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Reintroducing Alcohol (a surgeon’s perspective)
GreenTealael posted a topic in General Weight Loss Surgery Discussions
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I am super lucky that I was reunited with my first love from 27 years ago in June and now we’re engaged and he adores every inch of me. Before him, if I was seeing someone and it seemed to be a potential, I would go he’d never let them know. My last boyfriend also had surgery. He wasn’t even a year out and was still eating all the junk and alcohol he wanted being in the honeymoon phase. After almost a year and him not changing, I ended it and then my now fiancé stepped on the scene!
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I was in a relationship (married 4 yrs) with an alcoholic & addict for 14 years. I wouldn't wish that lifestyle on anyone. Last January dropped 150 lbs (officially divorced my ex-husband), Best decision I ever made. Have you ever gone to any Al-Anon group meetings? I found them really helpful.
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totally get this fear… lots of alcoholism in my family. i have always been cautious with alcohol because of that but realized and that my weight came from using food to mask sadness, depression and anxiety… just another addiction! so important to do the emotional work. half the battle is acknowledging it… great for you in getting a therapist to help you work it out.
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Girl, I feel your pain. I just made an appointment with a counselor because I'm about to lose my mind. My husband is an alcoholic. Every night is him bitching about everything wrong in the world. I try really hard to keep a positive attitude. I know things in the world are shitty but I don't focus on what I can't control. My work life is stressful as we are getting ready to go through a merger and realistically don't know if we will have jobs or if we do, what they will be. I just hit my 20 years with this company so I am feeling a little sad. Then I have to go home and listen to him until he goes to bed. I'm frustrated to say the least. Rant over.
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I was so terrified of transfer addiction (my sister had gastric bypass about 20yrs ago and then turned to alcohol, she’s now 6yrs sober🙏) and just the mental aspect of the life changing journey! So I got established with a therapist prior to surgery day and I’m so glad I did, I feel it’s really made a difference for me!
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I don’t drink alcohol (family history of addiction is too high for me to consider it). That being said I would be careful because alcohol can become a transfer addiction in some after WLS, especially if they’re predisposed to addictive traits (ie. binge eating or disordered eating habits). If you do decide to imbibe, do so carefully. I was never off limits as far as carbonation is concerned. My surgeon office said that it’s a personal choice and some find it very uncomfortable afterwards. However I do realize it’s different practice for different surgeons.
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I am withdrawling carbination alcohol Sent from my octopus using BariatricPal mobile app
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NEED HELP .... Vitamins and SEVERE GI Distress!
Arabesque replied to jojolynn73's topic in POST-Operation Weight Loss Surgery Q&A
Have to admit my first thought was lactose intolerance, which can occur after surgery but you said you’re dairy free. My second thought was artificial sweeteners - many, especially the sugar alcohol ones can cause gastric distress like you described. https://www.livestrong.com/article/510270-can-artificial-sweetners-upset-your-stomach/ But whatever the cause, I agree with the others, contact your surgeon as soon as you can. -
Sleeve to bypass hopefully
I♡BypassedMyPhatAss♡ replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm sorry you're dealing with GERD already! Been there, done that. It's a MISERABLE way to live. And I lived that way for several years. It gets to a point that the best prescription GERD meds can't touch it. Google foods to avoid when you have GERD, there's several: fatty foods, dairy, chocolate, tomatoes, citrus, alcohol, caffeine, carbonated beverages, mint, etc. You may try sleeping propped up or in a recliner, that's what I had to do. I'd say reach out to your surgeon and get prescription reflux meds and see what the surgeon says about how to treat it going forth. Are you okay with revising to bypass? GERD is common after lap band and sleeve since your tummy is operating under a high pressure system. And I know tons of sleeve/band patients have told their stories on here, just as I have. I told my story hoping to help prevent another person from choosing a high pressure weight loss procedure and make a better choice. The lap band permanently altered my esophagus, and I have dysmotility and nerve damage. It caused me to develop GERD along with bile reflux. If I stayed that course I was destined for Barrett's esophagus and possibly esophageal cancer. I hope this reaches at least one person considering the sleeve. I know GERD doesn't happen to everyone who gets a sleeve, but if GERD and revision and another 2 week pre-op diet doesn't sound like something you'd be keen to experience, please reconsider getting a sleeve. It's not the only weight loss surgery option out there. @SleeveDiva2022 I wish you the best and hope you feel better soon! -
Anything ending in "itol" will send me straight to the bathroom. Those are sugar alcohols and have a laxative effect. Any other artificial sweeteners taste like metal to me but I can tolerate them if necessary. I won't eat jello, though, as it's not vegetarian.
