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this is the first time I've heard of a case like this, and I've been on this site for nine years. I malabsorb protein so from the get-go I've had to be sure to get at least 100 grams in every day, but it sounds like your mother's case is more extreme. I still have a protein shake every morning so I can be sure my intake ends up at least 100 grams by the end of the day, but it sounds like your mother may need even more than. that. Maybe her liver issues are a factor in this, too. I've taken OTC vitamins all along and have never had deficiencies - and that's true of many of us. Usually, OTC versions are fine (although you usually have to take two regular multis a day, rather than one (which is true of many of the bariatric-specific multis). She may have to get prescription-strength vitamins (I know they have prescription-strength vitamin D, for example - not sure about other vitamins). hmmm...not sure what to tell you. This sounds like a pretty rare condition, so I hope someone can help her!

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.

This varies greatly by state, as each states' laws govern what is essential vs cosmetic medical procedures. For example, my work insurance is based in Tennessee, and all bariatric procedures are 100% cosmetic, so no coverage at all! To further complicate things, individual companies within these states can have varying coverage depending on how much business they get from your employer. Even if a company like Blue Cross or Aetna cover it for employees of one company, they won't for others. You will really need to look into the offerings you have available, and call them directly. You may have to get assertive with them to get a straight answer. I had one make me go through programs and jump through hoops to prepare for it, only to tell me they wouldn't cover anything when I went to schedule surgery. One even told me they would not cover any future medical procedures if I have it done anyway! I'm with another company and insurance plan now which didn't cover it either, but they didn't blacklist me for having a self-pay procedure. Good luck, hopefully you're more successful than I was with the insurance company.

The annual subscription for Bariatric Pal Multivitamin One is the best priced bariatric multivitamin you can get. I think all chewable multivitamins taste terrible, so I get the capsules. I suggest you order a smaller quantity to try before you commit to a whole year’s worth. I also use Bariatric Pal calcium chews. I LOVE the French vanilla caramel and Belgian chocolate caramel. They taste like candy. They are lower priced than most other brands, and they often go on sale (I bet they will be on sale for Black Friday!).

I hope your weight loss is going well. My daughter is 28 and had to go through IVF for various reasons. I think if you stick to a plan you will continue to lose as long as you need to. Bariatric surgery, is one tool for weight loss. If you continue your hard work you can do it. Good luck,

On Black Friday, I bought a Ninja Creami for my family. The Creami allows you to make your own ice cream pints. You make your liquid mix, place in it one of their plastic pints and freeze it for at least 24 hours. You put the pint in the machine, spin it for a few cycles and you get ice cream. Here is why it is great for bariatric patients: you can make delicious, high protein, low sugar ice cream. Not an exaggeration. For my first ice cream, I mixed a 16 oz Premier Protein 30g chocolate shake, a packet of Chocolate Toffee keto chow, 1 tsp of MCT oil and 4 tbs of 2% milk. I had to put that mixture into a blender to get it all mixed because it was pretty thick. But then I poured it into a plastic pint and froze it. When it was done, it tasted just like a creamy chocolate ice cream and had the following nutritional profile (per MyFitnessPal) 356 calories 9.2g of fat 5.5g of net carbs 4.4g of sugar 57.7g of protein 109% of my calcium 34% of my iron 2,135mg of potassium 27.5% of Vitamin A 26% of Vitamin C (By way of comparison, a pint of Blue Bell vanilla has 640 calories, 32g of fat, 68g of sugar and 16g of protein). The Creami is not cheap (Normally $170, bought it for $125 on Black Friday). But if you can afford it and you like ice cream, I highly recommend it. You can use protein shakes, protein powders, Greek yogurt and a ton of other bariatric-friendly ingredients to make something that tastes like ice cream that you can eat guilt free.

I got a cold on December 3rd and my surgery is also scheduled for the 13th. Surgery sisters haha! I feel much better thankfully, but I did inform my bariatric team last week. Hope to hear from them tomorrow when they are back in to see if they will proceed. Hoping for us both!!

It’s so weird to the point I have called my insurance Blue cross blue shield federal nothing in their policy, I have asked the bariatric center I have googled it more times than I can count, I just am disappointed at this point. I’m going to try and reach out one more time to my OBGYN .

This is Awesome!!!! I am hoping that things go this well for me too 🤞🏻. I am so happy to hear that you’re doing so well! I bought a cookbook that has full liquid protein recipes (it is a Bariatric cookbook) it walks through the first three week up a regular (general) diet. It has been helpful in getting ready for my post op.

