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I would immediately re-establish care with your Bariatric doctor and voice your concerns with vigor. Tell them you need more than just a nutritionist visit, you would like testing to check on your anatomy. To help with the dumping immediately try to really watch the sugar (and fat) content per serving in the foods/drinks you consume. Keep it as low as possible like your post op directions (I think it was 5 grams or less in my instructions) Good Luck!

Okay, so I tried them for you! The things we do in the name of camaraderie and science. The calcium chews are the caramel Bariatric Fusion, they are pretty good! Better than Viactiv. LOL I could take them daily which is good since I have a giant bag. I also tried the Bariatric Advantage raspberry chew at my nutritionist appointment yesterday and probably like that one even better, it was like a fluffy Starburst. Now I really want to try the Celebrate ones! The Bari-melt vitamin I have is the ADEK one since that's what DS people are supposed to take. I actually liked it and I'm shocked because the chewable B complex I had from a different brand was awful. This one started melting in my mouth as soon as it hit my tongue, it's about the size of a fat nickel, melted really smoothly, tasted nice, and wasn't grainy feeling. It doesn't have anything more than ADEK so I still have to keep taking the B complex, but it'll get me through the first 30 days, then I'll start supplementing according to the Vitalady List that DS veterans use. I'm relieved it wasn't gross!!

Hey. I am just starting to get all my stuff and I have asked a few different people that I know that have had surgery. One gets all her stuff from Bariatric Pal. They do have a meltdown vitamin package I found it is just very pricey. I saw some at Walmart if you search liquid or melts vitamins they will come up. Other then that the only other company o know ,because I met them at a conference, is Celebrate. I would trust them also. The women that run the company are also post op. Any they have vitamin packs specifically for your surgery type. They are great women.

I have finally hit the end of my rope with protein supplements. Every thing about them makes me want to [emoji2961] I'm not a food for breakfast eater, I like to drink my breakfast because that's when I take a bulk of my medications. I need good bariatric friendly protein shake/smoothie recipes. I'm willing to put powders or premade shakes in as long as I CANNOT taste it. If you have a good website or cookbook with recipes in it, that'd be nice too. Thanks, everyone!

Thank you so much for responding! Honestly it is such a big relief to have someone to talk to about this. Sure I have my husband but he doesn't really know what to say in regards to all this and I don't blame him. After all this is new to us. I have sleep apnea as well and I'm using a machine. Had my suspicions for a long time as I snore loudly lol, and both my parents have it, but it wasn't until my bariatric team sent me in to be tested that it was confirmed. Your right I could die at any moment. My kiddos are 11 and 8. I just want to be healthy so badly. The fear of being off worse after the surgery makes me nervous. I am trying to overcome this fear though and be at peace with my decision. Surgery is so close and if I cancel then I'll always wonder about what could of been.

Thanks for all the replies, everyone. On the advice of my therapist and my surgeon's nurse practitioner, I stepped away from bariatric social media for a bit before my revision. The surgery went OK - it did take 6 hours, as my surgeon found a considerable amount of irregular tissue on my sleeved stomach that had to be removed and biopsied. Thankfully it turned out to be benign - probably was scar tissue from my sleeve surgery. I did have more pain and nausea immediately after surgery this time than the first time around and ended up staying a second night in the hospital until that was under control. It got much easier from there, and I only took 2 of the oxycodone they sent home with me (right before bedtime on the first two nights at home), and then minimal Tylenol for the next few days. I've been able to get all my fluids and protein in from the start. Pain is now minimal, my incisions are healing well. I'm starting to get my energy back albeit slowly. I'm now on soft foods and have tolerated each new food I've introduced without any problems, My biggest issue is constipation - I don't remember it being this bad after my sleeve. I'm using Colace, Benefiber, and Miralax. I wish I could drink coffee, that would help! 😫 My surgeon also left my pouch a little on the larger side, saying she doesn't want me to lose TOO much weight. I'm pretty disappointed about that, since I had 40-50 pounds to lose. I'm definitely already on the upper end of the amount I'm supposed to be eating at this point - 4oz. per meal (3oz. protein + 1oz. fruit/veg). I am down about 10lbs since surgery at 3 weeks post-op and just got back out of the OBSESE category. Hopefully I'll continue to lose at least something over the next few months.

