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They have vitamin patches. However, the drawback is they aren't as good from what I understand. I'm certain your doctor will find something to help you. My insurance does cover rehab for my knee. I did it for two months, but I can do the samething at home. It was just stretches and certain movements to strengthen other parts of the knee to help stabilize it. The doctor did a couple injections but that only helps for a couple weeks. I'm at 100 lbs weight loss since October when I weighed in at my first visit to the bariatric center. I dropped nearly 70 lbs before I had the surgery. Thanks for the comment. I'm not a very photogenic, but I will post some pictures at some point.

I have logged my weight like that but never thought to add the big life stressors or events in between. I bet that would be helpful for a bariatric therapist if you see one. I am working on getting in to see one. I had gastric sleeve three years ago and gained all my weight back. I am contemplating a conversion surgery and I want to pull out all the stops this time around. Best of kick to you.

Still on liquids here but was scoping out a split pea soup recipe to make for purées - fingers crossed starting on Monday! The recipe said it makes a gallon of soup. The visual of me scooping 1/4 C out of the gallon of soup did make me laugh. Yes, bariatric cookbook too but I really like the book so am not complaining. Will definitely cut that one down… 😄. And freeze some.

I followed a recipe to make soup tonight. It came from a bariatric cookbook so I wasn't really thinking about quantity being an issue. At least not until I was done and went to dish out a serving. This recipe said it made 8 cups of soup. I was able to eat 1/4 cup. At the current rate, that means I will be eating this soup until the sun explodes. Did anyone else struggle with cooking early on? It feels like such a waste of time to make a single, tiny serving, and yet, between difficulties eating reheated/dried out food and being overwhelmed by accidentally making 32 servings of soup, I really wish food would just magically appear on tiny plates in my kitchen.

Okay now that I’ve told my regain story and done as much research as I can (there is not a ton of info out there about the SADI) I have questions. Some that are white awkward tk Ask the doctor. First and foremost is how many of these procedures he had done. He is a very well knows surgeon, head of the bariatric department at the hospital even but I don’t think he has done a lot of this particular procedure. In fact the poster schematic is not yet on the wall and his office did not have any information packets to share about the procedure yet. If he says I am first I want to ask what makes him comfident he is capable? I’m pretty sure he just does sleeve and bypass primarily. So how differnt is if than a bypass?? I sorta understand the gist of it but I admit I don’t understand normal anatomy nevermind the exact differences between the procedures. also, I read some medical research on the procedure and they were talking about less complications after the learning curve a couple years later. Did that mean the individual surgeons learning curve or did they mean the field has learned from each others mistakes. I have to admit maybe being in the first few adds a little bit more anxiety to all this. Next I need to ask him, if he made my sleeve to big if he will correct that as well I have always felt like my sleeve was a little larger than everyone else’s based on how much I could eat so if he gets in there and that’s the case does he fix that as part of the procedure if so, is that now a differnt procedure and does that matter? I am not expecting anyone to know answers to these questions just help me with the way to word them so that I can feel comfortable asking I don’t want him to think I am questioning his surgical skills because I know he is really good but I still need some reassurances here

Thank you for sharing. The first step is usually the hardest - recognizing the wrong turns. You've done that, so congrats. Everyone going through these weight struggles is stronger than they believe they are. Sure quitting smoking can be tough - but smoking (despite what some might say 😋) isn't necessary for maintaining life, eating is. Its an ongoing daily battle to fight your mind and body programmed to eat to survive, yet everyone here, including yourself are fighting natural instincts. Don't beat yourself up over it. Just take another step, keep in mind where you went off your path and keep pushing. After all, its a struggle worth fighting - your health. You said "I am miserable. I am so depressed when I look at what I have let happen to myself" you're fighting a war against something far stronger than a human should have to fight - natures drive to survive, natures need to eat when you can in case of famine - its not an easy fight. Recognize this and be easy on yourself. Once you recognized there is a fight, fight back even if its one baby step at a time, its still a step in the right direction which you've done by contacting a bariatric surgeon and looking for a therapist. Be easy on yourself, you've got this - just stay in your fighters stance, put up your fists and tackle it! Good luck!

