store.bariatricpal.com/collections/calcium/vitamin-form_soft-chews

I really liked the ones by Bariatric Advantage. They have several flavors - I liked all of 'em!