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January 2020 Surgery Folks
Taj replied to TattooedSeaStar's topic in POST-Operation Weight Loss Surgery Q&A
Hi Zyad. During my research I’ve printed out no less than 20 different nutrition guidelines. This is from Brigham and Women’s Center for Metabolic and Bariatric Surgery. -
I guess I wasn't sure if there was a scientific reason for bariatric patients? Other than the normal protein fills you up and keeps us from eating other "bad" things. I don't drink many protein shakes now days and haven't in a couple weeks. I'm only 8 weeks out.
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Has Anyone had surgery by Dr. Pysher or another surgeon at SCNV
JRT Mom replied to medicpup2's topic in Weight Loss Surgeons & Hospitals
I had my surgery at Reston Hospital Center and was very happy with my care. They use a team approach so there were a lot of people looking after me, and they all were good and almost too attentive! Of course I can't comment on the hospital's food since all I was allowed was water, diluted fruit juice and broth... 😁 My surgeon was different, it was Dr Fitzer of Virginia Bariatric Surgery. He and his staff also are wonderful. There seems to be no shortage of excellent bariatric surgeons in NoVa...it sounds like you will be in good hands! -
Just looking for guidance
catwoman7 replied to martyravenx3's topic in POST-Operation Weight Loss Surgery Q&A
the above poster is right - none of this is normal. In fact, I've been hanging out on bariatric forums for five years and have never heard of half of this stuff happening to anyone (dementia, losing use of legs, etc). I think something else must be going on here. Consult with a doctor for sure - no one on the internet is going to know how to deal with this. -
Sleeve complications possible revision to bypass
RickM replied to Ttyo's topic in Revision Weight Loss Surgery Forums (NEW!)
Anytime that I see someone contemplating a revision, I would advise getting a second (and even third) opinion, both from the perspective that revisions are typically more complicated than a virgin surgery, and also the reasons for the revisions are more varied, and this is where the perspectives of different surgeons with different experiences is most valuable. Strictures and twists like you are describing are an indicator of technique problems (which isn't to say that there is something particularly quirky with your individual anatomy that would have caused problems with any surgeon, just that they are frequently associated) so it is quite possible that another surgeon who is more experienced specifically with the sleeve and sleeve related surgeries may have some other ideas of how to tackle your problem. There are some surgeons out there who routinely perform some very complex revisions (such as converting a problematic RNY to a DS) and this is the type of doc that you would like to consult with, as they would be best able to straighten out your sleeve (and if they concur that an RNY is the best approach for your particular problem, that provides a lot of confidence in deciding to go that route.) I tend to like DS surgeons for sleeve problems as they typically have a lot more experience with the sleeve and correcting sleeve problems (as the sleeve is a part of the DS, most of them have been doing sleeves for over twenty years, while most bariatric surgeons have been doing them part time for 5-10 years, and some less. https://www.dsfacts.com/duodenal-switch-surgeons.php gives a very incomplete listing of DS surgeons, and unfortunately, there aren't any very close to you - NY/NJ/PA area is the closest, but probably worth the effort; most can do initial consults over phone and email. Dr. Roslin in NYC and Dr. Greenbaum in NJ both have good reputations in the DS world for complex revisions. As a side note, the mini bypass isn't often done in the States as US insurance rarely approves it, and it has never been accepted by the ASMBS. -
High Vitamin B12 levels
Darktowerdream replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
Interesting. I don’t take bariatric vitamins yet my blood level is still on the higher end. All of the bariatric vitamins have added iodine to which I’m allergic. It’s true of course that sublingual or liquid will be better utilized. If high blood levels possibly signaled deficiency than one would think doctors would know this. They don’t seem to know much about vitamins in my opinion. sometimes deficiency is a symptom of a disease and not the cause. But they insist on supplements without investigation. my iron levels are normal, but my saturation is low, my iron binding capacity is the high end of normal, and my ferritin is low ... so I don’t know if it is actually related to my surgery or something else going on. it’s hard getting doctors to give answers when it comes to vitamin levels. Since they know so little. I studied these things and realized it’s more complex than people realize and vitamins have risks and side effects similar to medications. -
High Vitamin B12 levels
catwoman7 replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
OK I just read the literature from one brand of bariatric vitamin (this was NOT an objective medical research report - it was issued by the company that makes this particular vitamin - so being a former librarian at a research university, I'm never 100% confident of that type of source). Anyway, it says it has a much higher dosage of B12 in its multivitamin than is present in standard multivitamins. I read in another place that RNY patients absorb less than 1% of the B12 they take in through their stomachs (because intrinsic factor is produced in the lower part of the stomach and the duodenum, both of which are bypass during RNY surgery). so perhaps these bariatric vitamins account for that by including super mega doses of B12, knowing that their RNY patients are only going to absorb 1% (or less) of it. I'm not sure - but I've always heard we ("we" as in RNY patients - not sleeve) should take it sublingually or via injection, because of the lack of intrinsic factor needed to absorb it. -
High Vitamin B12 levels
ahillig replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
If this is the case then why is it in every bariatric vitamin? The body definitely absorbs some of it orally otherwise bariatric vitamins wouldn't include it and it would be taken separately. -
High Vitamin B12 levels
2Bsmaller18 replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
I had blood test at 6 months and again at 10 months. Both times B 12 came back at 2000 or just under. I take 1 bariatric vitamin that has a high does of B12. The Md didn't seem concerned. I can't cut back on it since it is in my all in on e vitamin. I also read conflicting information that its no big deal and also that it could mean i am not absorbing it and should be given via shot or sublingual. I just don't know what the people on here take for a multivitamin is they take it separately. Do they take a bunch of separate vitamins? -
High Vitamin B12 levels
Darktowerdream replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
I would think the amount in the bariatric multivitamin wouldn’t be cause for elevated levels. Unless you have other concerning symptoms or your doctor expresses concern than likely you have nothing to worry about. -
High Vitamin B12 levels
ahillig replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
I'm only taking a bariatric multivitamin from celebrate that has B12 in it, as most if not all do. Everything else is coming back within normal ranges so I'm not worrying too much about it, I'll see what my surgeon says about it when I see him soon. Funny enough I'm kind of a jacka$$ when it comes to taking my vitamins, somedays I get all 3 capsules in but most days I only get one or two. -
February Surgery ?
