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Can someone please help me...
BLERDgirl replied to Jennifer Rogers's topic in Gastric Sleeve Surgery Forums
This is interesting. You are the second person I've come across not on the regular list of Vitamins & nutrients. From everything I have read bariatric patients need a multi Vitamin 2x's a day, Calcium, Vitamin D, & B12 supplements and some may even require extra Iron. It was my understanding that our bodies no longer can absorbs all the nutrients we need and thus require supplements for life. I'm wonder if this is a new thing. It may be why you are feeling so tired and week. Here's the discussion with the other person I came across. -
Hi - I have Dr. Ikramuddin at the Univ. of Minnesota. i've been very happy with him. From a medical standpoint, the U is the best in the cities. I have heard that the U is not the best in terms of support, but I have had a really excellent experience overall. My primary doc recommended him and I have to say I am very very pleased. Weight Management Center Bariatric Surgeon Profile - Sayeed Ikramuddin, M.D.
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How do I talk to my doctor?
longer-life replied to nikkibug's topic in PRE-Operation Weight Loss Surgery Q&A
I totally agree with Thinoneday. Keep researching the surgery so you become & sound informed. I would say something like " Not sure if you remember but we have discussed my weight many times. I have done such and such to lose it but it keeps coming back and I am worried. I have researched blah blah surgery and I know it will help me be healthier and live longer. I would like a referral from you to such and such surgeon." Be prepared to answer questions such as why did you pick Sleeve Gastrectomy or comments such as "I think you just need to eat less and exercise". Change primary doctor if you have to. Good luck. Keep us updated! Don't give up, but research , research, research. This is permanent and you are very young! Consider going to a therapist that specializes in bariatric surgery to help you through this. Big hug. -
Weight Gain Stats-Surgery Vs. Diet. Short & Long Term
PonyUp posted a topic in Gastric Sleeve Surgery Forums
In summary from reading these and other articles (my conclusion—please draw your own, I am not an expert and still awaiting to be sleeved!). I am having a bit of pre-surgery jitters, so re-researching to be clear I am making the right choice for me, for the right reasons and my expectations of self and surgery are realistic. The long term percentage rate of dieters regaining most or all weight back does seem to be much higher (up to 95%) than those that actually have bariatric surgery . HOWEVER, WITH THAT SAID, SOME STUDIES SAY UP TO 5% OF BARIATRIC PATIENTS GAIN IT ALL BACK. 2-3 years after surgery 80% of patients regain 5-10 pounds and approximately another 20% keep creeping up (unclear how much and if you look at other stats it appears most of them most get a handle on it). I am having pre-surgery (April 10, 2012) jitters and was having moments of wanting to back out but the stats seem to favor using the tool of surgery, but it is obvious bariatric surgery is no magic wand and one still has to ; PORTION CONTROL (YOU WILL EVENTUALLY BE ABLE TO EAT ENOUGH TO REGAIN WEIGHT—IF NOT CAREFUL!) EATING THE RIGHT FOODS EXERCISE SUPPORT SYSTEMS (FOR BOTH EATING & WORKING OUT HABITS AND OVERALL MENTAL HEALTH support for dealing with the daily stressors in life!) Dieters-Weight Gain Stats http://magazine.ucla.edu/exclusives/dieting_no-go/ http://www.livestrong.com/article/438395-the-percentage-of-people-who-regain-weight-after-rapid-weight-loss-risks/ http://www.lvrj.com/health/weight-loss-hard-to-maintain-121986554.html Weight Gain Stats for Gastric Surgery Patients; http://www.livestrong.com/article/407343-a-regain-after-weight-loss-surgery/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856611/ (very medical stat type of doc) http://livingafterwls.blogspot.com/2011/05/understanding-weight-gain-after-weight.html (a blog discussing stats but not referencing…so okay article) http://abcnews.go.com/Health/Fitness/story?id=4444057&page=1#.T3syJ_mUUq4 (a good and concise article) http://www.bariatric-surgery-source.com/weight-gain-after-gastric-bypass.html (Excellent article on regain stats, how not to regain, what other tools needed for success) -
Finally in Onederland!
