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I've never smoked, but my surgeon AND my insurance both required that smoking be completely stopped. My insurance said 3 months and my surgeon said 6 weeks. This is what I found as to why: "Nicotine can adversely influence the cardiovascular system, leading to irregular or unstable blood pressure (hemodynamic instability) under general anesthesia. Furthermore, the effects of nicotine have been proven to reduce blood flow, increase heart rate, and induce hypertension. Maintaining a good blood flow is important both during and after surgery, which is why nicotine is so dangerous to surgical patients."
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in my case it was the surgeon's requirement. It wasn't mentioned in the insurance requirements. I quit smoking 30 years ago, so it wasn't an issue for me, but in class we were told we had to stop smoking and could never smoke again. I just googled how long it takes nicotine to leave your bloodstream. According to WebMD, it usually takes 1-3 days.
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Calories at maintenance shock
Arabesque replied to Hope4NewMe's topic in General Weight Loss Surgery Discussions
That seems an awfully low caloric goal for maintenance for someone your height & weight unless you are not active at all. Have you checked a BMR (basal metabolic rate) calculator (linked the one I used below). It’s not perfect but it will give you an idea of what you may need to be consuming to maintain. Of course other issues that calculator doesn’t consider (like medical issues, medications, genetics, metabolism, muscle mass, etc.) can impact how many calories you may need. I checked mine a few months back out of interest & discovered it recommended about what I had been consuming (1500 +/- calories) for someone my age, height, weight, gender & activity level (not much lol!). So it was about right, at least for me, as I’ve been pretty stable with my weight (except for about a 5lb gain because of a medication issue - sorted it & lost 3 of those lbs without doing anything). You may be surprised how much food 1500 calories actually is. I eat about a recommended serving size (e.g. 3-4ozs meat & a good cup of green vegetables), eat three meals a day & about 4 snacks. But I am pretty careful with what I eat so mostly nutritionally dense foods that are predominately low processed. Best thing to do though is to slowly increase your calories & watch the scales. You may need more or fewer calories than what your dietician suggested or the BMR calculator recommends. Be careful though. An extra 100 calories a day will equate to about a 10kb gain over a year - gasp! https://www.calculator.net/bmr-calculator.html -
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How long from first doctor visit to surgery?
gadgetgirl68 replied to KD in CT's topic in PRE-Operation Weight Loss Surgery Q&A
It took me 3 weeks, but every insurance is different, Weight Loss Hospital Programs, pre-op weight loss requirements are different. -
How long were you down and out?
gadgetgirl68 replied to AmberFL's topic in Gastric Sleeve Surgery Forums
Two weeks should be no problem. My doctor gave me 8 weeks. Disability usually covers 6 weeks for non-government workers. FMLA covers 12 weeks, but that's just to keep your job...that's not the payment part. Hope this helps. Also, FMLA paperwork is different than the Disability paperwork. -
Calories at maintenance shock
SleeveToBypass2023 replied to Hope4NewMe's topic in General Weight Loss Surgery Discussions
I'm almost 15 months out from my original surgery and 3 months out from my revision. These numbers are where I was at when I hit around 10 months out and I've pretty much stayed here because I'm used to it. I was told I could go up if I want, and I may go up to 1200 on non work out days and 1400 on workouts since I'm doing heavier and longer workouts now. But with the smaller stomachs that we have, and the frequency we're supposed to eat, and the kinds of things we're supposed to eat, it is actually a lot easier to stay at the lower calorie amounts. You definitely shouldn't be anywhere near 2000 per day. -
I am 6 weeks out from surgery and 23 lbs down (sleeved on 08/15/23). Can I eat a low carb tortilla with cheese and chicken? Has anyone else tried? I’m past the soft diet and now on a regular diet, so I’m scared to try new things. I’ve been very careful and haven’t been sick yet (knock on wood).
