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Good job!! Im 6 months out. I also had low b1 and iron but it was at my 3 months appt. I got the bariatric advantage iron and b1 (which is hella expensive) but at my 6 month appt all my labs are back to normal! I just hit 80lbs down from surgery. Best decision ever.

Hi Ladidi and welcome! It is not uncommon at all for 60+ folks to have bariatric surgery! I was sleeved last year at age 67. No adverse events, and I had a successful recovery. Go for it!

Oh, Phil also has a book on Bariatric surgery and food addiction can't remember the name.

Tring to find a cheaper place to that a product called bariatric advantage meal replacement plz any idea will help Sent from my moto e5 cruise using BariatricPal mobile app

I've been banded since 2007 and I only recently started visiting this site... Stupid on my part. I learned quite a few things here. I wish I had been on here when I first started out. While reading different posts to help me with my pouch dialation problems 2 weeks ago I noticed many people who have had their bands removed. In the past I had port infection due to a tummy tuck, esophogeal hernia( which they originally thought was a band erosion) it was only when I was under anethstisia did my doctor see the problem and when I woke up I was totally ecstatic because I thought I would be waking up to having my band removed.it wasn't and I was grateful. I read so many people saying how it was the worst mistake by getting banded, but I feel so lucky. It's worked so well and the problems I had were my likely self induced, you know not chewing properly, the dumb tummy tuck which wasn't necessary. Those problems could have been avoided. The thought of being without my band it frightening. This last problem of pouch dialation was a strong reality check. I have to remember how to eat and chew properly. Just because so many years have past I must not become complacent . I was lucky to find so much info on these post at bariatric pal. I grateful for the posts I read and for future knowledge I can obtain just by reading other people's stories. I just wish I read more stories of people who have had great success with their band. I know I did and I love my band and can't image myself without it.

I have not been to my bariatric doctor since my surgery. Have never had a fill, I rely entirely on the band, do not need to have the feeling of full because of the band being tightened up. It has been my choice to use this where I am comfortable and if something should go wrong I will have to find a new surgeon since my insurance does not cover this locally and there is not a bariatric doctor within 200 miles from here. Good luck and and try to make this work where you are totally in control,not waiting for your body to tell you to STOP eating because of pain from eating too much.

I see it on Amazon. https://www.amazon.com/Bariatric-Advantage-Replacement-Chocolate-Servings/dp/B004WQJUCC?th=1

