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Hi folx, My highest weight was 383 lbs in November 2020. I have Sleep Apnea, Hypertension (Managed Well on Meds), Acid Reflux, Mild Hiatal Hernia, and Anomalous Right Coronary Artery. When I had my sleeve surgery in November 2020, my BMI was 50.1. I was on a steady decline post op. I exercise, and somewhat maintain diet. I don’t overeat, but I am also not as religious as immediately following surgery. I have a new insurance provider because of a new job and would like to consider revision to a SADI-S since the gastric sleeve part is already done. And, it’s been shown to have the best long term outcomes. I have bariatric benefits, but I would like to know what I need to do to get my insurance to cover a revision. Also, after speaking to some medical professionals, I learned that with a BMI of 50.1, I probably should have had DS or Bypass to begin with. Why didn’t my doctor talk to me more about other options. I mean I had a great Doc. Best by far. But would have liked to had some more conversations. I know that DS won’t fix the reflux, but I think it could help address the other things. Thoughts?
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Congratulations! How did your weight loss progress? I hope it was smooth for you! I bet you’re so much more comfortable now and happy 😊
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Hi, I got my date for vsg last week, July 31st. Completed all my pre-op requirements and got insurance approval, just waiting for my appointment in mid-July to see what my pre-surgery diet will be. I'm excited but also nervous. I've gone back and forth on the surgery vs. trying those new weight loss drugs but i really feel that the vsg is the best long term solution for hopefully getting the weight off and keeping it off. Looking forward to stopping the dieting merry-go-round I've been on for 30 years. I've told my Mom and one friend at work and both have been supportive. Don't think I'll really be sharing it with anyone else. I've been getting support and some really good information on the /gastricsleeve reddit (i'm a Reddit junkie) and watching youtube videos of other people's journey's.
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HELP! I itch everywhere
pintsizedmallrat replied to LindsayT's topic in POST-Operation Weight Loss Surgery Q&A
I felt like my skin got itchy after my weight loss kicked back into gear, it almost makes me wonder if the process of my skin retracting makes it itch. -
Hang in there and keep your eye on the long term prize! I am feeling your pain and currently struggling with 10 day stall at 4 1/2 months post op. This is probably my 3rd stall so far. I’ve lost 70 lbs (includes pre and post op) so know I’m on the right track. Its hard to mentally keep things in perspective when we depend on the daily encouragement of seeing the scale drop. If it doesn’t move I have to fight the mental battle that I’m failing. Im still learning how to not completely obsess over the weight loss and allow myself to enjoy where I’m at today. It’s hard to do! I find great encouragement from those on this site who are veterans at this point and have experienced everything before. I have to trust their wisdom and keep to my eating plan and track my food intake religiously. I admit I find it very difficult not to weigh-in daily. That is my challenge for sure but I do measure every 4-6 weeks. I’ve been so surprised to see how many inches I’ve lost each time. I encourage you to get a soft measuring tape! Also take weekly photos. I upload them to my Baritastic app and amazed to scroll backwards and see how far I’ve come.
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Really hoping I haven’t sabotaged myself
Arabesque replied to justsillyme's topic in Gastric Sleeve Surgery Forums
I agree with the others: it’s not the cashews. Stalls are a common & important part of your weight loss. It’s when your body shuts down to take stock of your changing needs & then resets things like your metabolism, digestive hormones, etc. They usually last 1-3 weeks. Do look for a lunch that is going to offer more protein (1oz cashews provides only 5g of protein) & includes other foods for a wider variety of nutrients. Try a meat like chicken or tuna, or tofu or a boiled egg, etc. with a small side of salad vegetables, or an omelette, soup, etc. Have a chat with your dietician for some meal ideas -
Exercise after surgery
BabySpoons replied to eliojourney's topic in POST-Operation Weight Loss Surgery Q&A
All I've done since surgery is walking. 5-10 minutes, starting out, to help prevent blood clots. Second week I increased my time to 15 then progressively increased it to 30. 7 weeks out I shoot for 5xs a week. I don't push myself to power walk. Just leisurely. Now that the weather is nice, I walk outside instead of on my treadmill. I really enjoy the sunshine. Also, I try to drink/eat protein as soon as I'm done. The "Golden Hour" is within 45-60 minutes immediately after exercise when your muscles absorb nutrients more so than any other time of the day. Eventually I want to start weights and buy a Rogue air bike. -
Really hoping I haven’t sabotaged myself
qtdoll replied to justsillyme's topic in Gastric Sleeve Surgery Forums