Patty11 replied to patticake1448's topic in Tell Your Weight Loss Surgery Story
Hi, Patty, It's been 13 years since I had my surgery, the good news is, after not losing 1 pound in a one month checkup, I've lost a total of 125 lbs and I have kept it off for all these years , except for awhile I got lazy, and I gained back 50 lbs and then I got mad at myself and decided to see Dr. Baker to see if he could perform another surgery but he couldn't because I have medicaid and they pay for the first surgery but not the second. Dr. Baker checked through the scope to see if my opening was bigger and he said no it wasn't so I decided to lose the weight on my own, I'm down 75 lbs since I decided 13 years after my surgery to lose the weight on my own. It was only hard the first couple of days then it became much easier until finally , my friends, and family were telling me to stop, I lost enough. Anyway, I'm not stopping until I get to 140lbs. I have 15 lbs to go. I weighed 278 lbs to start with and now i wiegh 155 lbs. Thank God for bariatric surgery!!!!! Don't worry it will keep coming off no matter what. Although they say you can eat sweets , don't.Thats what I ate until I gained 50 lbs of fat!!I lost the last 75 lbs, with the help of Gardinia Cambogia. It really curbs your appetitite and stops the cravings you have. It works. Patty11 -
10/17/2017 was surgery date. In 2003 had original Rouen-y. Kept it off year last incisional hernia due to open procedure. About 2 years ago someone who meant the world to me died out of the. I went into deep depression. Stopped exercising (I did 5 miles a day 6 days a week). I had control of protein and diet. So I gained all weight loss plus an additional 30 pounds. Three months ago started having extreme nausea and vomiting. GI doctor found a large hiatal hernia. Called my old surgeon since in different state and was advised to have hernia repaired by a bariatric surgeon. Found wonderful doctor who said he’d fix the hernia but that my pouch had spread to almost 3 times it should be. So with a great deal of hesitation I had both procedures on same day. I’m was sent home on day 2. Am in pain and exhausted constantly I can’t seem to keep broth down but fine with shakes and water. I was unable to crush my meds because they were so vile I threw them up every time I tried. So I slowly swallow a pill st a time. I guess the gist of this since it’s been 12 years are these symptom and experiences common after bypass. Must note my doctor told me this surgery was one of his most difficult ever because he had to cut out massive amounts of scar tissue and cut up some of the mesh that was placed during incional hernia repair
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Out patient facility or hospital doctor
Sojourner replied to Fit2btied's topic in PRE-Operation Weight Loss Surgery Q&A
The choice of facility for your surgery IMO should be driven by where the best level of medical care will be given. And equally important is where the best level of medical after care will be available to you. IMO, one's important health decisions should not be driven by my convenience. I have seen the difference first hand between a bariatric practice recognized as a Center of Excellence, versus a general surgeon who does not specialize in bariatric surgery. There is no comparison. The aftercare provided through the Center of Excellence provides the level of care post op with the methods they use to do fills and monitor your general health state along with how you are adjusting to your band. I was fortunate to be referred to a surgeon who is the head of bariatric surgery at a Center of Excellence. I felt no hesitation with proceeding with my band due to the level of both pre op and post op care available. -
I'm biased - Love my sleeve! However, you should attend an information seminar at a local hospital or bariatric center that offers weight loss surgery. You can get all the information you need to help you decide what is best for you.
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Libby, I had a Vertical Gastric Sleeve 7 months ago today. I weighed 258 pounds prior to surgery, and today I weight 160 (and struggling to loose the last few pounds!). I love my sleeve. My cousin is a bariatric surgeon, and he was the one who convinced me to do the VSG instead of a Roux N Y procedure. He has had bariatric surgery, he had a Roux N Y about 10 years ago at Mayo Clinic in Rochester, MN. After his surgery, he did a fellowship at Mayo Clinic and then started doing bariatric surgeries himself. He lost over 100 pounds and has maintained it very well. He was my inspiration to do something. I went to see him in consultation, and he convinced me that the VGS has far less complications than RNY, less problems like dumping syndrome that many with a RNY experience, no malabsorption problems, etc. So i went with the sleeve, and wouldn't trade it for anything. The day of surgery, I wore a size 26/28 top and 22 or 24 pant size. Today I am a size 8! (I love saying that, so I'll say it again "I wear a size 8." Gee that makes me feel good!) I don't have words to say how happy I am that I had my VGS. It is a non reversible procedure, so you need to be sure of your decision if you go with a VSG. When we crossed the boarder back into the United States (I had my surgery in Mexico) one of the gals riding in the van responded to the boarder guards question of "do you have anything to declare?" with "No, but I left my stomach in Tijuana!" So funny! No matter what you decide, Best of luck on your surgery!
