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Well I take regular vitamins daily.. I take iron and vitamin d and a multi for a while now... As far as the bariatric ones.. probably going to stick my regular routine and add biotin, calcium and a probiotic. Barimelts is the brand I wanna go with... I've heard so many great stuff about them Sent from my SM-G965U using BariatricPal mobile app

You also should have cholesterol checked. There are documented cases of people developing starvation-induced high cholesterol after high weight loss. Your symptoms correlate closely to what you describe. "A 25-y-old policeman who had sleeve gastrectomy for morbid obesity 10 mo previously presented with generalized weakness, constipation, and significant weight loss after severe dietary restriction." All of his bariatric lab had been normal. Transient Severe Hypercholesterolemia Following Bariatric Surgery Treated Successfully With Increased Food Intake https://pubmed.ncbi.nlm.nih.gov/26732832/?from_single_result=starvation-induced+hypercholesterolemia Sent from my SM-T580 using BariatricPal mobile app

I use BariatricPal Multivitamin ONE "1 per Day!" Bariatric Multivitamin Flavorless capsules from https://store.bariatricpal.com/collections/bariatricpal-multivitamin-one! BariatricPal has a special offer where it'll cost you only $99 for an entire year supply! Check it out at https://store.bariatricpal.com/99 With just ONE convenient & affordable BariatricPal Multivitamin ONE each day, you can get the bariatric vitamins and minerals you need to stay healthy! BariatricPal Multivitamin ONE was designed and developed by a team of the world's leading Bariatric medical professionals. Please take a calcium supplement separately to prevent interference with absorption of iron. You can view a large selection of bariatric friendly Calcium supplements at https://store.bariatricpal.com/collections/calcium. You can also find many other brands of bariatric multivitamins at https://store.bariatricpal.com/collections/multivitamins.

Hi. I was scheduled in OCC with dr Ariel Ortiz in July. They’ve been closed throughout the pandemic. Now that they’re re opening in July they came out with a tremendous amount of new requirements that are making it very difficult for me. (For example need to be there 2 days before surgery) I’m strongly considering switching to Tijuana bariatrics with dr Garcia or renew with one of their doctors. what are your thoughts? I’m so confused. 🤦‍♀️ I just want this done already!

Hello All, I need your help/advice, I had my gastric bypass completed back on Oct 2018 and still continue to feel weak. I'm currently taking the Optisource, post bariatric surgery vitamins and my labs come out just fine but I continue to feel weak and always feel tired. Another of my medical conditions is depression which I've been experiencing for years since before my surgery. I was able to meet my weight loss goal but when walking I feel as I if I don't have the strength to support my body weight. At this point I don't know if this lack of strength is due to my depression or a consequence of the weight loss surgery. If anyone has information they can share it will be greatly appreciated Thank you in advance

Im a little confused, is it Bariatric Pal Hospital or Hospital BC? I have heard that it is referenced as both names. If I have acid reflux is it ok to have the Gastric Sleeve or would I need the Gastric Bypass? Thank you Tammy Weller