What does your bariatric team say? We both had surgery in August and according to my team I should be at max 800 calories a day, 50 carbs max a day and 80 grams of protein. 1200 calories a day sounds closer to a maintenance amount... On average on maintenance a person should get from 1200 - 1800 per day. I'd check with your surgeon/dietician and see what they say since each surgeon has their own plan, but if you're putting weight on and sticking to the diet..they need to know. Good luck I hope this helps. I'd add more exercise and less carbs and calories..but I'm not a medical doctor.

Thank you It's amazing what weight loss, better health, and renewed belief in yourself can do!!!

So it's not that you can't have any carbs. You want them last, and you want them not to be "bad" carbs, like from pasta and breads and white potatoes. You should be eating 5 times per day. 3 meals and 2 snacks. You want protein first, then veggies, then carbs. No sugar, low salt (himalayan is the best if you need it). Avoid carbonation because it stretches your stomach out. My bariatric diet stated 60-80g of protein per day, 1000-1200 calories per day, less than 50 net carbs per day, and less than 50g of fat per day. If working out, or if you have a very physical job, then it would be slightly modified to 75 - 90g of protein, 1200-1400 calories, no more than 65 net carbs, and no more than 65g of fat per day. It seems like a bariatric therapist might be a good thing for you, because it sounds like your relationship with food never changed, and you never learned to tell the difference between real and head hunger. And lastly, you should be eating very slowly. You're filling up fast because you're cramming a lot of food into your stomach all at once. After it makes its way through, the food is gone but you're hungry again. Eat slowly, chew it well, follow the bariatric diet, find a bariatric diet, and reach out to your nutritionist and see what they can do to help you get back on track and maybe map out an eating plan for you.

I've yet to get a surgery date. But, I was told I will be on a 2 week liquid diet pre op, to shrink the liver so it's safer to work around. Every Surgeon has their own thing. I've heard a wide range from 2 days to 2 weeks. I don't think they would be mad if you started a couple days early. Going off of what I was being told from the bariatric center I'm going to, the longer the better. As I said, every surgeon has their own plan.

The guidelines lines I’m referring to are : Limiting sugar intake to 5g or less per serving, protein forward meals, limiting carbs and fats. Separation of meals and drinks (30 min rule), limiting calories from drinks, etc. (I’m sure others can chime in with more Bariatric specific rules that they were given to follow). What is your doctors recommendations now that you have stalled? How tall are you? What does your exact calorie intake look like weekly? Do you accurately track it or eyeball the amounts? Have you used any online calculators to figure out your BMR, visceral fat, lean muscle mass, etc? These can help you figure out your excess body weight . Also InBody and DEXA scans will tell exactly how much excess fat you are carrying.

I feel so defeated.... it feels like every time I try to improve my health I make things worse. A small bit of back story first.... I had my WLS back in 2000, and was never told a lot of what they tell people now. I was simply told to take calcium, stool softeners and a multivitamin.... not what kind or what it should include etc. I was then told years later I was anemic, but after 2 years with that (PCP) doctor she never addressed it even though I inquired. Due to an extremely large hernia and pain I was having, I went to the bariatric doctor and he said to fix the hernia I would need to lose weight. I was losing weight again (after many years) and was feeling tired all the time. I asked my team about the low iron/anemia and asked if should I address it. I was advised to take 18 mg of iron daily so I bought the multivitamin with it included.... I bought a year's worth.... several days in, I became painfully constipated. Nothing worked but suppositories. I also increased my water intake and fiber both in food and with Benefiber. I was finally able to go without extreme pain after 2 days. One day of not using the suppositories and I am right back to not able to go again. I don't know if this is something that my body just needs to adjust to or if I messed myself up with all the years of taking stool softeners (that I don't even know if I was getting benefit of because I took soft gels)... I did message my team to ask advice, but with so many here going through similar stuff I thought I'd rant here also! I hate to think I wasted over $100 on the multivitamins that I can't take now. I'm a retired teacher with limited funds.....lol....

Also, contrary to popular belief, it is VERY hard to stretch out your stomach with the sleeve surgery!! This is because our sleeve is made out of stomach tissue that is less stretchy than the rest of the stomach. It takes months, sometimes years, for it to relax enough that you can eat your normal bariatric portions. And some people always have high restriction... But even when you can eat bigger portions, it is still rare to stretch out your sleeve. Most stories you hear of it are from people whose first sleeve surgery wasn't done properly. Or else they were overeating by a significant amount at every meal over a loooong period of time! My surgeon told me this is actually quite rare, because the less stretchy stomach material means you are much more likely to just vomit if you try to overeat than to actually be successful enough with it you stretch out your sleeve. I found that very reassuring!!