Absolutely, the FDA's approval of Eli Lilly's Zepbound™ (tirzepatide) is a game-changer in weight management! It's the first medication that works on both GIP and GLP-1 receptors, making it a novel addition to obesity treatments. Clinical trials have been impressive, with participants losing an average of 22.5% of their body weight. For many, this could be a transformative non-surgical alternative that might reduce or even eliminate the need for bariatric surgery. That said, it's important to consider the potential side effects, which can be quite serious, as well as its high cost—although Eli Lilly is working to increase accessibility. As this medication rolls out, it could redefine treatment plans, offering a new, potent tool for weight loss both before and after bariatric surgery. It's an exciting time for both patients and healthcare providers in the field of weight management!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had nausea until about 8 weeks out. It was constant and impacted my ability to eat, drink, and take my vitamins. A few things helped me (and others like me) that may help you: 1. Ondansetron only takes the edge off of nausea for me. It is rather ineffective for my body. I have much better results with promethazine, it actually manages to eradicate the nausea for a number of hours. I'd ask about a prescription to try it, at this point it is worth trying something else for the nausea and they have a number of meds out there that can help with this. I took it several times a day. 2. My surgeon told me to be gradual with my addition of vitamins. I had to take the chewable B complex everyday, and the little B1 pill because my complex didn't have enough B1 in it alone. But these were pretty gentle on my stomach. The actual multivitamins though he said are rather activating for the stomach and some people can struggle to incorporate them early after surgery. It could be these are contributing to your stomach pain and nausea, especially if your multivitamin contains iron, as it can be a little hard on a new tummy. So talk to your doctor about this, perhaps they can switch you to a bariatric B complex and let you try adding in the multivitamin closer to 3 months than all at once right now. 3. When my stomach would hurt I'd massage it in clockwise motions with firm, but not painful, pressure. I got twisting stomach spasms for the first few weeks with any food or water and this was the only thing that helped ease the pain of them. 4. My PPI needed an extra dose and for me, omeprazole is worthless. Some people metabolize it fast and for some it just doesn't work as well. Have they considered switching you to Pantoprazole? It is often used in the hospital because it is so effective. It might be worth switching to it to see if it is any more effective for you. A lot of bariatric patients end up having to switch around to find the most effective one for them. 5. Hydration is crucial early out of surgery. They should have had you exclusively focusing on hydration for the first two weeks along with the B complex. It sounds like your electrolytes are off, probably because you are chronically dehydrated. Nausea is made MUCH worse by dehydration!! You are 6 weeks and still struggling. Unfortunately at this point you DO need to be trying to get in some protein with your hydration to prevent malnourishment. Greek yogurt is great for this, but there are other options too. Have you tried any protein water powders like SEEQ or Syntrax Nectars? These are easier to stomach and come in nice flavors. SEEQ watermelon is seriously tasty. LOL Try some sample packets!! It is okay if you can't hit your full protein goals yet, every little bit helps. If the change in meds doesn't help you at all, I hope they consider doing some imaging and a scope to ensure you aren't experiencing something like a stricture. They are rare, but they do happen, and they can cause issues with progressing the diet. 6. Water flavoring packets can help with getting in more water, as does sipping it around the clock out of those tiny cups until you get the hang of getting more water in. It can and does feel like a full time job and you will feel like you are floating! This is normal. Electrolyte powders are a great addition to water at least once a day because they really help you get minerals you are missing since you aren't eating them in food! And try a variety of things and a variety of temperatures. Some hot broth or tea, some flavored water over ice, something room temperature, sometimes the tummy has an opinion about what the best temp is! I am so sorry you are dealing with these issues 6 weeks out. It sounds like your team needs to be more proactive in trying different meds and doing some testing to figure out what is going on. Honestly, some do struggle like this for a while. On occasion some end up with TPN for a while to help them get the nutrition they need. It sounds like you aren't quite at that point because you are keeping some foods down, but it is an option if you continue to struggle and end up in the hospital repeatedly for low vitamin levels. Some find a month or two of TPN can get them past the roughest part and then their systems are able to handle food and water without issue. It really depends on the person. But you don't want to go that route if you can avoid it... ❤️

