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For me I think the sleeve is hard work, but in a different way than dieting before the sleeve was hard work. Before the sleeve, dieting was mostly about resisting temptation, and damn, that was HARD. Keeping my mind off food while eating "only" 1200-1500 calories a day was hard. Now, post-sleeve, temptation isn't a problem for me (yet, I assume it's coming down the road some time). Choosing to eat small portions of food is not hard, it's easy. But in the past I didn't have to be completely OCD about tracking everything I ate in terms of calories, fat grams, protein grams, carbs, etc. I wasn't rigid about getting my vitamins every day; in fact, I rarely took vitamins. I didn't weigh or measure all my food - I hardly ever did. If I wanted a "cheat" meal or day or snack, I took it. That's all gone. Now I'm following someone else's extremely rigid rules with no room for variance. This is all hard, not in the sense that I want to be doing it another way, but in the sense that it takes a lot of work and vigilance. OP, don't get me wrong, I am not complaining. I love my sleeve and think it's the best decision I've ever made for myself, for my physical and emotional health. I have been exactly where you are with the yo-yo dieting and weight gain. I also struggled with admitting that I needed medical intervention and couldn't do it "on my own." Good luck in your progress - I believe you'll surprise those around you and even yourself with your ability to succeed with help from modern medicine. And there's nothing wrong with taking advantage of medical advances even if there may be some people who don't understand that.
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Eating too much post op???!
Cherylseekinghope replied to ashleyrenee's topic in POST-Operation Weight Loss Surgery Q&A
What does it mean to have a fill? What causes the weight gain initially? Cherylseekinghope -
I knew that my forthcoming period might make me gain a pound or so, so I didn't get on the scale for two days. Stuck to plan, however, and kept walking. I'm still pre menstrual but got on this morning: up SIX pounds! This is so discouraging, and it makes me want to stay home in bed. This can't be normal!!!
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I'm trying to decide between lapband and gastric. My concern is erosion and slipage. I'd like to know how many people suffer from either of these. I have to pay cash for my surgery so I want to make the most educated decision I possibly can. Also, does anyone who had the lapband regret it and wish they would have had the gastric instead? Another concern I have is that I live 150 miles from the doctor so I'd like to know about how many times I will need to make the trip for a fill. Finally, is their less chance of weight gain with lapband then gastric in the long run? Thanks for the advice and info in advance.
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Considering Lapband and have concerns
Betsyjane replied to finallythin@34's topic in LAP-BAND Surgery Forums
Regarding weight gain... I understand your concern. Most of us have failed at keeping weight off in the past and have regained more than we lost most times. I want you to know that the band requireds hard work on your part. The difference with the band is that the hard work pays off...A first for me! Even when I've royally screwed up a day of eating, I either plateau, or lose anyway. Quite a change...... I've sometimes wondered if I would have enjoyed gastric bypass more----that sudden big drop inw eight that happens almost in spite of yourself. But I know that there's something about working and succeeding at wieght loss that is so good for my soul. I've needed that experience all of my life. -
Hiya delove--- I have no problem swallowing the Camila pill (also known as the mini pill-- I'm assuming because of its small size and lack of estrogen). You take it every day at the exact same time and there is no week of sugar pills like with the other pills. It is very small and goes down easy. I don't necessarily need to wash it down with water either...it's that small. I've been taking it for almost 2 years now with no other problems, ie: weight gain, hair loss, etc. To get a good sense of what's best for you, check with your doc, but in the meantime, check out www.bedsider.org. There is tons of information on all the different kinds of birth control available on the market today. It also compares different types and can give you a better idea of which one may work best for you. They even have appointment reminders, refill of your medicine reminder, and daily reminders to take your medicine. You can use all of those things are only one of those things, whatever works best for you. I use their daily text reminders to make sure I take my pill at the same time every day. The reminders are usually facts about sex/birth control statistics and other random things, so just be mindful if you offend easy. But I like that they are using facts so I'm okay with that. (Even my co-worker uses the text birth control reminder the help him remember to take his heart meds daily, lol!!!) Message me if you have more questions!
