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Don't panic. The PCP sounds like he needs to do some continuing education on WLS. That study primarily focuses on people who had RNY, since the sleeve didn't become popular until later.Those of us who had RNY can be at higher risk for bone loss because we have had several feet of the top part of our digestive tract removed. That's the malabsorption thing people talk about. VSG folks are still essentially intact but with just a smaller stomach (one of the highlights of VSG). Of course, keep taking your Calcium unless instructed otherwise by your surgery center, but as long as there are not other non-WLS factors that could cause bone loss (ongoing untreated low Vitamin D, heavy smoking or alcohol use, etc), the chances are low. This is based on findings from several studies by the ASMBS (American Society for Metabolic and Bariatric Surgery) - the managing organization for everything WLS. See screenshots. No more risk than with a lab band, and those have NO digestive tract change/removed. Hope that helps! ~SW: 278 CW: 165~ RNY 1/5/2005 "What got you here won't get you there."
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Sabatoging my progress......
btrieger replied to deb12983's topic in POST-Operation Weight Loss Surgery Q&A
I'm with Betsy on this one. I have a problem with alcohol, gambling and food. None of these are addictions for me. They are compulsions. I hide behind them or use them to fill in voids in my life. Finding a non-destructive hobby will definitely curb all of the above. Calling it an addiction is just a way of justifying your actions to yourself and others. Deb, You did great for a couple of weeks but were you depriving yourself of the things you now crave? If so, that is where the problem lays. There are no bad foods when eaten in moderation. It sounds like you may have been trying a little too hard. Meet in the middle and eat at a rate where you will lose half as much as you were over the last couple of months. You'll still lose weight, yet you won't be depriving yourself as much. -
Veterans: Do you follow the rules?
CowgirlJane replied to EarthyGoalie's topic in POST-Operation Weight Loss Surgery Q&A
Not all of us had the same "rules" anyway. If I ate like your friend I would weigh 300 again. If I eat anything even approaching a "normal" diet I gain pounds. It is just how it is, I need to be a small eater of dense Protein and veggies FOREVER. I do have "treats" like alcohol sometimes but not a daily thing. My daily habits generally follow the "sleever" rules. -
Veterans: Do you follow the rules?
vogue replied to EarthyGoalie's topic in POST-Operation Weight Loss Surgery Q&A
I never went strictly by the rules and did fine. I exercise pretty consistently. I eat 1800-2000 calories a day. I try to hit 100 carbs every day but that merely by eyeballing as I don't track my food anymore. I am 145 pounds, size. 4.. 5'7.5". I have stayed within. 3 pounds of 145 for months. I drink alcohol & have sweets though when I sense I'm overdoing it I scale back. I drink over a gallon of water every day -
Going for Psychological testing tomorrow!!
sweet_liberty replied to Sooverit!'s topic in PRE-Operation Weight Loss Surgery Q&A
haha I just had mine yesterday ..seems we had the same questions ..my favorite was something about "my photo was on all the latest magazines this week" or something like that. In all honesty, out of 165 questions, there were really about 20 questions, just worded differently over and over. I felt a lot of them didn't apply to me ..the ones about drugs and alcohol usage, religious/spirituality questions, the "bossy" people ones and the "bending the law" ones ..but I guess they have to ask, to be sure you have some grasp on reality. After that I chatted with the Doc (with my husband) for about 45 minutes, he asked lots of questions and then told me the good and the bad of what he sees in my personality and how the surgery will apply to me. I was really anxious beforehand but it really ended up being no big deal and was even kind of interesting to get a professionals view. -
Help!!! I need help, please
MerryHearted replied to WolfGoddess30's topic in LAP-BAND Surgery Forums
Do you have a copy of your bandster guidelines? I'm at work, but I think they are something like this: 1. Eat 3-4 oz of solid Protein twice a day, plus 1/2 to 1 cup of produce after the protein 3. Avoid Pasta, potatoes, rice, bread and other high-glycemic index foods. 4. Drink at least 64 oz of non-caloric fluids daily (except for up to 16 oz of milk, which is fine) 5. Do not drink anything for at least 1 hr after eating. 6. Avoid any mushy foods that slide through the band too easily - yogurt, cream Soups, etc. 7. Take a multi-Vitamin daily 8. Get 30 min of exercise at least 3 days a week 9. Stay away from junk food and alcohol Are you having any trouble with any of those? Even if you are following them really well, most people say those last few pounds are the toughest. So hang in there. Oh - fitday.com is free if you want to try logging all your food for a couple weeks and see what your daily intake is. Might be too high or too low. Congrats on the 80 lbs you lost -- that's fantastic! I can't wait til I'm out of plus sizes. :thumbup: -
Thanks for the great advice. Tiff. I am going to set a menu, I think that will help somewhat. I am currently taking Nexium. I have been on it for years. He took me off it post-op, not sure why, but the reflux was still there, and I have been back on it for months now. I never really counted carbs and was losing before. But, maybe I need to watch them now! At least to get back on track. I checked the Protein Bars, they have 2g of sugar. But what is sugar alcohols? It does say it contains that. But, I am not buying anymore, because I think they only make me hungry. Thanks!!