**Update** Hey everyone! Sorry for being MIA for a while. I really appreciate all your responses and well wishes. I will be 2 weeks post-op tomorrow, which is kind of nutty to think about. My 9 day post-op follow up appointment went really well. Incisions are healing well, and they seem quite happy with my food diary. I started my bariatric vitamins about 4 days post-op as well and been doing great so far with those. I use Paravita bariatric multivitamin 3x daily and I take Vitamin D3 2500 IU one drop daily. Plus of course the medications needed temporarily prescribed by my surgeon. I got to say though that it's been HARD going through Christmas day and not being able to enjoy our traditional Christmas breakfast, or our amazing turkey feast. Least I got to smell it though lol. I feel a lot more strong, so I have been able to have a lot more normalcy in my life. I make my family their food, while also preparing my clear liquids and full liquids. Unfortunately I'll be on the liquids until January,10th as it is 4 weeks with the gastric sleeve. Then eventually pureed foods, then soft, then finally regular healthy eating for life lol. I am making turkey soup today with our turkey carcass, onions, carrots, celery, and some seasoning, so I can at least enjoy the broth of our Christmas dinner my spouse and out kiddos had yesterday lol. I hope you all are well. I am fighting my brain and always will, and I am still having some regretful thoughts over having this surgery. I am taking one step ahead at a time and trying to look towards the positives. As I've said in other posts I just was so set on Gastric Bypass for my acid reflux issues, and I liked that it could be reversed if needed, plus I hear it has a higher success rate. So when I found out they gave me the sleeve, I just been having mixed thoughts since, and now I can't go back even if I wanted to down the line. So it's been weighing on me a lot. Please know I am not trying to discourage anyone from WLS, and the sleeve can be just as successful, everyone is different. I also thoroughly did my research on WLS prior. Lots of great things about these surgeries. I hope you all are well and that you all had a very Merry Christmas, or Happy Holidays if you celebrate. Much love. ✌

@newbegining2024 Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I am not doing too well with my multi because I purchased capsules that I open to put in my smoothies which I don't take every day anymore. I just purchase the multi-vitamin pack from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. Let me know how you all are doing! (this will be posted in a new thread as well)

I went to see my GP this week to get some testing done. I actually looked forward to going, knowing things would to be better than the last time I saw her pre-op. She along with everyone in the office flipped out when they saw me. I'm down over 80 pounds in 5 months. The nurse said I lost a small person. LOL I could fit comfortably in the chair when they drew my blood. You know that little table that folds down in from of you? I had room to spare. She asked if I was having fun buying new clothes. I told her yes. I love thrifting and now able to get around to do it. The head nurse had to come in and take a gander at me. She called me yesterday and told me my bloodwork results were amazing. Everything is in normal range now. I am no longer pre-diabetic. Even my liver and kidney functions are normal. Those things scared me the most and my main reason to get the Gastric Bypass. Don't ever let anyone tell you those things aren't reversable. My GP said she can't believe my numbers. Told me all her sleeve patients don't have these kinds of results in a year, even after prescribing them Ozempic. She sees patients from a local surgeon who only does the sleeve with no follow up support. I'm guessing most of those people aren't following any protocol because I see the good results on here, every day, of sleevers' success stories. I love reading them. I went out of town to get my bypass in April that thankfully has a great Bariatric support team. I go back to see them for my 6-month checkup Oct 11. They did a vitamin panel on me last time and all was well except my B12 was a bit high but nothing to worry about. And I go back in January for my annual physical with GP. Was told they can hopefully start taking me off my meds. I will be closer to goal weight by then. Something else to look forward to.