It's a common thread I see running around this forum.. people asking why they didn't do this years ago. I'm even young and I'm finding myself asking the same thing. Though I'm only 25.. I wish I would have done it at 18 or 20.. admittedly, maybe I wasn't ready then.. maybe I still needed time.. especially because part of my story is finding out at 24 that I had bipolar II without the usual "standard" symptoms of women docs normally see in their 20's so I was very hard to diagnose and went through a period of about three years where I alienated everyone but my very closest friends because I was so hard to be around -- with a low of winding up needing to be admitted to a psych ward to get it all figured out. I definitely learned who my friends were (and who, surprisingly, weren't...) I am also social anxiety disorder, generalized anxiety disorder and depression.. so I spent the last year and a half in counseling trying to get my mental self to match the well-put together self I present to the world thanks to years of being on stage growing up. I learned to show myself as put together - graduating magna cum laude and being responsible even if I was falling apart inside. So I needed to deal with all of that first before I felt ready to confront my weight. But finally I was ready. It started about 1 year ago. I had been feeling bad about my weight for a while. I was overweight during my childhood. My grandmothers both grew up during the Great Depression.. so for them.. giving me food was the same as giving me love.. especially high calorie foods. For them eating wasn't about hunger.. it was about enjoyment and thankfulness to have food to eat. (One was thin, one was overweight). But from them I learned to love all the wrong types of food and to love them in gigantic portions.. My stomach was already way stretched by the time I was 7 or 8. I remember weighing 85 pounds in 2nd grade because we did a math thing where we all weighed in front of the class. There was only one student, a boy, who weighed more.. during school I dealt with a lot, I mean a LOT of bullying because I was mature and just different - I'd rather read a book or write a story than go out for recess and I was reading Romeo and Juliet while they were reading Junie B Jones (For the Record I like her too even though she's a huge spoiled brat). Basically I had a generation gap with my peers since my parents were born in the late forties and early fifties and their parents were much younger.. so I was already -extremely- bullied. I didn't make my first non-internet friends until college.. and those were some of the people I found out weren't true blue friends when I went through my emotional break down a couple of years ago... So yeah.. and it didn't help that I was overweight.. that was just something else to give them to make fun of me about. As it turned out.. even though I wasn't doing even as good as I am now in therapy one year ago.. I was doing better than I had been in years and that gave me time and energy to turn my thoughts to the weight I'd been unhappy to be carrying around for years. Before college it bothered me.. but I didn't think about it a lot.. it was in early college when I hit 200 and started having trouble finding clothes that would fit me in your typical stores both like Macy's but also stores that people my age like - Aeropostale, Am. Eagle etc.. that I started to have a personal crisis about my weight and be super unhappy with it. Shopping became my least favorite thing because it was an exercise in taking whatever would fit rather than whatever I liked. And by a year ago I had started to notice I couldn't do or keep up with the same types of activities most people my age do. I love showing my dog Riff in conformation and was learning that I couldn't keep up with her jogging on our down and back (jogging beside the dog so the judge can see his or her movement properly) and that getting on my knees to present her not only hurt but was nearly impossible. I started to be even more unhappy because I couldn't do the hobbies I loved that people my age are doing. And in the meantime for the past 5-10 years I'd been trying every diet known to man.. I didn't feel like any of them were sustainable for a life time because I was unhappy with them. And rather than yo-yoing I just didn't lose. Didn't matter how well I stuck to a diet, I'd find myself losing maybe 5 pounds in 7 or 8 months of hard work.. and finally I gave up.. I was near the point of accepting I was just going to be overweight forever and that was how it was going to be. I knew my issues - I don't eat for emotional reasons, I don't eat when I'm not hungry.. but my stomach was super stretched from years of eating too much and I like big portions and the wrong kinds of things. I could go and polish off a huge plate of food enough for three meals and feel "Just about right" and I didn't have the self control to starve while I waited on my stomach to shrink naturally.. I just couldn't do it. I had heard things about gastric bypass that made me say no way never.. things like "You'll never be able to have any sugar again." or "You'll never be able to have fried foods again." While I'm happy to make lifestyle changes, things like "Never again" aren't something I'm capable of. So I ruled out surgery for a long while. Finally, a year ago I looked into it again and read about gastric sleeve for the first time.. and it was a fit.. not as serious as gastric bypass.. less prone to things like dumping syndrome.. and all about moderation rather than "never agains" more healthy choices.. less bad ones.. but I didn't have to promise I was never eating Pasta or never having a fried chicken leg again - which was something I knew I couldn't agree to. There was less risk of serious complications and it was a plan I thought I could actually live with and be happy and it went right to the root of my issue - shrink my stomach so I can get used to a normal portion size again without having to starve. Something I haven't had since I was 6-7 years old. Within two days of researching I was ready to commit. But of course getting my medicaid to pay for the surgery wasn't as easy as deciding I wanted it - even though I looked over the qualifications and knew I met them - I still had a lot of hoops to jump through. In October I started my 6 month phys supervised diet which only convinced my doctor and I that I needed the surgery even more. I ate 1500 calories a day and walked my dog most days for 30+ minutes (which was a significant step down from what I had been eating and step up from my sedentary lifestyle) and lost only 11 pounds in all that time. And part of it came back! Getting cleared psychologically was a battle too. They wanted a psychiatrist who didn't know me to evaluate me even though my own had already sent a letter of approval.. and the psychiatrist who I did see didn't really want to clear someone who was bipolar.. it was a battle, but finally I got cleared. That by itself took over two months and delayed my surgery which should have been in March 2016. I also had to have blood work, a number of physician check ups by my program's docs and so on. But finally all the hard work paid off.. on the first submission to insurance, I was approved within a week! How excited was I! And my surgery was set for May 31st 2016. However, the roller coaster wasn't over.. I had little contact with my bariatric program from the get go... they share a department, nurses, etc with general surgery.. so calling to talk to someone there is always a nightmare.. it's a 30 minute wait to get a human on the phone, calling to talk to a nurse means a 5 hour or more wait for a call back.. and it also means a very unpersonalized approach.. they're so busy and have so many people through their program that they want everyone to be a cookie cutter mold and don't want to offer people any individualized advice because "others in the program might want the same advice." Well number one - others in the program shouldn't know what -I- discuss with my doctors so how could they want it and number two healthcare isn't supposed to be about squeezing people into a mold and making the exact same treatment work for everyone... so I began to be unhappy with my program from early on.. especially when their psychiatrist and my psychiatrist got into a fight over the phone about whether I was going to get cleared. Their psychiatrist had met me only once and knew nothing about my case history while my own psychiatrist has been working with me for about a year and half.. who do you think was more qualified to say if I was stable or not? But aparently their program couldn't understand that.. However.. I was stuck.. Medicaid wanted me in state and this program was the closest to me and already an hour and a half away.. the only other options were double or triple that commute time (Chicago). So I just kinda had to stick with it.. I've gone on to be further disappointed by them at numerous occasions - namely when my surgeon said that Water aerobics is a joke of an exercise program and only for people who can't do anything else and that I couldn't hit my weight loss goal of 130 pounds doing water exercise of any kind (there's a thread floating around about that). Clearly he's never taken a hard core water exercise class or he would know that is so not true. I took my first one Friday and I was sweating in the water! Finally I did get to have my surgery though! Before surgery I had an 800 calorie diet for two weeks focusing on Protein and lean meats and veggies and reasonable on carbs. It wasn't too hard of a diet to follow beyond getting hungry because my stomach was huge. Surgery day came but I was excited rather than nervous. especially because all of us May 31st sleevers from the forum (there was about 10 of us) made a facebook group so we could keep in touch and that really helps to have other people who are exactly where I'm at in the recovery stage. I didn't have much trouble recovering from surgery. I never had any gas pain and even though I was in pain in general the first three days they gave me lots of morphine and kept me very comfortable. While my program as a whole is somewhat disappointing - I do have to say that the nurses who took care of me in the hospital couldn't have been better. They helped me walk. They helped me get up to go to the bathroom and helped me adjust positions in bed since I needed help doing all that for the first 2-3 days. I brought my laptop to the hospital with me and spent time here on the forums and doing other stuff I like -- even played some Sims. My recovery was uncomplicated and three days later I was able to go home. My internal swelling went down fast and by a week out I was so sick of liquids that I couldn't help but try a little puree and it worked just fine to help supplement and keep me from going nuts. One thing that's been very helpful to me is Fairlife Milk. it's heightened protein milk with 13 grams of protein for a cup. I drink it straight and also add it to my Soups. It helps a lot in getting in my 64 oz of liquid and my 60 grams of protein. I've been using an app called Plant Nanny which lets you grow plants based on how much Fluid you consume then you can plant them in your garden and harvest their seeds to get more diverse plants.. it makes drinking at least slightly more fun. I also wear a fitbit flex and it's synced with My Fitness Pal. I log my calories on MFP and my exercise syncs there from my fitbit automatically and tells me if I've earned extra calories from exercise (though I rarely use those). I was never given a calorie goal to shoot for but I set a goal of 800 for myself based on the pre-opp diet and what I can eat and get in 60 grams of protein without feeling too stuffed/ too deprived. I'm on my own for a lot of it because I've only met with the NUT once for 30 minutes pre-opp about 2 months and I won't see her again until in July so... I just read and do the best I can. So yeah I'm 3 full weeks out from surgery on Tuesday and also down 20 pounds since May 18th (the start of my pre-opp liver diet). I faced the three week stall at about week 2 instead of three and I was down to a new low for the first time in a week today so I'm hoping that it's broken and I'll have a bit of smooth sailing for a while from here. So.. that's my story so far. I don't know if people post in these to update but.. every once in a while I'll post back and let you guys know how I'm doing.