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Sorry about this gross question...
Karen WS replied to Helli's topic in PRE-Operation Weight Loss Surgery Q&A
I am on day 8 pre op diet . I am having 3 protein drinks, using a lemonade flavor I bought at bariatric choice.com. I also can have 1 lean cuisine a day until days 12 &13 then just liquids. I have lost 8 pounds so far, hoping for at least 12. My surgery has been moved up a day due to having to change hospital because of insurance coverage! UGH! No problems with stools yet, hope it stays like that! Good luck to you! -
https://www.buzzfeed.com/carolynkylstra/mason-jar-salads?utm_term=.iu9MzP7pQO#.fjMqE6XOap Bariatric patients look at these and think....would be nice, but WAY too much bulk there to eat.. And it's true...it's a lot of food for a bariatric patient. But if you're eating six small meals a day, it can be nice to have leftovers handy for the next little meal:) Also...you can make these geared a little more to the bariatric diet. Consider the following layers: Hummus Turkey bacon Tuna salad Tofu Shrimp Chicken breast Black beans Chick peas Lowfat hard cheeses Cottage cheese Fetta cheese Olives Banana peppers Avacado chunks Sweet potato chunks Hard boiled eggs Yogurt Pickles Reduced fat reduced sodium salami (great in greek salad!) Protein Pasta (made of chick peas, lentils, and whole wheat) Think of all of your favorites. Include some fruits. A few raspberries, peach slices, fresh apple chunks, pineapple, blueberries Some nice finely diced veggies like peppers, cukes, tomatoes, mushrooms, brocolli bits, onion, fresh herbs Make homemade dressings with low sugar and fat Oh! and if the idea of carrying glass jars around scares you....consider stopping at Gordon's food service and picking up tall plastic deli containers. You can get 50 containers and lids for under ten bucks. The more variety you're including in your diet....the more diverse your gut microbiota will be. Diverse gut bugs are correlated with better weight loss during diet attempts. Switch it up. Get lots of fiber in addition to meeting your protein goals. Get you some wonderful phytonutrients:) And enjoy flavor!
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How much should I be eating calorie wise?
Sheribear68 replied to Alikiinz's topic in Gastric Bypass Surgery Forums
My doc never gave a calorie goal despite me asking. All he said was to make absolutely sure to stay hydrated and he set my minimum water goal at 80 ounces daily. He also said that I should try to stay under 35-40 gm carbs daily and to try my best to get in protein, but to not try to add in protein at the expense of hydration. As your sleeve/pouch gets bigger, you’ll be able to get those calories in. I kept a food journal and at my 2 week post-op showed my doc that I had only consumed 880 calories in ONE WEEK and he shrugged and asked me how I was feeling. Told him I felt fine for someone who had just had bariatric surgery and his answer was that eventually I’d be able to hit protein goals, but that it would take time and not to sweat it if it took a few more weeks to get there. -
Try adding some fruit or healthier carbs and see how you feel...and how your weight loss is. I also read an article that said that drinking low-fat chocolate milk after a weight training workout led to more muscle gains than by drinking sport drinks. Very few physicians have any training in nutrition. They do what the other guy does. I venture to say that those who propose a low-carb diet have no idea if it works better than higher or moderate carb diets for weight loss in bariatric patients--why? There are no studies showing which diet is best for bariatric patients. Read this article, it's very enlightening FINDINGS; Diet and Fat: A Severe Case Of Mistaken Consensus - New York Times
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An inquiring mind wants to know
Terryfrances replied to LadyDelaware513's topic in Tell Your Weight Loss Surgery Story
I had my surgery in Towson, Maryland at GBMC with Dr. Babak Moeinolmolki. He is wonderful. You can google GBMC bariatrics and their website will come up. -
What follow ups needed after surgery in Mexico?
