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Crushing Vitamins?
LindafromFlorida replied to excitedk's topic in POST-Operation Weight Loss Surgery Q&A
Bariatric Advantage online. Several flavors. It is like a piece of candy a day. -
I am 7 1/2 years into my band and it is being removed and revised to the sleeve in about 2 weeks. It was great the first 2 years, then GERD and vomiting, then issues with dilation of the upper pouch (which I of course am likely responsible for, too), which causes food waste to be trapped in the upper pouch, and then recently a gastric bleed from the band slipping down and causing a blood vessel to pop, which caused me to lose half my blood and spend a week in the hospital. My gastroenterologist said he wanted it out of me asap due to the risk of another bleeding episode. I have been advised by doctors involved that it just seems like everyone who has the band will need to have it out at some point. My insurance will not cover bariatric so I am off to Mexico. $18,000 here to remove band. $4500 in Mexico to remove and revise to sleeve.
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Well, the past couple of weeks have been most eventful. I've had my sleep study; gotten the results (moderate obstructive sleep apnea - picked up my CPAP this afternoon); completed all my bloodwork, and... RECEIVED APPROVAL FROM MY INSURANCE COMPANY! My pre-op is scheduled for next Thursday, 1/10. The earliest I can have surgery is Friday, 1/18 (if he has openings). If not, it will be the following week. OMGOMGOMG! I cannot believe its happened this quickly. My first informational session was on 11/14, and from that day on, it's been non-stop appointments. My Bariatric Coordinator is simply an angel. She's worked so hard, and kept me informed every step of the way. I'm a wee bit scared now, but there's more excitement than fear. I'm going to call them tomorrow to set my date. I don't see any point in postponing it. My dad is ill, and I want to get this done so I can be around and healthy enough to take care of him for however much longer we have him.
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Hospital gown, or bring your own
SerendipityHappens replied to ccrim03's topic in PRE-Operation Weight Loss Surgery Q&A
Hospital gown all the way.. just bring a little something for underneath just in case.. I loved my hospital gown, it went to mid calf and wrapped all the way around and then tied on the side so it wasn't uh, "drafty" in the back. Of course it was MADE for bariatric patients so all 290 pounds of me fit in there comfortably! Also it had all the slits and holes necessary for them checking vitals/putting the drain through, etc.. Also incisions/drainsite can ooze a bit even through the bandages so why get your own stuff oozed on when you can just ooze on the hospital gown! -
This is from the ASMBS website: Q: Do I need to avoid caffeine after bariatric surgery? A: Caffeine fluids have been shown to be as good as any others for keeping you hydrated. Still, it is a good idea to avoid caffeine for at least the first thirty days after surgery while your stomach is extra sensitive. After that point, you can ask your surgeon or dietitian about resuming caffeine. Remember that caffeine often comes paired with sugary, high-calorie drinks, so be sure you’re making wise beverage choices. I waited a month then started drinking it again.
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help find a vsg surgeon in Indiana!
kimb replied to determined1's topic in Weight Loss Surgeons & Hospitals
I am going to Clarian Bariatric Center in Indy but I see Mattar, which Dr. Inman is a part of. From what I can tell I think all those surgeons would be fine..part of it is who gives you the best fit personally. You are always going to find someone who really dislikes a surgeon while someone else loves that same surgeon...Good luck.. -
help find a vsg surgeon in Indiana!
Itstime replied to determined1's topic in Weight Loss Surgeons & Hospitals
Welcome determined! I am from Evansville but had my sleeve surgery in Mx in Dec. My bmi was too low and my insurance would not cover the sleeve now. I didn't want all the hassle of prepsych, weight loss and extensive out of pocket pre-ops tests that the local bariatric surgeon wanted. (I don't live in Evansville now). There is a site here that you can go to for evaluating your surgeon to help you decide if your surgeon is right for you. Center for excellence sounds great and they probably have a lot of follow-up care that isn't provided with a Mx surgeon, other than prompt emails with concerns. Good luck on your journey and please post any questions you have here, everyone is so open and helpful, I could not have done this without them. -
Good tasting chewable multivitamin?