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How long after gastric sleeve are you at risk of getting Dumping Syndrome ?
sprukop0924 replied to PM2022's topic in Gastric Sleeve Surgery Forums
I am 3 mos out and had my final nutritionist visit last week. Because I am healed and tolerating the surgery well, she has cleared me (more or less) for juice, soda, alcohol, coffee, etc. - all in MODERATION. I have had small portions of cake, cheesecake, pie, cobbler and candy and have not experienced dumping syndrome. I HAVE had the foamies when eating something either too bulky or taking one or two bites too many. I generally stay between 900-1100 calories per day. I am 62, 50 lbs down and still losing 1-2 lbs per week. EDIT: By "clear", I mean I made her aware that I had consumed this items without any negative consequences and we discussed that I should have no problems if I exercise moderation. -
I think its because that by chewing the gum, your stomach thinks its getting food. It activates the digestive juices which includes stomach acid. You aren't going to be eating anything so the stomach acid may inflame the staple sites etc (immediately post op that is). The excess stomach acid may also cause issues with acid reflux and for some people excess stomach acid can seem like hunger. While chewing the gum you may also swallow some air which can make your stomach gassy and cause bloating. Sugar free gum sometimes has those sugar alcohols which can cause a lot of stomach discomfort if you have too much of them. I imagine various surgeons/clinics have different guidelines around gum and their own reasons for it. If you are aren't chewing too much of it and only occasionally you probably should be okay, but perhaps send off an email to the clinic as to their reasons and you can decide from there.
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Hello All. Can I introduce myself. I’m Paul and exactly 4 weeks post gastric sleeve surgery. I’ve been trying to lose weigh all my adult life with varying degrees of success. All ultimately fruitless. There’s very few I haven’t attempted and I was desperate by the time I agreed to surgery. Although a various times I’ve topped 30 stone I was always able to cope with the excess weight. Not so these last few years and severe arthritis in my worn out knees has forced the issue. To get them replaced I have to be lighter. And hopefully ALM will be in less pain and I can move about easier. I was deeply ashamed about having to go down the path of surgery. I’ve loathed my size all my life and it’s had a profoundly negative effect on both my career and personal life. I was a fairly decent footballer in my time (hence the knackered knees) but undoubtedly the excess weight I carried in my younger years, whilst nowhere near as extreme, hindered my performance and damaged my self esteem. I first joined the NHS bariatric programme in late 2015 after encouragement from my GP but I promptly lost 7 stone and decided it wasn’t for me. Life, as always, got in the way and all that weight went back on by 2018\19 after I was made redundant and lost the plot. I was fortunate to get put back on the programme in 2019 and despite the hiatus of the Pandemic got invited to meet the surgeons in January this year. Can’t say I didn’t have my doubts as the date of surgery to nearer but I knew I was probably on my last chance should I walk away. The liver shrinking diet was extremely easy I felt. I stopped any form of alcohol a month before my date of surgery and I’m feeling OK now. I’ve had a couple of incidents of the foamies and have been sick twice trying to progress to purée/soft food. I’ve put that down to eating too quickly and perhaps slightly too much despite my efforts at not doing either. I find I hard to eat the 800 calories a day target I’ve been told to meet, and sufficient protein but I’m working on it. One thing that I do seem to be unusual for reading through this thread. I haven’t weighed myself since the day of the operation. Am I wrong not to do so? I can feel previously tight clothes getting baggy. My view is this is a marathon and not a sprint now and why torture myself if I can see a plateau going on for a couple of weeks. Nice to meet you all.
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Hi everyone. I hope I’m posting this in the correct place. I just wanted to get some insight or any prior experience. I had RNY on 9/9/13. Down from 311 pounds to between 170-180 now for maintenance. Prior to surgery, I was on Metformin, Protonix, and HCTZ. I was off all three meds within three months of surgery. Surgically, I had to have my appendix out and gallbladder removed many years ago, so neither are causing my current issues. About a month ago, I started getting wicked heartburn and reflux. My appetite is diminished. No vomiting, but zero desire to eat. I have cut out spicy foods, I’m not a smoker or tobacco user, and I do not drink alcohol. I’m 38 years old and in otherwise good health. I go to the gym 3-4 times a week. I have tried OTC Omeprazole, baking soda, Tums, and all the antacids. I started drinking decaffeinated chamomile tea in the morning as well. Does anyone have experience with heartburn, GERD, etc. coming back many years after RNY? What ended up being the cause? I have my annual followup with my bariatric surgeon on October 11, but I’m wondering if I should move the appointment up. Thank you in advance for any insight!
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I was prescribed Lovenox as part of my post-op treatment protocol. As others have mentioned, the needles are really small, 27 ga. normally. I don't even feel them. Regardless, the benefit far outweighs the minor discomfort. My pharmacy did not have any alcohol prep pads when I picked up my script (my Dr. sent me the script 2 weeks before surgery so I would be prepared when I got home). I went to Amazon and found them at a reasonable price and got a small box. Just remember to let the alcohol evaporate for a few seconds prior to injecting, to minimize discomfort from the alcohol.
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August surgery buddies!
