Search the Community

Hello! My name is Zach, and I am a 2nd year medical student conducting a research project, "Evaluating GERD symptom alleviation following robotic Roux-en-Y gastric bypass surgery", which essentially seeks to evaluate the efficacy of robotic gastric bypass surgery in relieving GERD symptoms. I was interested in minimally invasive surgery long before starting medical school, and decided to spend my past summer working alongside a bariatric surgeon in my hometown. While working with him, I noticed how many of his patients stated that their GERD had resolved after undergoing robotic gastric bypass. My time there was limited, so I was not able to really share this survey with his patient population. Below is a link to a survey that follows the guidelines outlined in the official GERD health-related quality of life questionnaire. I would greatly appreciate your help with this! My goal for this survey is that your responses will allow me to publish a paper from an educational perspective, illustrating how efficacious robotic gastric bypass is at alleviating not only weight loss, but symptoms of GERD as well. While I hope that all of you have had nothing but success following your surgeries, I understand that this is not always the case. I would love to hear all of your various experiences and perspectives, whether they are positive or negative. This survey below is entirely anonymous. You should not be asked to sign-in to Microsoft in order to complete the survey, and I will not have access to your name or any other patient identifiers aside from your age. When you first open the link, you will see information regarding informed consent. After agreeing to participate, you will then see seven screening questions. After that, you will begin the actual survey, in which you will answer questions regarding various symptoms before and after your surgery. This survey should take about five minutes of your time. Survey link: https://forms.office.com/Pages/ResponsePage.aspx?id=5CBDHRt_fk2_8ubn-Q2YhAxSQabe5PdIrhihxZU9cCZUQ1hSQjE3WkozVEFHTUQ5N0RTNERSMUNPMy4u If this type of post is not allowed, I understand and apologize! I hope to have the opportunity to share your experiences with this survey and shed some light on the relationship between gastric bypass and GERD. Thank you all in advance!

I was supposed to have my surgery Dec 28 last year. I had the option of taking a last-minute cancelation the Monday of Thanksgiving week, but when I told my mom (whose help I needed with my kids), she was totally against it. Said I would ruin everyone's holidays if I had a terrible recovery and kinda made it all about everyone else. So I gave up the date, even though it pained me to do it, because I didn't want to be selfish. A couple weeks later, my hospital discontinued their surgical program and canceled my date. I was devastated. I had to rebook with a different program, which was still affiliated with the parent organization of my hospital, but unfamiliar to me. I didn't end up getting my surgery until February. It was very stressful and I was pretty angry with myself for not choosing what I wanted instead of what other people wanted me to do. Having said that, it did all work out for the best in some ways. Apparently, the November surgery date would have been right after the doctors at my old program were told the center was closing, so maybe that would have meant the surgeon wasn't as focused going into my surgery, which could have been dangerous for me. And I would have had to do all my follow up with a different program, which would've been awkward. And I appreciate that I knocked out my deductible in February so have had full coverage of all my tests and appointments all year. I actually have a biopsy I have to get done next month (not related to bariatric surgery) and that won't have any out of pocket costs, so yay for that. On the other hand, my recovery was pretty much text book, so all my mom's worries over me ruining the holidays with a terrible recovery were baseless. I was pretty self sufficient and back to about 80% functioning by the end of the first week. And 8 months post-surgery, the holidays are rolling around again and guess what? I still can't eat more than a tiny plate of turkey breast, a few green beans, and a bite of pumpkin pie. I still won't be baking a million cookies or drinking a pint of egg nog. So, whether it happens this year or next, your family will have to figure out how to navigate around your new normal. If it were me, I would decide based on what makes financial sense (your deductible, etc.), what works for you with time off work, and would probably avoid the two weeks right before Christmas just because you will need some time to recover in peace without holidays adding to your stress. In retrospect, waiting until February wasn't such a big deal, though, so if you do have to wait, it will be okay. Just make sure you do it for yourself and not for everyone else.

@Hiddenroses i am taking the chewable calcium from barimellts for now but will be switching back to my bariatric advantage chews because they taste like candy and I’m addicted. , I am doing the bariatric advantage chewable multi with ADEK and low iron for now and I have the SADI specific all in one vitamin from pro care health for later which has the ADEK, a higher iron content, and some other things that we need but I need to be able to consume a little more first. I used to take their regular multi post sleeve with 45mg of iron after a full protein shake but this one has 60mg iron, plus when i’m sipping slowly as I’m supposed to to let my intestines heal it takes almost an hour to get the whole shake down which I feel like at that point half of it is out of my stomach and I don’t want to vomit. (The iron is what makes you vomit without food). At my one month appt I will ask to see if it’s safe for me to drink A little quicker. I Know after my sleeve as my stomach healed I naturally started drinking a little faster by then so I’m guessing I can. i love that you’re creating new recipes and figuring out what works. Just FYI, I was told no strawberries Yet. I guess the seeds can get stuck in the incisions. Actually I was told nothing with skins or seeds. Although it sounds delicious and could be a go to if you don’t feel like cooking or are in a hurry later down the road. Oh yea everyone, for future reference this has some pretty good ideas for adding into cottage cheese. https://www.popsugar.com/food/cottage-cheese-stir-ins-27035442 You know I actually have never even tried cottage cheese which is why I was searching for ideas. I am picking some up tomorrow after my dr appt but I need to come up with ideas that I can add during purée to mix in with it if anyone has any ideas.