Arts137 replied to lynndtt's topic in PRE-Operation Weight Loss Surgery Q&A
UNJURY has vitamins "formulated" for bariatric patients and all chewable. -
Welcome and kudos for making such a decision. And for the very best of reasons. There is a wealth of support and info here so dive right in. I am so happy for you starting on this journey to renewed health and a longer life,
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To scale or not to scale
Sherrie Scharbrough replied to Nhope's topic in General Weight Loss Surgery Discussions
I have been just not weighing at all. Because my emotional well being needs the break. I obsess over my weight so much. The sad thing is I have actually canceled my Dr appointments (before WLS) because I knew I had to step on those hated scales. While I was in the weight loss mode I looked forward to weighing, Not so much now!! I will weigh but not everyday!! BTW did you know that you can refuse to weigh a the DR's office. When I go to my Bariatric Dr of course I weigh. But not at my PCP. I don't feel like my PCP needs me to weigh unless I need med's that go by weight. Any how we all GOTTA do WHAT it takes ro be ok with ourselves. Good Luck -
Interview with different surgeons?
vovo2013 posted a topic in General Weight Loss Surgery Discussions
Hi all! I was wondering if anybody has interview different surgeons to see which one is the best pick for the surgery? I have three main picks in the Houston area. One surgeon made me wait a hour and he was very cocky! Very bad manners and decided to NEVER go back to that surgeon. The second surgeon, was a complete 360 and love him and the hospital that he works at. The third surgeon was the same at the second one however I notice Cigna does not cover the hospital on where he is going to preform the surgery. So, I had one main decision and went with the middle one because he cover all the requirements that I had and there bariatric program at the hospital is 5 stars! What did y'all look for in the surgeon that you went with? -
Most people who have bariatric surgery have poor dieting history (meaning yo-yo'ing). Typically a BMI of 35 or more qualifies with a comorbidity, and 40 or more without (ALTHOUGH MY INSURANCE was picky). I think weather or not you're a good candidate will be between you and your surgeon.
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My scale measures body fat, lean muscle, Water, etc in addition to weight. It's a Tanita brand, got it from Amazon. It's the same brand my bariatric center uses, just not as big. I weigh second thing every morning (pee first) and record my weight. I record the fat, muscle and physical tape measurements just once a month.
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Kaiser Fremont Bariatrics recommends the following labs at 6 mo., 1 year and then annually: Chem 10, ALT, AST, PT, Albumin, Prealbumin, Ferritin, Iron/TIBC, CBC, Serum B12, RBC folate, B1, 25 OH Vit D, PTH, Alk phos(metabolic bone disease) Vit A, glucose, lipids, HbA1c. Use “PNL BAR” in Order Entry in HC, Consider copper deficiency if unresolved hypochromic anemia. They also recommend annual bone density screening.
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Alternate Day Fasting
Darktowerdream replied to AZhiker's topic in POST-Operation Weight Loss Surgery Q&A
I’ve never followed a diet but inadvertently do intermittent fasting, as well as alternate day fasting to some degree, some days just wind up much lower calories than usual especially with doctors appointments, errands or laundry. I might go from 6pm dinner to 12:00 lunch except for tea in the morning I like yogi slim life caramel apple spice with a bit of ripple milk. Every so often I switch things up. And might vary my calories a bit. I do stick to low carb even though post surgery I haven’t counted, for now it’s protein and calories. And track what I eat. Daily weight. And maybe a note for the day. Like if I’ve had a dr. Appointment. I have to manage things as best I can without the benefits of exercise. Which due to my chronic illness isn’t possible. Just basic things like a shower, laundry, dr. appointment, errand, is like a triathlon to my body. Sometimes just getting up in the morning is equivalent to a workout. i think adding things like IF can be beneficial to Better utilize the tool that is bariatric surgery. It helps solidify the reality that our bodies don’t need as much food as we think. also I have to say @FluffyChix always has awesome advice.- 1 reply
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I saw my Nut at my last Drs appt. I'm a little further out than you but..64 oz liquid, 100 Grams Protein (to help boost hair regrowth) and 600-800 calories. She told me not to eat more than 800 or I would stop losing. If I don't eat enough my metabolism will be screwed up (my words). Find a bariatric support group at a hospital near you. Seek out a bariatric Nut to go over your nutrition requirements. You definitely can't keep doing this. Sent from my iPhone using the BariatricPal App
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My surgeon requires the sleep study to rule out apnea but says most of bariatric patients have it. I did the test but did not have apnea thank goodness. BUT I had a home sleep study. My insurance required a home study because it was cheaper. The equipment was sent to me, I hooked it up and turned it on and went to sleep in my own bed. It is cheaper so insurance companies prefer it and I was able to sleep better. If you have to do the test, ask if home study is an option.