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

The Centennial is a paved walk that goes along the Spokane river and Lake Coeur d'Alene and then some, its 60+ miles long: https://www.seattletimes.com/life/travel/want-to-bike-from-spokane-to-coeur-dalene-take-the-2-state-60-mile-centennial-trail/ We do have a "mall" but its failing so it would probably work for walking well! I hope you find a walking buddy! I just thought I'd be nice to have a bariatric walking buddy. 😁

Have you only spoken with you bariatric dr, in regards to this being related to surgery? Perhaps it’s coincidence and you have something totally unrelated going on. I would have a chat with my PCP if you haven’t already.

"Otherwise my skin will waft in the breeze! 🤣" I am forever going to think of my post bariatric body as having sails...wafting in the breeze. I'll have to be careful in a strong wind storm unless I lower my rigging and trim my boom! 😂😋

I spoke to my doctor yesterday about this, after my magnesium was checked and an EKG she said she thinks its not more blood needing to be used for digestion, otherwise you would have always felt the increase in heart beats especially so with a larger stomach having needed more blood and it beginning with onset after surgery. She's recommending a week long heart monitor, but thinks its directly related to bariatric surgery. She stated it could be due to the change in digestive tract possibly changing the stomachs location relative to the vagus nerves location coming into direct contact, but she's not positive hence the heart monitor. Let and me know if you're interested in the results and final DX. She did say she's never heard of a faster heart rate after eating unless a food sensitivity/allergy has started up after bariatric surgery.

I saw the term, momentary "buyers remorse" on someone's thread the other day in reference to having bariatric surgery and last night I understood when I had a fatigue and anxiety melt down. I went back to school at age 48, once the majority of my kids were gone and I could spare the time. I take a full time course load, so my house gets deep cleaned now only during school breaks. This spring break I didn't expect to get much house and yard work accomplished, as I expected to be recovering from my sleeve surgery. But here I am, nine days after surgery and in the last days of spring break and I'm feeling great. My doc cleared me to do any physical activity that didn't hurt and I seem to have full energy, so I decided to go to work yesterday on a kitchen deep clean. From about 8 am until 11 pm (with breaks and liquid meals all day), I cleaned the fridge and pantry, scrubbed the oven, washed the microwave and toaster oven, dusted the tops of cupboards, washed drawer fronts and pulls, mopped- all of it. My kitchen looks like I just moved in. "Seemed" however is the operative word here. When I came up to go to bed, I was more exhausted than I've been in I don't know how long. And then, when I got a side stitch just off to the left of my tiny new stomach, I started to panic. I manage a somatic anxiety disorder and an attention deficit- and once in a while, particularly when I'm too tired, I have an epic storm that just has to run it's course. So, I paced around my bedroom hyperventilating for 20 minutes and rued my decision to have this surgery. All I could think is, "what have you done?!?" It was pretty awful. This morning I feel fine, aside from an emotional hangover, which is really just what the absence of adrenaline feels like after a panic attack. Other than that, I'm glad I had the surgery again. I'm going to do some light yard work today in between naps and offer myself a helluva lot more grace and leniency. And tomorrow, I'm going to have my first solid food (puree) that I've had in a couple of weeks. That first two tablespoon serving is going to be magical.

I’m wondering if it really has anything to do with the surgery at all. My primary dr told me that immediately post surgery if I had issues that I would call the bariatric dr and ask if I should see them or go to my family dr. Maybe try giving them a call and see if it sounds like something of concern.