I am going to recommend something I personally subscribe to, which is the online support groups through the Pound of Cure Weight Loss's nutrition program. It's $49 per month and you get unlimited online groups and classes, including groups run by Dr. Weiner, the bariatric surgeon, and Zoe, the registered dietician. They are both so nice and really helpful in answering questions and offering thoughtful advice. While he's not in your area (the practice is in Arizona), I know he's one of the few doctors out there who is happy to take patients who had surgeries elsewhere. If you're not already familiar with Dr. Weiner's book Pound of Cure, I can't suggest it enough. I bought it from Amazon last summer and it helped me start turning around my nutrition while I was waiting for surgery. Their podcast and video series on YouTube are also invaluable.

What you described; occasionally light headed when standing up...racing heart, all with different foods and quantities was what I was and still am going through - exactly as you described. As I posted before my cardiologist said its dumping, the Bariatric surgeon said dumping combined with low blood pressure and/or dehydrated for the dizzy aspect symptoms. I do notice and am more aware of the coalition of less water consumption = dizzy upon standing or just in general now. He did say to try to slow down eating as it might help. The issue I have is I don't have 30 mins to casually sit and eat my food all the time - to eat "aware" or "mind fully." Sometimes I'm lucky to just get my protein down! I will say that once I had both doctors associate it to dumping I paid more attention to it and when it is happening, after I eat I can associate it directly to eating now. So I'm going to say they were right - its dumping. Good luck with the cardiologist.

You poor thing doing this without much guidance from your team. First of all, DO NOT let anyone give you advise who is not a medical professional or someone who had your surgery. Who knows what they are comparing it to. For one thing most people thing all the surgeries are a Bypass and they are all the same, and second who knows how far out this person was. On top of that, liquids pretty much go right through once the swelling goes down. One month post sleeve i Was practical bacK to drinking my normal one gallon of fluids which is twice what they recommend as a goal!! This time it’s really not a good comparison since they didn’t operate on my stomach but I am up to 3/4 cup of food per meal. My book says 1/2-3/4 cup. All I know is that I feel fantastic. I am losing at a steady pace and exercising too which I never did before. I know it’s hard not to compare but honestly we should take everyone’s advice with a grain of salt because your doctor is the only one who knows all about you and your circumstances as well as your surgery. Make sure that your nutritionist has worked with bariatric patients before or you will most likely be wasting your time though. Did you call and ask your team if they can get you in sooner?? Corrected to add actually I just realized you did not have a sleeve or bypass either. Honestly you need to get advise from someone who had your surgery. We can cheer you on and relate to many parts of all of this but I know I for one am not very familiar with your surgery at all.

Ooh. What about the protein shots they sell right here on bariatric pal. Maybe they would be better for you.

