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I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.
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March 2024 Surgery Buddies!
Rachael13 replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Had the bypass 3/18. -
April 2024 Surgery Buddies
ChelsRae33 replied to Lorna Nicole's topic in Gastric Bypass Surgery Forums
Hello Lorna, I am scheduled on April 9th for Gastric Bypass as well! I think we could all support each other in this journey. I wish us all the luck, we will all do amazing! -
Let's Collect Some Data!
Nepenthe44 replied to ms.sss's topic in General Weight Loss Surgery Discussions
1. F (with an asterisk, NB on low dose testosterone), 35 now, 34 on surgery date, 5'7" 2 . 27.2 lbs (I had lost 54 lbs in the 6 months prior to that, but stalled due to last supper eating, losing 20 pounds in my 2 week pre-op) 3. 276.0 4. 256.6 5. 228.0 6. 188.0 7. 147.0 8. Roux-en-Y Gastric Bypass I'm a few days short of a year out, but I don't want to forget to post. -
I had surgery on 4/8/24. I had a bypass. I am able to drink fluids with no restrictions. I'm on the puree stage. At 2 weeks out I have only lost 16 pounds. The last 3 days the scale actually went up 2 lb. I'm not going to lie. This is an uncomfortable feeling. Specially because I'm sticking with Drs orders. I do notice that even though I eat 3 ounces of food and try to keep up with my fluid intake I don't get a "full" feeling. It does not take me a long time to eat. So I'm not sure how to feel about that.
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Is there a standard guideline?
catwoman7 replied to NovelTee's topic in Gastric Sleeve Surgery Forums
surgeons do vary. At my clinic, both sleeve and bypass people were on the same plan. They had us on purees as soon as we left the hospital, but they changed that (I had my surgery nine years ago) and now they have to do a week (or maybe two?) of liquids before moving to purees. -
I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.
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A new week beckons… Laid in bed this morning, just taking stock of how I’m feeling and I actually feel happy. It’s been a long time since I’ve had that happy feeling for no apparent reason. The first part of my WLS journey is completed and now out of my hands for now so I’ve mentally put that to one side. I’ve started back at the gym and I’M LOVING IT!! I know the gym isn’t everyone’s cup of tea but I truly enjoy it. I found something that works for me and can sustain it, which is really important for anyone trying to improve their fitness. I’ve been 3 times this past week and I’m not pushing it as yet, no matter how much the little devil on my shoulder is telling me to 😈 I’m aiming to go every 3rd day at the moment but will re-visit that in a few weeks time. Granddaughters party went as well as could be expected with other little kids there! I didn’t go mad food-wise - a burger, handful of mini sausage rolls, 1 Jammie Dodger, a cupcake and a small piece of cake. I actually threw a piece of quiche away which is a first for me and left the crisps, coleslaw etc alone! I know it may seem a lot but compared to what I would shovel away previously, it’s actually quite restrained! My body shape is changing, even if the scales aren’t particularly moving right now. I went through my gym stuff and tried on a pair of leggings that are size 18/20 and they fit! That was a bit of a surprise, especially as I couldn’t get them up my thighs previously 😮 Various other items are now ether too big or now fitting whereas before they were too tight. The jeans that were fine a few weeks ago? Can now get them off without unfastening them! I actually had to buy some smaller things this week. I’m not a fan of bras, they dig in and I find them uncomfortable. So I prefer the crop-top bralette type things (I’m a C cup at most) I’d noticed that I wasn’t feeling as ‘secure’ as I had before so decided it was time to update. I got a couple of vest tops with built-in support and a 3 pack of bralettes from M&S, all in smaller sizes and all fit - yay! It’s the simple things really that can give such a boost 🙂 Hairdressers tomorrow. I’m having a bit of a crisis with my hair at the moment. When I was accepted on to the Bariatric Pathway, I decided to grow my hair (all part of the ‘New Me’ vibe) Previously I had pixi-type cut and now it’s a short bob, just about at the bottom of my ears. However it’s lacking any body and looks really thin. I know my meds can play havoc, especially as I started a new injection back on November which can cause hair thinning after a few months. My hair hasn’t come out in clumps or anything, I’m just finding lots of stray hairs on things. I know that WLS also causes Hair loss, so I’m now floundering a little. I’m going to have a chat with my hairdresser and see what she comes up with but I’m really erring on the side of ‘chop it off’…sigh…it’s not easy being a woman at times is it?? I plan to tackle more of my wardrobe this week and get that thinned out. Has anyone else gone through their clothes and thought to themselves “what were you thinking?” Yeah, I’m having a bit of that. However it’s more of a case of I’ve bought something previously and it has remained unworn. This is what happens when you’re the size of a a house - you buy something because it fits, not because you actually like it. I definitely will be a damn sight more discerning moving forward. Have a fabulously productive week everyone 😉 Onwards and Downwards!