One thing that we do during stalls is overthink & blame very normal things for it. This stall was most likley going to happen whether you were eating nuts or lettuce leaves, just stick to your plan & you will see results! I personally only use nuts as a topping as they can be quite calorie dense, but a little bit at a time won't cause much harm especially if they are salt-free (salty ones can however make you retain water weight) -
Really hoping I haven’t sabotaged myself
BigSue replied to justsillyme's topic in Gastric Sleeve Surgery Forums
Nuts are pretty calorie-dense and can cause weight gain if you eat a lot of them, but 1 ounce of cashews is about 160 calories (could be more if they have added ingredients, e.g., honey-roasted) and have no more impact on your weight than 160 calories from any other food. Are you including that in your 700 calories per day or is that in addition? Either way, you are under 1000 calories per day, which is low enough that you will continue to lose weight (especially if you're working out 60-90 minutes per day). Stalls are very common and normal. Weight loss isn't linear. Stick with your program and your weight loss will resume. I'm guessing that BMI is in error. I suspect the weight is meant to be 235 pounds and not 235 kg (518 pounds). While it's possible that she actually weighs 518 pounds, her goal weight of 150 kg (330 pounds) would be unusually high for a goal weight. Still, even at a weight of 235 pounds (BMI of 39), less than 1000 calories per day is well below TDEE. -
Really hoping I haven’t sabotaged myself
Nepenthe44 replied to justsillyme's topic in Gastric Sleeve Surgery Forums
No. That's nuts. You have a BMI of 86, you could be eating half a pound of cashews for lunch and you'd still lose weight. Not as fast as you are now, but at a good clip. That being said, the macro spread (ratio of fats, carbohydrates, and protein) of cashews isn't great. If you're only getting 700 calories a day, you need to be prioritizing protein and nuts aren't really a protein food. They're mostly fat. Again, eating them will not stop you from losing weight, but you need protein to ensure that the mass you're losing trends toward fat mass and not lean mass. Depending on what you're eating throughout the rest of the day, you might want to switch the cashews for a protein-dense food most days. -
Really hoping I haven’t sabotaged myself
justsillyme posted a topic in Gastric Sleeve Surgery Forums
I am really hoping I haven’t been sabotaging myself the last 2 weeks. My program cleared me for nuts so for lunch everyday I was just grabbing a portioned out bag of cashews, 1 ounce. I’m 3 months post op and have been in a stall the last 2 weeks. My calories are around 700 a day and I go to the gym everyday for 60-90 minutes. Could the cashews be preventing me from losing weight? I had thought this was something good for us and now I’m not so sure after having read a little on it. Do you think cashews should go into the category of a once every few weeks treat instead of a lunch option? -
3 Days Post Op - Just Documenting My Journey
Changing Chris replied to doubleJointed's topic in Gastric Sleeve Surgery Forums
I also have a similar story. 46 yrs old with heart issues (double bypass in 2018.) Before my surgery, just one month before yours, I was on two blood pressure meds. I stopped taking them the day before surgery and at my first week post op visit my blood pressure was already within normal range without the meds. I was in shock! Especially because my blood pressure was always high, even with the meds!! I have my one month post op visit coming up in 2 days, interested in seeing where I'm at. I also hit the ground running and was walking up to two miles a day after surgery and received the same warnings as you got above... haha! Once I slowed down to let my body heal, the weight started dropping off. 30 pounds down since surgery day. Good Luck! Lots of good advice on here, even though it felt like I was getting scolded sometimes! 🙂 -
First week post op is not a very good indicator of weight loss surgery success. I knew I would be swollen up with IV fluids and inflammation, so I avoided weighing until my first follow up with the doc. I used to be a slave to the scale for many years. When I became morbidly obese I never looked at one. Until I attempted another diet of course. So now... although I wonder if I'm missing the thrill 0f watching the pounds drop off daily during this honeymoon phase, I only weigh once a week. I'm just trying to preserve my sanity. LOL
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3 Days Post Op - Just Documenting My Journey
doubleJointed replied to doubleJointed's topic in Gastric Sleeve Surgery Forums
Yes, overdid it on the walking for sure. Lesson learned. Thanks for what to expect on the poop. This is new to me, since I'm used to the opposite (5-7 times a day). I guess I'll go buy some miralax, because I've read here about the constipation and obstructions. I was surprised at first to when the Dr recommended the VSG and not RNY. I like to read, read, read, and I thought the bypass was going to be the option. The Dr said the sleeve can make GERD worse, and make people who didn't have GERD get GERD, but he said it's 10-20%, not 50/50 or worse odds. I even had Barrett's Esophagus that resolved a couple of years ago after years of PPI meds. I still consulted with my gastroenterologist prior to surgery. In fact I had an EGD in March because i was having stricture. He said even as I was dropping the rest of my meds (during weight loss) I would likely have to remain on the 40mg omeprazole for the rest of my life. I was already planning on that, so I made the decision to try the sleeve with my eyes wide open that I might need a revision. The first night I had a little reflux when I got in bed, but haven't had any issues since. I am still taking my PPI. Thanks for the response! -