Lemme see here....what order to roll with....I'll start with the No-Can-Do List. Gonna sound cornball...but then again....cornball is my wheelhouse, lol. Okay...here is the Top 5 that come to mind over my morning coffee: skydiving. hell to the NO. Added to that anything that involves heights. It wouldn't be cool for them to see me pass out from terror......although I did have a great conversation with a gal yesterday afternoon who has professional live saving medical skillz. So....she could probably take me to death's door....and bring me back. But no planes, roller coasters, wall climbing or the like. Wind tunnel is about the best I can consider.... Years ago she took me out for margaritas...took my arse out. We found solace as two souls in marriages that were struggling, no sharks. I grew up near the coast...snorkeling and scuba diving frequently.... continued it through college. At some point in my mid-20's I began to have sinus troubles equalizing the pressure when diving...made for painful surface intervals between dives. My Uncle had been through the same a few years prior. He tried surgical remedy....but it didn't help. My late wife, her brother, his wife and some other friends all took their diving certification stuff....and then for various reasons,...each of them dropped out of the class. I'd resigned myself to give the sinus surgery a chance....surgeon was also a diver and he felt like success was most probable. During my years diving I've been close....crazy close....to sharks a plenty. It was all good as I was most often near rocks, reefs, shipwreck structure, etc. Cover was close, if needed. The exposure and sketchy periods were when getting to the bottom & when resurfacing....there I sometimes felt like bait on a hook. Since then I have had some close calls when I was simply swimming on a beach day.....going for a swim to cool off from the sun. One time I had my early teenage son with us....We saw a sand bar a couple hundred yards off shore.,...there were surfers out there. He was deadset on making it out there. I finally caved in and told him we could go but he had to listen to me...currents and such. He agreed and out we went....all was well until it wasn't. I found out the scary way that baitfish were schooling in spots between the sand bar and the shallows. We were swimming amidst the schooling baitfish....joining them on the freakin menu. I saw one, two then three sets of dorsal fins surface in between waves. Then one came too close....got my son's attention and lied to him....told him to get in close with me and we were headed back to shore because I was cramping. He was pissed, but he did what he was told and then gave me a dose of ribbing later on...."Dad you wanna hand me a drink.....oh no...don't do it....you'll cramp up", "Dad....you want me to take the cooler back to the car....don't want you cramping up", etc. My favorite kind of vacation is to sandy places. Don't want to become baitfish again, though....ever. Never thought it would be an issue until recent weeks. Met a gal who is a diver....kept my shark aversions quiet, lol No yoga....period. Could be the greatest thing ever.....but I'm sidestepping. Same could be said of other types of group excursive. I'm a no-class sorta dude. Not going to line up and get into some torture. I prefer to do my torture in solo....lick my wounds and gain the benefits results. I have to protect my shout out knees and right shoulder and keep pre-habbing them until I can get schedules aligned to have joint replacements done. My geriatric-bariatric sorta gym stuff would likely have younger womenz laughing their butts off. So yeah....the gym is where I need to go it alone....for now, at least. Nothing illegal...or at least keep it mostly legal. I'm not robbing banks...but if she asked really nicely and had a killer smile....I may be her getaway driver and lookout. Snakes are off limits. So if they are into snakes as pets.....it is gonna take a HEAP of Dr. Phil-esqe counseling to make that something I can ease up on. My time in the woods has me averse to snakes. The part of Georgia where I live has many varieties of rattlesnakes, copperheads, moccasins, etc, etc. I've had some sketchy moments with 'em all and I went to guns every time. Probably wouldn't go over well with a date who had pet snakes. ......................................... Note that karaoke is now off the list. I'm averse to it. Averse as all hell......but developments yesterday have me sliding that one off my radar. I met someone who sings. I mean, sings at a high level, in formal events, etc. When the subject came up in conversation I was coy....thinking, "here we go with the freakin karaoke silliness"....but I kept my mouth zipped as she was discussing things she enjoyed....music...making music via singing wasn't a hobby....but a passion. My coy arse ...when asked about likes...simply said something cornball regarding singing. "Well...it is highly ironic that we have met...you being a singer, and all." Winked and nodded...knowingly (even though I no nothingsss...strong is my ignorance). She bit and wanted to know more. I deflected and said something about having a small bit of singing experience.....at a professional level....but didn't want to bore her with details....wanted to find out more about her. So it went for a few minutes until she went back to my singing and pressed the matter. "Well, young lady....here is the cosmic irony on this matter....you are clearly impassioned & talented with your voice.....so very odd that we would meet.....you see...you are now looking at the WORST singer on the face of the Earth.....or at least in this county.....I suck.....I've even been paid to NOT sing....had dollar bills tossed at me to put the mic down.....so there it is....I am in awe of your courage to stand up and rock your voice......I am in awe and I'm hardcore untrainable in that area". She laughed and took it all in stride. "So what can you be trained to do....." Mr Cornball here replied with something dumb like, "For starters, I am housebroken...errr mostly housebroken. I can bark...or not bark...roll over, shake and play dead, fetch....you know, stuff like that". She laughed again...but not laughing in the way of "somebody come save me from this nerd....somebody, anybody". Humored laughing....dare I hope, acceptance laughter....is that even a thing ? When I say we laughed....I mean throughout the afternoon and eventing we laughed. Either this gal is challenged or she was actually amused at my dipshyt self. I was intrigued of everything she volunteered about her life, likes, loves, views. @GreenTealael had recently stated major bigtime advice that was THE SURE 'NUFF TRUTH. it pertained to core values being integral to compatibility. Not realizing it was occurring, this lady and I spent hours yesterday covering so much ground that it was unreal. By dawns light this morning I am still shaking my head in amazement. Without me realizing it had occurred....we'd checked off a pile core belief simpaticoisms....yep that is now a word. Simpatico-isms. I was open and honest and simply went with it. Each topic was a new discovery of our views and feels about stuff. Been down this road a good bit lately....and there were always stumbling issues or categories where divergent views may be a red flag. I'm not talking about politics or stuff like that. I couldn't give a rip about that. I appreciate different viewpoints. I mean the bigger issues... Here are some of the hurdles or outright roadblocks that I've had recently in this bachelor living...and this is with even short term fun: No married women. As tempting as a couple have made it...No-Can-Do. I am NOT about to go there. DO NO HARM is the hill I will die on....regardless of the temptation. No coworkers...or at least within my work "zone". There is an engineer and another administrator in another "zone" where some interesting recent conversations have occurred. Even then, I waded much more cautiously than other situations. My sobriety will not be compromised. Long story...shortened version: haven't had a drop since February 2019. Quit for practical reasons to be a responsible caregiver 24/7. Considered myself a casual drinker...social drinker.....but in the years since I saw where I'd used alcohol as a crutch...a tool...a mechanism to distance myself from work stress....or marital stress... I later acknowledged it was a simply delaying those stress & ultimately combining them. So, after my wife passed in 2021...I maintained the sobriety...realizing it was in my best interest. Since then I have benefited hugely from it. I can go out with a girl and am A-Okay with her having a drink or three....I'll have my coffee, water and am just fine. I won't open a bottle or pop a top again, though. Matters of the soul. Didn't seem like this would be an issue for initial attraction and such. But I found that even in casual contact it can and does surface and diametrically opposing views are a non-starter....even if physical attraction is main the component the main draw. Back to yesterday's first meet with lil' Miss Singer....it--was--wonderful. Wunnerfull....I didn't want to be pushy,....or forward....but....wow. So refreshing, I was thirsty for more....and it was shared, clearly. She even stated such....boldly. Stepped up and put it out there....interest demonstrated. She made the first commit. I had been keeping my desires reserved...she was... different. I was having different feels and did not want to rush into anything. This was someone that, yes, major physical attraction is there...but all my no-can-do stuff were non-issues...taken in stride....acceptance. She probably has guys hitting on her all the time and I didn't want to be another schuck trying to come on to her. I mean...I DID want to...but there seemed to be "more than that" taking shape. Everything was.....different. Yeah, I know I said that already...having difficulty finding correct verbiage to accurately describe. Your ever had the thought that you'd love to go back in time and slap the cowboy shyt outa your past self..and do so at a most specific moment and change the outcome and improve the trajectory of past self ???? Yesterday at some point after an hour or so...it was almost as if I felt a hand on my shoulder....a warning hand...it was telling me to slow the roll...be real....look at the bigger picture....and boy howdy, there is a strong hint there is possibly healthy structure for a bigger picture. The hand on the shoulder clenched down more than once....the physical desires needed to be reminded of the cosmic slap that was needed. Dumb as it may sound.....and for whatever reason I can be grateful for....I was calm and didn't blow it....wasn't "that dude". It was rewarded with hours more talking, laughing, disclosing, supporting, etc, etc. --------------------------- So.... we have an actual, real deal, no kiddin' super official date next week...Wednesday. We had to plot through our work schedules to figure it out...but it is set. A date. Not a hook up.

