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Is there a standard guideline?
NovelTee replied to NovelTee's topic in Gastric Sleeve Surgery Forums
Thanks for this! I fully intend to follow the guidance, it was just a curiosity as to how they determine their guidance. I just think it's really interesting to basically still be on full liquid to week three post-surgery. Maybe yours is tailored and mine is just sort of a set rubric? The food guidance I have isn't tailored to me––it's a PDF that's given to every bariatric patient in our medical group. My assigned nutritionist shared with me that her department always receives random updates to the diet directly from the bariatric department when the issue the new PDFs (we went through two updates while I was waiting for my surgery to be scheduled. When I have update calls with my nutritionist, she just asks me if I'm getting in my fluids and proteins and following the PDF for guidance on what I'm allowed to have. Either way, really interesting! Hope your surgery goes smoothly!! -
Does every doctor interpret this treatment process differently? I've been reading so many different timelines that everyone is being given, and I'm confused as to whether there is actually a "norm" and then doctors deviate accordingly, or if each doctor/medical group sets their ideal SOP? For instance, my surgeon required 2 full weeks of liquid only diet for pre-op and at least one night in the hospital after surgery. My first in-person check-in was at one week. I have video/phone appointments until my next in-person at 6 months. Pureed/soft foods don't start until week 3. Solid foods will start week 7. Red meat/shrimp at 6 months. I have Kaiser in the DMV, so the food part is proscribed by the bariatric department, but even the overnight requirement was different with other people having surgery the same day as me. A nurse said my surgeon makes it a standard while others are out in hours. Obviously, it looks like my doctor is moving out of an abundance of caution, which I appreciate, but is anyone not in the Kaiser system getting the same guidance?
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~ 4 Years Out - Struggle Bus is REAL
BlondePatriotInCDA replied to MandoGetsSleeved's topic in Gastric Sleeve Surgery Forums
Exactly this. A lot of Baritastic patients go into this thinking its a "diet" its not! Its a new LIFETIME way of eating. It is nothing more than nourishment to keep your body healthy. "Diets" are meant to be a temporary way to lose weight, bariatric surgery is a permanent way to eat. I'll try and heed your words of warning! -
Best Simple Engagement Rings for 2024
Reasons for the popularity of simple engagement rings in 2024
Even though one of the main trends of 2024 is called chic and expensive engagement rings, simple engagement rings are still popular. Primarily because of the dire economic situation. Many people have lost a stable income and confidence in the future. However, you can not postpone a romantic relationship for later, as well as the desire to be together and get married. In difficult times, family traditions and the support of loved ones help to find a firm footing and look to the future without fear.
How much can I spend on an engagement ring?
This topic is explored every year and 2024 is no exception. Once upon a time, in the 1930s, De Beers offered an advertising formula according to which the groom should spend a month's wages on the ring (at that time the De Beers jewelers had to get hold of a huge number of small diamonds (up to one carat), of which there are more in nature than any other stones. This was the reason for which the whole story was invented. In 1980, it was already two months; in the last decade, it came to the equivalent of three months' salary. However, the most recent National Wedding Survey showed that, for example, in the UK in 2021, grooms are willing to lay out about 2,419 pounds. And a survey conducted by an insurance company showed that the average spending on an engagement ring is about 1,483 pounds. Incidentally, back in 2016, the average ring cost £573. In the U.S., the average cost of an engagement ring is higher at $5,000.
However, of course, not everything always comes down to money. When choosing such an important piece of jewelry, it is important to know and understand your partner. In many cases, young girls are not ready to wear heavy and expensive rings, which will be put on only on family occasions, the rest of the time the jewelry will spend time in a safe. Besides the fashion for minimalism among modern brides does not give up yet. Among the simple wedding rings, it is easier to choose a model that will fit into the everyday fashion closet and will not look pretentious.
Another common sense thought to help you determine your engagement ring value is this. It should be worth as much as you would feel good about losing. Will you have a heart attack or get a little frustrated with the romantic component of the jewelry, will you be able to make up for the loss as soon as next month? Consider what amount won't make you worry too much.
Not all couples start their romantic history together with bulky and expensive rings. By choosing a modest engagement ring, you get to renew your vows and the main ring in your life in a few years. It's also a good idea if you consider yourself a minimalist. The simple design and affordable price are just what the modern minimalist bride needs. Minimalist engagement rings also have a sophisticated design and sophisticated beauty.
Today, jewelry brands create a variety of engagement rings to suit all tastes and wallets - traditional style, heart engagement, simple solitaire, or minimalist eternity rings. Even diamond rings may not be as expensive as they seem. If you prefer responsible consumption, you can always choose a model with a moissanite or lab diamond. The cost of such pieces will be pleasantly less than you would pay for a large diamond ring.
What is a simple engagement ring?
The main thing that distinguishes such jewelry is simplicity and minimalism in design. Wedding jewelry can have one or more stones, and they don't have to be diamonds at all. Now there is a huge choice of gemstones based on your taste or social status. In this case, lab diamonds or moissanite come to the rescue. The design of the minimalist ring is laconic and devoid of pretentious decorations. With clean lines and simplicity, these minimalist engagement rings are an absolute dream for a modern minimalist engagement.
Simple engagement rings with natural gemstone
If you are not too impressed by diamonds, here are a few models of rings with colored natural gemstones. For example, if you look at the history of engagement rings of European aristocrats, most of their rings contained rubies and sapphires. Elizabeth II's sister Margaret received a large ruby for her engagement ring. When paired with diamonds it resembled a rosebud and looked very symbolic given the bride's full name, Margaret Rose.