I think your weight loss total is awesome. Stalls are mentally so hard! My nutritionist gets me to do screenshots from a bariatric app that I use to track my meals etc. She looks at the time between eating, what I'm eating etc and it's shocking what she picks up that i never would. I imagine you have a nutritionist on your recovery team maybe do the same and just get them to look it over for you.

My bariatric dietician recommended Pre-Natal vitamins before my surgery and that's what I have been taking except for the first 14 days Post-Surgery when they insisted I grind everything up. When you have dentures you can't really chew chewables, and they are Nasty Nasty! First time I tasted them all I could think of was giving my babies liquid vitamins and then having them barf all over me. Same evil odors to those things. So at 15 days, I said Frustr8 Old Girl, this IS NOT going to continue! Took a mouthful, okay baby mouthful of 2 ounces, of liquid, three my prenatal in and let it float down as I swallowed. Oh I got some amused states at Wally World going through the vitamins area. One of my ex-coworkers who is now in Over the Counter Pharmacy said " You're 72, do you have something to tell me?" No this was Roy the Dietician's idea, not mine! But until recently it did me good, then after the 3 month TPN through my PICC line I got deficient enough in iron to require an iron INFUSION. Still wasn't as bad as It sounds, I was comfy, took 5-6 hours out of my day, but still it was what it was. Maybe it will hold me for a while, PCP thinks every 3 months, but he didn't order it, it was ordered by my surgeon,in Columbus and that's where I ended up going. So Spring Valley from W-Mart, about $9 a bottle, non-chewy, non-gummies, because 1st ingredient is Sugar or High Fructose Corn Syrup and that's a 👿😈Devil we all need to avoid!😎😨

