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Bariatric fusion chewable multivitamin.

Hey guys I really need some guidance and help right now. So I'm about 10 weeks post op and will be going to Myrtle Beach for a week with my family. I'm excited but I'm worried about food, anyone know places there that are bariatric friendly or ideas on what I should bring? It's just a simple hotel so all I can think is protein shakes? But with the stage I'm at am I able to eat protein bars? Or the meal replacement ones? Still not sure about snacks even though I'm not a snacker...any help would be appreciated. Sent from my SM-G981U using BariatricPal mobile app

Bariatric Fusion, soft chews.

Our surgeon said that we could just take our normal meds after surgery that were not extended release from day 1. I am currently taking the bariatric pal capsule multi-vitamin.

so sorry, full liquid stage is hard enough without your main food source making you sick. A few ideas for you to consider (if you haven't already) thinning the protein shake or using them to thin greek yogurt. bariatric protein soups and protein hot cocoas (you can get them on Amazon). using plain genepro - it is nearly taste and textureless - in a cup of tea, juice, or milk. FYI - there is some controversy on the genepro claim of how much protein is in a serving. At my dietician's advice I half the protein they claim to have in a serving just to be safe. Adding powdered milk to milk to make a higher protein drink, especially if you use fairlife milk which is already higher in protein. making popsicles out of the protein shakes, maybe having them as a frozen meal will make a difference?

My group was actually involved in a study focused on upping calories sooner. I was encouraged to reach 1200 calories per day as soon as possible, and did so around week 3 after surgery. I have not seen the study, but I was told by my doctor that people who eat more calories sooner will lose weight slower, BUT....statistically have much less regain later....the hypothosis being....this is because the metabolic set point is being re-estabilshed at a more robust livable caloric level. I cannot speak for anyone's experience but my own, and can report observations of a family member who has also had bariatric surgery. My cousin is a few years younger, also had sleeve, and was on an extended restricted calorie plan. She ate 600-800 calories for months after surgery. She lost rapidly. She was appalled by the calories I was being encouraged to eat as soon as week 3. Gave me crap constantly that I would not lose the weight she had. And at first...I was concerned she was right. She lost more weight than I did MUCH MUCH faster. Eating 1200 calories a day, I lost slowly, but consistently. But I eventually reached goal. I'm three years out, she's four years out. I've maintained everything I lost and I eat around 1600 calories a day. If I go up five pounds, I don't have any problem taking it off by dropping my calories down to 1200-1400. She's regained half of what she lost, and says she struggles to lose weight eating 1000-1200 calories a day. She blames the sleeve, and is planning to do revision surgery to RnY bypass. My personal feeling...is that there could be something to this concern about metabolic reset at too low a calorie threshold. Do I know that? Nope. People are extremely individual. This is a new science and there's a LOT we don't know, and even more that will vary by person, diet, and a dozen other variables. But I do know that attitudes among bariatric surgeons regarding diet are changing at the major research universities....to favor higher calories sooner. I'm guessing we'll know a lot more about how this all works out in the data.....in about ten years. LOL

I was watching a nutrition video by a Bariatric surgeon and he stated that if you are going to add in exercise and or weight lifting then you need more calories. Otherwise our bodies think we are starving and start to eat muscle not the stored fat first. If you are concerned I would honestly ask your surgeon for their input and schedule another appointment with the nutritionist. I was told 6 wks of no grains, no red meat, no shellfish or raw fish, no starchy veggies and no raw veggies, no butters or seeds and no fruit with seeds or skins. Basically the only fruit they recommended were canned pears, canned peaches or a banana. We were also advised to drink only water, no juices, no additives. With a minimum of 1 protein shake per day. I am 1 day out from surgery and on the pureed/liquid stage for the next 2 weeks. Let us know how your plan is progressing.

Might I suggest googling "post op bariatric smoothies" and "post op bariatric soups"? My best friend had her sleeve done 3/18 & blends & strains smoothies made with whey protein powder, skim milk, frozen blueberries & bananas, frozen strawberries. She recently added some sugar free Greek yogurt with good success. Soups are Campbell's cream of (chicken, mushroom, celery) with ricotta, milk & seasonings blended and strained for good measure but there's several good squash soups that people seem to love as well. Good luck and great job preparing in advance!