I took a nutrition online class at my community college 2 years after gastric bypass and I wished I had learned more sooner. Food blogs, peer support is great, but college courses hit differently. Knowledge from that class sparked a health and mental health change in me. It’s not about protein or what supplements are trendy, it’s about what your specific body is lacking and needing. I get routine labs done 2-3 times yearly, which is more than recommended. I quit seeing my bariatric surgeon and my medical doctor prescribes only what vitamins show up that are low or needing more. That changed the bariatric fatigue I’d get and I’ve never felt stronger/healthier. Getting another doctor on my care, continuing health education and following my blood work are all things I wished I done sooner.

After having my surgery cancelled last month due to the abrupt closure of my hospital's bariatric practice, I have a new date at another hospital in the area and can hardly wait for the time to fly by. I'm scheduled for gastric bypass on February 21. Any other February peeps out there?

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

I've been researching (its part of what I do for a living anyway soo) this topic and have found several papers regarding pain after bariatric surgery: "Results: Nineteen of the respondents fulfilled the criteria for hypermobility. There were no significant differences between the groups with and without hypermobility regarding pain in weight-bearing joints before or after surgery. There was a significant difference between the groups with increased or novel pain in the ankles, shoulders, hands, and feet (P<.05) after the weight loss. Furthermore, the patients with hypermobility had increased or novel pain in a significantly higher number of weight-bearing joints, other joints, and joints in total (P< .05). Conclusion: Even with a small sample size, a tendency can be seen for people with hypermobility to experience increased joint pain after weight loss compared with those without hypermobility." https://pubmed.ncbi.nlm.nih.gov/28274706/ I do have some hypermobility. Its a very small sampling for a research medical study, but its in line with what I'm experiencing. Also, I'm only experiencing pain in one hip (weight bearing) and my back, the rest; hands, shoulders and elbows aren't. It could just be wear and tear from 14 years of gymnastics and later on physical alterations with much larger combatants for 15 years.. So life stressing my body rearing its ugly head as I age. 😥 Either way, perhaps if someone else experiences this after surgery it will help knowing they're not the only one and give them a stepping stone to some answers.