3 Days Post Op - Just Documenting My Journey
doubleJointed replied to doubleJointed's topic in Gastric Sleeve Surgery Forums
Thanks brother. I'm looking forward to the same. I'm not sure if it's the initial weight loss, diet change, or both, but I'm monitoring my BP in the morning and at night. The doctor said do not take BP meds unless I see it climb to either 150 (top number) or 90 (bottom) number. So far it's consistently in the 120/70 range, so no BP meds. It seems crazy to me that I'm off the BP meds that quickly. Looking forward to the rest. -
3 Days Post Op - Just Documenting My Journey
doubleJointed posted a topic in Gastric Sleeve Surgery Forums
A little about me. 45-year-old, male. Fought my weight my entire adult life. Chronic IBS. GERD. Heart attack in 2016. Heart disease. Diagnosed with obstructive sleep apnea in 2022. Fatty liver disease. Metabolic syndrome. Diagnosed with Ehlers Danlos - Hypermobility Type in 1997. Currently have chronic pain in both shoulders and both hips, especially when sleeping. This is due to the EDS. I have SLAP tears in both shoulders as well as partial rotator cuff tears, and frozen shoulder on the right side. Married. Twin 13-year-olds. Quality of life really hit bottom. I decided to take control of my life. I had my first appointment with the Dr back in November. Just had VSG on May 18th. Severe gas pains for about the first 5 hours after surgery. Like really bad. Gave me dilaudid to help with the pain, and it did knock the edge off. I was able to get up and walk, drink a little, and pee. Let me go home about 6.5 hours in recovery. The first nights sleep was brutal. THE HICCUPS! Why did no one tell me about the hiccups?! I was able to wear my apnea mask just fine, but every time I got up to pee (about 5 times total), the hiccups would start almost immediately and last for 30 minutes or more. I was shaking the bed and keeping the wife awake, they were so bad. Also had some mild reflux with a little bit of the foamies (I got those before the surgery when the reflux would flare). 1st day after surgery, much better. Very few hiccups. No nausea. Got all of my fluids and protein in. Even walked about 8000 steps (I would've done anything to make sure the gas pain didn't return). Now I'm on the third full day after surgery, and each day has been better than the last. Still tired. Off pain meds for the entire day today. I can't stomach the clear protein, so I'm drinking full (creamy) protein diluted 50/50 with water. No issues so far. I think I have overdone it with walking too much too soon, because I feel really tired and weak. I'm going to cut the walking down to 5000 steps and see if that helps. My ABS are pretty sore, especially immediately after sitting/laying. They tighten up pretty quick. Still a long road ahead, with 1-2 shoulder surgeries later this year. And I know there's still a long road ahead with my weight loss journey. I appreciate everyone's candidness describing their issues (poop, slime/foamies, etc). I like to know what to expect. No regrets. -
When I was in my 20's I knew a ton of people who did just that, including me. I did insane amounts of cardio and heavy weights to offset my love of food/carbs. Bad thing was, as I got older, I decreased the exercise but not the amount of food. I would say that working out will definitely allow more carbs in your eating plan. How much? YMMV
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I gained 10 lbs after surgery. Took awhile for my body to get rid of all that IV fluid and adjust as others were saying. As long as you aren't eating or drinking tons of calories, it's just a matter of time.
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We all had different diets to follow and some are very extreme, others less so. In the end we all get to the same point and we are cut off from our teams. Mine will be two years after surgery. My point being we all have to go it alone and do the best we can. What we eat or don't eat is down to us. We will do our own policing and sink or swim that will be that. On this site there are real achievers who have kept their weight off and others who reappear for a brief time asking for help to loose their gained weight. We don't know the whole story, did they eat carbs? Or did they eat greasy foods? Did they eat chocolate and biscuits? I am not denied carbs, I just can not eat them. 1 tablespoon of potato, pasta or bread fills my stomach for hours and oh boy does it feel heavy. I used to love pasta and noodles but I don't really miss them now. It just restricts my restaurant choices when away from home. I think I will be a scale watcher and a calorie counter in the future. You will work it out. Give yourself time to relearn everything you ever knew about food and your stomach. Sent from my Lenovo TB-J606F using BariatricPal mobile app
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Take something to move your bowels or you'll end up with awful pain from constipation. The weight will start dropping soon I promise.