From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣

From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣

Differences in size never cease to amaze me. I am almost exactly the same weight as you but 3 inches taller and I am a US size 8-10. No idea how that happens. OP I am a firm believer in the concept of a new set weight after bariatric surgery. I would have been happy 15 or 20 pounds heavier than where I settled. That was my goal actually. After I got into that ballpark I didn't try to lose any more, but it just happened. And then, eating very much the same stuff, my loss then stopped. And I've maintained thereabouts for a year or more with very little effort. If you can keep eating healthy and nutritious foods then could you just see where that gets you to? There are lots of healthy people with a BMI of 25+ and lots with a BMI of 19-. You'll find yourself somewhere in the middle eventually I suspect.

Thanks for the reference. I ended up having a capsulorrhaphy procedure on my right shoulder about two months after my VSG surgery. They also repaired the labrum, rotator cuff, and she spent over 45 minutes just cleaning up the bursitis. She put in 4 anchors during the procedure just to try and stabilize the shoulder. I used Alison Cabrera @ UTSW, and would highly recommend her. I ended up on daily hydrocodone just to get me to that surgery, however, I was still able to maintain my daily steps. Shoulder surgery is no joke! And this was all done to try to get me another 10 years so I can get reverse shoulder replacement 😐 My range of motion is limited now, but that was to be expected. I'm doing my best to protect my left shoulder so I can avoid surgery as long as possible. I've finally gotten used to sleeping flat on my back. For VSG follow up, I ended up about 80lbs lost. Right now I'm sitting about 75lbs down (gained 5lbs back) as I am noticing I can eat a little more (but still really restricted). I have a little anxiety about that as I am just over 10 months post VSG surgery. The last thing I want to do is undo all of the work. I'm still staying positive and using the Streaks app (iOS) to help with motivation (70K steps a week, plus 360 minutes of workout per week (includes walking)). I need to get back into putting all of my food into the fitness pal app. After the VSG surgery and the shoulder surgery, I ended up in a depression. Talking with a therapist who had experience with bariatric surgery helped. I don't think it was a depression just because of the VSG. I'm sure the chronic pain followed by a shoulder surgery (sling for 6 weeks post-op; and PT for 5 months) contributed significantly. As I mentioned previously, make sure your are taking care of your mental health. @Humikrig Good luck on your surgery!

What’s the difference between the sasi and the Sadi. I am contemplating the Sadi and I just learned it’s the same as sips but this is first I heard of sasi. Wow there are alot more bariatric surgeries than I ever realized.

Hello, I had a sleeve gastrectomy in 2016. Recently I had an endoscopy due to swallowing issues (I have multiple sclerosis). The biopsy of my stomach came back with changes and i had mild damage in my distal esophagus. I do not have a GI and have not been being followed by the bariatric center for several years. I have an appointment to see my bariatric surgeon as it seems that the recourse for bile reflux is a revision. Has anyone else dealt with anything like this?

I agree with NickelChip, your PCP not knowing about the surgery is not a big deal IMO. What is most important is that YOU understand your surgery and whatever anatomy you end up with, and that you are able to communicate that to emergency responders and ER doctors in an emergency. Everyone close to me knows what surgery I've had done, knows the technical term for it, and it is in my phone's health info that emergency responders can access. A lot of SADI and DS patients carry a card illustration of their surgery in their wallets or on their phones. When I was considering the SADI and two surgeons recommended I do the DS instead I had reservations. I live in North Carolina and we have some really stellar bariatric surgeons here in Raleigh. But I plan on moving back to New Zealand in the next few years and DS surgery is really rare there, there are only 2 surgeons I know of in the country who can perform it and they are both in Auckland. My surgeon here told me as long as I planned on having the first few years locally here in Raleigh, and as long as there was one surgeon that could be consulted about my care in the area I move to, I should be fine with the DS... The same applies to the SADI. What we tend to forget is that people have surgery on their small intestines for a variety of reasons besides bariatric surgery. Cancer, Crohn's, etc... Many people have designer insides and while not every gastro doc is trained to do a DS or SADI, they have the technical skill to find a surgeon to consult with about your surgery should they need it. In terms of your PCP what she most needs to know is that it is vital to order a FULL panel of bariatric labs for you at least once a year, as well as at any point if you start having symptoms of a vitamin deficiency or protein deficiency. She'll also need to watch your iron levels. These are things a PCP can do. She also needs to be in good communication with your surgeon if she has any questions. Doctors act like they can't talk to each other, but they can. I have an autoimmune GI condition that causes ulcerations sometimes (like Crohn's) and my bariatric surgeon actually called and consulted with my GI doctor to ensure they were on the same page about the surgery and to ensure it was a safe surgical option for me. That made me feel SO well cared for! My PCP has a sister who had the sleeve done so she's familiar with the bariatric surgery options. She is well read, researches what she needs to, knows how to consult when she needs more info, and trusts me to tell her what I need when I need it. For me, that's the perfect PCP. I don't need her to understand the complexities of my surgery. I just need her to know when she's out of her depth and needs to refer out to a GI doctor, my bariatric surgeon, or the ER.

