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Yes, the whole bariatric team snd the staff on the bariatric surgical unit have been wonderful. Plus, I do work with some amazing coworkers! My family is very supportive though they are kinda clueless about WLS and all that is involved, but they are at least trying to learn. I’m truly blessed!
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I had sleeve surgery ten years ago. I have an appointment with a bariatric surgeon because of severe GERD and I have a hiatal hernia. I am on a prescription PPI AND eating Tums!!! I would recommend the RNY for sure.
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Absolutely. When I had my VSG ten years ago, most bariatric surgeons were just learning how to do them - while they are in concept simple and straightforward to perform, like anything else technical, there are subtleties and techniques in doing them correctly - "twenty years of doing bypasses and they think they know how to do a sleeve..." was the refrain from one prominent surgeon at the time. While the sleeve does have some predisposition toward GERD (much like the RNY is predisposed toward dumping, reactive hypoglycemia and marginal ulcers,) this was compounded in the early days by surgeons who hadn't yet figured out the technique to consistently get them right to minimize that predisposition, and to some extent continues today in areas that were slower to adopt the sleeve and are behind the learning curve. This is a good part of the reason that I travelled 400 miles to a practice that had been doing them for twenty years (at that time) rather than a local practice that had been doing something else for twenty years. Talk to your doctor on interpreting this. Hiatal hernias are common with morbidly obese people, and a common cause of heartburn. They can easily be fixed during the WLS procedure, so if that is the cause of your heartburn, things look better for you. A hiatal hernia can be described as a diaphragmatic hernia, but not all diaphragmatic hernias are necessarily a hiatal hernia - so get some clarification on that.
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VSG revision to Bypass 5/27/21
Creekimp13 replied to Chelsea11012's topic in Revision Weight Loss Surgery Forums (NEW!)
What would you think of seeing a bariatric therapist? Sounds like the first time you didn't get your disordered eating issues resolved.....but maybe you can this time around with some help? Wishing you the best. -
Recommendation or concerns about surgeons/Centers in the Los Angeles/Torrance Area
RickM replied to Hopethisworks!'s topic in Weight Loss Surgeons & Hospitals
Most practices have support group/information seminars - online these days but some may be going back to in person soon - where you can get some idea of how the practice works, their biases and philosophies, which are useful in helping to make a decision. Looking at their websites is OK< but that's a bit like choosing a car dealership based upon their website - they are heavily marketing oriented; they are designed to bring you in the door rather than provide much useful information. Many list all of the WLS procedures, including some of the obsolete ones that haven't been done in years, while in reality they only offer one or two of them. It helps to be familiar with the different current procedures that are offered in the industry (the ASMBS website has good coverage of all of the commonly approved procedures, as well as some of the newer, more investigative procedures.) Have some idea which one or ones may be most appropriate for your needs, and then go to the seminars or do some surgeon consults and see what their opinion is. They will want a lot of information before a doctor consult, as will any doctor, so that they can better see who you are and what your issues are. UCLA is good by reputation, though I haven't had any dealings with them. I have had some dealings with Cedars Sinai bariatrics and would be comfortable with them, though I never went through the whole program with them. Most programs offer the VSG and the RNY; some now offer the SIPS/SADI/Loop DS which is gaining acceptance (though doesn't seem to quite be there yet,) and a few rare ones offer the BPD/DS, which is more complex than the others (hence fewer practices offer it) but generally works better than the others, particularly for those in the higher BMI range or with more severe metabolic problems. For the VSG or BPD/DS, I would go to Dr. Ara Keshishian, who is in the Glendale/Pasadena area working through USC. Patients travel from all over the country to see him for the DS or complex revisions. When I had my VSG ten years ago, I went up to SF to have it done as no one in the LA area at the time had much experience with them yet (and Dr. K was still working out of the Central Valley at the time.) As a start, I would try to attend, online or in person, as many of the informational seminars as I could, and get a feel for the personality of the practice. Good luck, -
Anyone seems to have more energy from the bariatric surgery Sent from my U693CL using BariatricPal mobile app
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Yes, it's possible. While it is much more common to lose only about half of your excess weight, and struggle with regain...there ARE people who swap one version of disordered eating for another and ultimately struggle with full blown anorexia and bulemia. Inpatient eating disorder treatment centers are reporting increasing numbers of post bariatric surgery patients. It is not that bariatric surgery causes an eating disorder...the eating disorder is usually pre-existing. But it can cause the eating disorder to take a different form...almost like cross over addiction (which is also a significant problem for many post bariatric surgery patients.) People do die after bariatric surgery due to eating disorder related malnutrition. It happens. That said! Bariatric surgery is overwhelmingly coorelated to increased lifespans. Fatal eating disorders are rare. In short....worth paying attention to, but few deal with it...and overall, Bariatric surgery has far more benefits than risks.
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https://www.hopkinsmedicine.org/news/publications/psychiatry_newsletter/hopkins_brainwise___winter_2015/bariatric_surgery_and_eating_disorders http://c-hit.org/2014/10/15/years-after-weight-loss-surgery-patients-seek-treatment-for-eating-disorders/ https://abcnews.go.com/Health/w_DietAndFitness/bariatric-surgery-eating-disorders-lap-band-made-bulimic/story?id=13802938
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How do you maintain your weight loss?