They are yummy! I also am scared of losing hair, but from what I gather there isn't much we can do about preventing it - but it'll only be temporary if it does happen I just take the gummies to make my hair in a better condition as it is now! Definitely! I think some vitamins like B12 & D, the absorption is actually quite poor in tablet form, so the sprays help with that! Oh bless her I know that can happen with some people! So I paid privately in the UK, and it is a 2 year package of aftercare that includes: 1 week post-op appointment with a bariatric nurse 4 week post-op appointment with a bariatric nurse 8 week post-op appointment with a bariatric nurse 12 week post-op appointment with a bariatric nurse nutritional screen blood test 10 days before 6 month appointment 6 month post-op appointment with a dietician 9 month post-op appointment with a bariatric nurse 12 month post-op appointment with a dietician and a follow-up with the psychotherapist 15 month post-op appointment with a bariatric nurse 18 month post-op appointment with a bariatric nurse 21 month post-op appointment with a bariatric nurse 24 month post-op appointment with a bariatric nurse

I am having the SADI and I don’t know if that’s the reason for my issues (because this is kinda new) or if everyone gets this type of runaround. I have some questions about what vitamin I should be taking and the post op diet that neither of the TWO differnt nutritionist I paid for could answer for me and I questioned what one told me about the pre op diet. I figured I could just ask the dr at my post op about the vitamins but realized that I am scheduled to see the PA. Well, I met said PA already and I didn’t like him. He clearly knows ALOT about bariatric surgery, just not the SADI specifically . I had a whole list of questions and everytime I asked one he skirted it and talked about the other surgeries in general. Basically he said a whole lot or words and answered a whole lot of nothing. Well thankfully the Dr did not make me feel rushed at all and he answered every one of them on my next visit so that worked out fine but I do not want my follow up with that PA.. I called and asked his office if I could change it to the dr and they would not go for that but did claim that the NP actually knows a lot more about the Sadi so they changed my follow up appointments to her. Fingers crossed they weren’t just saying that. Then I asked about the pre op diet and what the nutritionist said which was that for the two day liquid diet I was not to have anything red or purple. The receptionist says you shouldn’t be having anything that comes in red or purple anyways. I said um…jello, popsicles, diet drinks such as crystal light and gator aide??? She says well you aren’t supposed to have any of that for the Sadi pre op. I said well then I must have the wrong book or something because I’m reading it from what you gave me And it lists all that as well as fudge sickles and yogurt. She puts me on hold then tells me I should just come in and talk to the NP before my surgery since I have so many questions. I said I feel like because this is new everyone is your office knows that the procedures is different yet all of the information you are giving me is generic for the other two more common surgeries and I am supposed to just magically know somehow what to do differently. She says well it is the correct information you just aren’t supposed to have this and this and this. I bit my tongue. I said you know I’m am really not trying to be difficult. I Just need to get the correct information. I know that this is routine for you but this is my body and it’s major surgery. I’m anxious enough without having to cross my fingers that I’m doing my part correctly and don’t do something that is going to jeopardize my life or my surgery just because someone handed me the wrong paper and told me the wrong things to do. My god It’s just so blooming irritating that I should have to go through all this, waste my time, money and frustration just because they don’t know. If they don’t know an answer just say that. And get back to me after they learn it. It’s that simple. Don’t try to fake your way through it and give me the wrong directions rather than just admit they don’t know. Idk if I’m just getting old when I feel like it’s a generational thing that they feel like if they are just confident enough that it will be okay even if they are wrong. Then again I’ve seen this in all ages. It’s okay to admit when you don’t know!! It’s the medical field And little mistakes can cost lives. So far I have paid two incompetent nutritionist and i am having to go for two extra office visits just because they don’t know the information the first time. But even worse what if I didn’t ask and did the wrong pre op. Okay Rant over. 😂

100% this! I bought a lot of bariatric versions of things that I think helped me mentally before surgery, because feeling like I was preparing made me less anxious, but that I truly did not need. This includes portion plates and special containers, not to mention way too much protein powder and things like jello packets I've barely touched 5 months out.

