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Synthroid for me won't absorb into the system at all. With Blood Tests I would be asked if I was even taking the Medication... Of course I was, but, it did not show up. So they put me on Generic Synthroid, and I felt terrible. So with the blood work, they now said I have both Hyper, and Hypo Thyroid. So I put it in the hands of a specialist, because it didn't sound good to me. He seems to be a good Dr., but if this up and down keeps up, then I have a feeling that this Thyroid will someday come out.

YES. HYPERthyroid. NOT HYPO. I know what I have(believe me-I've been dealing with this for over 4 years..lol..) and what I'm talking about. I realize that hypothyrodism is usually associated with the obese, yet there are more people than you think who are overweight and have hyperthyroidism.I REFUSE to take irraidiated iodine(which my doc NOW understands why I will not..) just to "kill" my thyroid and make me dependent on Synthroid for the rest of my life(also, I've seen and heard what can happen to a person with hypothyroid, who doesn't take their medication. I'll pass..) So, TRUST me guys, I KNOW what I have. I just wanted to know if anyone is dealing with it and what they've had to do to get their band. *sorry about the rather cranky tone, but it's frustrating that people assume I don't know my own diagnosis(and this happens ALOT..)just because they've never met an overweight person with hyper before.. tamp='1305766138' post='1615359'] HYPER? That is not normally associated with obesity, HYPOthyroidism or Hashimoto's disease is...are you sure that's not what you're talking about? I do have hypothyroidism, have the band, lost 30 lbs, and still have hypothyroidism....did you know you can take iodine for thyroid dysfunction? I think it's sold as potassium iodine....

Hi Everyone, Love the posts, I too have hypo and am on levothyroxine. I am very curious about the Armour and will ask my doctor. I'm scheduled for my surgery on the 26th, can't wait. Finally, some help! It's comforting to hear other's stories ... Serifa

Hi @@audaciousmarie! Hi @@Phoenix40! So last Thursday I went for my Nutrition/Surgeon/Coordinator appointment. I'll describe each appointment below: First you are weighed in and your height is taken Nutrition: The nutritionist is a very nice lady and she will ask you about what type of diet you have been on (I started following the 1200 calorie diet after orientation). You will have to describe what you usually eat for breakfast, lunch, dinner, Snacks,etc. She also talks about Vitamins and what type you will need post op (this will depend on if you get the sleeve or bypass) and what to expect as far as diet goes in the first weeks after surgery (i.e. liquids, soft foods, etc) She also informed me about the different types of Protein drinks and answered any questions I had. Surgeon: Dr. Hahn was very patient. He went over my BMI, co morbidities, medications, etc to ensure that I would be a good candidate for surgery. He said it would be my choice whether to go for sleeve or bypass as I would be great candidate for either (I don't have acid reflux). We talked about the differences between sleeve and bypass (right off the bat he discouraged from the lap band so we were in agreement about that). He reiterated that regain was possible with either surgery and so is dumping (so it really comes down to the patient being willing to put in the work to not only lose the weight but keep it off). He went into detail about possible complications withe each procedure (ulcers, reactive hypoglycemia, reflux, etc). He then set a weight loss goal for me. Normally they ask the patients to lose 10% of their body weight but Dr. Hahn only requires a 7-8%, of total body weight, loss. For me 7-8% was 19 pounds (I had already lost 9 pounds since orientation and he credited me so I needed to lose 10 pounds to get a surgery date and 5 pounds to get a psych appointment). The only other requirements Dr. Hahn set out for me, besides weight loss, is attending at least one support group, and an EKG (I already finished my bloodwork). Coordinator: She was very pleasant. She informed of what my next steps to surgery are (support group, psych appointment, etc) and that to be sure I call monthly to update them on my weight and progress. Before the psych appointment each patient must fill out a surgery quiz (located in Chapter 9 of the Bariatric binder) and send it in before the appointment. Overrall it was an interesting yet quick appointment. I was told to expect to be there for 3 hours but for me it was more like 2 hours. Sent from my SM-G925T using the BariatricPal App Thank you for posting this! Your timing was perfect! I was struggling with one of my bad habits when I saw this and it helped me get passed it. Hearing about the appointment made me excited for my next step and reminded me why I am doing this.