Creekimp13 replied to IcanMakeit's topic in General Weight Loss Surgery Discussions
A lot of it is keeping track and making adjustments. First, figure out how many calories a person of your weight, gender and activity level burns in a day. A nutritionist can help you. (there are a lot of Basal metabolic rate calculators online that might help, too) Then, try to eat that many calories, and see what happens to your weight. If you lose, go up....if you gain, go down. If you adjust by 200 or so calories each adjustment....eventually you'll find the sweet spot. For me, it's about 1400-1600 calories and 10,000 steps a day....and the occasional trip to the bariatric therapist if I find myself self sabotaging and falling back into bad habits due to emotional triggers. Don't get addicted to starving yourself....it's just another version of an eating disorder. Eat a healthy, nutritious, balanced diet. Best wishes! -
Yes! Exactly. Everyone is great so I hate even saying I feel alone in it.... maybe the way you are saying it makes more sense, no one can relate. Thank you!! I think I will look into a bariatric therapist... that sounds like a good idea. Thanks so much for responding!
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I think I know what you mean. I've told a select few people about the surgery, and while the people I have told have been supportive, it does still feel kind of lonely in the journey. Mainly because none of the people in that circle of friends and family have struggled through the weight issues I have. Most of them have managed their weight without much issue. Even my husband has a normal relationship with food. So in that sense I don't feel I have any actual people I can relate to in my life. That being said, I have been seeing a bariatric therapist and that has helped cause I feel like I can talk to her about the things my family or friends wouldn't necessarily understand.
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Recommendation or concerns about surgeons/Centers in the Los Angeles/Torrance Area
Hopethisworks! posted a topic in Weight Loss Surgeons & Hospitals
Hi All, I am thinking about having a surgery to solve a lifelong issue with obesity. This forum is super helpful. There are a lot of surgeon/centers near me that do this surgery, but my doctors don't have any good recommendations and I can't make heads or tails over which ones are good or not based on websites and searches. Anyone have recommendations/cautionary tales in the LA or better yet Torrance, California area? So far I've reached out to the UCLA bariatric center, but they want a ton of information and for me to register in their surgery system before even having a consultation. Feels a bit invasive when I haven't even talked to anyone there. Would love to hear any thoughts or recommendations. Thank you so much! -
My surgeon recommends the vitamin patches for the first month after surgery then switch to the bariatric chewables.
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What post-op diet did your surgeon/nutritionist put you on, and what is your current success/failure result years later?
mi75 replied to wordsthatrhyme's topic in WLS Veteran's Forum
My initial surgeon put me on a typical post op diet but it included (in my opinion) a high amount of carbohydrate. I lost a significant amount but also dealt with (SOME) regain about 1.5 yrs post op. I faced an ugly health issue. In response to that I saw another bariatric team that included a GI specialist. They put me on a VERY TIGHT ketogenic regimen and I've stuck to that for 6 years. I basically eat meat, eggs, green veg, butter/cream, fats and still have a high protein/1 carb shake with water daily. It's a tight regimen but it reversed the health issue and i lost all my regain. I honestly believe that most people facing bariatric surgery are significantly insulin resistant (whether diagnosed or not) based on our metabolic profiles. As a nurse practitioner I've done significant research on this topic. I also believe that a very low carb lifestyle is the best fit for most bariatric patients post op, and permanently....this is MY OPINION and NOT MEDICAL ADVICE. Find what works for you. Maybe seek out another bariatric team. Get some feedback from metabolic specialists. You can do it! -
Find out what your insurance requires. Some insurances don't require monitored weight loss, but most do. From 3 months-1 year. Some insurances that don't require the monthly weight loss instead have a percentage you have to lose to be approved (though some of the monitored weight loss insurances have this too). My insurance was different then yours and it required a 6 month monitored weight loss program, but did not have a requirement to lose weight (you just couldn't GAIN weight). You can actually generally ask the insurance coordinator at the bariatric office what your insurance requires if you don't want to call your insurance yourself. After they send the paperwork in to the insurance it takes 2-3 weeks to approve and then they'll give you a surgery date. So really it depends on 1. your insurance, and 2. how long they're scheduled out for (because I got approved at the end of November 2019, but my surgery was scheduled 2 months later on January 23 2020. So my wait from my first bariatric consultation until surgery was 8 months). The time actually goes by pretty fast. Or, at least it did for me. I ended up losing 68 pounds in that 8 month period so... I was productive lol.
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4 Bariatric Fusion Multivitamins per day. And then 2 Vitamin D gummies (approved by my surgeon) because I was deficient on labs.