So I'm in the liquid phase, post op surgery and am a little over a week in and I miss food. I understand attachments to food is what got me here, but is it really wrong to miss food? I spoke with my therapist this morning and she said to be careful not to glamorize food. I'm not sure how to think about this. I told her I still want to enjoy food, or get enjoyment out of food later on. Am I wrong to feel this way? I understand it's more about fueling our bodies and of course I want the right foods to keep improving my health. But are we expected to never enjoy food again after bariatric surgery????? thoughts?? thanks

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

Just wanted to pop by and give my experience! I am about 3 months post-op, and I was asking exactly the same thing in my very early days. I remember reading so much on here about people having high restriction, and feeling full after a few mouthfuls, and I just wasn't feeling that whilst I was on the liquid/puree stages! I had to ask my bariatric nurse if this is normal 🤣She told me that because the 'food' I was having was still essentially a liquid, it passes through the new stomach easily, hence why you don't really get a feeling of fullness. It made sense to me! So don't worry if you aren't feeling any full signals just yet. It is only once I started eating more solid foods that I was like...wow...okay, so this is what restriction feels like! As others have said, it can vary from person to person, but I definitely feel a tightness in my tummy/chest, sometimes I get little hiccups and generally just feel a bit bloated. I still use my FitBit to time 1 minute between every bite, just so I know I am taking it slow, and I have found this works for me! Best of luck on your journey

Yes your PCP is happy with those results but did you tell them how you feel? They don’t know to test for something unless they hear the symptoms. I still believe that it’s possible that it is the surgery and that it is going to take some time for your body to adjust and your mind to wrap around the fact that your body is going to have a happy place that may not be exactly where you want it to be. Just as much as some of our bodies stop losing short of our goal no matter how little we seem to eating. i wouldn’t worry so much about how you look sickly as so many have explained they looked like that for a while too and it stabilizes . BUT, only you know How fatigued you feel and just how off this all is for you. If it’s truly not right then maybe it’s time to “run some more tests” that your surgeon mentioned doing if you can’t function. If that is what you are trying to describe and he just isn’t listening to you then it’s time to ask another provider and get the tests. Your PCP knows your history better, has more likely had more experience with stuff that is outside of bariatric surgery, and should be willing to do further testing if it’s warranted. If you don’t feel there is any major issue and just want to vent about how you don’t like the way you look and the comments you are getting that is perfectly fine and we are here to support you in that too, but if you are trying to say that you know it’s not right and he is dismissing you then my suggestion is to look elsewhere for someone that will Help.

Hello August Buddies! It’s the final countdown for me. My surgery date is August 2nd. Nervous and excited. I be the very first of us to have surgery done. I’m having a gastric sleeve. I was very good with the post Bariatric diet. Didn’t really phase me too much but right now during the liquid phase. I am feeling hungry in the afternoon. However, I’m keeping my eye on the prize and of course, the most important thing is to have a successful surgery and shrink this liver. That’s keeping me motivated. Thank you all for posting it. It’s really nice to see a community that’s all going through similar experiences.

True for most, but as I said I have two friends who didn't have bariatric surgery and have been able to maintain their GLP-1 weight loss. One for a year and a half and the other for 10 months both quit taking it. They said it can be tough but they maintain by eating right and getting their steps! So happy ending for them! There will always exceptions to the rules.