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Eating too much I feel like
SaraSara4 replied to K Ramirez's topic in POST-Operation Weight Loss Surgery Q&A
I am 11 days out from bypass and I too feel like I can have more than I am supposed to or that I heard from others. I felt like that the day after surgery. I had no problems with my fluid intake but my care team did not seem to think it was an issue. I cant take big drinks but I can drink my 11oz protein shake without feeling “full”. I can eat my 1/4 cup of strained soup and dont feel full. I ate 2 popsicles in a row last night and not a pain or discomfort at all. My Dr didnt seem to think it was an issue and told me to just listen to my body and get my fluids in right now over anything else so thats what I am focused on. -
Dumping Syndrome is Dumping!
SleeveToBypass2023 replied to Lilia_90's topic in Gastric Sleeve Surgery Forums
So I had the sleeve and then a year later revision to bypass (due to complications). I can tell you that I developed sensitivities and outright allergies to foods I had never had before IN MY LIFE after my surgeries. After my sleeve, I developed an allergy to peanuts. Not horrible, but I need to take something if I eat them, so I just don't eat them or anything with peanuts in them. I also became lactose intolerant. BADLY. So I avoid dairy and use almond milk and lactose free things. I also have a low tolerance for salt. I use to salt EVERYTHING and now I pretty much never use it at all because I can't tolerate the taste. It's very metallic tasting and gives me a headache. When I had my revision, all of that stayed the same PLUS I suddenly got a serious, life threatening allergy to shellfish. I have to carry an epi pen with me at all times. I can't eat it, touch it, or even be in the room when it's being cooked because even breathing in the proteins that are released into the air when it's being cooked causes a reaction. I was born and raised in Florida. Shellfish are a way of life there. I could LIVE on crab legs and shrimp. It literally BROKE MY HEART when I realized I'd never be able to eat it again. Also from the revision, I developed an allergy to surgical glue lol Didn't have that with my first surgery, or any other surgery before it, but from my revision on, can't tolerate it, and can barely tolerate band-aids lol I mean, what??? That's so strange to me, but it's true. I've had every test under the sun, and while it's common for taste buds and likes/dislikes for foods and drinks to change after these surgeries (definitely have that, as well), and even to develop sensitivities to foods like dairy and sugar and salt, it's rare to get such major allergies to foods (happens, but it's rare). So of course, my doctors were super interested in me lol Not trying to make history, ya'll, just tryin to feel better lol -
February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
The stalls keep hitting me as well. Losing weight after Gastric bypass is a lot slower than I expected. Only fast food I've ate was grilled chicken nuggest from chic-fil-A and chicken protein bowl from subway. Both last a couple meals. Instead.of trying to eat any meal. I just eat a few bites of protein and veggies. At 4-5 times a day. -
My surgery gastric bypass surgery was on March 19th. Taking in liquids is still a little difficult but better than the 1st 2 days.