I was also hoping this surgery would magically fix all my body pain. I have Hashimotos, Fibromyalgia, and a few other autoimmune disorders. The other reason I wanted to lose weight was to keep my weight from being brought up as a reason for my pain. Doctors are so bad about saying if you lose weight you'll feel better. I have lost 78 pounds and I'm running 3 times a week, but still in pain. I think I remember reading that you have hypothyroidism, but can't remember if it was Hashis? Many docs are now saying that 90% of patients with hypo do have Hashis. I've been doing an enormous amount of reading on it to try to find a solution to my issues. I have never gotten any relief for my thyroid symptoms from taking Synthroid and getting my TSH to the low end of normal. I am frustrated that I still have a tremendous amount of hair loss, cold hands/feet, dry skin, losing the outer part of my eyebrows, severe brain fog, lack of concentration, slow weight loss, etc. I've started going to an acupuncturist that specializes in guiding Hashimotos patients through bloodwork and supplements to help decrease symptoms. Although the acupuncture seems to help, he has said that my solution lies with western medicine, not eastern. He recommended the book "Stop the Thyroid Madness". There's also a pretty good Facebook group called Hashimotos 911. Based on my bloodwork, I am adding some T3 hormone, sublingual Vit D, slow release Iron, and magnesium. Have you had your Vitamin D and iron levels checked since your surgery? I have trouble absorbing Vit D from food and the prescription supplement that I take is not absorbing as well as it did before surgery. I have had to add some sublingual Vit D. The pain that I get is deep and aching. Since I've added the sublingual, I'm not in as much pain. My endo got me up to 35 on the Vit D levels (I was at 11!), but according to my research, I need to be above 80 to be at the optimal levels.

Hi I enjoy your food pics in the other thread. I am glad you are approaching your doc about this. I will say sometimes pouch decides it doesn’t like a food all the sudden even if I’ve had it before then I just ban that food for awhile and try to reintroduce it later. I do recommend you to have a glucometer just the cheap one. I am one of the lucky ones who has non diabetic reactive hypoglycemia as a result of the rny. I would not have known if I didn’t check the sugar in a “nap desiring” state after consuming a little higher carb than my norm

I just had the most aggressive phone call with my surgeon, Dr. Cirangle. I had my sleeve done Monday (5 days ago) and left the hospital on Tuesday. I was given liquid pain meds (hydrocodone-something) - and it was prescribed as 10-25ml every 4-6 hours. I was taking the meds on a reactive basis and on Weds, the IV drugs clearly left my system and I was in horrible horrible pain. I called his office, his physician's asst. almost scolded me for not taking the pain meds as subscribed and that I should take them regularly every 4 hours if I was in that much pain.... BEFORE I got pain. So I did. Exactly as told and as it was prescribed on the bottle. I took my last dose this morning around 4 AM and my husband went to the pharmacy to get the refill. They said they couldn't refill it until Monday. So I called the Dr. Cirangle and was berated and told that I was taking too much and that I shouldn't even be in pain 5 days post op. I did the math. 1 pint = 473ml Prescription called for 25 ml every 4-6 hours. 473ml/25ml = 19 doses 24 hours a day/4 hours = 6 times a day I should take the meds 19 doses, 6 times a day = the medicine should last me for 3.16666 days. I'm on day 5. He said it was supposed to last for 10 days. Am I missing something??? And at day 5 should I not be having sharp pains where I can't stand up, roll over, or bend over? (He says no.) I have discoloration/brusing like color around the area that I have the pain. No where else do I have this discoloration. I'm supposed to have a follow up this week. AND I never want to see him again. I feel so violated after being so vulnerable to trust and be open to him only to be screamed at and told to "stop being so dramatic." Feeling totally alone and so upset. There's one thing to not have bed-side manners... it's another thing to be a complete asshole to your patients who are reaching out to you for help.

Oh I get this condition also (although haven't attempted to get a diagnosis). I didn't know it was formerly classified as a medical condition. Mine came after running for long distances on my tread mill and doing cross fit. I found rolling and lacross ball mashing helps temporarily and is required almost every day. What really helps though is when I purchased the following reactivator shorts from Intelliskin: http://www.intelliskin.net/products-men.php I do not know if there are woman versions of these, but I think they might be unisex. It is designed to align and correct hip alignment and other flexor issues. The difference in how I feel when sitting all day or after working out where hips reflectors are used (eg running, squats, wall ball throws, Olympic lifts, kettle bell swings, etc) is night and day. As a bonus, my athletic agility and explosive performance is also way up because I am not constantly dealing with SI or psoa pain. Instead the hips function as they are supposed to. They are great. Kind of pricy though. Doing air squats with these on is awesome and they allow me to go really deep. Doing the deep air squats actually helps a lot in managing the symptoms. Plus they feel really good to do in a sensual way (endorphin release).