Well there is never a 100% guarantee because we are all different but I would say that your response so far makes it very likely that you will be a success story based on my personal experience and the knowledge that I have of others experience who have lost and kept it off vs those who have regained a significant amount. I had my sleeve surgery 3/9/2021 so I have been on these boards since then and I have been going to in person support groups since a couple of months prior to my revision and my personal experience and learned experience is that one of two four things happen to cause regain. 1: the person never really does change what they eat. This is a problem when the anatomical changes control portion of less nutritious foods for a while so they lose some but then as the stomach stretches they can eat more and they regain or they are able to have just a taste of things in the beginning but when appetite comes back that changes (note that some people can have just one bite of a brownie forever but that didn’t work for me so we just have to be mindful of how our body reacts and stop doing it if we can’t stop ourselves at a small portion). 2: the surgery was never a good fit. I know that this was part of problem with the sleeve for me because I never did feel ANY metabolic changes. I still absolutely hated healthy foods that I didn’t like before and I did not have any additional energy or motivation after the surgery. Basically I think for me the surgery was probably like Wegovy would be. The hunger hormones went away for a while and I was able to eat less until that came back. But nothing else changed for me. I never felt a change in energy and I was never about to get start r with exercise and healthy food options did not appeal to me in the slightest. I ate alot of chicken breast and a few veggies that I don’t mind in the beginning but there was no variety so like most diets I couldn’t sustain it when the hunger came back and I wasn’t moving my body to help my physical and mental health to keep it going. 3: This would be a combo of the two which would be where i would actually say that I fell with my sleeve. Because I didn’t like enough of the healthy food even a little bit I started having less ideal foods far more often. I mean i wasn’t eating McDonald’s ever and I wasn’t having poor choices all the time but I would have like a quarter of a frozen pizza or a lean cheeseburger with a roll several nights a week thinking it was okay because calorie wise it wasn’t much worse if that was all ate. The problem was the other macros and the fact that for me they were slippery slope foods and they made me crave more. I wasn’t gaining on that but carbs make me crave carbs so that little devil voice took over and I tested the waters a bit more by having just a few fries or a bit of cake with that but it was way too often and far too early out for me to know my limits. Then, to make matters worse, my mental health issues kicked in where I had not only stopped losing but gained 20 pounds and when I couldn’t reverse it even when I tried my hardest to rein it in (because I was now craving the carbs again bad) i just considered that I was a complete failure and they didn’t say it but i could see it that my friends and family felt that way too and I just slowly just quit trying. This is when the support of people who get it would’ve been sooooooooooo very important. Never been obese people are never going to be able to get it or be able to help. Reach out to your bariatric support if you struggle. Even if your disgusted. They get it and never judge. 4: Some people even though the surgery is a success and they make all the lifestyle changes and everything is working lose sight of their lifelong goal for one reason or another and let bad habits slowly slip back in and they gain. I think this is probate going to be the hardest one for me. To not take my eye off the prize 5 years down the road. But we can do it. I think that staying active in these support groups and checking in with my team is going to be key for me. I am going to ask to have my follow ups a couple times a year even when I’m a ways out just to keep me in check. I know that I am able to gain a lot of weight in a year!! I never did the In person support groups at all after my sleeve and I stopped posting here for a while and didn’t go to my follow up appointments when things were out of control and I needed the help the most. Basically for me the sleeve was just one of my longer and more successful diets that started with the curved appetite and a lot of hope that it would work this time but slowly ended when the hunger came back, bad habits slipped back in, the cravings got unbearable and my all or nothing thinking finally got the best of me. I think I probably would have leveled out somewhere between my starting and my low weight if I had not given up but since I started at a relatively low BMI to begin with that did not seem like a success to me at the time. 89 pounds later I only wished I had been back to that weight though. I learned a lot from the sleeve experience though and I think that knowledge is helping me now. Hopefully, it helps others too. I try to let my experience be a cautionary tale without scaring anyone too much. Anyways, based on your nutrition changes, steady loss and your activity I do not think you are like me with the sleeve or others who I’ve seen who never even tried to eat differently or exercise so I don’t think your surgery was a bad fit at all or that your just expecting the surgery to do all the work. I think that your surgery is doing what it was designed to do for you and so as long as you keep doing your part you should get your where your body needs to be. Just don’t get caught up in a certain number and let your brain get the best of you like I did. That last 10 or 15 pounds may feel like a lot but your already so much healthier and happier that you were before. Keep striving for that goal but don’t let it be the only thing that matters. To me it will be icing on the cake to what is already a success story Your body will have its own idea of what is an ideal size for you and you may have to just accept that it may not be exactly what you have in mind (it could be lower but it could also be a bit higher. It may be a sorry to accept where your body is happy and healthy if you don’t want to be really working hard at this forever. Honestly, I imagine we will have to work at it for the rest of our lives to some degree. By that I mean that we will probably never have it as easy as someone who has never been obese. You are doing so incredibly well, though, making actual lifestyle changes and I have listened to anyone who is willing to share whether they were successful or not and that seems to be the biggest piece of advice. This is not a diet it is a lifestyle. Your surgery is working for you and you are working hard for you as well. Those two things are key to this journey long term. Just keep it up and I really believe you will reach all of your goals. ❤️