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Vitamins after surgery
Lisa LoVuolo replied to AristoKat721's topic in Gastric Bypass Surgery Forums
I take Bariatric fusion multi minerals and vitamins Sent from my U693CL using BariatricPal mobile app -
1 year out DS and going crazy
Arabesque replied to Texasjamie's topic in Duodenal Switch Surgery Forum
You’ve lost 215lbs? That’s amazing. Congratulations. Though I’m sorry you had problems after your DS surgery. I agree with @Creekimp13’s suggestion to see a therapist. They’ll support you work through any emotional issues you may have & provide strategies to help you do the head work needed to be successful in this process. I wasn’t an avid calorie counter but did random checks. It’s easy to overestimate portion size, calorie content & the nutritional content of what you’re eating. It is a pain but very worthwhile. I’d also suggest contacting your nutritionalist (or finding one who specialises in bariatric patients) to review your diet & make suggestions. Of course, if you are doing all the right things, it could be a stall. Most last 1-3 weeks but that’s the average, some do last longer. They are the worst but sometimes your body just needs time to catch up with all the changes, like your weight loss, reduced calories, dietary changes, increased activity, etc. You’ve got a great cheer squad in your husband (ignore your family) & your children are a great motivation. There’s always support & advice here too. All the best. -
Surgery was aborted.
Dave In Houston replied to Darkerthanblack1964's topic in Gastric Bypass Surgery Forums
I agree with this post. Years ago when I was on a diet of protein shakes, I lost about 40 pounds in two and a half months. After the first few days, I wasn't really hungry any more. I recall having special vitamins, so you might ask the doc's office if you should start bariatric vitamins if you're going to do just shakes. You might also ask the person who did your psych consult for a referral to a therapist to help deal with the disappointment. -
Hello there, I am 85 years old and my lapband is 13 years old. Saturday (6/12/21) at dinner my lapband blocked. I was able to bring up virtually all of the food in the Men's room but no relief. Came home did the overhead stretches, long walks, sipped hot tea, no help. It is now 24 hours I have not had anything to eat or drink and no sleep. My wife just brought me some pineapple juice which I sipped but it did not stay down. I am also chewing papaya enzyme pills, hope they help. Looks like no sleep tonight as well. I hope I can get into a bariatric office an get a de-fill. I hope my lapband is still good, I do not like the idea of surgery at my age. I do not like the idea of possible dehydration from lack of liquids. Maybe I can give you better news on Monday. Harmonyherb
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Hi Mom of 3: im a mom of 3 and 5’ 2” so can sort of understand your frustrations. However I’m only about two weeks out from surgery. You have lost 40 to 45 pounds — that is amazing. I hope to lose that much in the next year as well. Others on this forum can probably give you some tips, I know there are bariatric coaches who will be able to help and give you ideas. who gives a d*** what your supposed “normal weight” is supposed to be. You are brave to have taken this step and with your experience you can probably help a lot of newbies like me. this is a great place to share your thoughts because everyone is so encouraging. hang in there - you’ve got this!
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10 months out relapsing into old habits.
Creekimp13 replied to Holodisplay's topic in Gastric Bypass Surgery Forums
You are not alone. The real work begins after the honeymoon is over and you face your permenant future of new eating habits. How do I stay on the straight and narrow? Two things....a genuine commitment to staying healthy and active, and help from my bariatric therapist to understand why I had a lifelong history of self sabotage where food was concerned....so I can hopefully freaking avoid it! It's not easy. I have a 40 year history of food addiction. I have never had an emotion I couldn't eat. Chopping out your stomach doesn't fix your head. I talk about going to therapy a lot...in reality, these days I see the therapist maybe twice a year. But in the second year following surgery I really struggled with how to make healthy eating habits my norm...and how to stop obsessively living my life around my diet. All roads lead back to food....either obsessively wanting it, or obsessively denying it. Obsessive weighing, exercising, research, etc. God, it was exhausting. I needed to learn new strategies and reframe my accomplishments/struggles/needs/emotions....in other ways. My second year after surgery, I think I would have backslid and self sabotaged again if not for my bariatric therapist. Give as much attention to your past relationship with food....as you do the needs of your new stomach. To move forward, heal the past. -
1 year out DS and going crazy
Creekimp13 replied to Texasjamie's topic in Duodenal Switch Surgery Forum
Have you tried a bariatric therapist? Getting to the root of my disordered eating habits was critical for me to reach goal and maintain. Are you tracking every crumb you eat? I know that sounds critical, but it isn't meant to be....I genuinely thought I was eating a LOT less than I was until I started measuring and tracking absolutely every calorie that went into my body. Yes, it's a hellish pain in the ass. And sadly, it's necessary. You have lost 215 pounds. That is a HUGE accomplishment! I'm crazy proud of you and you should be, too. Sometimes when your body loses a metric feck ton of weight in a short period of time....a starvation defense mechanism kicks in and it plateaus for a while. Be patient and stick to good lifelong habits, a good balanced diet. If you're tracking, measuring and mindfully watching what and why you eat....you'll get there. Hang in there! -
Are you by chance going through Trinity Bariatric?
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Anyone mess up on puree diet and not die?
GummyBearQueen replied to james2021's topic in POST-Operation Weight Loss Surgery Q&A
Grits are on my approved list! You have a stomach (albeit much smaller), stomach acids, and a digestive system. You’ll be fine. Besides, no two bariatric surgeons ever agree on recovery protocols.