Look up RH reactivate hypoglycemia after gastric bypass

I know this conversation started a few months ago but I thought I'd add my piece. I recently got diagnosed with spondyloarthritis. It's basically ankylosing spondylitis but they couldn't diagnose AS officially because my lumbar spine is fused. I started humira about 5 weeks ago and it isn't helping yet. I also have autoimmune thyroid but we aren't sure if it's hypo or hyper because my test numbers are all over the place. I could possibly lose the weight on my own because I workout like a total maniac but losing weight will help my joints and reduce my other symptoms. Plus, I'm borderline on several other diseases and my GI thinks I'm basically "pre-crohns". I also have a worsening incisional ulcer that my doctor can't fix till my BMI is below 30.

Hey guys! I've been on both sides of the thyroid- hyper with graves disease to complete hypo after RAI. My body has been through a lot in a few short years. I often wonder what it's role is in this weight loss mission i'm on. I definitely kept gaining weight as soon as I was hypothyroid and I'm on sinthrod forever now. I think my WL is mostly due to the quantity of exercise and effort I put into this. I barely scrape a pound off a week- barely. I Zumba 8x week, Bootcamp 2x week. Even if I have to work super hard at the loss part, in the back of my mind I tell myself- it won't come back on. Just keep moving forward. i think it complicates things, but I've got my eye on the prize. I've lost 50lbs and have about 40 to go. My surgery was in March 10, and post op I've lost over 30. Slow going. I also have 7ccs now.

@@sbdooly73 When I was Hyper thyroid last year, my surgeon told me that it was too dangerous for me to be operated on, due to the thyroid storm possibility. I worked with his team Endo ever since then (July 2015) He told me to come back once my thyroid stabilised. When I saw him in January 2016, I was severe Hypo then, and he wanted to wait longer, as hypo thyroid that is not stabilised can make the recovery from WLS lot harder. After 2 months of Thyroxine meds (Levo thyroxine), My labs were finally good, stable, Hallelujah !!! So, was finally operated on March 8th 2016 I can't see a reason why you may be denied surgery, unless your blood tests show big differences in your levels. Are you on thyroid medication? OK, just saw your reply re thyroid med. I wonder if your med needs to be adjusted. I still have my now 6 weekly blood tests to monitor my levels Good luck!

I have Graves disease. I had my thyroid destroyed via Radioactive tx, been Hypo thyroid since Dec 2015. On Thyroxine since January 2016. My surgery had to be postponed when I was hyper thyroid. Since March 2016 (WLS) I lost total of 9 kg ( approx. 20 pounds), Seems slow loss, however I did hit the stall couple of weeks ago. It is normal though,to have stalls, even though they can be frustrating ..... I am interested in thyroid disease weight loss, also. I had couple of mini binges recently, emotional/head cravings, chocolate made me ill, so had some ice-cream and extra Proteins late at night. I only started gentle exercises 2 weeks ago.

Thanks you guys for responding. I was over at OH reading the bypass patients' accounts. Then someone suggested reactive hyperglycemia and after reading what that's about, it scared the snot out of me, talk of seizures, etc. OMG, how do those folks survive that stuff?! Scary, very scary. I had to keep reminding myself that I HAVE a stomach, just a much smaller one. I never reacted to sugars before. I don't eat high fat foods. This whole thing took a new turn when I had the honeycomb and yes, little pieces of cheese. Tonight I had a low fat "taco soup" which is mainly proteins (recipe from WW old time), and was OK after dinner. Of course I was watching my watch and timing things to SEE IF anything would happen. I got myself so worked up by "sensing" heart rate, etc., that I had to go take a Xanax to come down from the ceiling where I was putting myself. No dumping occurred, but the anxiety about whether it would occur is enough to set off an adrenaline rush all on its own. I don't want to be having these problems whatsoever. I stick pretty much with the Medifast diet plan and eat their healthy snacks, etc. I get that the combination of the cheese and honey was not a winner. I just want to KNOW that I'll be OK, no seizures or anything of that nature in the future. Thanks for talking me through this; I PRAY that I am over it.