Well, I will tell you that after my sleeve, there was nothing that I could not tolerate. I’m pretty early out post revision so I haven’t tried many of those foods with the exception of tacos but I haven’t had any issues with anything so far. I make tacos with ground turkey meat, 2% cheese, and just eat the filling or I have it with low-carb tortillas. Surprisingly the turkey meat and the 2% cheese do not taste much different at all by the time you add the seasoning and them little low-carb tortilla aren’t bad either. Sometimes I just do it as a salad too. You may be surprised to find that you don’t crave those same foods, though. The surgery does some metabolic changes and can change the foods that you enjoy. I mean, don’t get me wrong, pizzas still sounds good to me but all of a sudden grilled fish doesn’t sound bad either so it’s a lot easier to make the healthier choice. It really depends on what your purpose is for the surgery. If you’re only goal was to get rid of your Gerd, then you may not care about getting into a super skinny size in which case eating smaller portions of the foods you enjoyed before shouldn’t be an issue at all. But if your goal is also weight loss and you want to be able to maintain a very low BMI, then you’re going to have to make some sacrifices. In which case, my suggestion would be to search the bariatric websites and even the thread on here for recipes and try some things once you get to soft foods and regular foods. You may be surprised at things that you will enjoy. I make turkey meatballs, and I have those with peppers and onions and sauce which are delicious, turkey tacos are good too, chili with lean meat is pretty reasonable macro wise, white chicken chili is a favorite, I made a Mexican skillet that wasn’t bad macro wise you may enjoy if you like Mexican, I sometimes do the zucchini noodles if I want pasta. They are pretty bland and just pick up the flavor of whatever sauce you use and of course you will want to add some protein. I also found a recipe for spring rolls which some people call summer rolls that are so yummy. They’re not the fried ones but still really good. It’s chicken, avocado and veggies with peanut sauce to dip. These are all in the weight loss phase once I get to maintenance I can add things to jazz them up a bit You can also do chicken or cauliflower crust pizza with chicken and veggies so it has more protein Or cauliflower mac & cheese. Lean beef cheeseburger without the bun, a cheeseburger salad or low carb cheeseburger wrap. There are ways to tweak your favorites. Basically anything I am craving. I just type it in Google with the word healthy in front of it and I try some recipes until I find one I like. Some of it is bland but many things are surprisingly good. One that I still want to try is zucchini lasagna. After doing the ricotta bake on purée stage and loving it, my guess it that it’s good I still make the ricotta bake I just add Turkey sausage and veggies. Ooh and quest protein chips are really good once you can do crunchy. Also, they have an “ice cream” maker that you can control the ingredients I have heard some people talking about on here But the short answer is No, unless you have a specific intolerance, allergy or sensitivity you will not have to give up your favorite foods forever. You will just have to make tradeoffs. How often you can have them will be based on what weight you are looking to maintain. If you are willing to exercise, for instance, you will be able to eat more carbs and maintain at a lower weight.

Gurgling stomach is completely normal before and after bariatric surgery! It doesn't mean hunger it means its digesting! I too never feel "full" and have never had the honeymoon phase of not being hungry. Just be aware you're this way and be vigilant in your eating and portions. We're all different, just stick to the plan you were given and have faith it will work!

Yes, @ShoppGirl, I had a similar experience with Miralax. I was at home, so no emergency, but I learned that lesson. My team didn't recommend stool softeners but I think I'm going to start one because this full liquids with protein powder is quite constipating. Monday I start pureed, and I am more than ready. I blendered some lentil soup with protein powder and extra water for dinner, and while it tasted good and satisfied my craving for something kind of hearty, it became this kind of brownish thin sludge and I was like, "This is what I eat now?" I know it's only day 11 and I'm still on liquids. I just want to be sure I don't give up the joy of good food. I'm not a cook at ALL but my husband and I decided we are on a mission to become foodies of healthy, clean, whole foods. Thank God my incisions are done itching. That was terrible. I mean, not a crisis in the grand scheme of things, but it was annoying. They're just about to the stage where I can start taking bubble baths again. I LOVE bubble baths and take a lot of them. That'll be really nice. I really feel everyone on trying to get it all right and balance things to get enough protein and keep the sugar and carbs low, and keep the quantities right. I'm still struggling with having zero feeling of fullness. I definitely do not feel hungry, which is crazy on less than 500 calories a day (I'm supposed to aim for 300 - 600 with no more than 1000). That's a total blessing and I hope I never get hunger back. That would help so much long term. But I do hope that once I advance my diet I will have fullness cues. I measure, so I guess I don't 'need' them, but I would be less afraid of overeating. Every once in a while, I have these sort of "mind echoes" of, "Oh, I want [insert high calorie comfort food here]". It's fleeting and it's not physical, it's totally a mind want, but it's interesting. I kind of shrug and say, "I don't do that anymore." I'm having an interesting thing happen with my one sister who was very against my having surgery but was being as supportive as she could of my decision. She's now sending me things like a mug warmer for my soups and an immersion blender, and links to Pinterest recipes for amazing soups. It's really cool. I am appreciating it a lot. I hope you all have supportive people around you. What is everyone doing regarding weighing? I kind of intend to weigh myself each morning when I get up, which will be more structured when I go back to work on Monday, but then I also don't want to get fixated on the scale and then get discouraged when I plateau, which I know will happen. On the third hand (LOL), it's exciting and reinforcing when I'm making these hard changes to see the scale move. I got a pill organizer and filled it with all my vitamins that I have to take starting Monday for the rest of my life. It's a LOT! I have to take pills 4X a day. Luckily, I haven't hated any of the bariatric chews and melts so far. And like @shoppgirl, I love the Bariatric Advantage calcium chews. They're basically Starburst candy!