Disagree if you like, but almost every bariatric surgeon and mental health expert in the world would agree with me. I didn’t pull that out of nowhere, it was not just a personal opinion. From what you posted it seems that you believe that you think you know better than all those healthcare professionals. There are so many studies and articles on the topic, but here are only a very few: Discrepancy Between Ideal and Realistic Goal Weights in Three Bariatric Procedures: Who Is Likely to Be Unrealistic? Published in Obesity Surgery https://pubmed.ncbi.nlm.nih.gov/19789932/ Unrealistic Weight Loss Expectations of Bariatric Surgery Patients. On Weight Loss Surgery News. https://www.wlshelp.com/news/unrealistic-weight-loss-expectations-of-bariatric-surgery-patients/ Evaluation of expectations and knowledge in bariatric surgery. In Surgery for Obesity and Related Diseases. https://www.sciencedirect.com/science/article/abs/pii/S1550728907004960 One of the factors being assessed by those doing pee-surgical screenings is whether or not the patient has reasonable goals since unrealistic goals too often lead to failure and disappointment. Telling people to have reasonable goals is not the same thing as saying someone should not work hard toward a goal. I lost 100 pounds after menopause through diet and exercise with a thyroid disorder and PCOS, so know that I’m really well versed in what it takes to meet big goals. But as someone now 8 years out from that loss, I can assure you that results 1 year out aren’t the same as 5 years out and further (no matter how the weight was lost). So it might be good to be a bit less certain of the future and ongoing results and allow that perhaps there is more to what happens with our bodies that putting our mind to it. That is, after all, why most are having this surgery vs. losing it via Jenny Craig, yes? People have very different physiological systems, resources, and abilities and just wanting something doesn’t make it happen (that only happens in magic). The point of my post was to say that the original poster should stop beating herself up - surprising that anyone found something to argue with about that. For most people these boards are a stopping off point for a while, as it Is that for me. I am not here to get into power plays or high school like squabbles. I don’t need people to follow me or agree with me. But science doesn’t lie and the facts are the facts. A motivational speech doesn’t change any of that.

I had my surgery 5-21 and since I started my Journey I've lost 82.8 pounds. I'm just wondering if anyone is dating anymore and is it harder after having bariatric surgery? Have a great day! Sent from my SM-N960U using BariatricPal mobile app

Weighing in at 173.4 this morning. Yesterday I had scrambled egg, 1/2 slice of bacon, and 1/4 of a biscuit for breakfast. I had no issues at all nor did I feel anything. I do chew chew chew out of fear that something could get stuck or so I have heard. I am trying not to find out, lol . I can hardly wait for June 23 to go to see Wendy ( NP for the bariatric center ) I need to pick her brain and hopefully I will feel better on what I am suppose to be doing with this pouch. No one ever gave me measurements for food so I have been eating like I did in the beginning with the sleeve but smaller portions because of fear. I did call the Dr. office on Thursday because of the pain in my right side. I was told it might be from the nerves being cut. I think I pulled a muscle really good. Either way it is starting to feel a little better. It still hurts to cough and laugh.

My main concern with RNY was the increased limitations, should we need a serious drug up the road that is not adaptable to our new system. I do believe with the huge (pun intended) increase in bariatric surgery, more and more pharmaceutical companies are taking our dilemma to heart (and to the bank also)! Though surgeon said no more aspirin again, ever! You betcha one will be headed down my throat fast if a heart attack is suspected— Judgment in emergency situations. I believe NSAID’s are out for Sleevers just as they are for RNY-ers.? Not sure tho.. Nutrient absorption was also a RNY concern..but if you are a disciplined person who will take your supplements FAITHFULLY, for life, and ensure you eat balanced NUTRIENT RICH foods, I believe all will be well. Certainly will be healthier than the SICK route I faced with obesity.🤧

well, that's true. I did end up getting down to a normal BMI, but my surgeon said only about 10-15% of his patients make it that far. Research appears to back that statistic up. Although I do know a lot of people who have done it (mostly on this or other bariatric forums - it may be partially due to all the support we get here - and reading through threads every day may make it front & center in our minds all the time?? Not sure....). It does take a TON of work though. The first 100 lbs came off relatively easily (for me). The last 40 or so were torture.

I may have missed it, but is this a goal you came up with per your surgeon or only a personal goal? I ask because most people are unrealistic about the weight they will lose via bariatric surgery (according to the research). The expectation is that those with a sleeve will lose 50-70% of the excess weight (some lose less). So the likelihood for most of reaching a truly normal point is very low. That isn’t me being negative, those are the facts. So when you are judging yourself, just judge by realistic, fair standards.