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September 2023 Surgery buddies
Cary38 replied to Breaking notsobad's topic in PRE-Operation Weight Loss Surgery Q&A
I had the sleeve done exactly a week ago 9/18/23 lost about 12lb. Having the gas pain or pressure in the abdomen is horrible. I don’t know how to get rid of it. But from what I read in articles that’s normal my body is going thru a big change. -
I'm a year out from my surgery and at my last dietitian meeting we discussed maintenance calories which I have been looking forward to that discussion for forever but I was really shocked and I can't believe I didn't know this after all of my research before and after surgery. He said my calorie goals for life should be between 1300 and 1500 and I had no idea that was going to be so low. I honestly went into surgery thinking that the average calories a person eats is 2000 so I must be eating 3000 or more to be so over weight and I just needed to get back to normal. I thought that I would be able to use the surgery and lack of hunger to eat super low calories and lose the weight and since month 3 I've been at 1000 a day. My hunger is back and 1000 is a struggle now and I'm using all my years of diet experience to fill up on low calorie food as well as hitting all my protein and water goals. I thought that soon I'll be able to eat more so it's just a temporary situation, but now I'm worried about long term success. If I'm hungry at 1000, I don't think 300 more calories is really going make a huge difference. So now I'm wondering if the reason why so many people gain the weight back after surgery is because to keep it off we have to keep our calories so low forever? Also, why do we have to keep our calories so low? Why is the average calories 2000 but for bariatric patients 1300 to 1500 is the goal? I always thought that anything under 1500 wasn't a safe number but when I asked my dietitian all of these questions he didn't know. He just knew that to maintain the weight loss, that's the normal goal and that if I wanted to eat more I could exercise more. So did everyone else know that the calories after surgery were going to be low for life and I just somehow missed this important fact? Anyone know why our average doesn't match the so called normal average? I was really excited to be close to goal but now I'm scared because I can see now how easily it can all go away.
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Ibuprofen 1 Yr Post Op
RickM replied to ShianRaineDrop's topic in POST-Operation Weight Loss Surgery Q&A
The issue at hand here is that NSAIDs are a big NO-NO for bypass patients, owing to quirks of the bypass anatomy, specifically that the anastomosis where the stomach pouch is tied to the intestines (the stoma) is at a downstream part of the intestine that is not acid tolerant, as the duodenum is (the part of the intestine immediately downstream of the normal stomach.) Consequently, that stoma is easily irritated by the acid from the pouch, and doesn't need any additional stress from stomach irritating medications such as NSAIDs. The most common place for ulcers in a bypass patient is at the stoma. The sleeve based procedures like the VSG or DS don't have that problem as the normal anatomy is preserved in that respect. It still pays to be cautious as the stomach has been cut and reduced, but all the suture lines are amongst normal acid resistant stomach tissues, so there isn't nearly the sensitivity that there is in the bypass. Many practices simply carry over their bypass experience and advice to their sleeve patients owing to an (over)abundance of caution, simplicity, and their lack of direct experience with the sleeve and NSAIDs. When I had my sleeve around twelve years ago, our surgeon's advice was to use them as needed post op as soon as the narcotic pain relievers were no longer appropriate (so, within a week or two,) though when I talked to him more recently he was more of a mind of within a few months post op. -
Portion sizes between RNY and Omega Loop Bypass.
Stormwood posted a topic in Gastric Bypass Surgery Forums
Hello! This is my first post on this Forum about that and maybe you can give me some insight. i'm 3 weeks post op from Germany and i have a RNY-Bypass i'm okay so far no pain enough fluid struggle with food which is normal this early i guess. the Question i really have, i use to watch a lot of youtubers for meal plans and "how my future could look" and most of them just say "i did have a bypass" but not specifically which one, i once heard that the RNY bypass will always have way smaller portions than the Omega-sleeve and i'd like to ask if thats True and i'm also very Intrested to hear how your Portionsizes are after lets say, 3 year Post op. thanks and have a great day -
September 2023 Surgery buddies
ShooterInTheSix replied to Breaking notsobad's topic in PRE-Operation Weight Loss Surgery Q&A
My program is; 1.Clear fluids (1–2 days while in hospital) 2.Full fluids (2 weeks) 3.Pureed diet (2–4 weeks) 4.Soft diet (2–4 weeks) 5.Regular diet Full fluids after the hospital stay are defined as; Blended broth/cream-based soups (no chunks) Cooked cereal, thinned with milk (e.g. cream of wheat) Milk or alternatives (e.g. soy, almond, rice milk) Low-fat, sugar-free pudding Vegetable juice Low-fat, sugar-free yogurt Protein shakes/powder 70-100g protein daily -
For the love of ALL THINGS HOLY, chew your food SLOOOOOWLY!!!!!!