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Yes, you've already said that it was in Cincinnati. I've researched all the bariatric surgeons in Cincinnati (there isn't that many). Name the doctor.
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How many ounces do you eat per day and how far out?
dreamingsmall replied to dreamingsmall's topic in Gastric Sleeve Surgery Forums
Well. I have been told by my nurse and nut to eat 3 times a day. not to aim for a protien goal. I am 5 weeks out, went to see surgeon, bariatric nurse,phisio and dietician. and i was told to eat 3 times a day and not to use protien shakes, and now to go onto normal food, so its hard to figure out how i can have the right amount of protein in 3 4ounce meals . and your right nothing was dense, i am moving on to normal food today i dont even know were to start!! im in the uk by the way and we are not focused on protien and low carb, its just they want me to have a balanced diet and swollow all my vits. im so confused. thanks for your help! -
I was wondering , if I am the only one here who got wls done at a young age .Im 19 and almost 7 months ago I got a gastric plications done. So far I have lost 42kg ( my biggest weight was 127kg, and now im 86kg) If there are people here my age , how do you deal with various situations infront of your friend,relatives,co workers. Cause i feel like my friends dont want to hang with me anymore bc I dont eat junk food or (as I say) I am on a strickt diet. Sent from my SM-J730F using BariatricPal mobile app
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suggestions on preop shakes
Sojourner replied to carlak's topic in PRE-Operation Weight Loss Surgery Q&A
You will likely need to try several different brands to find one or more that you will like. That's important, as shakes will. Be a part of your life fow awhile. My surgeon advised to only use shakes which have 100% whey isolate Protein, which is considered to be a complete source of protein for bariatric patients. I like GNC products, but there are many others to choose from. I'm certain that other "vets" will chime in with their favorites. Best wishes for a successful journey... -
Hi, my name is Ronda. I have been a bariatric patient for 10 years now. Initially, I had RNY done and lost 85 pounds with it. My maintenance was steady for about 5 years, but started declining--regained weight, bone loss, anemia, circulatory and cardiac problems. I have hypertension, but am severely allergic to those drugs for treatment. Weightloss and management is the only way I have of keeping my health in good shape. In 2007, I went to a new bariatric surgeon to seek an evaluation on my prognosis; he said revision surgery was needed to attend to severely stretched stoma. Insurance always held strong opposition to any treatment for my problems. This visit, Dr. tried 2 times to appeal the insurance for treatment--failed both times. Some time passed, and I had changed employment status and my healthcare needs were being covered on State Medicaid. This time, I learned that my bariatric treatment was covered under my Medicaid plan, but would need evaluations from the pulmonologist, cardiologist, psychologist, and dietician/nutritionist, in addition to following a dr-supervised weightloss plan with my pcp--I started all of this last September. It took solid 9 months of negotiating coverage and ultimate surgery that I had with my doctor on May 31st here in Phoenix. AZ. I am 3 weeks postop now. My loss is 23 pounds, and still mostly blender shakes and some pureed foods. I find that I don't really like what I ate preoperatively. Most of the foods taste too sweet--even if sugarfree. I had laparoscopic surgery so the healing is great--just unable to lift anything yet. I am driving, and doing most of my chores as long as I don't lift anything over 15 pounds. I walk the malls, and try to keep busy per dr's orders. Yet that is a challenge now that we have 110 or hotter days coming this summer. I still keep at it, tho. I know my surgery was a gift from God--in every sense of the word, as was the initial RNY procedure back in 2001. Both surgeries saved my life! Forever, will I be indebted to the Powers that Be.