@Rose57 Not only are you going to get 100 different answers, but YOUR tastes may change pre and post-op. For example, I really liked the Premier Protein ready-to-drink shakes before surgery. They tasted good and they were convenient. After surgery, I just couldn't tolerate them. They were too sweet and the texture seemed a little too thick and slimy for me. I was fortunate enough to receive several samples after surgery. I liked the Bariatric Advantage, but my favorite by far is Unjury. I keep several canisters in my pantry as staples and ALWAYS have some unflavored on hand. I also liked that Unjury had savory flavors. Not a fan of the Santa Fe Chili, but the Chicken Soup is very good (high in sodium).

Have been visiting my Bariatric clinic initially for undergoing the Sleeve procedure, however with my last surgeon visit, he said he recommends that I get the Bypass. With the increase of GERD after Sleeve, and the numerous revisions from Sleeve to Bypass...he says if you'd like to avoid this in the future and save a surgery then it would be better just to do Bypass. WHOAH! Bypass seems to me like the most drastic procedure for the most severe cases (IDK, I get that sensation). My question to Sleevers: If you could do it again, would you choose Bypass? Does GERD really get that bad?

Oh- I take non-essentials like collagen, saw palmetto, and hyaluronic acid for skin and hair. Plus flaxseed oil (omega 3,6,9), vitamin C, and D3. But thank you- I'll likely replace my multivitamin with the bariatric pal one when I get my surgery. Currently I take a pre-natal as my multi because it makes my hair amazing. (Yes I know I may lose some hair after surgery).

Hi!!!! June 2020 here! It's the great of total chaos! How is everyone???? I'm personally doing really well but I haven't been on bariatric pal in quite a long time! My surgery date was March 14th 2019. HW: 299 SW: 289 CW: 152 Sent from my LG-Q710AL using BariatricPal mobile app

I had the same instructions. I did not worry about calories in the first months. My dietician gave detailed instructions after my third month. Calories, protein, and carbohydrate ratios. Only my opinion. Don’t try to reinvent the wheel. Get solid in your dietitian’s weight loss plan first. When in doubt, call your bariatric office. You paid for them. No need to think about maintenance until you hit goal. Your dietitian’s food plan instructions will change to slow/stop weight loss.

Dr. Matthew Weiner has a lot of informational videos on YouTube. He covers a wide range of topics, I’ve learned a lot by watching him. This first video on metabolic thermostat/set point was a lightbulb moment for me. How bariatric surgery changes your hunger, metabolism and even your tastes for certain foods. Metabolic Thermostat This one is titled: Bariatric revisions, Will they help or not? Bariatric revision As always, listen to your own Doctor

I work in healthcare and so insurance /referrals are way too much of my world and these things are true: (1) most insurance companies do not require a referral for bariatric surgery (that actually would be a very rare requirement except perhaps for a few very stringent managed care plans) and 2) there are not many insurers that require your own PCP sign off on surgery (after all, that would take away your freedom), although the insurer may require a medical clearance from SOME physician (and that doesn’t have to be your PCP). I don’t know all your details, but I do know you can VOTE with your feet and get a new doc. Good luck 🌈

I could swallow everything except for Ursodiol and those giant calcium tablets as soon as I got out of the hospital. The PA at my bariatric clinic said anything the size of a pencil eraser or smaller could be swallowed whole - so, I did. The above poster is correct, though - some meds can't be crushed, so check with your doctor or pharmacist.