Ty So much i lost 166pounds Total.I am Thankful for what i weigh Compared to 285.3 prior to my sleeve Surgery.. I had at 2 years post op Gained 20 Pounds...I got strict took it off and much more.As i am seeing..Its way harder to lose Further out you go.,It seems to be like Same old..I am trying hard to lose this mindset too. I KNOW I CAN RELOSE THIS REGAIN..I do feel the Support does still help me in my Life Long Weight Loss Journey..I know Bariatric Surgeons told me 125-130 was good. Not for me .i had for over Seven years stayed hy 115-116. then over past year or so i got up by 124-125. i am afraid of losing control. I never want to be a 2-3X Again. I am a petite 7-8.I am, I am 5"2 Short.. age 65.. Had my vsg May 21, 2015.. Thank you For your kindness.Always Jo Ann Age 65 North ,Florida I know You can do it, i went way past my actual weight Goals set hy my Bariatric Surgeon. He had told me to lose by 125-130.for 8 yeats i stayed between 115-120.. Me and Jim my Husband of 24 years had Some Identity Theft in September 2023 Online..I found myself snacking at nights on Ice Cream and things i should not been eating..I do know i put my weight on being fareless.i lost, 25 pounds plus more in year 2 after my Sleeve Surgery..I pray to make some supportive Friends here. DR.DUC CUONG TAUGHT ME ABOUT JOURNALING..i have kept a Journal from start of my Weightloss Journey till now.I have a Separate Gratitude Journal..that helps me..My Belief is You still Need On Going Support.

Just for a little perspective, a good rule of thumb is that on average people lose about 50% of their excess weight by 6 months, then it will take the following 6-12 months to lose the remaining weight because loss slows the closer you get to goal. Your 50% mark is 45 lbs, so you are technically ahead of schedule probably when it comes to your weight loss. Take a moment to let that sink in and celebrate it! That's a big deal! Yes, working out for some people slows their weight loss according to the scale because they are exchanging fat for muscle and their fluid balance changes. But, another issue is that some people don't eat enough to fuel their body and workouts when they are in a losing phase, which will also cause weight loss to slow down. You need a session with a bariatric trained nutritionist to help you work out what your target calories and macros are so you don't end up in starvation mode and ruin that nicely reset metabolism you got compliments of the surgery! Stalls are a normal part of it. I stalled one month out from surgery for 5 weeks. It was really lame and I have way more to lose than you do. But it is all part of the game! Putting too much stress on your body and emotions will definitely trigger slower weight loss too as was mentioned above. This is a marathon, not a sprint... ETA: Almost forgot---are you monitoring your measurements?? Most of us lose inches when we aren't losing pounds according to the scale. That's because even when the scale is at a halt, our body composition is changing! Take those measurements!!

Great job on everything so far!! I applaud you on your dedication to moving your body!! I also take my measurements once a month, on the 1st. I totally relate to everything you said, including the early stall! I had a stall at 2 weeks and it lasted a month. I cried at my 3 week appointment, as I had gained 6 pounds. I thought my surgeon would think I was non-compliant, even though I was only getting 3-400 calories a day. She hugged me and told me that it was literally impossible for me to be non-compliant at this stage! It was just my body freaking out at itself, and the goal over time was to add a lot more calories. I haven't been able to do much more than a little slow walking, even at nearly 4 months out and just short of 40lbs down from surgery weight. I think it has to do with sleep, about which I have huge issues. I feel like once I get better with that, I'll be able to add a lot more movement. I'm hoping that will help get me through future stalls, which I know are very likely to come and are super normal. Still doesn't make it easy! Also having trouble getting my 64+ of liquids. It's a daily struggle that I don't always meet. My surgeon chose to leave the hospital and physician's group 3 months after my surgery, because the powers that be were making decisions about the program that she felt compromised the program's (and her) integrity. She's moved to a more holistic private practice now, and even though they don't take my insurance, she offers a special rate for follow-ups to her former surgery patients. I'm totally going to go see her for my 6 month f/u and beyond, because the hospital has now ended their bariatric program, and I adore my surgeon and her holistic attitude. I feel really lucky.

I had an appointment with my PCP yesterday and got online to review my lab results today and my B12 was 1543. I’m freaking out! Is that normal after Bariatric surgery? I’m 2.5 mo out from DS SIPS/SADI.