Hey everyone, i just recently got insurance that covers bariatric surgery through the state. Im having a hard time deciding which plan i should choose to run with during the bariatric process. They put me with coordinated care to start with, i have since switched to molina which starts april 1 2021. I scheduled my first dr visit with my new pcp for this coming Monday to hopefully get the ball rolling to get accepted into the program. Ive got so many questions, but i guess ill start with does anyone have advice on which plan is better for the bariatric surgery process? Coordinated care, or molina?? Thanks for reading my book [emoji51][emoji854] Sent from my SM-G950U using BariatricPal mobile app

For my multi's with iron (I take 1 a day) I take Bariatric Complete orange flavored (NEVER get berry flavored. It tastes like berry flavored dog food. The orange is like a stronger orange flinstone vitamin flavor wise) They are $19.99 on the site I buy them on and I always get an extra bottle for $15.00 and since shipping is $5 on that site the extra bottle essentially makes it seem like free shipping lol. They come in a bottle of 60 vitamins. For my multi's WITHOUT iron (I take two of these a day) I take Celebrate grape flavored and they are $46.15 on Amazon for 180 vitamins. For my Calcium Citrate I take Celebrate (the chewable tablet ones NOT the chewy ones) I have bought both the cherry tarte flavor and the berries and cream flavor and prefer the cherry tarte one because it tastes like a large sweetart (though I do plan on trying the orange burst flavored one as well and plan on ordering that when I order vitamins next). I've actually tried several different vitamin brands and these are just preferred (the Calcium for the price as it's $54.95 for 270 tablets on Amazon verses buying the chewy ones for thirty odd dollars and only getting 90 vitamins. It's the better deal to go for the Celebrate chewable tablets that I buy. And they actually taste good so...). I also buy ezmelts brand Vitamin A (it's strawberry flavored) and you get 60 vitamins for $17.99.

Thank you so much the bariatric stuff is disgusting

I also found some articles by Dr. Craig Chang, who seems to be very aggressive about repairing hiatal hernias in his bariatric patients and apparently has had good results. Perhaps he is worth consulting with as well? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754198/ https://www.sages.org/meetings/annual-meeting/abstracts-archive/sleeve-gastrectomy-with-reinforced-laparoscopic-hiatal-hernia-repair-outcomes-and-clinical-experience/

I take the caramel Bariatric citrate chews and the mixed berry vitamin chews I believe the brand is bariatric fusion. At first I really enjoyed them now I cannot stand the taste. I was taking barimelts for calcium citrate and vitamins but I started hating those as well. I just to find something that I can tolerate. I asked about the patch but the doc said no ☹️. I guess I’ll keep taking the chewables for now aargh.

I entered your stats into a BMR (basal metabolic rate) calculator and got 2,370 (I don't know your age, so I guessed 40, it will be a little higher if you're younger and a little lower if you're older). That's just the bare minimum needed for your body to keep itself going. So even without exercise, eating 1500 calories per day should leave you with a calorie deficit of 870 calories per day. That should lead to a pound lost about every four days. If you're in the "Exercise 1-3 times/week" category, your calorie needs for one day come to 3,259, and eating 1500 calories per day would mean a daily deficit of 1,759 calories. That should have you losing a pound about every two days! Eating too much does not seem to be your problem. Since you've recently begun lifting, it's possible that you are adding muscle tissue and that's offsetting the fat you are losing, leaving the scale unmoved for now. But the good thing about strength training is that it raises your BMR and causes you to burn more calories all day, not just when you are exercising. Sooner or later, the extra muscle tissue will translate into a higher BMR and visible weight loss. Are you following your bariatric team's eating plan, getting enough protein, and staying hydrated? If so, I'd say just give it some more time. You've already lost a lot, maybe your body is taking one of those "rest periods" where it's adjusting to the new regimen (AKA "a stall"). Just wait it out, it will break eventually.