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Pre op Weight gain during 6mo for approval
Dominique Casiello replied to dommie20's topic in Insurance & Financing
thanks all for the input, I have tried to limit my carb intake and up my water- im currently at 285. my first weigh in was 276 and my second at 281, I have to weigh in next week for sure im hoping to get back down to 281 so I don't show a gain. I did start birth control so im hoping a note from the doctor may explain some of the weight gain. when is everyone else due to submit to insurance for approval? I would love to be able to talk to others with emblem health! -
So happy with this sleeve ! 8 weeks out
WorldTraveler replied to Harley59's topic in POST-Operation Weight Loss Surgery Q&A
I was about where you are 4 days ago, but today is my 15th day post-op and I turned a corner (thankfully)! I feel amazing today, minimal pain and it's the last day I have be on Clear liquids. It was also my first day back to work! I'm not sure if you are on clear or full liquids? Clear liquids-drink broth, Protein shakes made with water, Isopure, SF/no carb Jello, SF/no-carb popsicles. Full liquids-Drink protein with almond or skim milk (Syntrax nectar is my favorite protein-no carbs, mixes well with water or milks), low-fat creamy Soups (such as low fat/low carb butternut squash Soup or tomato soup or cream of broccoli soup with the chunks strained out). I use Ideal Protein or Barwise products, but you can also make your own from scratch if you have time. Soft foods phase-eat scrambled eggs or tofu, low-fat cottage cheese, low-fat SF yogurt (use Fage Greek fat free for optimal protein with low carbs). Eat only 2 oz at a time. Do not drink 30 minutes before or after you eat to train yourself to eat slowly and fill on 2 oz. If you drink while you eat, you will eat more than you should and can stretch your stomach which will ultimately lead to slowed or stopped weight loss. Eventually this will become weight gain. Phase 4-lifelong phase is food you can tolerate, only 2 oz at a time, chew/chew/chew! No beverage 30 minutes before and after eating. Set a timer on your phone to help you. Journal everything you eat to hold yourself accountable. Please let me know if you want me to email you my post-op eating plan. All the best to you! It will get better and suddenly you will feel amazing! -
My PCP did the exact same thing which in turn sent me into a depression. I gained close to 15lbs without trying. Just depression eating, thinking it was over because I have struggled to do it on my on for so long. With my weight gain my Insurance approved me because my bmi is in a danger state. I am not suggesting that you gain at all! I will keep you situation in my prayers.
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God bless that doctor for truly understanding PCOS! Every doctor should memorize that statement. We've all been told for years that 'calories in vs. calories out' = weight loss or weight gain. Not true for PCOS sufferers. We hold on to everything. Anyways, off of my soap box. I would like to encourage you by telling you that I am a 49 yr. old woman with PCOS. I had my lapband surgery in September 2008 and I have now lost 80 pounds. Totally unbelievable because the most I have ever lost on my own is maybe 25 pounds. And that was with dieting and a cardio work out 1 hour a day 6 days a week. I've had an excellent experience so far with the lap band and I wish you the same and even better luck. PCOS women can lose weight with the lap band.
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Surely BCBS will accept their own document!