Am I really doing this? That was the question I kept asking myself today. Am I going to this consultation for bariatric surgery (that's something for obese people)? Am I going to post blogs on this site visited by obese people?.....Yes I am because as of today, that strange sounding being is ME!!! For soooooo long I was the big girl that had all these small friends who made excuses for why she didn't look like the other big people they saw (and sometimes made fun of). I was the token big friend that they genuinely enjoyed being around because I was sooo funny, always smiling, dressed nice, etc... So why when we go out to dinner, parties, hell the grocery store other people saw everyone in the group but the big girl? Of course, once i started talking and they got to see who I really was, they liked me...as a friend... Well I've got friends up to my wazoo...I need something more; I need a LIFE!!!!! So yes, after all of that I am really doing this!

I completely agree with The Greater Fool above. It's not a matter of whether you are too young to have the surgery, but whether you have the right mindset and are ready to commit to a new way of eating for life. Some people in their 20's are ready, while some in their 50's are not. You have a tremendous opportunity by taking this step so early in your life, before you have developed a host of medical issues connected with obesity. You have the chance to enjoy a long and health life with bariatric surgery. Take advantage of it!

I'm with you. I renewed my commitment today. I have 58 lbs left to lose. Let's get this done!!!!

If you have insurance coverage through your employer there's no guarantee that bariatric surgery is covered. Your employer gets to pick and choose what's covered and if they want to save money on premiums they may exclude things often considered non-essential, including bariatric surgery. I discovered last October that my company's PPO policy did not cover it, so i complained to HR and they got it included in the plan effective our next open enrollment date, which was Jan. 1. There may often be exceptions made if your doctor says your life is in danger if you don't have the surgery, but those are rare. So if your insurance says they don't cover it, go to HR immediately and ask them why it's not included in your coverage.

Someone on another blog recommended syntrax from Bariatric choice website. I personally love premier protein and so did the other person who recommended Syntrax, so maybe you will like it maybe not.. I guess it's all trial and error.

Hi.....welcome to the forum. Opinions and tact will vary. i am glad to hear that we have another new bariatric sister on her way to healthy. Congratulations. I had my surgery here in Chicago with Br Bipan Chand. Loyola University stole him away from the Cleveland Clinic, but you and I both have benefited from his expertise He was instrumental in developing the bariatric surgical program there, and then here. So, you should be fine. I wish you good luck and good health. You are in good hands.

My mother had Gastric Bypass with duodenal switch 26 years ago, she turns 70 this year. I promise you, she wouldn't have made it this long if she did not have the surgery. Them saying that people dont live long after bariatric surgery is patently false.

I have a card in my wallet that I can hand to food service that says I have bariatric restrictions. That way they have to let me have 1/2 portions or order from children's menus. I'm surprised too that they took that I think if you completely restrict the occasional treat you'll go crazy and pig-out. Sounds like you did well and do sweat it!! Good job @ your inches and lbs lost!

My pcp is very supportive of my going to mexico and helping me when I am back but local bariatric surgeons won't help. That is how they try to force us in northern tier states to pay twice as much for the same surgery in my area than if I had it done in texas and four times as much as the typical cost in mexico. There just isn't the competition in my area to drive prices down.