Sweetheart only thing I can tell you is remember everything that you learned for those first 6 months prior to surgery I'm not sure where you live but if you're a Costco member they have a lot of options for choosing the things that were supposed to allowed to eat but they're good like no GMOs baked whole wheat crisps with protein in every single chip and I found a big bag of chickpeas for snacking salted awesome protein and I tell you something I have had the most horrific experience with my bariatric surgery I can't specify which one because I had to have two different ones and not at my fault at the hands of the first surgeon that messed me up so bad the story is unbelievable I look horrible the first 6 months I dropped all my weight from 233 lbs down to 168 way too fast everything that I ever had as muscle boobs at all lost I don't have the hanging sagging skin but I'm skeletal I had nice boobs I know I heard stories about people who finished the bigness of their breasts but not like this mine is like just skin and I have always had nice breasts never had to wear a bra and now because those are gone that's what makes me look so skeletal my bones are sticking out for my collarbone you can see my top rib cage Alex sucked up like I'm some kind of drug addict or something I am very very sad I even have age that's all it did for me is aged me I look as old as my mother within I'd say it's been almost 2 years January it will be 2 years and I'm still having trouble finding an attorney to take the case I've had to take it and drop it the first dropped it because he did not know enough about bariatrics II dropped because all he was concerned about is how much money has law firm would lose if he didn't win and he just lost a case with bariatrics 120000 a cost at this for me said but he want to previous to that that's here nor there I'm sorry going off track here but you need to remember having a little bit of weight on you 173 I would love to be back that way that's a healthy weight unless you don't carry it very well and it's too much fatty fat instead of muscle protein protein protein do you work out cram the protein after if you are able you can buy a kayak it helps build your arms standing in front of a wall and put your palms up on it and that back couple steps and just do push-ups on the wall start there those are reps but it's also building the further back the heart of the pushing and then maybe you can start getting lower and lower until you're on a park bench and you're doing them sit on a picnic table put your feet hooked up under the seat on the other side and do sit ups if you have the energy to do that you can do those pretty much at any park I know it seems like a lot I have a damn exercise bike at right out there and I know I need to be building my muscles I literally don't have any the only reason I have a little bit back in my legs because I had to go to Florida and help my son move up here and he had mega steps up and down up and down with all the stuff but anyway I don't know how much you weigh before hand but it is not worth stressing your pouch I've had the sleeve done and who knew people have different shaped stomach sometimes there's actually several different ones I pretty much flipped out when I googled it but he and all of the bariatric surgeons are mandated and required to check the shape of everybody stomach prior to surgery and he did not do that with who knows probably none of his patients the surgeon who fixed me said I don't know why he didn't but we do end they keep track of you for the rest of your life but that first surgeon he did the cut for my sleeve and my stomach dropped and twisted almost shut and he would not listen when I kept trying to tell them there was something wrong I was regurgitating most of everything that I took in and if I was not the kind of person that if I couldn't find out by the doctors and they had no clue that I'm going to start researching what's going on with me so I was lucky enough to find out about the importance of thiamine which is vitamin B1 ... Because without that for specific amount of time and days there were two people same exact surgery that did not do the research and kept going back to the same idiot surgeon unfortunately in the hospice aim hospital and they both now cannot talk or walk and their in nursing homes ..I found an awesome surgeon that I knew exactly what was wrong and how to fix me but the only way to fix me is do a type of bypass but a shorter one okay but when he got into the side of me to do the surgery he said he could not believe how bad my stomach actually was twisted it was almost completely shut so he had to actually remove my stomach the rest of the stomach that was left from The cutting of the sleeve he said I should have never ever been offered sleeve because with the type of stomach I had there would have been no way to do it and I wasn't heavy enough at 2:33 really with my BMI to have a bypass and I wouldn't have had that anyway I wouldn't shows that I researched all my options prior to doing it begin with and that was not an option for me but in order for him to fix me that is the only thing that he was able to do and I had no choice so he made a itty bitty pause the size of an egg with the little part of some of the remaining sleeve before he had to remove it and I don't know how he did it but don't gain the weight this covered thing my personal opinion and I'm really sorry on some people don't agree I really don't share this much because it's not worth going into all stuff people it's kind of like talking politics LOL that's something you just don't do ... But I believe it's been blown out of proportion a little bit more then it needs to be maybe I'm wrong I do live in a small town in the country so it's not quite as bad as it is and I'm sure in certain States all that staying home and not working would have been necessary and doing it but not worldwide it just seems political it's definitely political... My point being don't allow the damn government to cause you to screw up everything you work so hard the gain or should I say lose... You've come too far before it gets too much more out of control if you don't want to search going up it goes fast and when you try to get it to go down it doesn't move so definitely protein vegetables fruit protein vegetables fruit avoid anything that has more than 9 grams of sugar in it and try to stay away from processed food just think healthy don't leave things out on your counter don't buy anything that you're not supposed to have at the store if you have the family that's going to be difficult but just try to remember using the small saucer for your portions anyway good luck with everything I've gone around John's barn on this one but sometimes we do that when we're talk texting lol stay safe much love good luck on your new life journey