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Well, you're right. There are people living this way. Their opinion is just not as popular so some of us prefer to rather not comment. If it's possible not to worry about weight in the future? I can only speak for myself and I notice the lingering fear in regards to weight gain in the back of my brain so for me it doesn't seem to be possible but that doesn't mean that there are people who have a more relaxed relationship with this. It's definitely not mandatory. That's BS. I'm saying it again: it's not mandatory. Low carb, high protein is just the trend nowadays. Or keto. Some years ago it was low fat. Times simply have changed and they will most likely change again, bringing on the next dietary trend.
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I’m supposed to start my liquid diet on Tuesday 5/23 but I decided to start early. Start my liquid diet today just weighed myself 234pd. My goal weight is 160 I am also start on my vitamins.
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I think your goals are admirable. So many get caught up in how much they lose, how fast or slow they lose, how long it takes, etc. as they’re losing. Of course when we’ve lost our weight we all feel pretty darn happy about what we have achieved (& deservedly so). How you eat after you’ve stabilised is really up to you & how you want to live your life. If eating carbs fits in better with your lifestyle & your family then eat carbs. Just maybe choose better carbs - complex, whole & multi grains, low processed versions, smaller portions, or less often. You’ll work out what & how much of certain foods or food groups you need to eat, can eat, can eat occasionally, or those you may be better off avoiding. It’s your choice. Of course we can’t go back to how we used to eat - that’s just asking for trouble 🙂. Accompanied with this may be that your weight settles a little higher than at your lowest as you work out your caloric needs (what your body needs to function effectively to maintain your weight & activity level), eating style & lifestyle preferences and that’s okay. For me deciding not to call how I ate after I stabilised a ‘diet’ was a positive mental move. I’m not on a diet this is just how & what I eat. Diet had such negative connotations & memories for me: restrictions, being limited, missing out, etc. & failure. Personally, I cut out a lot of sugar & generally avoid artificial sweeteners & sugar substitutes whenever I can so I don’t eat cakes, biscuits, desserts etc. except a couple of times a year like Christmas. Don’t miss it. Don’t feel I’m missing out or being restricted & my friends & family accept it, no fussing or pushing me to eat. For example my niece was serving out cake for her 13th birthday earlier this year. When she got to me she asked what I’d like and added we have strawberries too. (I had strawberries.) It didn’t happen overnight but slowly it became just me. All the best.
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it's not uncommon to not lose weight the first week because most people actually GAIN weight from the IV fluids they give you in the hospital (some people "gain" as much as 10 lbs - although it's not a true gain, it's just water). also, it often takes a week for your first BM. There's not much in there...
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not all bariatric diets are low-carb. Some are balanced. Also, once I got a ways out, I mostly just counted calories (although making sure I met my protein and fluid goals) losing weight via exercising is of course possible, but really tough. People overestimate how many calories they burn by exercising. According to research, exercise is much more effective in helping to maintain weight than it is to lose weight. Of course, it's always excellent for your overall health and people should do it (if they're able to, of course) - but as the primary weight loss tool, it's supposedly not that effective (well...unless you're spending a few hours a day at the gym or are into running marathons - that kind of intensity would probably do it!) I'm eight years out and have never reached the point where I've been able to eat without being concerned about my weight. I know from experience that if I eat too many calories for more than a couple of days, my weight will gradually start heading north again. Honestly, a lot of my never-been-obese friends are the same way- they have to watch what they eat. Unfortunately I think that's the way it goes for a lot of people - obese or not. Not many are blessed with the ability to eat whatever they want and not gain weight. also, you'll eventually get to the point where you can enjoy the things you do now in moderation. Nothing is off-limits for me And DS patients can generally eat more than RNY and VSG patients because of the malabsorption (RNY has some malabsorption of calories, but only for about a year, and it's not as strong as it is in DS people). Although if I'm not mistaken, I think DSers do have to be more careful with carbs - IIRC, they don't digest them well - and I know traditional DSers don't have to worry too much about fat (but not sure about SADI patients) - but check with your clinic. They'll know for sure.