Thesecretskinny replied to Connie88's topic in Gastric Sleeve Surgery Forums
Oh! I'm sorry! I was extremely nauseous too. They finally gave me Phenergan and it was the only thing that worked (well and sucking on ice chips). A lot of people also swear by smelling an alcohol pad to get rid of the nausea. -
1 week post of and severe diarrhea
KimA-GA replied to switchwitch's topic in POST-Operation Weight Loss Surgery Q&A
check what you are eating for sugar alcohol sweeteners.. they can cause diarrhea issues (if you need a laugh, google for reviews of haribo sugar free gummy bears… lol) Erythritol Maltitol Mannitol sorbitol Xylitol Hydrogenated starch hydrolysates (HSH) Isomalt -
Happy birthday!!! Thanks for sharing! How alcohol is tolerated has been something I have wondered about. I am going on a cruise next August for my birthday (and celebrate my new me). Last time I went I got the alcohol package and drank, well, a lot (hey, it was vacation a decade ago;) ). I figure it won’t be worth it at all to get the package (especially since my husband doesn’t really drink much ) but I do plan on having some adult beverages for that 5 day cruise.
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Happy Birthday @kcuster83 Just tossing in my two cents. I am coming up on 8 months post surgery. I began to drink alcohol again around month 5 or 6. I did not have a problem with alcohol prior to surgery and I do not believe I have a problem with alcohol post surgery. As others have stated, the alcohol hits you much faster than before so I would recommend that you are careful. I would also recommend not driving...even with only one drink. The alcohol really does go to your brain much faster.
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Happy birthday. I’m one of those who lost a lot of their taste & desire for alcohol after surgery. I went from a large glass or two every night to a regular glass once a month & sometimes I don’t finish the glass. Sure there are times I may drink more frequently or if it’s a long evening I might sip on a second glass but they’re rare. I say I go for quality rather than quantity now. So I drink champagne, quality gin, wine or whisky - well that’s my justification for spending a lot on a single glass - tee hee! I guess it just comes down to what you enjoy & can manage.
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I am Irish and I'm afraid alcohol is baked into my culture. I have drunk some wine most weekends since 6 weeks after I had my sleeve last November when my (Irish!) surgeon and nutritionist permitted it. Yes I do get a hit much quicker than I used to, especially if I haven't eaten much beforehand, and yes, it wears off much quicker too. I do count the calories and I only do it at weekends. It has probably slowed my weight loss but I'm accepting that. I totally get that mightn't be acceptable to other people. But IMO it hasn't held me back *that* much.
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I drank this weekend for the first time since surgery. I never really drank much before surgery, but maybe a few times a year. I am about 4.5 post-op and it didn't kill me. Or make me sick. I even stayed in my calorie range. I didn't plan on drinking but it was my birthday and I was thrown a surprise Birthday party so I decided to try it out. Worse case, sick at my own party. I was bought a shot of fireball. (My favorite but ALL sugar) I drank and 1/3 of it rather than the entire shot and then waited to see what would happen. Nothing, so I drank another 1/3 waited a few and then the last of the shot. Then.... was I buzzed? I don't even know, I felt buzzed but off of 1/1.5 oz? I know they say it hits you faster but I am still not even sure what it was. It felt different, but still buzzed. Lasted about 10 minutes. LAME..haha So I ended up having a total of 4 shots all night, buzzed for sure at the end of the night but again. It went away FAST. Like 30 minutes later I was sober. I woke up in the middle of the night with a headache, probably dehydrated. Drank a bottle of water with some Tylenol and went back to sleep. Next day, perfectly fine and back to my protein rich days. I doubt I will drink again for awhile. But I enjoyed my Birthday, guilt free without any issues.
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I am a food addict. And Bypass isn't a cure.
myfanwymoi replied to MaybeMeow2's topic in POST-Operation Weight Loss Surgery Q&A
You’ve described my behaviour around sugar and processed carbs. I’m a recovering alcoholic- 10 years this time round and 22 years before with a miserable 4 year relapse in between. my thought processes, constant internal arguments, obsessive behaviour, reaction to relapse are identical to how I was with alcohol. But sugar is harder to avoid than alcohol. So I hear you: I knew wls would not cure these issues but I hoped the break from processed food/sugar would make it easier. It didn’t. I do intermittent fasting now - as much to rest my poor pancreas as for any other reason. Fasting is easy for me. I wish I could give up food altogether and take a tablet! I’m on a wait list for help with my disorders eating- I’m hopeful! cw: 140lbs lw - 1 year post wls 120lb, goal weight 130lbs. surgery Dec 16. and all my friends say my cw is fine. It’s only me who thinks I’m fat. A friend told me that at 120lbs I looked like an hiv or cancer patient. I’m sick enough to feel secretly pleased I got that thin… -
Documentary - What are we feeding our kids
Arabesque posted a topic in General Weight Loss Surgery Discussions
Watched this 2021 UK documentary yesterday & it was very interesting. Dr Chris van Tulleken put himself on an ultra processed diet to see the impacts on his health. The results were quite frightening & also thought provoking. Within a month his body was producing more hunger hormones & fewer of the full/satiated hormones. He was never full & was always hungry. His brain was creating new links which are very similar to those formed with alcohol, cigarette & drug addictions. And of course the expected increases in weight, cholesterol, etc. Scariest was that they don’t believe some of these changes will ever be completely reversed by returning to a low processed diet. Could explain the struggle many of us continue to experience with hunger, cravings, etc. Worth watching if you can find it. I watched it on Netflix here in Australia.