I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now.

Update. I just met with my PCP and it was a total waste of time in terms of getting my questions answered but it gave me more to think about. I mean I appreciate her honesty but she hadn’t even heard of the SADI procedure. She said in terms of whether I am fit for surgery or whether she thinks I am a candidate for bariatric surgery she can answer that and I am but in terms of which surgery is the best fit she would defer to the specialist. It kinda scares me a bit her not knowing much about it. Not that I can’t make a decision now without her just that what if I have a long term complication that’s surgery related and she doesn’t know it because she doesn’t known the surgery. I can just see me on a wild goose chase trying to get to an answer on something that someone familiar with the procedure would know about. I guess if I have a medical issue I can always ask her if it could be related to my surgery and she will search it online?? She said if I had any issues immediately post op we would call surgeon and ask if it could be related to surgery or if I should call my pcp but I don’t know if something happened say two years out whether she would realize if it was related to my altered anatomy.

I know I have been active on here for a while now, and probably made far too many posts for someone who hasn't even had surgery yet, but today I put down my deposit payment for my gastric bypass surgery with Spire Gatwick in the UK, for the 14/05/24. It officially feels real! Until now, I had so many anxieties as to whether or not it would happen in case I couldn't find the money, or get approved for a loan etc, so it just feels like so much relief now that it is all finalised and I know it is gonna happen. I have my 1st dietetic consultation & my pre-op assessment on 05/04/24, and then my 2nd lot of pre-op bloods on 13/05/24. I am trying to log it all in my bariatric surgery journal which I am finding really useful! I guess I just wanted to post to just express how happy I feel right now, to people who I know will understand ❤️

Wow, great job on walking. Sounds like you have the right attitude and drive to be very successful with the bariatric surgery. I would like to swim, but there's not very many places near me with indoor pools. Which would be ideal with my knee. Keep up the great work.

Thank you!! I am incredibly happy. Getting my Vitamin D from 13 to almost 100 has done wonders for my depression. The extra energy DOES feel amazing, especially because I have Chronic Fatigue Syndrome and I never really expected the surgery to impact that favorably. The first 4 weeks were hard energy-wise. I remember how exhausting even taking a shower was until I was past a month out. Bariatric surgery is major surgery and it takes our bodies a while to heal from that. Add in our dietary restrictions as we slowly incorporate food again and it is a great recipe for fatigue. I'd say by about week 8 the nausea disappeared and I noticed I was gaining energy steadily. I could stand in the kitchen and cook. I could go for a short walk. I could shower and actually leave the house without a nap first. I had not been able to do those things in several years so it was a striking difference. Hang in there!! It is a good sign you feel about back to normal energy-wise right now! Yes, according to everything I've read, the goal is 50% by 6 months for a DS surgery, so I'm ahead of my goal. I really hope things continue on steadily. A lot of people lose a chunk early on and then taper down slower after month 3. My body doesn't like to follow general trends, so I stalled out for most of that time and then suddenly my weight loss sped up! It is quicker now than it has been since about a week post op. Isn't that funny? Everyone's body has its own rhythm. It is so, so hard to trust that, but it seems to be true the more people I see go through this surgery.