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NYT Article: Childhood obesity and bariatrics
NickelChip posted a topic in General Weight Loss Surgery Discussions
I read this article in the New York Times this week and thought it brought up a lot of interesting issues. With the alarming growth of obesity in young people, including children, there are a lot of questions about when should a patient become a candidate for WLS. With my upcoming surgery, I've had a few conversations with my teen/tween daughters about nutrition/healthy eating, as well as some of the possible genetic components of weight gain. Both of my girls are active and not currently at risk, but I know that my younger daughter is physically a lot like I was at her age, and I would do anything for her not to ever have to deal with weight gain the way I have as she gets older. I hope I can teach them both good habits now that they can carry with them. But what happens when a kid is already so large at age 16 that their quality of life is impacted? What's the responsible/ethical thing to do with regards to a surgery that can't be reversed? This is a very interesting read. In case you didn't read it, here's a link (it should bypass the paywall for non-subscribers until the end of November): https://www.nytimes.com/2023/10/31/magazine/teen-bariatric-surgery.html?unlocked_article_code=1.7Ew.M7l-.QaJi8BjntPW_&smid=url-share -
Mental health issues n memory issues ater gastric bypass
VirginiaBlack replied to Stephanie howey's topic in Tell Your Weight Loss Surgery Story
It might be a good idea to consult with a healthcare professional who specializes in post-bariatric surgery issues. They can provide you with more details about the potential factors contributing to your memory issues and mental health struggles, as well as any connection to your surgery. -
I never knew the reason for the BMI of 40 or over until reading this, but it makes sense. Back in the 1990s, gastric bypass was an open surgery with a whole lot of risk. You just wouldn't do that unless you were in dire health or the future risk of dying prematurely was great. It's such a different surgery, or surgeries, now, yet the guidelines remain the same. Sometimes I wonder if more people would get bariatric surgery if those who had it talked more openly about it. Not to blame anyone who chooses not to, because people can be awful. But I wonder how many people in part believe they or others can diet and exercise their way thin if they really try because that guy they work with did it...except he actually had surgery and just doesn't say it. Only 2% of people who qualify getting the surgery is so sad. It kind of makes me mad that I would have qualified a while ago but no one told me until I hit that magic 40 BMI on the doctor's scale, even though I have other conditions that meant I would have met the requirements probably 10 years ago. Instead, I was put on Saxenda and Wegovy at different points, and neither one was a real miracle drug for me. Plus, my insurance only covered them for about 6 months, so nowhere near lifetime like you need. I think there's a lot of education that needs to happen out there on every level.
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Thanks for this. Very helpful because It had a bariatric risk/benefit tool hyperlinked in the article that I use to create a new post.
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Thanks for this. Very helpful because It had a bariatric risk/benefit tool hyperlinked in the article that I use to create a new post.
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Bariatric Surgical Risk/Benefit Calculator
GreenTealael posted a topic in General Weight Loss Surgery Discussions
The MBSAQIP Bariatric Surgical Risk/Benefit Calculator (A tool clinicians are using to estimate progress) Hope it helps someone! https://riskcalculator.facs.org/bariatric/?_ga=2.112690692.1282950073.1698781773-393992475.1698781773 -
So been trying to find a Vitamin that does not cause me nausea or make me throw up. Sure enough it was the amount of Iron in them. I switched from the 45mg of iron one to the 18mg of iron and no nausea, no vomiting. It's great that you've found a solution to your vitamin-related issues. Iron intake can sometimes be a tricky aspect of post-bariatric surgery nutrition. It's good to see that adjusting the iron dosage has made a positive difference for you. Managing your vitamin and mineral levels is crucial for your overall health after weight loss surgery.