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Tonight I went to the required education session that my NHS Trust has as a non-negotiable requirement of being accepted for surgery. I will be honest and say I was left feeling completely underwhelmed with it. There was about 16 of us, all pre-op but at different stages of the required tests etc plus some family members (hubby went with me) There was also a Bariatric nurse, a dietitian and a former patient who had had the bypass in 2022. She explained her journey but it seemed very…I don’t know, sterile? Wrong word I know but I don’t know how else to explain her approach. She’s obviously happy with how it all turned out for her but it all seemed very whitewashed, which I found odd. She only mentioned one case of dumping syndrome but everything else was a walk in the park, which had me internally questioning things. She said she was currently in a months long stall but again, everything was hunky-dory. Someone asked about a typical days eating and it seemed really carb-heavy - toast for breakfast, sandwich for lunch, cheese and crackers for a snack, sausage and chips or mash for dinner etc etc. I asked about what additional protein she had - didn’t/couldn’t answer, asked about exercise - some walking and that’s about it. She mentioned hair loss being an issue but that it all grew back and was great. I know I’m being picky but I honestly wanted a more rounded discussion about of lots of different challenges that we could face with WLS and living the life post-op. I’d say out of the group that was there, maybe 5 had done any wider reading or research. I did find out that the hospitals approach to caffeine post-op is you can have a couple of cups of tea/coffee a day but they would rather patients filled up on foods/drinks that added protein, especially at the beginning. I also found out about the vitamins they give you and that they put the timings on the boxes to aid patients with timings etc, which was useful. Something that was bothering me was if my BMI dipped below 40, would I still be considered for surgery as I don’t have any co-morbidities like diabetes, heart issues etc. I need to get it below 40 before I will be considered for knee surgery, and I’m hoping that will happen end of Oct/beginning of Nov all being well. I was reassured about that, saying that they go off the booking weight reported by the GP when referred initially 🙂 I will be completely honest and say that, apart from some very specific questions I had of my hospital, I actually find this forum of much more use and beneficial to me personally. I have found out so much information from people who are further along in their own WLS journey, plus I know I’ve felt really supported by lots of very lovely and helpful users. There is such a wealth of experience on here that I know that if I have a question, someone will be along to answer it! Roll on the dietitian appointment next week 🤞
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so you went from sleeve to bypass? That will usually cure it - or at minimum, greatly improve it. Hopefully something will show up on your (May) endoscopy so they'll know what's going on.
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Does your pre-op diet weight loss "count"?
SaraSara4 replied to NickelChip's topic in General Weight Loss Surgery Discussions
My program too counts the highest or starting weight from the beginning. I had bypass 11 days ago and they weighed me at check in. I weighed 211. My Surgeon came to see me and she said wow you lost over 30lbs Sara be proud of yourself. I was confused and said no I only lost 10lbs and that was the pre-op??? Well I “forgot” that last August when I started this program I weighed 245. slowly over the last 8 months I did lose that 30lbs 15 right away with nutrition classes and then a few here and there, but had been stuck at 221-223 for months!! Then I lost 10lbs on the pre-op diet. So she made me feel wonderful and I went into surgery that day feeling like a rockstar and it was great! So I am counting my total weight loss because I worked hard for that 30lbs!!! -
The Dreaded Calorie Talk
SleeveToBypass2023 replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
