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I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.
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I just had my first appointment with the surgeon. It went really well, and I’m glad I took the first step. We are leaning toward Gastric Bypass as the procedure for me. It’s a 3 month process to surgery with his office, 3 visits with him, 3 visits with dietician, plus clearance by Cardiology, Pulmonology and sleep medicine. My next visit with him and the dietician will be in about a month and he’s sending out the referrals to the offices for the clearances and working on prior authorization with insurance.
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I specifically made sure that purée was one of the options @ShoppGirl. I can’t say that the thought of puréed food thrills me but the hospital says that, if you have a bypass, the puréed stage is for 6 weeks (4 weeks for a sleeve) If nothing else, it allows hubby to have a play when he’s prepping meals for me too! I’m reigning in the free fall @Arabesque This is where things can go wrong for me as I’ve experienced many times in the past. It can be a delicate balancing act at times. This is why I feel I will benefit from WLS because it’s difficult to be make good choices all the time when something inconsequential can send me spiralling into unwise food choices. Willpower can get me so far but I know myself. If I was able to be moderate in my choices, portion sizes etc then I wouldn’t be in this position now! Oh, I have an electric heated throw that I use for the sofa plus we have an electric blanket for the bed which we haven’t put back on for the colder months yet. It’s difficult isn’t it, when you feel the cold has seeped through to your bones? I’ve always been a warm person - windows open, fans on all night so feeling cold is a strange experience 🥶
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Is there a standard guideline?
catwoman7 replied to NovelTee's topic in Gastric Sleeve Surgery Forums
surgeons do vary. At my clinic, both sleeve and bypass people were on the same plan. They had us on purees as soon as we left the hospital, but they changed that (I had my surgery nine years ago) and now they have to do a week (or maybe two?) of liquids before moving to purees. -
Should I Consider A Revision?
GreenTealael replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck! -
Hello! I had VSG to bypass in Sept 2023. For me, it’s been a tougher learning curve figuring out what I’m tolerating and what will trigger upset. Sometimes it’s day to day. However, the last week or so, everything has been causing upset and the last few days I have become bloated and cramping every time I eat. My belly becomes distended and feels like I have gas trapped. After about half hour to 45 minutes or so, the pain eases and my belly starts to go down. Has anyone had similar experiences? TIA!
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March 7th here for Gastric Bypass! Less than a week to go!
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May 2024 Surgery Buddies 😁
TruthBehindMyEyes replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone my name is kaitlin! I am a semi driver I'm on medical leave currently because of a hernia. In order to get it fixed I have to get to 150 pounds. I dropped 60 pounds on my own out on the road before this happened. So when i got taken out of the saddle in September I took the pledge and plunge I ended up going through the process for Roux-en-Y gastric bypass which I had on May 14th 2024. My highest documented weight was 420. But my starting weight before surgery was 389. My day of surgery weight was 364 and I'm sitting at 341 now!!! I'm on soft food stage. -
Beginning process to revise GS to GB or DS
catwoman7 replied to Virginia B.'s topic in Revision Weight Loss Surgery Forums (NEW!)
either one should do that. For some reason, DS seems to improve (or cure) GERD even though it has a sleeved stomach. And bypass has always been known to improve or cure GERD. You may be able to lose more weight with the DS because it bypasses much more of the small intestine, but then on the flip side, complication rate is higher than it is with bypass (but then again, complications with either surgery aren't very common). another thing that comes to mind is that most PCPs are familiar with bypass, but not so much the DS. So if you have issues, you may have to see a specialist. beyond that, either would be a good option. Check to see if your surgeon recommends one over the other. -
Malabsorption of Anti Depressants
Jonathan Carlson replied to Aloo77's topic in Gastric Bypass Surgery Forums
Hi, yes I take a prescription for mental health. The doctor said it shouldn't matter that I had a gastric bypass, but I noticed a change in my mood after the surgery. Thankfully I wasn't on the max dose so I talked to my psychiatric nurse and she upped the dosage and things got better. From what I've heard, the only medications that matter are extended release ones. Otherwise, it should be absorbed normally. But that wasn't the case for me. Sent from my SM-G981U1 using Tapatalk -
Hello! I had my surgery March 25th and am only a week post op. Now I understand right now I cannot take normal sized bites and cannot drink with meals but will this be a forever thing? Will I ever be able to take normal bites of food again or be able to drink water with meals? I had a gastric Bypass
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I had a gastric bypass around 11 months ago. I turned 69 in January, which means I'm in my 70th year. I had no issues with the surgery or recovery. My eating habits are curbed by what I can tolerate and I now go to the gym 4 times a week, most of the time with a very good trainer. It's been a long time since I've felt this good-- sure, there are trade-offs but to me, totally worth it especially compared to where I was pre-surgery. The biggest issue for me has been building muscle mass.