Dont feel stupid! We are all humans. It happens. What i've found being a part of this community is the amount of information that we get from our respective programs are vastly different in many ways. Some get like NO info and no prep from a NUT or psych, some get TONS of info. Some plans do a calorie vs carb thing. Some dont allow any form of beef for 6 months. Some are a 6 step process to get you back to "normal food." Some say hey 4 weeks out, do what you can handle. What I've done over the last 6 weeks is researched from reputable bariatric centers across the country and kind of make a mishmash of the most helpful information and stuff that kept popping up. That, along with following some of the vets on here and reading through their posts have helped me greatly in the "What not to do" aspect. I honestly didn't get a lot of info for my surgery. Most of what I knew was from being with my ex who had the surgery a few years ago. But the packet I did get was not thorough and quite contradictory throughout. The nutritionist even got mad at me for using 2 T of 35 calorie mayo when it was ON HER RECIPE. So I totally get feeling and being misinformed and ill prepared. This isnt something thats easy and its not necessarily a line of thought that we're used to when we've struggled with weight our whole lives. So just give yourself grace, do your due diligence, and take care of that new and still healing stomach, you worked hard for it. The important thing is that you recognized your mistake, you did the right thing in calling your surgery center, and now you know. Like CatWoman said, most of us have been put on a no pasta, bread, high carb/dough NOPE list until months and months out, for example, mine is a nono til 8-12 months. Dont feel stupid, this community is amazing and super helpful. People can come off like theyre being harsh, but I truly believe that Its because they want everyone else to succeed too. Don't get discouraged. Keep your head up. And reach out to pretty much anyone on here and they're more than willing to help!! Goodluck, hun. I'm rooting for you!

I took Barimelts calcium citrate for the first 6 weeks after surgery. Then I switched to BariatricPal calcium citrate soft chews and I LOVE the Belgian chocolate caramel and French vanilla caramel. I consider them a daily treat. The strawberry watermelon soft chews are ok but not as delicious as the caramel ones. I currently take Citrical petites 1x/day (2 pills) and the soft chews 2x/day (just because the Citrical is a lot cheaper and has no calories... but I love the soft chews so much that I don't want to give them up). For the multivitamin, I took Barimelts for the first 6 weeks after surgery and then switched to BariatricPal MultivitaminOne chewable. I did not care for the taste of that. I currently take BariatricPal MultivitaminOne capsules with 45 mg iron. They are an excellent price for a bariatric multivitamin. Some people take regular drugstore vitamins, but keep in mind that you have to take two of those, so they come out to about the same price as BariatricPal MultivitaminOne. I also take an additional iron supplement (Nutricost iron chelate, purchased on Amazon) because I was iron-deficient. I also take NatureMade sublingual B-12 (it's cherry flavored) and Natrol biotin (strawberry flavored, tastes like candy!). And a prescription vitamin D3.

People refer to this as having "food funerals". I didn't have the opportunity because my surgery was scheduled so abruptly that I had to start the pre-op the same day I got my surgery date. But it's not an uncommon impulse. The good thing to remember is that you can very likely enjoy those foods again. The post-op diet starts off pretty strict but by the time you are done losing weight you can eat almost anything (minus the one or two items that still upset some of our stomachs). Not as often and in smaller portions, but very few foods are off-limits forever (my bariatric team gave me two: carbonated drinks and popcorn). In the two years since my surgery I've had Chick-Fil-A, Thai food, ice cream (non-dairy for me), and other goodies. I'm still not able to eat ground beef, so hamburgers are not on the menu. But since they don't sit well in my tummy, I don't miss them. Practically anything else, I can have if I really want it (just not often and not all together). Part of learning how to maintain is learning how to have an occasional indulgence without going into a destructive binge. So, you don't really need to have food funerals. You're not saying goodbye forever to most foods, just "I'll see you later". Forgive yourself and look forward! Exciting times ahead. Hugs. 🤗

Establish a relationship with a bariatric therapist. For me...it was as important as the surgery longterm.

I don't know that it really matters in the long run. I use my highest weight, which is what I weighed before my six-month supervised diet started (and I completed this diet BEFORE I entered the bariatric program, because I had to change insurance companies to get WLS coverage, and I had to wait for the enrollment period (and then until January of the following year because coverage would start). The new insurance company said it was fine to use a six-month supervised diet that was done under another network as long as it had occurred within the last two years.