Caffeine is usually restricted for the first few months in a virgin DS/SADI surgery to help prevent dehydration. You may not have this restriction put on you since you already have your sleeve and should keep food and fluids down fine post-op since they probably won't resleeve you unless yours was done wrong. Even if they put you on caffeine restriction, it is only for a little while. There is no reason to restrict it long term, it doesn't harm the digestive system. My partner loves to dine out and we don't have kids, so I've been eating out since a month after surgery. I am careful with my choices, the first thing I ate out was grilled swordfish and sauteed green beans. It was fine. I've since eaten Thai curries (mild), pho without the noodles (they put veggies instead), sashimi, fajitas with guacamole and cheese sauce (no tortillas, rice, or beans), steak (ribeye is my favorite and digests better now than it even did pre-op), wings, traditional Chinese food (nothing fried, no rice), Peruvian chicken, the list goes on and on. I try to stick to protein/veggie options. Anything I wanted to eat at a restaurant I tried to have a version of at home first to know how it would affect me. I tolerate most things pretty well, though it seems my digestive system prefers baby spinach over iceburg or romaine lettuce, but that's not a huge sacrifice. And I can't eat beans at all, but I never really tolerated them pre-op either. Also I try not to have too many cruciferous veggies at once (broccoli, cauliflower, cabbage), as they cause bloating, but I had that problem before surgery too. (I have had IBS and an inflammatory bowel disease since I was a teenager.) That said I try to make healthy choices in general whether eating out or eating at home. DS patients don't really need to restrict fat because we malabsorb so much of it (regardless of what the dieticians tell you) and SADI patients can eat a moderate amount of fat as they malabsorb a moderate amount of fat. Too much fat in one sitting can cause diarrhea, but you'd have to really make an effort to do that, and any bariatric surgery other than the sleeve can cause that issue. Coke Zero does not have sugar alcohols in it, it has Splenda, so it is fine from that perspective. Carbonation is only an issue if it bloats your sleeve. However, it can cause you to be hungry faster, or cause gas due to the air bubbles, so it isn't the best habit to have long term. But it won't piss off your intestines. I switched to unsweetened iced tea and carry Splenda or Equal packets with me! Sugar alcohols are things like erythritol, xylitol, and malitol. Allulose can also cause gastric upset depending on how tolerant you are of it. I can usually have a little of any of those, but more than a tablespoon and I'll be in the bathroom half the night. 🤣

I'm almost 5 months post op RNY Gastric Bypass 1/3/24. 52 F 5'9.5 HW 272 SW 255 Surgery date 219, CW 174 1. I had surgery for a variety of reasons, severe GERD, hiatal hernia, gastroparesis, obesity, chronic pain and disability. The best part is not feeling either nauseous, in pain, or hungry 24/7. I feel hungry, I eat, and I feel good. Don't get me wrong, I still have some nausea or pain if I eat too much or too fast, or just knowing something isn't likely going to agree with me, but I've been pretty good at avoiding those things. The chronic pain is lessened, I'm more mobile, and feel more energetic throughout the day, instead of just in the morning. 2. I've had some hard days with emotions, not being able to eat mindlessly anymore, regardless of the food. It's been an adjustment, but honestly, no one needs to eat mindlessly, it just isn't good for anyone. 3. I had a sketchy bladder issue, it didn't wake up for a few days after surgery. I had a sketchy bladder already (Previous Cauda Equina Syndrome), so it wasn't completely out of nowhere that it didn't cooperate. 4. It's been really good for the most part, there have been moments that felt hard like traveling with family and not planning well enough, had a hunger meltdown, and struggled getting what I needed in a hotel room with a barbie fridge. Though recently traveled again, same scenario, but better prepared, no melt downs, no strife. 5. I was started on purees in the hospital and it was a slow progression to regular food and I felt okay through every stage though I would say that I started feeling "normal" when eating after about 3 months? 6. I don't eat bread, pasta, rice, fried foods anymore. My ultra favorite was fish fry, now I have baked cod and still eat it with tartar sauce, so I don't feel deprived. Most foods that I crave I've been able to find a satisfying alternative for that works for me. . 7. I have not vomited once since the surgery, I've wished I could at least twice, but it was a matter of having eaten too much and needing to wait to let it settle. That is a good reminder for me to go slow and take breaks. I've not had any dumping, though I avoid all sugar anyways, and did prior to surgery. 8. It's different for everyone, I think I felt most like myself again at about 8 weeks. Though that doesn't mean that I felt bad before that, I just felt less energetic, a bit more emotional, etc. 9. Yes, very much so. I don't have that afternoon slump anymore, I feel clearer and just happier. I feel like I am now what I was supposed to be all this time. If that makes sense? 10. It affected my mental health in the expected way, I was weepy, sad, afraid, etc. I was thoroughly prepared for it by reading on this site and American Bariatrics site. I knew what to expect and it didn't shock me or frighten me when it happened. Thanks to all of you who so generously shared about those experiences. I'm definitely happier now, I feel more comfortable in my own body now than I have in a very long time. 11. I don't regret a moment of it, would definitely recommend it to anyone who is eligible and interested in having surgery. For me, the biggest piece of it is that feeling of eating, then feeling satisfied. When I go out with friends or family, even though there is so much food still on the table, or on my plate, it doesn't keep me preoccupied. I'm able to just sit and enjoy the time with friends and family without spending the entire time talking to myself about one more bite, one more piece, no, no, maybe...................This piece right here is invaluable, and when combined with the fact that I don't feel sick all the time anymore, it's definitely been worth it many times over for me.