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Hi Debby! Please can I ask what the purpose of the detox is? I know people do these for various reasons. If you have regained some weight after your bypass (if so, how much?) and you're wanting to kick start further loss then I agree with the others above - eat your protein first, veg second and fruit/carbs last. If you have another (health?) reason for a detox then it might be OK to follow what sounds like a very restrictive plan. I'd be worried about your protein intake with what you're proposing though.
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Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I'm losing inches. Which means it's going in the right direction. Also since I'm still 5 weeks out everything is still healing and getting used to the bypass. -
Rapid gastric emptying. Possible treatment.
RonHall908 replied to ShoppGirl's topic in POST-Operation Weight Loss Surgery Q&A
I have a cousin that had gastric sleeve 5 years ago. She's since gained weight back. But, she also didn't follow the guidelines that were set for her after the first year from surgery. I had gastric bypass in February. The past 6-7 weeks or so I feel like I'm hungry more often than I should be. At least that's what it feels like. Though, I do workout a lot. So, im certain that's most of the issue. Learning that my body is telling me to fuel is different from eating before. When I ate for any other reason other than just fueling what my body needs. Going from living to eat, to eating to live is a process. I hope you get the answers your looking for. -
VSG revision to gastric bypass vs Mounjaro
catwoman7 replied to J’Marie's topic in Revision Weight Loss Surgery Forums (NEW!)
bypass will usually cure reflux (or at minimum, greatly improve it), but I've read on here of people who had hernia repair which ended up improving (or curing) their reflux, too... Hopefully your surgeon can give you some idea on the best way to proceed with this. Reflux is awful! (been there - that's the main reason I went with bypass) -
Thanks. I had my one week post op today and the pathology came back and I did in fact have gall stones. My surgeon did not discuss the channel length with me. Nor did he give me the option to resize my sleeve. He believes that the risks are too great for the difference it would make for me but he did also do several tests to get a good picture of my sleeve before we landed on the SADI as opposed to the bypass. Perhaps if my sleeve was larger he would have steered me towards the bypass. My surgery was robotic this time my sleeve was just laparoscopic I’m curious now what my channel length is. Not that I really know what would better one way or another. So it turns out that my pain was almost entirely from gas because I was in a great deal of it until the morning of day when I finally passed a lot of gas and with each time I felt more and more relief. I did walk quite a bit but in retrospect I would’ve walked even more if I had known how much better that toot was going to make me feel. I walked everytime I got up anyways, like to pee brush my teeth or when they woke me up in the middle of the night even. I finally pressed the issue that they switch out my IV pole machine thing. Mine had a very weak battery and even being unhooked that short time while I walked it depleted it so much that it set off alarms they had to come shut off. It was super annoying for them as well and I felt like they were acting annoyed with me as if it was my fault for calling them rather than just accepting that beeping going on all day and night. I am a super light sleeper and it went off other times too so I finally said don’t you have other patients that don’t have to unhook it so many times a day that you could switch with mine. They did and we were all happier for it. Anyways, grab that iv pile and walk walk walk. It doesn’t matter how fast you go, just that you do it. And if you have to toot or belch do not hold it in no matter what. I don’t care who is on the room. Get it out and explain later. Although the doctors and nurses should understand anyways. That was really tough for me but after the relief the first one brought I didn’t care anymore. 😆 I forget. Do you have your date Yet??
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Welcome!! I had a friend who had bypass about the same time as you did and it was very different back then!! We have so many more resources available now. And SO many more products!! I remember how much she hated adding protein powders to her food and how stubborn she was about ignoring healthy food. She lost a ton of weight but I often wonder if she regained since she ate such junk post op. Eventually the portions catch up with you! Most advice for losing weight a while after surgery is to go back to basics, watching your portion size, cutting out simple carbs, getting most of your calories from healthy complex carbs, a little fat, and a generous portion of lean protein. Eat your protein portion first, your veggies second, and a few bites of a healthy starch/carb last, if you still have room. Get in whatever good movement you can. Drink at least 64 oz of water and for bypass patients I believe your protein per day should be close to 80 grams. You'd have to ask your doctor about your calories though. Do you still feel your restriction? I know with bypass they can do testing to see what your pouch looks like and hernia surgery is a good time to revise it if it needs a revision. I just had a hernia repair. I'm about 6 months post op from a Duodenal Switch. The healing process after hernia repair has been a lot like bariatric surgery. I can only eat liquids and some purees at the moment and I'm a week out. But I'm so glad I had the repair done!
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3 months out.. any naseau?gerd?