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How many calories do you eat daily?
spoiltmom posted a topic in POST-Operation Weight Loss Surgery Q&A
I have a few questions guys. How many calories do you eat daily? I've only been eating about 800 a day and I've stopped losing again. Should I up my calories a little to see if that would help? The last diet I did was Weight Watchers about a year ago. I consumed 1200 calories a day and lost 2 pounds a week every week. What kind of meats do you buy? I bought lean ground beef, lean pork, boneless skinless chicken breast, etc but I'm finding those cuts cook up drier and can be hard to get down. Since I'm not able to eat much anyway should I buy fattier cuts so they will be more tender? Also I'm always thirsty and I can still drink a glass of Water pretty fast with no issues but my bariatric coach says I should only sip and not take big drinks. Why is that?? Thanks!! -
I Admit It...i Have Cheated A Bit
Wheetsin replied to luckybee13's topic in PRE-Operation Weight Loss Surgery Q&A
I have a direct communication style (just as much in real life as anywhere else) so I'm glad you were able to see the message for what it was. As I wrote it I did quite a bit of editing to try and make sure it wasn't 1) harsh or 2) preachy, but to the point. I'm just "that girl" who kind of lacks "that filter"! And actually I shouldn't even say justification so much as "cognitive distortion" (using fancy terms like that makes me feel like all the $$$ I spent on a psychology education was worth it! ). That little voice in our head that says, "Well you just blew your diet with this slice of pie, so you might as well take the rest of the day off from it too" and makes all the other things "ok" that are actually working against us. EAS strawberry creme is one of my favorite RTDs, but it has to be COLD. Their vanilla is ok too, but not as enjoyable as the strawberry. You can also blend in (I assume) sugar free syrups (DaVInci/Torani become our best friends), maybe a little PB2 (dry Peanut Butter that's a fraction of the fat, but tastes amazingly like the real deal when mixed into something). There's a brand called Syntrax that has a line of "Nectar" Proteins. The most tolerable (IMO) flavor is Roadside Lemonade - you can get sample packs of it. If you add in some sugar free lemonade mix, it sort of has a "lemon creme" flavor. If allowed, you can also try powders with milk instead of Water (if you haven't already). The extra Protein & stuff in the milk should give you a better sense of satiety. There's also a brand of RTDs called "Premiere Protein" - I know Sam's and costco carry them. Their chocolate is a favorite of a LOT of bariatric patients. I think it's ok, it's not my favorite. The other day I bought a case of their vanilla and don't care for it much at all, even "doctored up" with syrups, BUT they are 30gm protein per 11 0z and that's seriously hard to beat. Gelatin proteins have their place, but they're really not the best protein for us. If you can, whey isolate is one of the better ones. (I'd rank it #2). I don't think your unprepared for surgery in any way because of it. It's sort of a junk protein for our needs. I've posted the nutrition/scientific reasoning before (as have others), you might want to search for "gelatin protein" or "incomplete protein" and do some reading up before you make any purchases. I'm sure you'll do great. You're here getting help, for one. That puts you in the top 10th percentile already. -
What to pack for the hospital
OutsideMatchInside replied to thinkingthin15's topic in POST-Operation Weight Loss Surgery Q&A
They gave me swabs for dry mouth, so I didn't need anything for it. If you are going to a good bariatric hospital, you really need almost nothing. When I was in recovery and didn't have my lip balm, I asked the nurse for something for my lips because they were dry and she put Vaseline on them for me. I don't know how long your pre-op diet is, but after 10 days on liquids, and the last day just Clear Liquids then a whole 36 hours of nothing. I didn't have the strength to stand for a shower. I walked because it was the best pain relief, and I can't sleep on my back, let alone in a hospital.