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Feeling discouraged
SarahByNumbers replied to hkujak04's topic in PRE-Operation Weight Loss Surgery Q&A
Do they require you to go through the hospital system associated with your bariatric program to get the sleep apnea screening? I ask this, because if they DON'T require it to be through that hospital system, there are companies that do at-home sleep studies these days! I haven't used one myself, but a number of people in my program did because they didn't want to wait for availability through our hospital system. I think Lofta is one place that offers them, but definitely look into other places, if it's an option for you. I know sometimes waiting to get scheduled for all these clearances causes the longest delay. Also, keep in mind that, if you DO end up needing a CPAP machine, you'll want to call around to different DME providers (durable medical equipment) to see who has an actual machine in stock. There was a recall of Phillips' machines a couple of years ago and sometimes a machine is hard to come by. I ended up buying mine out-of-pocket from an online retailer because I didn't want to deal with the insurance company's compliance rules (which it turns out wouldn't have been an issue for me - I hardly ever go a night without my machine!), which might be another option for you. It all depends on what your insurance will allow! Good luck - I'm so sorry they sprung this on you right at the end of your pre-op journey! -
Daily calorie counts...?
ShooterInTheSix replied to ShooterInTheSix's topic in Post-op Diets and Questions
With my now being six weeks post-op, I'm curious what others' calorie intake has been in the early stages of typically rapid weight loss after surgery and am well aware that intake increases and body weight decreases. I realize everyone is different, and clearly stated in my original post that I have already spoken about this with my dietitian for my own case. I'm not seeking medical advice from an internet forum on what my target should be; I'm opening a conversation about the topic to see where other bariatric patients have found their own successes with respect to their caloric intake as one metric. -
December Surgery Buddies!
NickelChip replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
Double check with your doctor because my nutritionist recommended those calcium chews starting at 2 weeks post-op along with the other vitamins. (I have to stop all vitamins a couple weeks before surgery and then not take them again until after the 2 week check-up). The Celebrate ones taste like a chewy candy, but I think they dissolve very fast and are specifically for bariatric patients, so they are probably fine and not the same as a real candy would be. But yeah, protein bars are so dense and dry, I can't imagine they would be good to eat for a long time. Which is sad because they're so convenient. -
December Surgery Buddies!
SmoknDudette replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
So happy you don't have an excuse now . Yeah hydration I think will be the hardest for me as well but I'm trying to be prepared and make sure I try things prior. Have some Unjury coming as well. Decided I'd try their beef broth and root beer flavors. Nice thing with the samples is if you don't like it then you don't waste much . I'll check out Celebrate as well. Haven't figured out what calcium chews yet but my understanding is nothing chewy for at least 6 mo which also means no protein bars to fill in for a bit. I tried the Bariatric Fusion chicken soup from my doctors office. Kinda like ramnen noodle flavor broth. Figure it won't hurt to offset all the sweet with something kinda savory. I got Vanilla (so I can mix things with it), Orange cream and salted caramel. -
Mashed-up Sugar-free Peanut Butter Cups on Pureed Diet OK?
Wildflower Bohême posted a topic in Post-op Diets and Questions
Hi! Just wondering if a small amount of sugar-free peanut butter cups, if sufficiently mashed/pureed, would be ok in the puree stage. I know I can ask my bariatric dietitian, but I'm just wondering if anyone here has some insight. Pre-op, I have enjoyed both Quest brand and Reece's sugar-free. Reece's has less fat (8g per regular serving) than Quest (13g). I wouldn't have a full serving, at least not all at once. I just want to have something a little indulgent on Halloween, but I don't want to get sick. -
Surgery next week -- which vitamins do I get?
SmoknDudette replied to Vivis's topic in Protein, Vitamins, and Supplements
My doctors office uses the Bariatric Fusion and says others aren't as good. Another case of Dr by Dr opinion. I started using mine prior to surgery since my primary said I was a tad low (still recovering from severe iron definciency anemia and all my numbers have climbed and every is almost normal again). For me so far prior to surgery the Bariatric Fusion capsules haven't caused me an issue and they come with or without 45mg Iron. We will see if I need to keep taking them after a year but it won't hurt is my thought. -
December Surgery Buddies!