SleeveToBypass2023 replied to BQT's topic in Gastric Bypass Surgery Forums
I had to have a revision to bypass from sleeve because the GERD that developed from the sleeve was SO SO bad it caused me to be on 80mg of Nexium 2x per day and Pepcid 1-2x per day, plus I developed gastritis, esophagitis, and so many polyps because of the high amt of PPIs over a long period of time that it took 4 endoscopies to remove them. Since I had the revision, I haven't had a single issue since. If you're having problems even after the revision to bypass, try a low dose of PPI (Prilosec, Nexium, etc) and speak to your doctor. I haven't heard of "phantom pains" from previous GERD, but I guess it's possible. Maybe get a 2nd opinion?? -
Anyone preop for a revision.
ShoppGirl replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
Congratulations on your upcoming revision. What exactly is the TORE procedure? That’s another one I haven’t heard of (there are a lot more options than I realized in WLS). I am looking to get a sleeve revised to SADI and I’m wondering if they will do anything to my sleeve since it’s probably not the same and I never felt like it was as small as others described to begin with. . Also, do you have a surgery date? have an appt on the 30th with the surgeon to tell him if I want SADI or bypass and to ask my questions and I’m getting a bit nervous about him setting a date. As much as I want to get this behind me and start my journey I am nervous about making this decision and it being so real if I have a date. It’s weird because I wasn’t nervous at all about the sleeve. But I guess it was much safer than a revision procedure. I am just nervous and there doesn’t seem to be many people to chat with about it. How long has it been since you had your first surgery? Sounds like it was a bypass? Were you happy with it? -
Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. (Had lost 100 lbs 8 years before that and gained it back too.) Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. (Had lost around 60+ twice before that and gained it back over some years too). Felt sooo much better even there at 200 but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.
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May 2024 Surgery Buddies 😁
Rjelly Bean replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Hi All I hope you are all doing well. I had my bypass on the 16th. I had a few complications after surgery and ended up staying a bit longer in the hospital than planned. Feel I'm doing ok since I'm home, but a bit anxious. My hospital only does a liquid diet on the day of surgery and they start the puree diet on day one post-op. I'm planning on starting my soft diet in the next day or two. One thing I'm finding hard is trying to fit 3 meals, 2-3 snacks and required water into my waking day. I'm also really cold. Anyone else having these issues. -
August Surgery buddies
Mandalynne replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone, I’m very new to forums, but it’s Nice to meet you all. I started this process back in February of this year, but I had been considering it for a while. my sister had the Gastric Sleeve, but my doctor wants me to get the Gastric Bypass, so that’s what I’m going to do. My starting weight was 266, i’m 5’3 with a BMI of 45… my doctor put my goal at 120.. fingers crossed. So insurance is covering it but I have a deductible. I have a surgery date of August 14, 2024. I’m currently on 2 week of the liquid diet. Today being the first day with absolutely no solid foods allowed. I had started preparing with purchasing toddler utensils and measured food containers, and a food scale. I stocked up on Ensure Max Protein, Unflavored protein powder, PB2 (no sugar added peanut butter powder), powdered banana and powdered freeze dried strawberries… all with no sugar added. I also bought Vanilla plant based protein powder. I blend a mixture of whatever flavor I want with 8 oz of skim milk or water. My routine is 2 ensures a day, then a powdered skim milk shake (in my ninja single blender) with whatever flavor, then I have 1 or 2 Progresso soup(s) for dinner (strained so I only get the broth)… the doctor said he didn’t care about the sodium only the sugar. If i need snacks, i drink 4oz of V8 juice original, or I have a sugar free chocolate pudding. i have been slowly buying and stocking baby food. I buy veggies and fruit and some mixed meals, but this is in preparation of the post-op puréed meal portion. I like to be prepared. I bought a 32oz water bottle on Amazon with that doesn’t have a straw (teaches me to sip). I know that I have to get through 2 of those a day minimum. I usually do pretty good. My biggest problem is that I don’t have the energy to get off my behind and use my Bowflex anymore. Sometimes I’ll do Beat saber for cardio but I’m just low on energy. Have to say low carb is rough and it gives me mild headaches every day. I’m worried that I’ll lose weight so fast that I won’t have time to protect the muscles I have because I don’t have the energy to work out. I’m now 6 days away from my surgery, I’m determined but nervous because the Bypass is a big change. I’m not a smoker, but to all of you out there quitting for this, kudos to you!! You can all do it if you set your mind to it. -
5 years out, tried semiglutide to restart weight loss
KarenLR75 replied to KarenLR75's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Well, bariatric surgeon did not find anything wrong with my pouch (inside my pouch, no scar tissue causing problems, no hernia/bleeding inside pouch, etc.). Ironically unlike the 3 incisions that I had during my gastric bypass surgery, I have FIVE incisions. I guess he REALLY looked around. I look like I got attacked by a knife-wielding assailant with very precise aim..lol. I have my follow up with the surgeon tomorrow to talk about the procedure (he only saw my husband after the procedure as he had back to back surgeries lined up) as I have not officially spoken with him. I am trying to remember to ask him about their stance/experience on semiglutide/similar meds for their patients.