BigSue replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I used to get that stuck-on-the-way-down experience fairly often when I first reintroduced meat after surgery, but I have learned to chew my food really well to the point that it has become automatic and I rarely have that problem anymore. But last week, I went to a restaurant and got some really delicious snapper, and it was so good that I ate too much, too fast and regretted it. Fortunately, the feeling passed after about an hour, but it was not a pleasant hour and like your ham experience, it was a good reminder that I still have to eat slowly and chew well. -
September 2023 Surgery buddies
Desyre replied to Breaking notsobad's topic in PRE-Operation Weight Loss Surgery Q&A
It really depends on what your doctor says. I had my surgery on the 20th and right now I am still in the clear liquid stage (no shakes yet). I sip a drink every 10-15 minutes. However, this week, I can begin to add pudding and yogurt. Each doctor's recommendations are different as I have seen others start right way with some pureed foods. -
Yay! I'm so glad that there is a group for October sleevers. I'm sister did the gastric sleeve surgery 3 years ago and she speaks very highly of having a month group to chat and process with. My surgery date is October 20th.
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I can gulp water 2 weeks post surgery- normal??
SleeveToBypass2023 replied to Kerry_girl's topic in POST-Operation Weight Loss Surgery Q&A
What surgery did you have? When I had my sleeve, I was so sensitive to temperature of liquids, amounts, had to sip very slowly. When I had my revision to bypass, I was able to drink an entire 20oz of water 3 hours after surgery and haven't had any issues at all. Some people on here had to take it slow when they got home, some were able to just jump in and drink however much they wanted. I was in both camps. -
I can gulp water 2 weeks post surgery- normal??
Kerry_girl posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi all, sorry I'm new to this, looking for advice. I am just under 2 weeks post surgery and feeling fine. I don't feel hungry so living on protein shakes. I am a little worried though as I can gulp water (also a glass at once!). Is there anyone else that could do that? just worried my sleeve isn't small enough or not working? Am I over worrying?? Thank you -
For the love of ALL THINGS HOLY, chew your food SLOOOOOWLY!!!!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
OMG, ok here's what happened. So last night, for the first time in a year and a half, I was finally in the mood for some ham (lost my liking of pork for a long time). So hubby made a hickory smoked, spiral cut ham. OMG it was AMAZING. I took a tentative bite and it was like a FLAVOR EXPLOSION in my mouth. So delicious!!! I was so excited to actually like it again that I scarfed it down. Like, I ate all 3 ounces of ham in under a minute. Do not, I repeat, DO NOT do that. Ever. Once you have your surgery (especially if it's the bypass) DO NOT EVER EVER EVER scarf your food. Even if you want to. Even if it's the greatest food in the history of all food ever. Do NOT eat it quickly. Go slow and chew it. Pretend you're a train and CHEW CHEW it. About 5 minutes after I finished eating, I was in hell. OMG. The pain, the stuck feeling, the "omg my stomach is gonna burst" feeling, the nausea, the praying to ALL the deities and making bargains and deals and swearing to never do it again...it all started. I was MISERABLE all night. And I DO mean all night. So learn from me, people. NOTHING tastes good enough to make that TERRIBLE behavior even remotely worth it. Be very mindful about what you eat, how fast you eat it, and how much of it you eat. This concludes my TED talk. -
September 2023 Surgery buddies
Desyre replied to Breaking notsobad's topic in PRE-Operation Weight Loss Surgery Q&A
I just had my surgery on the 20th. I was on the liquid diet for two weeks and it is hard. I am not going to lie, but I did take a bite of food now and again in the beginning. I found later that if I used some type of seasoning that replicated some food tastes, then it helped. I used bacon seasoning, chicken seasoning, and other gourmet seasonings I could find. -