HappytobMe posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi, I am now planning to have surgery in Mexico as a self-pay after being denied twice by insurance. I am wondering what type of medical follow ups are usually needed after gastric bypass? I have a nutritionist at home that specializes in bariatrics so feel that I'm ok there, but what about hands-on medically? Are there any stitches that have to come out etc after returning home? For anyone who chose to go to Mexico, can you please share your post-surgery experiences for follow up care? I will be able to contact my surgeon as needed with any concerns etc, indefinitely and will stay in Mexico for 6 days after the surgery, but I am wondering about any medical things I would need to have done when I return home where I have to be physically present. My US surgeon (before insurance denied me) is not supportive of my decision to go to Mexico, but I feel comfortable with the surgeon and hospital I've chosen - but I think it would be awkward to have to go back to the US surgeon after surgery in Mexico. Thanks so much!- 10 replies
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After the surgery, I developed a serious problem with constipation. I tried several things to resolve the problem including Probiotics, Metamucil, and laxatives; without success. The only thing that was effective was using glycerin suppositories. I just couldn’t accept inserting a suppository up my rectum every three days for the rest of my life as a viable solution. This was a serious problem. Then almost by accident I stumbled on a simple solution. I found that eating an apple or two each night before I went to bed corrected the problem. But it was important to also eat the skin of the apple. I have followed this regiment for the past 10 months and no problems. My mother who did not have surgery also suffers from this type of problem. I suggested she eat an apple each night before bed. But she says she can't because she has false teeth and the skin gets stuck. I was at my monthly bariatric surgery support group meeting yesterday and another person said they experienced the same problem because of her false teeth. She wanted to know if I had any solution. I thought about it and decided that perhaps one could blend the apple. I experimented today. I cut the core out of the apple and blended it with the skin to the consistency of apple sauce in my Ninja blender. I soon discovered that I needed to add a little liquid to make it blend properly - about a quarter or half cup of (no-sugar) apple juice. It seems like it might work. But since I still have my teeth, I am not able to perform a complete test. So if you suffer from constipation and if you have false teeth and are up to an experiment - try blending an apple a day with the skin (but not the core) and let me know (1) does this type of apple sauce get stuck in your teeth and (2) does it solve your constipation problem.
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Waiting is so hard!
losing_the_band replied to losing_the_band's topic in Gastric Bypass Surgery Forums
Had my consultation, and I'm glad I decided to find another surgeon. I didn't meet the surgeon this time, but I really liked his staff. I didn't feel like the place was a bariatrics mill, either, and they took my concerns about my band seriously. They did a complete unfill, and I've got an appointment for an upper GI series with barium. Hopefully, we'll be able to document a slip so I can get a revision. -
How close do you follow your dr's Post Surgery plan?
Berry78 replied to dathvick's topic in Gastric Bypass Surgery Forums
Thank you @Amburmist for bringing this up. I did a bit of digging, and essentially it boils down to this. During the first year postop, the entire body is working hard to lose weight. The liver has often been stressed prior to surgery because of fatty liver. It continues being stressed during the weight loss period (and maybe longer if it had significant damage). Alcohol doesn't appear to be more dangerous to the liver postop than it would be in another person whose liver is in the same condition. What does happen is the alcohol is metabolized differently... we get drunk sooner and stay that way longer. We may be at risk of drinking excessively due to addiction transfer... and excessive alcohol is a problem for anyone. Our blood alcohol level goes up more on a given quantity of alcohol than that of a non-patient. More alcohol in the blood means more work for the liver. So, my recommendation is that we shouldn't drink for 6 months postop AT ALL. From 6 months until maintenance, limit alcohol to maybe once a month, and only 1 serving. During maintenance, 1 serving 2-3 times a week at most. And of course, this is assuming the doc has said its ok for the individual. Tylenol affects the liver and should be carefully controlled as well. Smoking is strongly associated with ulcers. Smoking and drinking and NSAIDS, combined, are worse for ulcers. I didn't see where alcohol by itself causes ulcers. Just as our meals need to shrink, the size of our alcohol servings should too. In the study, participants drank 5oz of wine. The non-bariatric patients had a blood alcohol level of .02. The patients' was .05-.08! Do NOT drink a 5oz glass of wine or a 12oz can of beer and think you can drive less than 2 hours later. And when I was recommending servings... you might want to consider a serving to be 1/2 of a normal one. 6oz beer or 2.5oz table wine... especially if you want to indulge more than once a week. -
So it will be one month this coming Wednesday since my last required appointment. I have been waiting impatiently to find out if my insurance has approved my gastric sleeve surgery. I was initially told it takes about two weeks for insurance approval/denial. I waited the two weeks and contacted my insurance company for an update on the prior authorization. I was told they hadn't received any information from my bariatric center. I then called the bariatric center and they told me they "dropped the ball", and didn't submit it. Boy, was I bummed!!!! When you work so hard for something, you can't wait for the next step! So, here I sit waiting for the phone to ring to give me my answer. I hope I get an answer soon!! I can't wait to begin my new journey!