SmoknDudette replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
Tenatively December 4th or 13th! I started back in June. I asked my primary about bariatric surgery and he gave me the refferal and was in my bariatric consult within 5 day. They set up all my nutrition and psychologist appts the same day. Got the all clear from my nutritionist and psych and they have submitted to insurance for approval. From the start I downloaded a food tracking app. Started tracking my food again since I'd stopped doing it years ago. Even taught my nutritionist about macros and modified body builder diets. And started upping my excerise. So far I've lost over 40 lbs going back on a modified style body builder diet and interested to see what I'll lose on my pre-op. The last couple weeks I've been pushing my protein more as well so hitting about 50% protein (around 100-110g) daily. Also calories are running around 650 - 900 daily and thats even a struggle. Slowly getting my husband on board now and started trying out all differing kind of recipes, protein powder and supplements. So far the Syntrax aren't bad (like the lemon tea and caribean cooler best), And I started following a handful of other baratric patients online (one had a DS, two had sleeves), and started aksing my friends who have undergone bariatric surgeries. Built bars will by my travel go to as well as CleanSimpleEats greens. Learning all tips and trick as well on how to get my protein in and make sure it works for my husband as well. Also, I never carry a purse, only a wrist wallet. So to help me be successful I bought a nice tote/laptop bag that will be the bag I grab when ever we go out (errands/travel/etc.) This way I will always have snacks, drinks, protein and water enhancers on hand and I don't have to settle for something not great. Also got a nice large shaker cup and it even has a pocket for my water bottle. So for my preop its 3 weeks and with my tenative date of Dec 4th, I won't be able to partake of thanksgiving unless it gets moved to Dec 13 and then I can have one thanksgiving dinner early in the week before I start pre-op. I'm actually getting more excited for the adventures my husband and I have planned and not having to think about how my weight will impact those. -
Nasty smelling vitamins
Jessica Marie replied to Jessica Marie's topic in Protein, Vitamins, and Supplements
I'm not taking a bariatric multivitamin. Just a regular one. -
Nasty smelling vitamins
Alex Brecher replied to Jessica Marie's topic in Protein, Vitamins, and Supplements
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? -
December Surgery Buddies!
NickelChip replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
December 27th here! I started back in July when a visit to my doctor on the non-surgical side of the weight loss center yielded the suggestion that I consider surgery. I was all too happy to do so after 6 years of nutrition and then meds never yielded more than fleeting results. I did an immersion day in August where I learned all the rules, and then I needed appointments with psychologist and nutritionist before meeting with surgeon in early October. I was hoping for mid-November, but the earliest they had was end of December so I'm making the best of it. My doctor only requires 2 days of liquid diet, which means I can celebrate Christmas Eve but will be on protein shakes for Christmas, but not longer, which is nice. I'm grateful that the kids will be off school and won't need "Mom's Taxi Service" to get them to all their after school activities that week. In the meantime, I've been working on my nutrition, slowly eliminating processed foods, added sugars, artificial sweeteners, breads, snack foods, etc. I've made a lot of progress ridding the house of unhealthy foods and adding more vegetables into my daily diet. I've also bought several bariatric cookbooks and have been choosing some recipes to try in the next 8 weeks so I have practice with them. I'm hoping a few will be winners with the kids, too. We're all working on getting better with nutrition and I'm glad to have them excited about trying new, healthier options. -
I'm now 6 weeks post-op and have the green light to start introducing regular food items after having successfully gone through the liquid and soft phases. I'm curious what everyone else is consuming daily for calories. I've looked through all of the materials I was provided and the only thing that's stressed is maintaining a minimum of 70g of protein; no mention of calories anywhere. I had my first post-op consult with my bariatric nutritionist two weeks ago and specifically asked her and she said they don't publish calorie targets because....'everyone is different'. I've been working to stay around 900 cal/day and she seemed satisfied with that provided I'm hitting my 70g target. I've lost just under 45lbs to date, so it's working, but I'm wondering where others are for comparison. What say you...?