Hi everybody. I'm new to the website so I thought I'd say hi to introduce myself. I was banded in January 2004 and had a lot of success. I lost 65 pounds in the first year. Then, last year I came down with aseptic meningitis and was VERY ill for months. Not only did I get meningitis, but I also came down with pneumonia and several other bacterial infections at the same time too. I was completely bed-ridden for three months (due to dizziness, vertigo and weakness). My doctors were concerned that I wasn't eating enough and had me increase my calories using juice and other high calorie, easy to eat foods. My weight started creeping back on during this time. No surprise - I was eating more and not working out AT ALL (I used to work out 4-5 hours a week). Anyway, long story short, I've continued to suffer from weird symptoms over the past year. I get bad headaches, dizziness, vertigo, weakness and persistent fevers. It seems I might be having recurrent meningitis, and my doctors don't know why. I saw a rheumatologist who said that my symptoms seemed similar to an autoimmune disease, but that I didn't have an autoimmune disease (not enough evidence - mostly normal blood work). She said some autoimmune diseases can cause meningitis (like lupus), but she said there was no evidence of lupus in me. She said that my symptoms seemed more like a foreign body reaction. I told her I had a LapBand, and she was concerned. She was worried that I might be having a weird reaction to the band. I spoke with my surgeon who said there has only been one case of a person having an allergic reaction to the band, but the patient presented with very different symptoms (she had a weird rash). My one worry is that I have a lot of allergies, including allergies to metal. I was assured at banding that titanium is not reactive in humans, but I've heard conflicting reports since. I'm even allergic to stainless steel (I can't wear stainless steel earrings). I recently found out that in addition to the titanium in the band, the band also contains stainless steel in the form of a connector in the port tubing. Could I be allergic to the band? And could this be causing my meningitis? Despite my surgeon's doubts, she felt the band should come out just in case. So I ended having the band removed last Tuesday (May 9th). It's too early to tell if this is the cause of my symptoms. I really hope this helps - but who knows. I'm freaking out now though, over the past year I've gained back all of my weight plus 5 (I'm up 70 pounds). I feel pretty empowered though. I was able to gain and lose all of this weight WITH the band. It really shows me that it was all of my hard work that made me lose weight, and not just the band. I know when I get better, I'll be able to lose the weight again. I'm just not that worried right now - my health is my current concern. I'm wondering if anyone has heard of people having a foreign body reaction to the band or similar complications. I know the manufacturers warn of this in their brochures, but I'm pretty sure this is to cover their @$$#$. I'm feeling pretty alone (if there is only one other person with this complication). I'd love to hear from some of you that have had band complications and removal and who have decided not to have further WLS. JennyJ 298/302/175 banded 1/04 298 - 1/2004 230 - 3/2005 band removed 5/06 302 - 5/2006

Now I know it's true!! :faint: I have a friend that told me a similar thing and I didn't want to believe, but when I would have to resubmit or call several times b/c the insurance company said they didn't have the info, it did raise my curiosity. Like I said in an earlier post, I feel like I have to fight to get my honest claims paid and paid in a timely manner in which does not affect my credit rating. This attitude that so many of us have experienced, shows that consumers are forced into a reactive mode instead of being proactive in most cases. It's no wonder some people feel it necessary to put quarters or sand in their pockets. They are just playing the game that insurance companies create. I'm not condoning these actions and hope that I'm never in a position to choose. What if one of my children needed a life-saving procedure? You can bet the house, barn, AND the land that insurance would have everything they needed to approve any such issue regarding my family. I would walk on Water with the help of the Lord if I had to. Bottom line.....insurance companies hold too much power to determine our health care. The sad truth is that some of these people that make final decisions are not properly trained in EVERY field that they are covering. This is wrong and should be fixed. Anyone have any ideas?