I wanted to preface this post with this optimistic fact. My husband had the surgery with amazing results and no problems whatsoever 15 years ago - it saved his life. He lost over 150 pounds and kept if off. He's gained and lost the same 25 pounds like your typical middle aged person, but it's been nothing but a blessing for him. We had different surgeons. My experience wasn't so awesome, and I feel it's so important to share a few facts so you choose the RIGHT surgeon and ask the RIGHT questions. I hope I can help people avoid the avoidable. I'm a big believer in the surgery - but I want you to not suffer. Let me help:) What's the problem? The sleeve has a common and serious side effect that I suffer with, and that many surgeons downplay. GERD. But this isn't the GERD you think you know - I'll jump into that later. GERD has up to a 30% rate of occurrence after VSG - that's a lot higher then what my doc told me. https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/nyas.14467. Not only did my doctor gloss over it, and convey that it was "really rare", but he didn't really explain what this type of GERD is. I'm going to explain what this type of GERD is, and then I'm going to arm you with the right questions and research to do before you pick a surgeon. Because once it goes bad, your surgeon will pawn you off on a GERD doctor and that's that. Let me help you get proactive and avoid a bad result! What is VSG GERD? Gastroesophageal reflux disease, or chronic acid reflux is when acid shoots into your esophagus and throat. VSG GERD is different - that's why I'm giving it its own name. I never had GERD before the surgery. Now I get VSG GERD after drinking 4 oz. of water. It's NOT triggered by food. This isn't occasional, it's constant without dangerous meds. I now weigh 115 pounds, so it's not triggered by overindulgence or weight gain brought on by binging. Now you might think you already know GERD. Who hasn't had to pop a tums here and there? Not a bad trade off for a morbid obesity cure, right? THIS IS NOT THAT!!!! VSG GERD is an unrelenting tidal wave of persistent, burning acid that causes chest pain (and emergency room visits) that can only be somewhat managed by daily, longterm use of a class of drugs called PPI's. These PPI's lead to malabsorption and a host of side effects. I sit in my local cancer center to have my bi-annual 4-hour iron infusion with chemo patients to name just one. https://journals.lww.com/ajg/Fulltext/2018/10001/Effect_of_Long_Term_Proton_Pump_Inhibitor_Use_on.1227.aspx PPI's are a class of drugs that are only intended for 2 weeks of use because of their fairly horrific side effects. PPI's are linked to depression, blindness, cancer, and early death, (and this is the short list). There are several law firms dedicated to compensation for PPI victims. PPI's makes me feel like I've just downed a bottle of Mayo. I've been nauseous for years. I alternate between taking a bottle of tums a day so that I can take breaks from the PPI - but I always revert back to them after a short break to alleviate the pain. I am seriously at risk for a ton of really serious diseases, and my liver tests are really bad. PPI's are deadly. I'm in the process of finding a surgeon who can help. https://www.nature.com/articles/s41598-019-53622-3 The amount of VSG patients converting to the bypass/Linx system/etc. to rid themself of GERD and get off PPI's is exploding. Common sense would tell you that this isn't a" tums" sort of reflux! Hope for post VSG GERD As someone with no energy, horrible anemia, and low final weight - the bypass conversion sounds like a disaster because of the increased risk of malabsorption, but one surgeon told me it might be my only option. Some surgeons are discovering that a revision surgery to treat a hiatal hernial (HH) is the key to relief. I've had several scopes over the years, and they can never find a HH, but according to my husband's VSG surgeon, that isn't uncommon. He feels there is a possibility that my past the doctors missing it. I'm waiting on my barium swallow results. This gives me hope - that's why I wanted to share it. Hope is everything. I'm also going to talk with the doctor who wrote this article. "Laparoscopic Ligamentum Teres cardiopexy to the rescue; an old procedure with a new use in managing reflux after sleeve gastrectomy". Follow me and I'll keep you updated. https://www.americanjournalofsurgery.com/article/S0002-9610(20)30814-X/fulltext#gr2 Future VSG patients - ASK QUESTIONS! A few surgeons are now doing the sleeve with hiatal hernia repair at the same time, and some understand how important it is to consider GERD while doing the surgery. Different surgeons have different techniques. Some doctors "get it", and are being proactive because they've seen the pain that GERD causes. Some downplay it. I would suggest that ALL sleeve pre op patients have this discussion with their surgeon before moving forward. If he downplays it, RUN. ASK!!!! Ask your surgeon how many patients has he had who've had GERD. How does/or will he address it if you are unlucky? Ask about his follow up - does he even know what's going on with his past patients? How does he keep track? Has he sent any patients to a GERD specialist? If he says, "oh, only a few of my patients had that" - ask him how he handled it. (My surgeon sent me to the GERD doc and then cut off ties. He was not curious about my results - he did not want to know. He probably still tells patients that it is rare. He has no idea I've been suffering for 14 years.) Bariatric surgeons who've done the surgery and are on the forefront of GERD repair are a good bet. These doctors are rare and you need to really hunt for them. If your doctor does the whole "very rare", etc. (my doctor did), he's either: not reading recent studies, not listening to his patients, not following up on them, minimizing this horrific side effect, or all of the above. Don't settle for a doctor who acts like it's "super rare" or "no big deal". THIS IS A BIG DEAL. Find one that is proactive and discusses HOW they avoid it. I'm rooting for all of you! Let's get the surgery, but let's get it from the right people. Don't pick the guy in Mexico just because he's cheap. Don't pick the guy because he takes your insurance. Spend the money for a few consults to discuss the surgery with different surgeons. Come here and reach out to people who've gone to him/her. I went with a blind recommendation and didn't ask enough questions - and the price is really expensive - I'm still paying.