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Hi Honey! Well, I'm afraid that after my appt yesterday, I'm nowhere on the journey! It was my first meeting and after everything was done and I was a great candidate for lapband, he told me that he MAY not be able to do my surgery because he might not have ins for bariatric surgery then! This doesn't affect you, but I was mighty annoyed. They could have at least told me ahead of time and saved me the drive! Sooooo, since I really didn't like the way this "relationship" started, I'm going to make the longer drive and use Dr Kwon. I have my appt for 6/15. Barbara aka Fuming in NY
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If this is for a lifetime how often do you have to go to the Dr
Nathalie replied to speck's topic in LAP-BAND Surgery Forums
My surgeon has appointments set up thusly: 2 weeks post op 6 weeks post op (when I get my first fill) 3 months post op 6 months post op 1 year post op Annually They suggest that the band will be adjusted every 6-8 weeks while I'm losing, and if I have trouble. The great thing about going to this practice is that they have a hospital floor and nursing staff dedicated to treating bariatric patients. So if I have a problem, I can go to the hospital directly and be treated by someone who is trained at addressing bariatric specific issues. (overfill, port issues, etc.) No emergency room, just call the doc and go right to the bariatric floor. -
True Keto is very high fat (like >70 grams), moderate carb (30-45 grams) and very low carb (<20) a day. I am 4 years out and have been Keto for a while. My surgeon and docs are all for it, I used this to conquer some regain and also to resolve a health issue. It is quite different from a 'bariatric' diet. I don't drink milk or eat yogurt anymore, I follow the rules of keto, I eat my macros calculated out for me. They change as my weight goes down. I also incorporate Intermittent Fasting which also has made a huge difference. I will probably eat this way forever. There are tons of resources out there, especially on youtube and there are substitutes for EVERYTHING, but I try to stick to a very basic food list.
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I understand where your coming from because I was at a Bariatric Support group last night and had to hear numerous people bash the band. You need to realize that this is for you and no one else. Everyone has an opinion its up to you to search within yourself and determine if this is for you. I have been overweight all my life and really had no support for my decision but I went through with it and have no regrets. The good thing about the band is it is reversable and they can take it out, but with the Gastric Bypass that is not an option. I want you to focus on you and your choice and try to close your ears to everyone not supporting you. before classes 06/24/07 316lbs. banded 01/24/08 292lbs. current 06/11/08 251.5
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Since my band I see a physician that does my fills. He works with the surgeon as well. He is a natropath as well as other things and ordered a lot of tests for me. He has put me on some caps. called Gluco-support that I take with each meal to help with the insulin. I have found out that I have a dairy,wheat and soy intolerance so I was fighting a losing battle with weight loss before. He also ordered a stack of caps. from the US from the Health Institute for me that are packed with vitamins. I had low Iron, Magnesium, Zinc and too much copper,oestrogon and insulin. I take heaps of caps. but it will only be for a couple of months to get everything working again. I have heaps more energy so something must be working. I am just lucky that this man was employed by the Bariatric surgery to do these tests on lap banders to help diagnose any problems. Good luck seeing your Dr today. Yes a fatty liver can be helped by diet. Saleel22
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Blue Cross Blue Shield Highmark
sunshine413 replied to cmbd's topic in PRE-Operation Weight Loss Surgery Q&A
I too have Blue Cross...they told me today they needed old medical records...btw, I sent them to my surgeon's office. The customer service rep was super nice...she said she had bariatric surgery in February and reassured me that bcbs is quick to approve surgery bc they understand it's better in the long run! Fingers still crossed!!!