I went for my check up and my doctor realized that after several blood tests over the last year that my TSH levels were high. I didn't know what that meant but I realized that I am almost 7 weeks out and I am so tired that I can't even get up and walk around without feeling like I did a 5K run. I know my vit-D levels are low. I now have to take a 50,000 IU's of Vit-D once a week. My B-12 came back up to normal, now I have to take a B-12 shot. I have to also continue to take Calcium and Iron and I still feel very week. I was put on an anti-depressant which helps a little. The doctor then checks my last blood test and said to me " I think you have a thyroid problem. I replied " I thought high levels of TSH means high functioning thyroid. However, high TSH means low functioning thyroid. After the doctor goes back into my record and realizes that all my blood test from last year showed a problem with my thyroid I had to take another blood test to see if the TSH levels are still high. High TSH levels leads to the following You may experience chilliness or sluggishness or feel weak, depressed and tired, symptoms often labeled as chronic fatigue syndrome. You may have problems thinking and with cognitive functions, have difficulty breathing or experience muscle cramps with vague or specific joint pain. You may be plagued with uncontrollable weight gain, dry skin, constipation, menstrual problems, hot flashes, PMS, increased menstrual flow or have a miscarriage or be diagnosed with infertility. The list of common symptoms of high TSH levels includes weakness, fatigue, difficulty waking up, difficulty losing weight and/or weight gain, roughening of the hair and skin, hair loss, a pale or yellow tinge to skin, brittle nails, intolerance to cold, constipation, depression, mood swings, abnormal menstruation, decreased sex drive and memory loss. High TSH levels can affect a person's overall outlook and mentality. I had all these problems pre surgery. Now I thinking did I have to do this surgery at all. I hope this test confirms my worst fears so I can finally feel normal again. I don't have any energy. Read more: Symptoms of High TSH Levels | eHow.com http://www.ehow.com/...l#ixzz23woxuHNH Read more: http://www.livestron.../#ixzz23woj9MJF

I suffer from hypothyroidism which was never there untill the birth of my daughter. Since then its been a struggle for me and weight which prior I had zero issues with. I'm concern how my hypo will play out with me losing weight after VSG. from the few people in other networks I've heard their meds have decreased, and they seem at least some to lose weight at a slower rate, than someone without hypo. Would love any who has hypo and had wls to please give me some insight thank-you and GOOD MORNING TO ALL LET TODAY BE A PRODUCTIVE SUPPORTIVE DAY!

I was never diagnosed with reactive hypoglycemia, but when I was pregnant, my blood sugar would drop to the high 40's (normal fasting is 70-100). I managed it by eating several small meals - every 3 or 4 hours - making sure I had good amounts of Protein in each. Which also cleared up my all-day morning sickness. Outside of pregnancy, I've had a few times where I got clammy and shaky and knew what it was and got some sugar on board quick. You can get glucose meters and supplies without a prescription, but a prescription is required for insurance to cover the cost. But it's important to be working with your doc and team regardless. I'm not far along enough to see if it's better or worse after the sleeve, but I'm on the lookout for it. This is a great topic, thanks for posting it!!

i was hyper and had every sign and symptom except weightloss go figure had to have it removed so now iam hypo and on alot of meds so i think i lose slower then most iam 5 mts out and have only lost 50 lbs.....

Have your Thyroid checked.....ask for a TSH test! Could be underlying health issues! I was banded 12-7-10 and am only down 50 pounds! I have Hypo thyroid,stage 3 Adrenal Fatigue among other issues and it is harder to lose the weight compared to someone with out thyroid issues!

I would agree, forgot about the Hypo....

I also, have hypo thyroid problems. Can this effect surgery and being approved?