sisterc replied to smylie1's topic in Insurance & Financing
I have BCBS also HMO in Massachusetts and they didn't ask for this form. I needed a referral from my primary and then document was submitted for approval. I just happen to be with the same doctor for over seven years and they had a record of my weight gain and lose over the years maybe that is what they used. But speak with BCBS and they asked me several questions and he said if you can answer yes to one of them then you will qualify. His questions were is my BMI over 40 - yes are you over 100 pounds over weight - yes does your doctor recommend this - yes, over the past few years have you tried any other method and list the methods - yes I named them all. Can you see if you can talk with your primary and get referal or he or she can write the letter for you to BSBS? I hope all goes well for you! -
Taking Control of Emotional Eating: A Free Teleseminar
MelissaMcCreery posted a topic in LAP-BAND Surgery Forums
Emotional eating is one of the biggest causes of overeating, weight gain, and weight re-gain. April is Emotional Overeating Awareness month and to commemorate this, I'm offering a free teleclass to answer your questions about how to take control of emotional eating and struggles with food, weight and healthy lifestyle. The teleseminar will take place on Wednesday, April 22, 2009 at noon Pacific and 3pm Eastern. Creating change isn’t automatic and it isn’t always easy. However, it DOESN’T need to be a struggle. Join me for this free teleseminar where I'll answer your questions about how to end emotional eating battles and make peace with food—once and for all. Just go here to register and submit your question. -
Hypothyroidism and frustrated
mylighthouse replied to Candigal's topic in POST-Operation Weight Loss Surgery Q&A
Yes, hypothyroidism could easily explain your weight gain. They discovered I had a goiter at age 6 and then hypothyroid in my 20's on. I have been on medication for it for many years. However, around my mid-twenties, with 2 small kids, being a stay-at-home mom and my current husband at the time, we did not have much money and no insurance. I quit going to my thyroid doctor and quit taking thyroid medicine. It wasn't long after that when I started gaining quite a bit of weight as well as having other symptoms of thyroid problems. Then I got back on my thyroid med and lost weight. Fast forward 15 years and I got off my thyroid med again and gained a bunch of weight. Now I am on thyroid med again (for 2 years now). But this time I couldn't lose the weight on my own. Had the sleeve surgery back in November '16 and I am still on thyroid meds. Since October, I have lost over 80 pounds. I think that if you are sticking to the plan with your sleeve (make sure low carbs, over 60 grams protein), that once your thyroid gets under control with medication, you should lose weight. Don't get discouraged, if you just started your thyroid med, it can take 6 weeks or so to notice a difference. Also, you will need to go back in for more bloodwork and see if you need to go up on your thyroid med dosage. It has to be a gradual increase. Getting your thyroid back to where it needs to be might take awhile. -
Did they try you out with different masks so you could decide which was more comfortable? I couldn't tolerate a full mouth and nose mask, so I've been using a petite (ha! the only petite thing I've ever owned) nasal mask for years. I don't even feel the air going in ... Sometimes I pull the mask away to make sure it is actually working. Do you need a mouth mask because you didn't close your mouth with a nasal mask or nasal pillows? If they didn't try different masks with you give your Dr or respiratory rep a call and tell them you aren't tolerating this one. One other thought, your machine should have a "ramp up" or "warm up" setting that you can select that starts the machine off at a lower pressure and gradually builds, allowing you to fall asleep before the maximum pressure setting is reached. Yep, they usually want your usage data for awhile to make sure you are compliant with the therapy. They look at hours used and they can look at a bunch of other data, if needed, to make sure you are getting the full benefit. Additionally, the machines aren't cheap, so your insurance company wants to make sure you're using something they are providing (or paying a part of for you) you. An added benefit from CPAP use is that it may help you with some weight loss. Research has shown that sleep apnea may be linked with weight gain, high blood pressure, and a laundry list of other health issues. I know it's a hard adjustment, but think of it as another positive step in your new healthy life. Best wishes!
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Was on it after my 2nd child. Thought it was great not having a period , Even though in the back of my head I always thought that wasn't "right" , but It was great. Then started having serious eye problems after about 2 years. Eye doc couldn't figure out why my pressures were so high and said I was going to have to be on drops for the rest of my life. After moving to another state and trying to find a new gyno. I missed my shot. Took over a year to get my period again and more importantly I went into a withdrawl causing me to miss nearly 2 months of work. I was a mess!!!! Emotionally thought I was going to wind up in an institution. Finally saw a new gyno she explained the pros and cons and the office of 5 doctors DO NOT recommend the Depo shot. They've seen way too many side effects. Inknow everyone reacts different and this was just my story. Good luck with whatever u choose:) ...oh ANd when I went off the shot I lost 35lbs!!! Weight gain was horrible. OH and the pressure in my eyes went back to normal as well.