divag822 replied to PSquared_vsg's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Aqua... did you have the sleeve, lap and or complete bariatric bypass? -
High Vitamin B12 levels
catwoman7 replied to ahillig's topic in POST-Operation Weight Loss Surgery Q&A
mine has always been high. When it got over 2000, the PA at my bariatric clinic just suggested I cut back a bit on my B12 dosage since it was a waste of money to continue taking as much as I was taking (since my level didn't need to be that high). He never once suggested that having it that high was dangerous, though. p.s. mine hovers around 1200 now that I've cut back on my dosage. There are several people on another internet forum I'm on who like to keep theirs at around 1000 or above - they feel kind of crappy when it falls below that. Mine's never been below 1000, so I don't know... -
Hit my personal "OMG that scale said WHAT" moment in November. Did some blood work, some intense research, soul searching, and asked for a referral to the local bariatric surgery clinic in December. Got the appointment set in January. First meeting with the surgeon on Tuesday (2/11/20). It's with Michelle Toder in Bangor Maine. She seems to have mixed reviews on the internet, but I'm still excited to get this journey going. I've told a couple people close to me that I'm pursuing this change with mostly positive feedback. But because of where I'm at in my life, this community and the supports from the paid professionals are who I'll have for a while. Super excited, and just had to say HI!
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January 2020 Surgery Date
BadWolfGirl replied to Krimsonbutterflies's topic in PRE-Operation Weight Loss Surgery Q&A
Oh also, the entire reason I had this surgery was bc I have (had?) gastroparesis and severe GERD and bile reflux. I am overweight but in otherwise good health and fit and active. My weight didn't bother me. (I mean I'm not mad at the loss lol) If I was going for weightloss I can see the benefit of the sleeve. I just didn't have a choice. My bariatric center was an accredited center of excellence too and my surgeon top rated. I really liked him! Sent from my Pixel 3 using Tapatalk -
my doctor just switched me from the bariatric fusion chewable vitamins to the bariatric fusion capsules because the chewables were making me nauseous and sick, did this happen to anybody else? it’s been 4 months since i’ve had surgery and the first month i was okay but then little by little i was getting sicker and sicker. i tried all the different flavors but just could not stomach them. i’m also considering trying the bariatric fusion hair skin and nail vitamins- has anybody tried those and noticed a difference?
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Why I Eat When I'm Not Hungry
Darktowerdream replied to Tamarita's topic in PRE-Operation Weight Loss Surgery Q&A
I struggled with this long before bariatric surgery was ever hope for being an option and when I fought to lose weight alone. But even when I got there couldn’t stay there. Partly due to lifelong chronic illness and disability, metabolic disorders, inability to exercise, etc. but I struggled with being a member of the clean plate club, with not having a sense of hungry or full which I often wondered had to do with being on the autism spectrum. I also never rejected food if a friend offered. And the one person I trusted and thought was a true friend, like a sister, mocked me for it and turned on me. I make sure to portion out and prepare exactly what I am going to eat. What will fit my pouch based on the stage I’m in. Does it work perfectly in the early stages? Not as simple since you need to be more aware of how your pouch reacts to foods with each new thing you introduce. Some people advance quick some slow. So it’s different across the board. I tried to be mindful and if I couldn’t eat it, I tossed the rest out the window for the birds (I hate waste) I use the little plates that came with my corelle dish set, I think they are appetizer plates. And the small bowls. Never prepare and put in front of you more than your pouch can handle and you will still feel that you are cleaning your plate. i thought I had works on this years ago but now I’m learning to change my mindset on portions. And eating what I need. I still don’t have that judgment of hungry or full so I just track my daily calories and protein so I stay on track and in my daily goal range, I also stick to low carb options because I know carbs trigger cravings for me. And I don’t want to tempt that monster. its not easy and I hope to keep this as a permanent way of eating. I honestly thought I had made good changes before but it wasn’t enough without the tool of gastric bypass surgery. -
Wow, that was a super fast turnaround and great news for you! Congratulations! That alleviates my fears a little. there’s a woman in another bariatric group that I’m in that just had Aetna deny her claim because they wanted five years of her weight history instead of two. Isn’t it strange? I totally think it’s just up to the whim of the person reviewing it.