Now that I'm 2 years out from my sleeve and 1 year out from my revision to bypass, I can tell you that I eat around 1200 calories per day when I'm not working out and 1400 - 1500 per day when I'm working out (depending on the type of work out I'm doing). I'm on my feet all day at work, so I increased my daily calories from what they were before. Same with my work outs. I can't work out as often now, so I go harder than I used to on the days I can actually work out (now that I have full medical clearance with no restrictions). I noticed pretty early on that if I didn't eat enough calories during the day, but was still working out, my body thought it was starving and it would hold on to every single thing. As hard as it was to wrap my brain around, I took the advice I saw on here and increased my calories on work out days by a couple of hundred each day and I actually started losing again!!! I was floored!!! So as I increased intensity of my work outs, or increased the weight I was lifting, I increased my calories a bit. I didn't go crazy, but enough to let my body know it's still healthy and not starving. BUT....I had to initially give myself grace and time to be able to increase calories. Work outs or not, I had to do it on my body's timeline, not a doctor or nutritionist's. No way could I have been at 900 or 1000 calories at 2 or 3 or 4 or 5 months. There just was no way. And honestly, mine didn't expect that. They didn't want to see us above 700 calories before 5 months post op. I had JUST hit 900 calories at 7 months post op. I'm actually thinking about increasing my calories a little again, because I'm still losing, and I'm nearly 10 pounds under my goal weight, and I really would like to start maintaining lol If I drop to 179, I will definitely increase my calories by 100 everyday and see what happens. -
14 weeks post op no weight loss
Hiddenroses replied to Cat2336's topic in POST-Operation Weight Loss Surgery Q&A
You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes! -
May 2024 Surgery Buddies 😁
MNewell replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Hi! I had bypass surgery on 5/1. So almost two weeks out. 1. I was nervous about the recovery after. I have three big dogs that love to be all up in my business. A pillow to block my abdomen was my best friend. 2. I overpacked for the hospital. My surgeon only required an overnight stay. But I brought some skincare and a book and a game to play with my husband. Didn’t use any of it lol. Except some lip balm. My lips were crazy dry after the surgery. I brought a heating pad with me. I used it for the gas pain because that stuff travels! It migrated to my shoulders at one point. So painful. Getting up and walking around helped so much. You’re going to be so exhausted after surgery, you’re not going to want to do much but sleep. 3. I’m excited about actually being healthy for the first time in my life. Looking forward to doing things with my family and friends that I previously would have said no to. -
5 years out, tried semiglutide to restart weight loss
KarenLR75 replied to KarenLR75's topic in GLP-1 & Other Weight Loss Medications (NEW!)
It took about 2 to 4 weeks worth of injections for the true total benefits to settle in and when it did, it was so FREEING. I still absolutely am delighted I had gastric bypass. I also could not afford to pay $1000 a month. I found a local 'wellness' clinic here in Fort Worth where I pay roughly $300 a MONTH for weekly injections. I skipped their package of B12 and Semiglutide as I'm already on an inhalable B-12 supplement. Definitely shop around. I do worry about it causing long term complications (unsure what those are at this point outside of blurbs I've read) but I'm also not wanting this to be something I end up needing to do every week past this 6 to 9 month window. They have other clients that after they got where they wanted, they tapered off completely or come in for monthly or bi monthly injections only. I'd like to taper completely. I have gone a month with no injections after i started and while I had a slight hunger increase, the food chatter was so dang muted. I actually ended up reducing my dosage as I got to a point where I was not eating enough which is ALSO NOT my goal. My protein intake plummeted simply because I was not taking in enough calories. Luckily the place I work with is conservative with dosing and they have multiple patients that had bariatric surgery years ago and they are always ready to discuss 'what is the least amount of semiglutide that you need to be sudcessful'. -
Is there a standard guideline?