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So I was sleeved yesterday afternoon. I weighed in at the hospital yesterday morning at 241#. I got released home today & stepped on my scale.. 256#?!?!?!?!? Are you kidding me?!?!? The doc said I would have some extra weight from all the IV fluids & gas pumped in to me.. But 15#??? Did anyone else gain this much immediately after surgery? If so, how long did it take you to lose it?
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Stupid scale!
WLSResources/ClothingExch replied to hollybower's topic in PRE-Operation Weight Loss Surgery Q&A
How did you do in the time before this past month? Or was this your first month? Has your period historically affected your weight? Take a close, hard look at your food diaries. You may find some choices or quantities that, on paper, will elicit an "Ooooh." Show a week's worth to the practice RD; he/she may spot things that you're unaware of. Do you record everything that goes down your gullet? You're sure? I've never heard of weight-gain from eating to lose. All things are possible, but not probable. There's a reason that you'll discover. Surgery won't stop you from being hard on yourself if you're hard on yourself habitually. Separate out the facts. The purpose for surgery is to lose weight, that's it. The emotional, behavioral and other changes you'd like to make or see are under separate-but-related categories. I think you'll better focus on the first if you don't conflate the whole shebang. -
Thanks for the info, @mayasmomma. I take it for medical necessity, not birth control. I had lost 74 pounds a couple of years ago - and almost as soon as I got the shot - my weight shot right back up and brought friends! I had no idea what was going on or why I was gaining weight until afterwards, and someone told me that Depo was problematic! Ugh. I was so upset! I cannot take traditional birth control pills any longer because I've had pulmonary emboli and DVT, and they've tried me on a range of other pills, none have been successful in controlling my menstrual problems. The Depo shot was like a Godsend. Until I found out about the weight gain, of course! It's a certain type of hormone I have to have in certain doses. I will talk to my gyno about it, however - maybe there's something else I can take! As much as I hate it, I'm terrified to come off of the Depo!
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I had a RNY gastric bypass surgery on 16 May 2013. As I worked my way through the recovery process, I decided to publish a short article called "How I Survived Bariatric Surgery". It is available at http://www.breadandbutterscience.com/Surgery.pdf This is my before and after photograph at around the 6 month mark. http://www.breadandbutterscience.com/Operation.jpg Since I am now 27 months post-op, I felt it was time to publish an update to the original document. It is called "How I Survived Bariatric Surgery, Part II". It is available at http://www.breadandbutterscience.com/Surgery2.pdf I have been in the "Maintenance" phase for 20 months now. I know many people are wrestling with the fear of weight gain after they bottom out. This "Part II" article documents the approach that I used.
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Good luck with that. Have you tried dough-nut style cushions or pregnancy cushions, they protect your coccyx. I used them at seminars if they were long and chairs were uncomfortable, and this was in my pre-weight gain days. They worked for me.
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Anyone out there who has never been able to lose weight?
outrigger42 posted a topic in Tell Your Weight Loss Surgery Story
I am not a foodie but have gained 100 pounds after being started on some meds known to cause weight gain. My Doctor recommended WLS after mutilple failed attempts at weight loss. Unlike others here who have lost and gained, I have never lost an ounce. I am scared I will do a drastic surgery and not lose the weight. Is there anyone out there who had surgery for the same reason, and did you succeed? -
Ok, having talked to my insurance (NEIB-managed by bcbs and medical cost management) I have found out that though BCBS IL is a pain in the butt to deal with, our union has the final say about the go ahead... so far I have leared that my requirements are as follows: 1. height, weight, bmi (easy enough) (done) 2. TSH levels (again easy) (done) 3. physical and history 4. cardio and pulmonary clearance 5. 5 years of diet information 6. pyscologist 7. comorbidity My concerns are what comorbiities are considered... I have GERD, planters fascia, fatigue, menorrhagia, and had my gallbladder removed. I am going for a sleep study to rule in/out sleep apena. my BMI is 39.66 (5'5" 238lbs) My tsh levels were normal I also have a family history of diabetes. My family doctor is doing my physical and history on 4/8 and he needs to include my weight gain for the past 5 years, medications, and other health factors... Is there anything else you guys know of that will help the approval along?? Thanks!!