Hi guys, I'm kinda new here BUTTT for the people that have had an ESG where did you get the procedure done? I stay in the metro Atlanta area so I'm looking for places in Georgia or even in TN, SC, or AL. I know the 2 big places that do ESG is Atlanta, Ga are IBI healthcare and TrueYou. I got the gastric ballon (Obera) done at IBI healthcare and they were very friendly but I don't think they prepared well for what to expect. They told me it's a quick and easy procedure (which it was), to follow the diet, and I should be back to work in 2-3 days. They sent me home with some paperwork on what to eat and that was pretty much it. I was sick and hospitalized twice in the 10 days postop both times for dehydration because i couldn't keep anything down not even water. There was alot of back in forth with leaving voicemails, unanswered calls, etc. They finally removed the balloon on day 12. But to their defense I did get it done 2 days before Christmas (not wise), and had it removed the Monday after the new year so most of the days they were closed or very limited staff. ANYHOO... I was thinking of getting to give this weightless thing another shot, this time with an ESG. So my questions: 1. Is this typical to kinda have a consultation, have procedure, and one followup and send you on your way? I understand their is so much information online about the procedure but I was just wondering if I should be prepared to find out what's normal/what's not on my own. 2. I stay in Metro Atlanta area has anyone had any experience with ESG in this area, I'm also open to surrounding areas: Georgia, South Carolina, Alabama, and Tennesse. 3. Have anyone had the procedure done at TrueYou, IBI healthcare, or Northeast Georgia Bariatric Center? (I am familiar with those 3 places because this is where I had my consultation for my Obera placement). Thanks so much...

I thought about this a lot when considering surgery. I talked to my surgeon about it and he said as long as I ultimately live in a city where there is at least 1 surgeon trained in my particular surgery (the DS), he'd feel comfortable doing the surgery. Fortunately I knew where I'd be moving in the next few years (New Zealand) so I can ensure that will be the case. I also tend to travel to major cities instead of obscure, out of the way areas. But my surgery is rather rare, so it does limit my options some. You however are getting the bypass. This is a very common surgery the world over. We have members here from all over Europe (and other places) and they don't seem to be lacking in care. Though their post op diets can be pretty entertaining! LOL If you were looking to go to a rural area like a small village in Africa, then I'd have reservations. But these surgeries are commonly done in the UK, France, Italy, and Spain. I don't think you'll have an issue getting care in any major city in these places. Again, I can't really account for rural areas, but I have met people in the UK, France, and Italy that have had WLS and while their options for shakes and vitamins may be a bit more limited than in the US (usually due to the artificial sweeteners allowed in that country) but they didn't seem to me like they were struggling to get care. I'd scout out a few bariatric centers in the areas you are considering and see if they offer your surgery. When you pick a place you could consider emailing to ask what their aftercare looks like for a client that may be coming to that area post-op and in need of follow-up care. Then have a look at the travel medical insurance policy you are considering and check to see what (if anything) it says about bariatric care. Keep in mind the medical complex in other countries is structured differently. Some places (like the UK and NZ) rely very heavily on GPs to coordinate care and specialists, even moreso than in the US, so they may ultimately be the ones monitoring things like labs, and then refer you out if you need more specialized care.

I did the Mexico self-pay, even with my insurance the process was almost a year long before approval, and estimated costs out of pocket were still more than going to Mexico. I wouldn't touch semaglutide with all the issues with it and weight loss. It works for some, but the friends I know who have done it have all put back on all their weight and 20 pounds after they quit it. Too many issues that can happen with it, stomach paralysis, rotten food in your stomach, etc. If you have HSA/FSA there are ways they will cover your surgery in Mexico or go towards the cost. I had a lady in my surgery group in Mexico that was able to use her HSA/FSA completely, I know she said she had other paperwork etc she had to do and get approval before hand as it was out of the country. I believe Go Light Bariatrics has a financing option, and I want to say it was interest free.

I had a great experience, The Bariatric department @ the Richmond Kiaser is one of the best in the world. I have been waiting for ten years for my surgery. I have congestive heart failure, AFIb , Diabetes, High Blood Pressure, Sleep Apnea, arthritis and deteriorating meniscus in both knees. I took a fit test in preparation for the surgery. In March of this year that came back positive so they scheduled me for a colonoscopy in July finding 2 polyps, one was flat in my transverse colon, during this procedure only 1 was removed, I had to have the procedure done by a specialist to remove the flat one. On November 22, 2023 I had my surgery , and they discovered a GIST “ Tumor” in my stomach. I elected to get the sleeve so 80% of my stomach was removed, the tumor was also removed during the process. So literally and figuratively the Bariatric surgery saved my life. After the surgery they immediately took me off my diabetes medications. I have a lot of energy and have already lost 20lb , I am 50 and feel this is the second half of my life. This is the best place to get your surgery and the best place to do it.