Me too! I've also spoken with Dr. Jossart in California who has done many hiatal hernia (HH) repairs post sleeve for those with GERD. This sounds perfect for you. He said he's done 125+ repairs with a 90% success rate. Only 1 of these patients out of over 125 needed a conversion to bypass. As someone with no energy, horrible anemia (iron infusions) and low final weight - the bypass conversion sounds like a disaster waiting to happen, so I'm praying for a HH to show up on my latest swallow test. I've had several scopes over the years, and they can never find a HH, but according to Dr. Jossart that isn't uncommon, and he feels there is a very high likelihood that it's small and the doctor's I've seen are missing it. This gives me hope - that's why I wanted to share it. Hope is everything. I also feel I should share that new research on PPI's show that they are now linked to depression (PPI's rank #1 as OTC drug that causes depression) and eye problems (including blindness). This is new research coming out to add to the list of problems it causes. We all need to get off PPI's! Lastly, a few surgeons are now doing the sleeve with HH repair first, and with other GERD preventative measures DURING surgery. These doctors "get it", and are being proactive because they've seen the pain that GERD causes. I would suggest that ALL sleeve pre op patients have this discussion with their surgeon before moving forward, if he downplays it, RUN. If you are in the 30% that suffer, it's severely lowers your quality of life. I've been suffering for 14 years with too many dead end Dr. Appointments to count. Stanford, UofM - I've consulted with the best "experts" over the years and found found many shake their heads with a sort of "you're on your own" attitude. I truly believe that the only hope we have is with a bariatric surgeon who really understands what was done and who has done the surgery - but also does GERD repairs. These doctors are rare and you need to really hunt for them. When most hear "acid reflux" as a potential side effect, they think "so what, I'll have to take a tums once in a while". It's NOT that sort of reflux. It's debilitating. It's vomiting after half a cup of water. It's pain after every single meal. It's instant dependency of horrific drugs with a myriad of side effects - including blindness and cancer. If my doctor had told me I had a 30% chance of this version of GERD, I would have run for the hills. If your doctor does the whole "very rare", etc. (my doctor did), he's either: not reading recent studies, not listening to his patients, not following up on them (my doctor just pawned me off to a GERD doctor), minimizing this horrific side effect, or all of the above. Don't settle of a doctor who acts like it's super rare or no big deal. Find one that is proactive and discusses HOW they avoid it. Please share with me all your research. I'm rooting for you!

Ugh. I so hate when someone deciding to have bariatric surgery experiences a lack of support from family & friends. I’m sure you didn’t decide to do this on a whim. You’ve obviously done research into the process as any sensible & intelligent person would. Bariatric surgery is very common these days & is a comparatively safe surgery. Going to be a bit harsh so sorry if I offend. First, you’ll be a hell of a lot more ‘out of commission’ if you continue being obese & your health deteriorates (joint pain, immobility, high blood pressure, diabetes, heart issues, ...). Secondly, selfish for deciding to having a surgery which will help you live a better & healthier life which will benefit your family too? I don’t think so. Is it selfish to have knee replacement surgery, or heart surgery? Either of which could be ahead of you if you don’t lose weight. Thirdly, that oh, you don’t need surgery likely comes from someone not wanting to offend by agreeing that you’re obese & need help. And finally, there’s a lot of people still married on this forum. I have two married friends & one married acquaintance who’ve had surgery & their marriages are fine (I’m not married so I don’t count). If 80% fail, at least two would be in trouble. They’re even beating the 50% of marriages fail stats. A lot of the comments people are making come from fear of the unknown. Everyone seems to know the negative stories but they conveniently forget the positive ones. Taking your wife with you on your next visit is a very good idea. Getting her on side will help manage the thinking of other members of your family. Just think of the day, you can say to them I told you it was the right thing to do. (You can always do the told you so dance 😆.) Sure, your life will be different. But it’s a way better different. Good luck. You’ll always have support here.