Sometimes it feels like I am doing the job of the office workers in my doctor's office! I realize that I am the one who wants this surgery. I am the one who wants things to move along as quickly as they can so that I can get to the place I need and want to be at. Yes, I am impatient. But I seriously wonder sometimes what would happen if I left things to happen when they happened. ( I would probably not like that answer) Take for example today. I have posted before that I have had a 4 week space where nothing has happened because I had to wait to get into a pulmonologist for clearance. It has been the LONGEST four weeks of my life in many ways. I feel like time has dragged by. I have wanted to do something to move this process along, but all I could do was wait. Well next Monday is the long awaited appointment. Even then it isn't "it", as this is only a consultation. Any tests will have to be scheduled and performed at a later time. ( Yes- I am going to push to try to get them scheduled next week) I decided that I would call my bariatric doctor's office to see where things stood on everything else. Basically find out if anything else needed done, was there any other clearance or paperwork I needed to have. First thing mentioned was my diet. This has gone round and round...It was once mistakenly said that I needed a 6 mos. diet before authorization. Well that information was incorrect. My insurance did clear it up with the lady in my surgeon's claims office, but apparently in is still notated in my chart somewhere. So once we got past that she said they still had not received my PCP letter of recommendation or last 2 years medical records. I was a little surprised. I saw my PCP on 8/28 for a check up on my leg. While I was there he asked if I had a surgery date scheduled yet. I said no, because of the pulmonary check. I also commented that was my last clearance, and that I hoped all my records and his letter had already been sent. Obviously the doctor has no idea what his staff does because he seemed like he was looking forward to me having this surgery too. ( in a weird way) Anyway, I called my PCPs office after speaking with the surgeon's office and left a message that they never got the records and letter. A few hours later the lady in the records office of my PCP called me back and said she had never received the request for the records or letter from Dayton Bariatrics!!! WTF?????She was very apologetic and said she would gladly send them over just as soon as she got the request and release I had signed and turned in back on 8/6. She even gave me her fax number so they could fax the request over and not have to wait for it to be mailed. I then called back the surgeon's office and relayed the information. She said she would get right on sending it over... So Wow. It is a good darn thing I am being so anal about this because who KNOWS what delays I might face if I didn't stay on top of it. I can only imagine now what I will probably go through once everything is ready to submit to my insurance. I would probably feel better if I could just do it myself!! LOL I know from all I have read on here that I am hardly the first person to go through this. I also know I am not the only patient any of my doctor's have in their practice. But if I did not stay on top of everything I am responsible for in my job, well I probably wouldn't have it for long. Oh well, lesson learned. I know what I have to do to get where I want to be.

Bonjeanie, as I understand it the MGB is really not considered a safe and effective surgery. It's not done much at all these days. However, there are lots of other options and almost all of them can be done laparascopically. I know there are many, many doctors who do both RNY and lap-banding who will do one on top of the other if necessary. Your best bet is to find an experienced laparascopic gastric surgeon and talk with him about your specific case. It may be a good idea to talk with more than one, if you can. You might start by looking at the OH website (obesityhelp.com) to locate bariatric surgeons in your area. Good luck!!

Looks like we got a great answer from the OH board. This was just posted in response to my same question. Post Date: 1/6/10 9:00 am ASMBS Insurance Committee Updates Jaime Ponce MD, FASMBS Chair, Insurance Committee New 2010 CPT code for Laparoscopic Sleeve Gastrectomy Laparoscopic Sleeve Gastrectomy has a new CPT code effective January 1, 2010: 43775 -- Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (i.e., sleeve gastrectomy) The relative value of this CPT code is set by CMS and it will be 21.56 (work RVU) which is between the laparoscopic adjustable gastric banding and the gastric bypass roux-en-y relative value. Medicare will not be covering this procedure at this time. Bariatric Coding Email Hotline The ASMBS Insurance Committee in response to multiple requests from our members and their office staff have decided to offer an ?Email Hotline? for bariatric coding questions. We have accumulated previously asked questions and will be able to adapt answers according to your specific case in question. In within the Committee members, there is significant expertise and will do our best to answer your coding question. Please send your questions to the following email: insurance@asmbs.org SOURCE: http://www.asmbs.org/Newsite07/EmailArticles/ASMBSInsuranceC ommitteeUpdates.pdf

HI... I'm new here too. My journey started last January when I first talked to my GP about getting a referral to the bariatric program at our local hospital (things work a little differently here in Canada), and my doc was so excited that I asked about it I thought he was going to fall out of his chair. It took a few months to get into the program, but now I have appointments once a month with different people (my nurse, my surgeon, nutritionist, mental health, etc). I know there are a lot of hoops to jump through ... just had my gastroscopy last week. All good! ... but I'm hoping that I'll get a surgery date sometime in the spring or summer. I have a wonderfully supportive husband and 2 great kids (7 & 5). Most of my friends and family are supportive, but some have accused me of 'taking the easy way out' (haha... as if). I'm looking forward to getting to know people on here, and following their stories.

I have struggled with my weight my whole life. Im 29 and weigh 255 pounds. I have finally scheduled my informational session for bariatric surgery in January. From there I will get a consult with a surgeon. I am having to follow steps in order to get my insurance to pay for the surgery. I'm stuck between Gastric Sleeve and Gastric Bypass. What is everyone's opinion on the two? What are some things that can help me through this process?

Hi I am 6 days post op on liquids now for almost 21 days - I am gazing longingly at the cat's food at this point - & if I have one more Bariatric Advantage Shake or broth or pudding or pureed whatever I am going to puke!