My PCOS story............ written LONG ago but I copy and paste it a lot. :Angel_anim: Hey there: Kick up your feet and stay a while, as you read my PCOS story. Hello, I'm Tracy... I was first diagnosed with PCOS while undergoing infertility treatment during my early 20's. (Mid 30's now) ..... Period at age 9, Birth Control pills at age 16-18, Married at 18 no birth control, no babies... finally at age 22 I sought treatment. I was told that I had the thyroid of an 80 year old man, and that I had PCOS.. he put me on synthroid for my HYPO-thyroid, and told me that it was just my body type that caused me to have PCOS... no offer of help or anything... just to accept it. Since I had PCOS, I wasn't able to ovulate.. my periods had NEVER been regular except when on birth control pills...... Treatment didn't work: charting, pills, shots... nothing could budge my follicles to pop out any mature eggs..... so I went on with my life, childless.... then fast forward to 1999... I was surfing the net and came accross an article "Losing Weight With an underactive Thyroid" Well, this peaked my interest, and from this article they mentioned Low Carbing and Dr. Atkins..... I was like "What the HECK" is low carbing???? Well anyway, on my lunch break I went to the book store and bought Dr. A's book, I started to read, and read, and read.. and that night I threw away the nasty slim fast, and made myself a bunless cheeseburger.... I had been starving myself on Low Fat Slimfast shakes and GAINING weight....... I would cry because I was hungry and then to get on the scale and actualy GAIN weight... life just wasn't fair..... ok.... so I took dr. A's advice and decided to devote 2 weeks of my life to the diet.... I did... meat, cheese, eggs, and Water.... I started dropping weight like crazy.. 14 lbs during induction.. my husband was shocked... but as the pounds came off and the sizes went down... everyone soon became a believer. OK...... so, I was about 3-4 months into the program when I realized by looking at my weight chart that my period was starting a pattern of every 28 days... I couldn't believe it.... from the first month my cycles had reset themselves to be just like a regular person!!!! THIS WAS A MIRACLE... my cycles were SO regular that I could set a clock by them... so I suspected that I was ovulating too.... my hopes of being a mom returned.... and BAMM, a few well timed whoopee sessions and I ended up preggo... unfortunately I suffered 3 miscarriages right in a row. So here I was down 80 lbs, PCOS symptoms were non-existant, and I FINALLY saw the little pink link on a home pregnancy test all with out meds or dr's... but life was unfair and I lost 3 precious babies.... all at about 7-9 weeks... one after I even saw the Heart Beat... that one killed me, and I went into a deep depression.. and I started feeding my sadness with High Carb things... I really feel that I was sabbotaging myself..... Lots of other Life events followed... got caught up in a corporate meger/layoff... so my job of 12 years went bye, bye.. and so did my husband my best friend since age 15.... had replaced me with someone who he said was "just like me" just 10 years younger...... so ok..... divorce, heartbreak, money issues... yada, yada, yada..... life goes on! Get your butt up and live life!...... ok so time passed... I hooked up with a new guy... technically my "rebound" guy from hell.... we both started LC'ng, the wieght had returned and my periods were slipping to sporadic bursts at no particular time.... PCOS had taken it's hold again.... anyway I told him, If I start LC'ng I might end up preggo........ he didn't believe me.... but ONE month after starting to eat right again.... I ended up preggo... and now I have a son who is the light of my life! April, 2004 I rededicated my eat life to Low Carb.... it may not be for everyone.. but it is what keeps my PCOS in check and I lose weight as a side effect! Edited August 11, 2005....... my little Low Carb miracle has now turned two years old. It was funny, that during my first Low Carb journey where I had 3 misscarriages.. no one wanted to believe that a formerly infertile woman could get preggers, simply by changing her diet. I had started seeing articles in the Atkins Center magazines for open calls for women with PCOS that had noticed changes in their cycles or had gotten pregnant because of this WOE... I called and told them of my experience.. as so many had done... NOW, in 2005... every PCOS website will lead you to a Low Carb way of eating, also they've developed drugs to help with the symptoms... .I feel proud to have been "IN" on the discovery of this phenom...... you will see LOTS of women popping up pregnant all over the Low Carb Friends website, and many threads where the gals are pregnant and doing a maintenance level of LC'ng to help control the amount of weight they gain during pregnancy.... IT IS AWESOME! I feel like broadcasting to the world.... I AM FINALLY A MOM!!!!!!!!! All thanks to the Low Carb way of eating.

Yes mere. I have high thyroid .. Whatever that is. I just haven't been scheduled for surgery yet. This is my last month for the journey and I meet w the surgeon June 4.. Super excited If you have high thyroid then you have HYPERthyroid. Do you think I'll be approved ? Yes, I don't see why not... SOme docs say that after your surgery maybe your thyroid can resolve itself. It's not a guarantee and I am no doctor but I do read like a mad woman and research everything. If you have hyperthyroid that means you have a super fast metabolism and maybe you will lose weight. Do research it, it's called graves disease, my husband was diagnosed with it (hyperthyroid) and I have the hypothyroid (slow thyroid) maybe opposites do attract. Ask your doc all the questions and then go home and look it up. Take good care of yourself as hyper or hypo affects all of your cells, your entire body and brain. Good luck. I am here for you if you need. Thank you so much. I've done all the appointments I just have the psych Eval, and the pcp follow up all this week coming. Then my second visit with my surgeon June4th. I have a bmi of 47. Weigh 253lbs ... Awesome! you are on the right track. I need a few appts too. I did my heart echo and stress test, thank God it all came back good. I need pulmonary, psyche, NUT and H pylori test. I already met with the surgery center coordinator and a Nurse for a check up. I was 248.7 and am 243.0. I was 240 but three pounds chased me down and got me! I am very short, only 5ft so this is a lot of weight for my small frame. :/