Run that by your bariatric group, just to be safe.

I agree with ShoppGirl, that you need your wife to fully support you in this journey and as long as your marriage is very good now it will stay that way. Maybe have her watch some videos from the Bariatric Doctors on Youtube that have lots of helpful information as well. That is how I started out when we started to go to the surgeon so that I was fully prepared for the changes that were coming. Seeing a therapist will help with the mental hunger/stress eating or overall poor eating habits that led to our weight being so high. I have Binge Eating Disorder and see a therapist for that and this has helped me on my weight loss journey. I, like you had UPs and DOWNs with my weight. I went from 220 to 175 back to 220 and then all the way down to 145 before going all the way up to 280. The surgery has helped me so far lose 90 lbs and I am just shy of 5 months out. My wife and I both had the surgery on the same day and for us this made sense and has helped us to maintain our relationship. It also helped us with our meals as we eat the same thing together now. Even my 11 year old daughter eats the same as us and we have seen her health improve as well. Right after the surgery the only real limitation that I had was lifting weight for 6 weeks. Taking care of your children, minus lifting them, should be doable after a few days of rest after surgery. One possible option is to hire some help if your wife is concerned about this aspect as well.

I was finally able to get some clarification regarding my coverage. Knowing what to expect puts me at ease. Gastric Bypass Surgery (Bariatric Surgery) is covered only if specific medical criteria are met:  Bariatric surgery may be indicated for patients 18 to 60 years of age. Requests for bariatric surgery for patients less than 18 years of age should include documentation that the primary care physician has addressed the risk of surgery on future growth, the patient's maturity level and the patient’s ability to understand the procedure and comply with postoperative instructions, as well as the adequacy of family support. Patients above 60 years of age may be considered if it is documented in the medical record that the patient’s physiologic age and co-morbid condition(s) result in a positive risk/benefit ratio. • The patient has been clinically evaluated by an MD or DO. The physician has documented failure of non-surgical management including a structured, professionally supervised (physician or non-physician) weight loss program for a minimum of six consecutive months within the last four years prior to the recommendation for bariatric surgery. The six consecutive month weight loss program listed above is waived for super morbidly obese individuals who have a BMI ≥50. Documentation should include periodic weights, dietary therapy and physical exercise, as well as behavioral therapy, counseling and pharmacotherapy, as indicated. • Documentation that the PCP and the patient have a good understanding of the risks involved and reasonable expectations that the patient will be compliant with all postsurgical requirements. • A psychological evaluation must be performed as a pre-surgical assessment by a contracted mental health professional in order to establish the patient’s emotional stability, ability to comprehend the risk of surgery and to give informed consent, and ability to cope with expected post-surgical lifestyle changes and limitations. Such psychological consultations may include one unit total of psychological testing for purposes of personality assessment (e.g., the MMPI-2 or adolescent version, the MMPI-A). • The physician needs to be aware and follow-up with individuals who have had gastric surgery for any long-term complications. • In cases where a revision of the original procedure is planned, documentation of all of the following is required: - Date and type of previous procedure - The factor(s) that precipitated failure - Any complications from the previous procedure that mandate (necessitate) the takedown - If the indication for the revision is a failure of the patient to lose a desired amount of 51 weight then the patient must meet all of the initial preoperative criteria. Note: The following surgical procedures are considered experimental/investigational because their safety and/or effectiveness have not been proven: • Loop gastric bypass gastroplasty - also known as mini-gastric bypass • Stomach stapling Endoscopic procedures to treat weight gain after bariatric surgery to remedy large gastric stoma or large gastric pouches are considered experimental/investigational.