So I was wondering if any of you have been given a range of carbs that is considered healthy or ok for us after bariatric surgery. do you have a max amount per meal or per day? My doctor and nutritionist keep telling me don’t worry about carbs or calories but instead to focus on getting at least 60 grams of protein a day. Of course, they don’t want me eating foods high in carbs like bread, pasta, and those types of things. But I’m just wondering if anyone has ever been given an actual number of what is “normal”. I’m 3 months post op if that makes a difference. thanks in advance!

So, I recently posted how good I feel with the current weight loss! The day after my post, I was at my seamstress, getting some of my favorite clothing taking up and we talked for an hour and all of a sudden I felt light headed and diaphoretic and told her I needed to sit down. My doctor had told me to take a half of my blood pressure medications and I had forgotten and taken the whole pill. I passed out and she gave me some orange juice after I came to and I told her I needed to call my husband because I couldn't drive home due to still feeling bad, my vision was blurry and I felt faint again but was able to contact my husband before passing out again, she spoke with him and told him I had passed out, she said I seizured and when I came to I had fallen into her glass mirror and had glass all over me but only had small cuts to my hand, my head hurt and was pounding and she truly felt I had a diabetic seizure, she said I fell forward out of the chair and hit the bottom of her full glass mirror, I do remember I kept yawning uncontrollable before passing out. With the Covid going on I refused to let my husband take me to the ER and contacted my primary which I had seen the day before. He thinks I over exerted myself by walking a mile and a half that morning and taking a whole blood pressure pill, my blood pressure was 118/72 and I didn't test my blood sugar d/t I have never had any issues prior with my BS. I drank G2 the rest of the day and the doctor told me not to walk and rest he rest of the weekend. Has anyone every experienced this? I am currently 5mths out and other than the scare I STILL FEEL GOOD! I received my blood work back Monday and all my levels are great! I have not walked any more but have been doing my 5lb weights. Any suggestions! I go to my Bariatric appointment the 23rd of this month.

Hi Tamwell, Here is some information about Dr. Illan: Dr. Selim Jalil Illan has been designated as a Master Surgeon in Metabolic and Bariatric Surgery, by the Surgical Review Corporation, Dr. Illan is a fellow of the American College of Surgeons (FACS), Dr. Selim Jalil Illan is a member of the American Society of Metabolic and Bariatric Surgery (ASMBS), The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), Member, Latin American Association of Endoscopic Surgery along with Mexican College for the Surgery of Obesity, Mexican Association of Endoscopic Surgery, Mexican Association of General Surgery, International Society of Surgery. Dr. Selim Jalil Illan held the position of Director of Emergency Trauma Surgery for nine years at IMSS Hospital #1. Bariactric Pal Mx, now Hospital BC, is specifically designed for bariatric patients, with equipment and facilities designed for bariatric patients, and a healthcare team full of experienced experts and successful bariatric surgery patients. Contact me if you want more information.

I agree - the microbiome is very fascinating. I actually had food intolerance issues for about 8 years until I went on a probiotic and prebiotic regimen about 5 years ago. Helped a lot with my digestion, but not with my weight unfortunately. However, studies also show that bariatric surgery changes the microbiome.