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AETNA-Did anyone gain weight during supervised months and still get approved
ahb08 posted a topic in Insurance & Financing
yes guys im guilty of gaining weight during these past 3 mnths of my pcp doc visits..usually its been a gain the 5-7 lbs of my original weigh in at my 1st consultation which was 243 and now im at 250...my bmi is right at 40 at 243...and im scared to loose weight so i have been trying to get in some pounds to get to like 41...but now im wondering if they would deny me for gaining....1 point on my bmi.....if so....ill try to do a lil fast/speed diet to help me loose these 5lbs before my final doc visit on 4/30...just wanted to know if anyone was denied or approved with a weight gain showing on file. thanks!!! i also skipped a month on this 90 day thing...so i ended up having to prolong this stuff to 4/30 to make up for the month i missed in jan, which will be my 4th visit required...did anyone skip a month but make it up and still got approved...? -
my experience got a tt and a breast lift!!
karen_karen replied to karen_karen's topic in Plastic & Reconstructive Surgery
dont be scared.... i thought it was going to be really really painful and unmanageable and actually besides being able to move around freely for about a week or two as long as i was sitting around hunched over there really wasnt much pain. i did have a pain pump and i would really recommend having one for the first 5 days or so. the drains arent that bad just very irrating from poking you. i really do enjoy my new breast since i got them lifted they dont giggle very much. my doctor didnt know much about my port either i pointed where the port was and he circled my port before surgery so that would remind him not to mess with it. everything went fine. i still got some swelling but things are looking up finally back in my jeans again. alittle tight but every week seems to get loser. i lost half my weight gain since i quit smoking the month before as well. so got about alittle more to go. i see that i am alot flatter and my pouch is gone but my sides of my tummy overhang alittle. i think its due to swelling and some fat still. when i dont exercise for the day and hang around the house i really dont swell up much but when i exercise and run around for the day i swell up like its no tomorrow but its getting better and better. not as frustrated as i once was. its really up to you what you want done. if you think you can live with just doing your tt and not doing the around the world go for that. or if you think you just have to much lose skin on your back do the around your body. one doctor said if you can grab a good chunk of fat on your love handles then it will prob be good to do all around or atleast get lipo back there to compliment your tummy. its really what you want and think you need and what you will be happy with. i dont know if your anything like me but i carried alot of weight from the extra skin and fat that i couldnt get rid of in my stomach and breast and getting a tt and breast lift actually helped out my back. i dont have back issues anymore which is great. -
Anyone sleeved or bypassed in Cleveland at St. Vincent Charity Medical Center?
laurak814 posted a topic in Weight Loss Surgeons & Hospitals
Has anyone had any experience with St. Vincent Charity Medical Centers in Cleveland, Oh for either the Bypass or Sleeve surgery? In Feb 2016, I had initially met with a Dr & Patient Advocate regarding the sleeve surgery. My husband was (and still is) against the procedure for fear of complications during & post-op, & my lack of success with other weight loss trials. Here I am 10 months later, and at least 10 lbs heavier than I was at that time. I am miserable & now I have high blood pressure again. I had been taken off the meds for it previously due to losing a significant amount of weight & not needing the meds anymore. Well, since I have gained nearly all of that weight back, my BP has gone back up & I started experiencing migraine headaches again on a regular basis. I also suffer from Pseudo Tumor Cerebri, a rare condition in the skull. Fast forward to now, I'm heavier, with high BP, headaches, knee issues from past surgeries causing issues d/t weight gain, eye troubles d/t Pseudo Tumor condition flaring up from weight gain, lots of problems. Husband still unsupportive, money & cost is an issue. Must come up with $1000 for surgery, minimum. Sent from my iPad using the BariatricPal App