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Stupid Carb Question.
doxieville replied to ljperez's topic in POST-Operation Weight Loss Surgery Q&A
Yes, I do Net Carbs. Total Carbs - Fiber + sugar alcohols = total I lost 40pounds in 3 months eating the Atkins way, and i don't eat red or processed meat. I really like eating this way bcs I don't eat fake or low fat either. It never agreed with me. I am tracking my calories on MFP. I've managed to keep my calories between 600-800 post surgery. Pre-surgery I have no idea. Honestly, I'm not sure what is going to work for me long term, but I like cheese too much to give it up. :-) But, I think I need more carbs for my workouts. So.....I'm a work in progress. -
No ranch. No no no no no. No ranch. LOL!!! Dressing is just awful for you. If you want some flavor, add a little hummus (I love black bean hummus, but not too much) or salt & pepper. A good trick for salads is to dip your fork in the dressing vs. pouring it on. Or, add salsa instead of dressing. I haven't tried that but heard it's a good solution. Dressing (like Mayo and other condiments) has so many calories in such a small amount. And who only uses a little ranch? It's like alcohol - just not worth the calories. I'll indugle every now and then but it's very rare.
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just be careful - transfer addiction is a risk for bariatric patients. I've seen more than a few people post on various internet forums that they developed alcoholism after bariatric surgery. That's not to say you can't enjoy a drink once in awhile. But...watch it.
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Any foods permanently off your safe list?
ms.sss replied to 2Bsmaller18's topic in Food and Nutrition
Surgeon had no list nor limits, he just said, try stuff out one by one and see if it agrees with you. He did say no NSAIDS, but we are talking food here... Nutritionist said no Alcohol nor Carbonated Drinks (I choose to drink them anyway, and nutritionist gives me sad, disappointed faces). I say no bread, pasta, rice. Everyone says: Limit/watch the sugar. -
I wonder if the "quick drunk" thing is more common in RNY patients since the pyloric valve is bypassed. Liquids go directly into our intestines (and right into our blood stream). I know alcoholism is a risk with any WLS, but the rapid intoxication may be more of an issue with RNY. I don't know this for a fact, though...
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Alcohol is empty calories you know- but you're a Grownup so YMYBYC ( your money- your body-your choice) Okay?
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Sabatoging my progress......
ElfiePoo replied to deb12983's topic in POST-Operation Weight Loss Surgery Q&A
True, but that is not what qualifies it as an addiction. Some people have an addiction to sex, gambling, shopping, etc...none of which will cause death if the addiction were withdrawn. Even with alcoholism, life-threatening physiological responses aren't always a fact. It depends on how long that person has been an alcoholic and how much they've been drinking. My brother, 4 uncles and several cousins are all alcoholics. At some point in their lives, they all just went cold turkey without life-threatening complications. At this stage of their addiction, it would definitely be life threatening. I think that is a very good point even for those with an addiction. Addicts don't just quit their particular demon. They get group and individual support. They have a mentor who looks out for them and who's there during their moments of crisis. They get therapy to learn behavior modification. Changing our behavior is just the beginning. Unless we figure out what sets us off, we'll continue to go round and round with our weight. It's great aversion therapy. I made a cherry kuchen to take to a homebound acquaintance's home when I visit this afternoon and I timed it so that it would be out of the oven after I'd eaten lunch because if I try to eat a piece of that now, after I'm full from lunch, Hilda (my band) is going to slap me hard. I'd make a lousy spy because I'd do just about anything to avoid pain. :w00t: -
Sabatoging my progress......
ElfiePoo replied to deb12983's topic in POST-Operation Weight Loss Surgery Q&A
Just as an alcoholic or gambler or shopping addict uses their addiction to comfort their fears and insecurities. :w00t: In the past it was believed that you could 'cure' an addict by getting to the root cause. Now we know that just isn't true. . -
Sabatoging my progress......
ElfiePoo replied to deb12983's topic in POST-Operation Weight Loss Surgery Q&A
It isn't different and that is why the medical community now recognizes there is such a thing as food addiction. You're also comparing from two different angles. A food addict is addicted to food and there is a physical dependence as I explained in my previous post. You said, "if you don't overeat you don't experience physical and neurological changes that threaten your life." Guess what. Neither does an alcoholic. It is only when the alcoholic is in the throes of his addiction, or withdrawing from it, that he does...as does the food addict in the throes of their addiction and/or their withdrawal from it. *You* may not be a food addict. As I said in my previous post, there are many reasons for being overweight and not all of them are necessarily a result of an addiction. As part of my doctoral degree, I was required to go through therapy myself and I know that my relationship with food absolutely meets all the criteria of an addiction. That 'revelation' is actually what led me to WLS. I agree that not everyone's will be an 'addiction', but in the meantime we should not be making judgments about someone else's relationship with food. First because most here are not trained in behavioral modification therapy or any other type of therapy and even those of us who are only see a fraction of a person's true thoughts and feelings in these posts. . -
I was told no alcohol for 6 months. Couldn't even have on on my birthday.