In answer to one of your questions, I took bariatric vitamins before surgery thinking to put myself on the right track before surgery. My dietician was surprised to find out I was..but I thought I was supposed too..they gave me several months of samples before surgery... I started biotin, collagen etc., bioton shampoo/conditioner all months before surgery. Results: My hair is still shedding tons 5 months post op regardless a lot!, I don't know about my labs yet .. That's next month. Its not about what you do before since your body decides to divert its energy to surviving on reduced calories afterwards and growing hair is not on your bodies needed requirements. So, each body is different - hopefully yours will react better!

Congratulations on your surgery and great progress. You are over the worst. The liquid and puree foods go through your new tummy really quickly. Are you remembering the no drink rules? Your tummies nerve endings have been severed and your full signals are missing. I would sneeze when full. So as they say on here just because you can eat it does not mean you should. When your new tummy stitch line has healed and you begin on real foods your restriction will kick in and oh boy will you know about it. Its like a long lost friend coming back but now it has rules of its own. Over eat at your peril, it feels awful for hours. This is what we mean when we say bariatric surgery is not an easy option.

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

I’m just beginning my second week of my pre op learning and it’s been a fun, interesting week (for me anyway!) I started eating a little better, getting more protein in to my daily diet and logging everything. Good news is that I’m 9lbs down in the first week so I will take that win thank you very much. I’ve also been practicing mindful eating too. My approach to eating was to hoover food up as quickly as possible but, after reading about WLS and what I need to concentrate on post-surgery, I have made sure that every meal has taken 20 mins to eat, that I eat off a plate, put my cutlery down between bites, don’t put more food in my mouth when I already have some food in there etc. Being a sceptical kind of person, I wasn’t really sold on the benefits of this but I gave it a whirl, just to see. I will definitely hold my hand up and admit that my scepticism was misplaced. My head and stomach now recognise that I have actually eaten something and it’s registered with them. I now have a feeling of fullness that I didn’t have before, which really is an eye opener. I know it probably sounds strange but I honestly cannot remember having this? Disordered eating has been such a part of my life for a very long time. I’ve also been giving different sources of protein a try, not for post-op as I’ve really taken on board people’s findings of tastes etc changing after surgery, but for the liver reduction diet and to give myself some variety now as I move towards that. I have tried protein water (a bit sweet but doable) protein yoghurts and protein puddings. Hubby recommended some PHD whey protein but I haven’t tried that yet. The bag isn’t yet open and all I can smell is overpowering vanilla 🤢 I will try it at some point this week, just to see if it tastes better than it smells! I’ve also ordered some 0%-everything flavour drops to try in Greek yoghurt etc, just waiting for those to arrive. My Bariatric plates arrived this week, plus measuring cups and spoons. I’ve been consistently taking my multivitamin, vitamin D and folic acid (because of pre-existing meds) have taken the dreaded ‘before’ photos (and managed not to cry) and generally had a positive week. I know my surgery may be a long way off but things are moving in the right direction and I’m happy about that. Onwards and downwards!

I was sleeved in 2017. In hindsight, bypass would have been better given my history of GERD. Fast forward years later, COVID piled the weight on (working from home, lockdown, job stress (worked in healthcare during pandemic) and I'm up 65 lbs. That i can deal with though. I know the bariatric lifestyle, and I know what I need to do to lose the weight healthily and such. It's the GERD. I'm up to 60-80 mgs of Prilosec daily, plus antacids and other H2 blockers as needed. I sleep elevated and just always generally feel like I have a pit in my sternum. I've subsequently relocated to a new state since my surgery, so I feel like I'm starting all over. I have an appointment with my PCC this week to discuss the GERD issue. Given what people are stating on this board, it seems like that a RNY may be an option. Honestly, I just want to know why it has escalated so bad over the last several years. It doesn't matter what it is; it comes up. I drank some unsweetened almond milk two hours after dinner, and about 10 mins later I literally burped it up like a baby. No warning, nothing... All over my bed. Other times, it's that hor burning awful acidic in my throat and chest. Makes me cough. I try to eat crackers to help absorb the acid, which is not healthy. I'm really quite scared that's something serious. What have your experiences been like? Will I go through a whole program again? I just want relief. What questions should I bring up with my doctor. What tests will they run? This is still a fairly new PCC relationship and several thousand miles away from where I first was treated/sleeved.