With about 5 months ahead of you, I suggest making some changes to your eating now to break yourself of bad habits and get into better ones. For example, I started this journey in July and spent the first month cleaning my cupboards. As I used up unhealthy snack foods, sweets, and processed foods, I opted not to buy more. I replaced the crackers and chips I would snack on with dry roasted, lightly salted nuts. I added a lot of veggies and fruit to my diet every day. The next month, I stopped drinking diet soda and artificial sweeteners and cut way back on sugar. The next month, I stopped buying bread and cut way back on dairy. I bought a few bariatric cookbooks and have been finding recipes to try. I might still have bread, diet soda, dairy, or sweets every so often when I'm out, but I don't keep it in the house, which means I'm avoiding it probably 90% of the time. I also started taking my vitamins so I will be in the habit of taking them every day and not forgetting. Oh, and I got into a good routine with water and trying to remember to take a water bottle with me wherever I go. Changes like that will hopefully go a long way in helping you feel mentally prepared for the changes you have to make post-surgery.

I don't have MS, but I do have several autoimmune diseases along with Fibro and Chronic Fatigue Syndrome. I am almost 3 months out from a traditional duodenal switch. I have found my energy level and ability to exercise has increased a lot, I no longer get post exertional malaise. I also have less pain because the surgery causes your inflammation levels to decrease and as you lose weight, those levels will continue to go down. Since I am so early out, I have not had any nutritional issues. However, my surgeon did advise I go with a longer common channel than the standard 100cm cookie cutter length that most doctors go with, because I have a history of nutritional deficiencies. I went with 175cm. I'm really glad I had the DS, I'd do it again every year if I had to just for the fact it put my diabetes and high blood pressure into remission immediately after surgery!! Plus I have more energy than I've had in 2 decades. There is a different forum that has more DS patients on it, you might try posting there. It is www.bariatricfacts.org I'm not sure if anyone there has MS, but they are great with recommendations. There's also a support group for DS patients on FB called "Duodenal Switch SUPPORT Group" and there are a TON of DS patients there, you might try posting and seeing if any have experience with the switch and MS. As for surgeons, I had my surgery done with Dr. Pilati at WakeMed Bariatrics in Cary, NC which is right outside of Raleigh. We have a number of excellent DS surgeons in this area because of our world class healthcare centers. I don't know of any in the DE area but the women at bariatricfacts might, a lot of them are vets of the surgery for 10+ years!

So I am 5 years and 2 months post-op RYGB. I made it beyond my goal weight of 170lb to 160lb. Technically I was as low as 145lbs because I was very sick in 2020 then again in 2022, but after getting better, I stabilized at a steady 160lb. Last July I started online streaming/socializing with people. I started snacking more because of nerves and also began drinking quite heavily because being silly tipsy in front of strangers is fun! I had NO IDEA how many calories was in alcohol. Over the course of 5 months, I gained 20lbs. Even more, I noticed that I can eat almost a "normal" plate of food the same size as my family's. I broke the rules and had started drinking fluids with my meals. I think I thought I could get away with breaking rules because I was at a stable 160lbs. Now I am FREAKING out! I hate exercise. I never did it, even with my prior weightloss. I am using a tracking app my husband's VA dietician told him to use called Fat Secret. I am trying to stick to 1600 calories, which is super hard. I feel hungry all the time now. I think I caused pouch dilation. I refuse to be heavy again. My clothes are already getting tighter than I like. I was doing research today on weight gain after years post-op. I basically am reading that I need a bariatric reset. I am going to do a 2-week "Pouch Reset Diet." It's not to make my pouch smaller, but it's to retrain my body to feel full with smaller portions again. I need to go back to the basics, and it's really hard. I also don't get DS with sweets like I used to. Don't get me wrong, I still get sick, but I noticed that my sugar tolerances have changed. It really worries me. 40% of bypass patients fail and bounce back to within 10% of their original weight pre-surgery. I will NOT be a part of that 40%. My support system at home is tricky. On one hand, my husband does support me outwardly. But he himself weighs 415lbs and isn't doing much about his weight. He watched my struggles and drustrations and outright refuses surgery for himself. He's on some stupid intermitent fasting diet, but he still eats way too large portions at meal times. My 15 y/o son is pushing 285lbs, and his only exercise is video games. For me, it's like living around all these food temptations is a struggle. It's like being an alcoholic and living at a bar. I just ordered a crap ton of protein powder so I can jump start this Pouch Reset Diet. I started to push myself on working out at least a little bit. I have a mini stair stepper and an eleptical bike. Anything is better than nothing. I am just wondering if I am alone in my struggles?