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I have an addictive personality as well. I know if I had access to pain meds, I would use them everyday (lortabs, hydrocodine, etc.). Kind of like the bad tempting foods, my solution is to not have them where I can get them. I could get pain meds for my back, but I know what I'd do with them. I never was a fan of alcohol fortunately, even though alcoholism is rampant in both sides of my family. I do smoke though, almost 2 packs a day now since banding (1 pack a day before). I am going to try Chantix soon. It's too expensive to be a smoker and since you can't smoke in public anymore, it's no fun.
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I had my psych evaluation in August 07. It's a pretty straight forward thing. They seem to be looking for the fact that you know what you are getting into. They go over the emotional eating thing, do you have any people who are addicts, alcoholics, etc. in your family - that type of stuff. One of the things that they are looking for is that you fit what they think is the type of person who can succeed with the band. Therefore, if they hear words that tell them you eat emotionally or that you have a lot of family/life issues they become concerned. I don't think that they would ever cancel you permanently unless they thought you would be doing yourself harm if you got one - i.e. anorixia or something like that. The band does take some work so that you can succeed and from the sounds of it getting stuck isn't the place to be. I've only been banded for 9 days so I'm still on liquids and I don't want to go to the stuck place. If you are a person who has a lot of problems with emotional eating, they want to get you the help you need to work through those problems. Again, they are doing this to try to help you succeed. I didn't feel that any of the questions were "trick" questions. It's pretty straight forward. My daughter has had some emotional issues and is having to complete some classes before she gets banded. She is comfortable with this which is good because it has put off her surgery for months. Don't let that get you worried because the whole process is taking months now. She wants to get the issues resolved because she doesn't want to go through surgery just to be in the same place she is now. I have read of people who did not recognize their emotional ties to food and have become depressed because they don't know how to handle their problems after banding. I'm just rambling here so please don't take offense. Once again, the psych appointment is pretty easy. Just listen to the question and realize that they are on your side. I hope this helps.
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I would not at all drink wine so soon after surgery. (I'm assuming you are banded.) If you venture into the "graves" e.g., Bordeaux, St Emilion, Medoc.Nuits St Georges...anything rich in tannic acid (Bordeauxs especially)...that is acidic. I think the other replies are dealing with the effect of alcohol on your brain, but I personally would not want to be putting tannic acid in a newly-operated upon stomach. You are still healing, you want to baby that area. Again, I would not do this so early out of WLS, because I'm very fearful of doing anything to put my band at risk.
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My doc told me a year before any alcoholic beverages
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I am 1 month out. Last night I went to a concert with dinner before hand. I had a few ounces of hummus and also ordered a Cabernet. I had 4 sips of it over an hour. I didn't get sick. The first sip was too big and it kind of rushed to my head at first but I was fine. No pain. I got slightly buzzed but didn't last long at all. It was kind of weird for me to be at a concert with so much alcohol and not partake, but I still had a blast! I danced around and had fun
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You will find it hard going on holiday so soon after your op! The good news is that the pain from the air they pump in you during the op should be all gone then (mine was hurting in the shoulders and it is not funny, so if you have not heard about it yet, be warned! but it normaully only lasts between 7 and 10 days) As for drinking, you will be on your post op fluid period. This means that you will be able to drink but be careful with those hidden calories in alcohol! Do you think you will find it hard to be on fluids and mushy only whilst on holiday? Might be an idea to get yourself prepared as I am not sure how helpful restaurants will be with your post op diet??!! Let us know how you get on.
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@kindle: ???????????????????????????????????????????????? sending positive thoughts your way that your train wreck will get better! I think you have won half the battle, knowing that food and alcohol will only make things worse! Love your attitude!
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Wait patiently and work on lifestyle modifications. Try getting some walking in, start eliminating things from your diet that you won't be able to have after surgery. I found that this was very helpful. Recovery is hard enough without going through withdrawal from cravings. Give up the sugar, simple starches, caffeine, soda, alcohol. If dieting worked for you, you would have already lost the weight and kept it off by now. Like many of us, you have probably lost and regained many times. All that does is wreck your metabolism and short circuit the stomach-brain transmissions, making permanent weight loss nigh unto impossible. The time will past quickly, with holidays right around the corner, and starting a new job. Hang in there!
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