ShoppGirl replied to NovelTee's topic in Gastric Sleeve Surgery Forums
I found it interesting that a friend of a friend who has surgery with my same dr got the same packet as me since I had sleeve and she had bypass. If I had to guess they keep it simple by going by the stricter guidelines for everyone?? The. Again maybe it truly is same for both surgeries. I agree it’s interesting that different doctors do it differnt though. -
Thank you so much for taking the time to tell me all this! How long were you off work right after surgery? I told them 1 to 1.5 weeks is my guess. But one lady here said she was back in a few days. I don't want to push it if I need to heal more though and my clients are all understanding. My dad passed away last year after 25 years of congestive heart failure then also diabetes and lost one leg then the other. It was extremely heartbreaking and don't want my kids to see that happen to me if there is any way at all I can be healthier. So going to do this. Have 12 dietitian appts. Done two. Already had psychological and was cleared. Have endoscopy Oct 11 and last dietitian appt on Oct 30. Surgery after final approval so they estimate Nov. Hopefully early Nov. Doesn't bother me at all about the holidays. One year I lost 5 lbs from Thanksgiving to Christmas. It's all mindset. But it's when I go back to eating like everyone else I always gain! Sucks. Thank you again! I'd love to be able to text with you if you'd consider that! It's ok if you'd rather not though. Lol! I know I'm a stranger. Lol! You look great and I'm so happy for you. And yes when I'm even at 200 I have the energy for the gym and remember only being able to do the stairmaster for seconds and worked my way up to 20 or 30 minutes. I was so much stronger. It was years ago so can't remember but think I got up to 30 mins and now I love esp the machines and esp the leg machines. Leg day is my fave! Can I ask you, did you grieve your clothes? Even though they are big now I like them. I remember when I lost before I grieved them because I'd raised babies with them all and kept some just as memories. Lol! But will just alter what I can and the rest will buy new. Bet no one ever asked you that one! Lol! Unless you've been there and dropped several sizes before you wouldn't understand. 💗 And do we need to add quote when replying because won't these get too long? Lol! Have a great Friday!! ⚘️ Wow! That's awesome. I'd take even half that loss and be happy. But would sure be nice to lose quite a bit so my low back can calm down. Severe osteoarthritis there. About 240 lbs now. 277 was my highest many years back. Lost 100 through diet and exercise and slowly came back. Then end of 2021 was 265. So did it again. Ate less, moved more and lost 64.5 lbs about 2 years ago and got to 200. Felt sooo much better even there but slowly back now to 240! Blah! Surgery most likely early Nov for sleeve. Said bypass will cause ulcers since only ibuprofen helps my back. Can I ask you about exercise you did? Also that you do now? And did you have any skin removal? May need that around my middle later on. Heard someone with our insurance got that covered also. Praying for that but will save up for it if I have to. Thanks for any advice and info! You look great and I know you must FEEL better. That's what I want. I never sought surgery to look better but hopefully will. I just feel terrible and need some relief and want the weight to stay gone. Using this tool to help me remain smaller.
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Phentermine
SarahByNumbers replied to youngmilf's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general. -
February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
The last time I was talking about having a stall after nearly 3 weeks. My weight all the sudden dropped. But, I can also tell that I'm losing inches. Even when the weight doesn't move. My energy is all over the place the past week or so, I feel like I could do a triathlon, sometimes I feel like I just did a triathlon without doing anything. I assure you it's normal. I'm seeing this first hand, also this is what I get told by the doctor, dietician, nurse and exercise specialist. Two of them have had gastric bypass. The other two have been in the bariatric field for several years. The Dietician told me my stomach is like a new baby, since I'm only 3 months post op. There's several more months ( or longer) for our body to get it figured out. Right now it's brand new. I know how tough it is to see the scale not move, but I also know this is still early in the process. I'm trying to look at it like I have a brand new 3 months old stomach and there's going to be growing pains. Try not to be hard on yourself, it's a process and it takes time. That's what I keep trying to tell myself. I know it's cheesy and a line from a movie. But, like Rocky Balboa, if you get knocked down the only thing you can do is get up and keep moving forward. -
revision from VSG to bypass and tricare
LISS011 replied to meginsf's topic in Revision Weight Loss Surgery Forums (NEW!)
I would go with The Bypass or DS, several people with the sleeve usually end up getting revisions. Good luck to you! Get a few consults with surgeons. -
Hello, I recently turned 60. I had VGS when I was 50. It served me very well. I maintained several years. But for "reasons" I am now scheduled for a conversion to a Gastric Bypass on April 4. My doctor says I am an "ideal" candidate. Age is just a number! Good luck, Elizabeth