Hello, all. I have been happily using soft-chew multi-vitamins from Bariatric Pal for the last four years. I live in Australia and shipping has always been expensive but manageable. I just placed an order for more vitamins and three types of protein snacks, and the cheapest shipping option was US$ 225! That is way more than usual--and more than I'm willing to pay. Can anyone recommend a comparable product that is available on Amazon? Thanks!

By taking an all-in-one Bariatric Multivitamin like BariatricPal Multivitamin ONE, you can get 1,667% of the daily Thiamine (B-1) value. Why take a separate B-1 supplement?

Still hurting. Actually looking forward to surgery on Wednesday. Also upset because I'm probably going to miss ALL of next week. Plus the 2 days I missed last week and I will only have 3 paid days on my check on the 15th. Not only do I have bills to pay, that was supposed to cover Christmas. And not just the gifts, but the decorations, the dinner, cards, all of it. Now we'll have literally nothing. And the pain meds don't do anything but knock me out. Once I wake up, I'm in pain again. Time to take my meds and pass out. I'm so over it all.... Oh, before I forget!!! Let's not leave out that I'm basically back on my stage 1 bariatric diet because when I try to eat regular food, it KILLS my hernia (it's a delayed reaction, so I'm guessing it's happening as it makes its way down my colon, or to my bowels, or wherever it goes). That was ok yesterday, but today....nope. But TODAY!!! Oh TODAY has been a joy because now even liquids and YOGURT and Jello hurt. And I have had absolutely ZERO appetite since yesterday around lunch time. I can't just not eat, but I have no hunger feelings, and when I remember to eat, I don't want to because it hurts so much. I don't know what else to do, but I feel like I'm losing it over here. I'm so so over all of this. I've never had a hernia before. Is this normal? Because I feel like I'm about to lose my mind. I walk hunched over, trying to roll over in my sleep causes me to cry out and wake up my husband, and don't get me started on coughing or sneezing or pooing. The early stages of both my bariatric surgeries COMBINED didn't make me this miserable.

I'm sorry you're having to deal with this. I was denied by my insurance company for years, got a pre-approval in 2021, and then denied again after I started the program. I had to do months of song and dance to meet their requirements, and then they just dropped me. I appealed repeatedly, and they gave me some BS response like the governor of the state that my insurance is based in effectively declared all bariatric procedures as elective and unnecessary. I ended up having to save up and do some self-financing to have a self-paid procedure. It was stressful in the planning phase, but I am happy with my decision. The surgery team was very helpful, and are staying in regular communication 5 weeks out from my surgery. It is like a smaller used car payment (not a new car price at least!) but it was manageable. I had my Gastric Sleeve done in the US as I was unsure about going to Mexico. I can't speak to the specifics on the pricing, but MX seemed to be generally half the price or less than the US, but it can be a crapshoot for the level of care. Some in the US have some room to negotiate, but a lot are firm on pricing. Just do you research, take a break, and redo the research again to be sure if you go the self-pay route. Hoping your insurance comes to their senses and assists you with this. While this isn't a cure-all or "easy mode" approach to weight loss by any means, it is a very useful tool that will help your overall health and quality of life!