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Feeling Discouraged
JRT Mom replied to TheAngryMeow's topic in PRE-Operation Weight Loss Surgery Q&A
It's amazing how a good office staff can make or break a practice. When I first started exploring getting my lap band out, I went to the closest bariatric office, three hours away, I liked the surgeon and his PA, but the office staff was a DISASTER. You could never get hold of anyone on the phone, and they gave me a lot of incorrect info about Medicare benefits. So I started seeing the next closest surgeon, 5 hours away. The difference was like night and day! The office always answers your questions, and if they can't, they get you an answer the same day. There are a lot of good surgeons out there, so if the office staff is bad "shop around" if there are other options where you live. -
Keep a log of everything you are eating and visit a bariatric nutritionist ASAP.
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My surgery date is March 11th at Blossom Bariatric. I am starting to test out protein drinks and preparing for post op. I am very allergic to dairy, with a mild allergy to stevia and sugar cane. I keep seeing people say to stock up on sugar free popsicles and jello but I can’t do artificial sweeteners at all. When I do use sugar I use monk fruit or xylitol. Neither of which you can find in popsicles and jello. So my option is regular sugar foods (which I can only tolerate a very small amount of), or I don’t know what else. I have pea protein and egg white protein to make smoothies with. Any suggestions for other post op foods I could get during the liquid stage?
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February Surgery ?
lisafrommassachusetts replied to PSquared_vsg's topic in PRE-Operation Weight Loss Surgery Q&A
Good luck! My pre-op is less restrictive than some, but I am still getting sick of the protein shakes. Everything is too sweet! I did find some with 30 g of protein that I have frozen to a slushy state and eaten as dessert: Premier Protein Caramel and the Banana Crème. They are unbearable (to me) unless I freeze them, but it is a break from chocolate/vanilla. Can you have clear liquids? Bone broth gives me a bit of a break. I'm wondering about it post op, too. I'm on all liquids (so shakes are the main source of protein) from day 2 until 10; I had bought some crème of chicken soup from Bariatric Pal with 15g of protein; I'm hoping I can have them when I'm off clear liquids, just as a break from all that sweet. Good luck! For me the first 4 days were the worst, but then I got the flu and had to extend my surgery out another week. -
So I've had these "episodes" of all of a sudden feeling really ill. Read all my symptoms and I have the symptoms of being hypoglycemic. I read it can happen more commonly in bariatric surgery patients . Has anyone else developed this?! Sent from my moto g(7) supra using BariatricPal mobile app
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January 2020 Surgery Date
Taj replied to Krimsonbutterflies's topic in PRE-Operation Weight Loss Surgery Q&A
It’s funny because Naltrexone was developed for opium addicted and alcoholics and at the time my bariatric doctor was prescribing it off labor because it was proven to reduce sugar cravings. They now have a weightloss drug called Contrave and it’s a combination of naltrexone and bupropion. When I was taking it five years ago I’m pretty sure the pharmacist thought I was a Verizon addict or alcoholic because they always looked at me in a strange way and it wasn’t my imagination. I tried the Contrave but it didn’t work for me because the dosage of naltrexone is too low. My current bariatric surgeon said if my sugar/carb cravings come back she will prescribe the naltrexone again. It really was a miracle drug for me and the first time I really understood what it meant to be an addict and changed my perception of people addicted to drugs. The sense of freedom I felt to no longer crave and eat carbs until I was about to burst is indescribable. I’Ly’s not just about breaking a habit like smoking. There is a chemical imbalance and going months or even years without sugar will not “cure” us of addiction to sugar. 25 years ago I was a body builder and for over 3 years I lived a low carb life. Got pregnant with my daughter and went into early labor. Put on complete bed rest for 3 months so had to stop weightlifting and jogging. My church family was cooking my meals, which was a lot of rice and pasta and chicken. Beggars can’t be choosy so I ate whatever they brought and in those 3 months my weight ballooned to over 200lbs for the first time in my life. I did manage to lose weight after my daughter’s birth but never was able to get back to my goal weight of 145 until I was put on Naltrexone. -
January 2020 Surgery Date
Uomograsso replied to Krimsonbutterflies's topic in PRE-Operation Weight Loss Surgery Q&A
For me pureed food included refried beans. I mixed them with a little mild enchilada sauce and some reduced fat cheese. Also ricotta and cottage cheese is considered pureed. The only thing I couldn't puree was meat. I did a can of vegetable soup in my blender for a minute and it was smooth. I added some parmesan cheese and a scoop of unflavored protein powder after heating it up. I suppose I should have added the protein powder while I was blending it. Just do a search for bariatric pureed foods and you will find a lot of recipes.