Starbucks Coffee or Latte's
New To This23 replied to MegProctor84's topic in POST-Operation Weight Loss Surgery Q&A
I don't know how many Starbucks there are where you live, but have you asked about sugar-free options at other locations? Because where I live (a very very small town, with 4 Starbucks, and 3 more in the town less than a mile away) They have all sorts of sugar-free options, I get sugar-free Irish cream syrup, but one location where I live does not offer it. I know for sure one location has sugar-free white chocolate sauce. -
Before and After Pics
FINFAN3DP replied to Roserie's topic in POST-Operation Weight Loss Surgery Q&A
Pic on the left was Ford ST SUV Experience 2020, Right was Ford ST SUV Experience 2023. Exactly 3 years to the day. Surgery was Jan 2021. Still not at "my" goal, but getting there slowly. Need to buckle down a bit. Funniest part about these pics is that you can see my belt! -
How long from first doctor visit to surgery?
firesafety replied to KD in CT's topic in PRE-Operation Weight Loss Surgery Q&A
they tell me about 4 months - insurance requirement. I do not have a surgery date as of yet but sometime in November. Have health issues is the main reason for the gastric sleeve. so far I have had a psych evaluation, 2 dietitians visits - useless in my mind. a endoscopy because of a hernia surgery 18 years ago, had to see the cardiologist because of the heart bypass I had 7 years ago, EKG and stress test just for his clearance. have 1 more appointment with my nephrologist because he will not clear me until there is a surgery date due to the fact, he doesn't like the fact I am cutting carbs and eating too much protein. I understand that because of the fact that I have stage 3 kidney Dease with only 1 kidney working. So, more labs a chat before he clears me. have to visit my endocrinologist because of my diabetes, have to make a plan to resolve the insulin resistance before surgery and then right after to check how my medications will need to be adjusted. Have to point out that all these doctors insist that surgery is no longer a choice but more of what is needed. my family also insist that I have surgery. Am hesitant about it to be totally honest. I feel that I do not overeat and have been on sugar free diet for 15 years now. But have tried and failed too many times on various diets never losing more that 15 lbs before hitting some kind of plateau and stall for weeks. So frustrating. I am going forward to have the sleeve. will post my progress as I know more. -
August 2023 Surgery Buddies!
Victoria Wank replied to kayhay0714's topic in PRE-Operation Weight Loss Surgery Q&A
The major fatigue will get better. It’s a result of the surgery. As for the “3-week stall,” check your bowels. Have you had a bowel movement since the surgery? I ended up in the ER with severe constipation. The doctor prescribed Miralax and Lactulose. -
Fat Free Salad Dressing for the Pre-op?
firesafety replied to BrooklynHearted's topic in PRE-Operation Weight Loss Surgery Q&A
have been using balsamic dressing almost daily. have been also prepping for the liquid diet to come have 6-76 more weeks before surgery at this point. Been drinking 2 protein shakes a day then a meal around 4 pm. good luck with everything -
Bloodwork showed type 2 diabetes
summerseeker replied to Theia103121's topic in General Weight Loss Surgery Discussions
I rarely disagree with an opinion on here but on the point of exercise I do. Before surgery I was too disabled to exercise. Staying indoors during the covid years had added lots of weight on my carcass. [ it was a government decision to keep certain people with certain illnesses indoors ] I was too old and too heavy to even begin basic exercises. After surgery it took a lot of bravery on my part to start walking. Everything scared me after being indoors for 2 years. At about 8 months out and 100lbs down, walking became easier for me. The only exercise I do is cooking, cleaning, walking, shopping and volunteering in a charity shop for one day a week. So I have done zero exercise and lost 150+ lbs