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I have only had 1 other surgery in my life and that was getting my tonsils' out as an adult, and was in tears before even getting into the gown. I am so nervous about the upcoming surgery - not sure why. But curious about some things? 1) I will start my 'liquid diet' on 11/16. My job takes me into peoples homes, and I go house, after house, after house. I'm worried about having an 'accident' due to the liquid diet. I know it's not even November yet, but has anyone been on a liquid diet and did you experience any accidents? Thanks. 2) I'm working on getting prepared in advance. All the drinks, vitamins, etc. are so expensive via the Kaiser, online places like this one, and such. Has anyone found protein shakes and vitamins with the recommended requirements via bariatric surgery/doctor through Walmart, Target, or Amazon?? My friend gave me 1 Fairlife Protein drink, 30g protein. It was good. I'm hoping this counts. Any thoughts/ideas? Thanks. Thanks much in advance for any/all replies. Shawna PS: I hope I'm doing this correctly. I don't even know where this will post at? Still new at this. FYI: I look at this site at least 1/week or more.
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While I agree that selecting the right tool is important (right for your needs, health & medical considerations, lifestyle etc.) getting your head right is equally as if not a more important part. Not everyone loses their appetite after surgery & if you do it’s temporary. We all say, the surgery changes your body but it doesn’t change your thinking. It doesn’t stop your cravings, emotions, habits. They’ll still be there when your appetite returns. You have to do the head work as well. It is possible to eat around your tool, to make poor food choices & then not lose or regain your weight. Changing your relationship with food, understanding why you eat (habit, emotional support, craving, boredom, etc.) are essential. It’s like getting a gym membership or buying a treadmill, how successful you are depends upon you changing your behaviours & actually using the treadmill or going to the gym. Many people find working with a therapist extremely helpful in understanding & developing strategies to manage what motivates or drives our eating & the food choices we make. Unfortunately, life does tend to throw crap at us at times, & knowing how to manage the emotional turmoils that usually come with it & not fall back on old eating behaviours will help you continue your weight loss & maintain in the future. As @NickelChip said, Dr Weiner & Dr Pitcher have amazing resources but I do encourage you to consider seeking counselling. Your doctor, surgeon & team should be able to recommend someone with experience in disordered eating & bariatric patients. (Many insurances require at least one visit as part of your approval anyway.) All the best.
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If you haven't already watched this, I highly recommend this video from Dr. John Pilcher, (and pretty much all his other informative videos). He's a bariatric surgeon in San Antonio and does an amazing job of explaining medical information in a really understandable way:
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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!
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July 2023 Surgery Buddies UPDATES!!!
Amerime replied to Inspectorjh84's topic in Gastric Sleeve Surgery Forums
You both are doing great!!! I was sleeved 7/6/23 as well- the recovery went well. I do not believe my sleeve was too restrictive as I can eat small meals without discomfort. I do limit my caloric intake to under 1000 calories per day (I track) and I do not eat simple carbs. I have been eating some fruits which I am cutting back on. I weighed in 3 days ago at 187 lbs, so I am down 43 lbs post surgery, 80 lbs since my first bariatric appointment. I have been in the middle of stall for the last 2 weeks. Hoping it breaks soon. The weight loss has definitely slowed, but based on reading others' experience, I am not going to worry at this point. I wanted to be at least 167 lbs by the 6 month mark, but I've lost very little in the last 4 weeks- don't think I'll make it. Anyway, the goal is what matters. Good luck to you all! -
BIGGEST nsv of my life!!!!!
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Thank you It's amazing what weight loss, better health, and renewed belief in yourself can do!!! -
Chronic fatigue syndrome and weight loss surgery
Rach38 posted a topic in General Weight Loss Surgery Discussions
I am wondering if anyone with a diagnosis of chronic fatigue syndrome has had bariatric surgery. I am curious as I am contemplating surgery and if it helped or made symptoms of chronic fatigue worse