Elizabeth's grandmother Princess Victoria Mary of Teck also received a ring with rubies - large, oval-shaped ones. Kate Middleton also passed on a family piece of jewelry - Princess Diana's sapphire ring. The model, which has survived so many copies that it has earned a ban on its reproduction, was presented to the princess in a way not quite traditional for an engagement. The princess-to-be chose her ring herself from a catalog. The legendary Wallis Simpson received an emerald framed by small diamonds. The engagement ring of Elizabeth Bowes-Lyon, mother of Elizabeth II, was traditionally made of yellow Welsh gold and decorated with a large blue sapphire framed with diamonds. Given the tradition of handing down jewelry from generation to generation, it is not surprising that brides from old aristocratic families received colored stones.
In the past few years, the fashion for colored stones in engagement rings has been making a comeback. If you choose a really good stone, you will only benefit. Quality rubies, sapphires, emeralds, and spinels are much rarer and more valuable than diamonds. And every year the price of such jewelry will only grow.
Simple engagement rings with moissanite
Moissanite is a wonderful substitute for a diamond. Without a loupe and a tester, a common person would hardly be able to tell the difference between a diamond and moissanite jewelry, because diamond "doubles" shines so beautifully. For quite a long time, the stone was exotic and was known only to a narrow circle of gemologists. Now moissanite is the full-fledged economical version of diamond for Simple engagement rings.
How to choose a Simple engagement ring?
If you can't decide on a style of engagement ring, make some notes for yourself in a notebook. This will help you make up your mind:
- What is the color of the shackle metal (white, yellow, or rose gold)?
- Will the ring be embellished with a pavé?
- Will it be a single-center stone or multiple stones in a cluster style?
- What kind of stones will they be - diamonds, colored or moissanite?
- What kind of engagement ring will you pair the Simple engagement ring with?
We know that brides' tastes are different and can't be the same, so we've tried to collect 50 of the best simple engagement rings in different styles.
Solitaire has just one stone in the design. It is the most traditional and simple style of engagement ring. If you like an elegant look and timeless style, the Solitaire is your choice.
A small natural diamond as a solo is the perfect piece of jewelry for an important romantic proposal. The sleek design will be the starting point of a journey through simple engagement ring styles.
Cluster diamond setting engagement ring consists of nine stones of different sizes but creates the same alluring sparkle effect as a larger single diamond. Its laconic style suits young and gentle brides.
Three-stone diamond rings have a modest but very graceful look. In addition, these rings open up the possibility of assembling a set of several engagement rings. The stacked ring trend is also great for engagement rings.
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Custom Orders
Custom Simple Engagement Rings not always as expensive as you might think. We are willing to help you make changes to designs to give you the perfect result. You will be able to choose the band's width, size, and shape of the precious stones and make a personal engraving. Besides, creating a personal style does not take much time, especially if you know what result you want to get in the final.
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How are you navigating these types of convos?
Clueless_girl replied to AmberFL's topic in Gastric Sleeve Surgery Forums
I have been struggling with how to tell my family and friends about my surgery. It's not even because they would judge me, it's kind of the opposite. My brother was super skinny until about late high school and then struggled with weight gain and loss for years. Then 6 yrs ago he got the gastric sleeve and after seeing the results, my parents immediately looked at me and said I should do the same. I have always been bigger and curvier than everyone in our family, which is hard to ignore when you're an Asian girl (I'm not stereotyping here. They are all under 5'5 and the largest cup size is a B). While it has hurt me, it also pushed me to find a version of myself that I can accept and be happy with. Oddly enough my existing health problems (which are mostly the known side effects that occur from wls) stem from a blood disorder from birth and I don't suffer from the common issues from obesity like diabetes, high blood pressure, high cholesterol, etc. Having dealt with a number of specialists and doctors over the years without any real solutions, I eventually decided to consider bariatric surgery this year. I planned on telling them about it after I had recovered, but it has been rough and I am still undergoing further tests and treatment. My brother gained a lot of his weight back while my sister has pushed herself and lost weight- both about the same amount that I have lost in a few months. I don't want either to feel shame or resentment towards me, not that I can control that. It looks like I may have to go back into the hospital a 3rd time and get my gall bladder removed. How awful would it be if I lied and said that is the reason behind my weight loss? My family knows that I have been dealing with stomach problems and pain for years. I'm also losing weight much faster than the doctors expected due to this, in addition to nausea, and we're trying to figure how to slow it down. I HATE attention and it's getting harder to try and hide how different I look. Any advice or motivational speech from anyone would be greatly appreciated! 🙂 -
Sleeve Veteran researching revision to SADI
apalm replied to ShoppGirl's topic in WLS Veteran's Forum
Some of us just need the “extra help” that bariatric surgery can give us. I was a total food addict. Always thinking about my next meal, feeling cheated if I did not have heaping portions and eating until I felt sick. Some of us are just wired like that. It’s not just “push the plate away” or having “will power” I believe it just how we are wired, an addiction. This surgery does change your brain, I’m serious, I don’t plan my day around food and I easily choose healthy foods. I don’t crave junk and sweets. The hair loss is no joke but I knew that was going to happen. I’m 7mo post op and it has slowed down. As far as vitamins .. I take 2 chewy multivitamins and 2 calcium chews per day and a b12 every other week because my b12 level was really high. All other blood work was good. I’m happy to answer any questions you may have. I wish you the best of luck on whatever journey you decide to take. -
Sleeve Veteran researching revision to SADI
ShoppGirl replied to ShoppGirl's topic in WLS Veteran's Forum
I believe that post came at the exact time I needed to hear it. Thank you. I am in a craft group and for some random reason they were talking about someone they knew that had bariatric surgery and how they gained it back. I told them I had the sleeve and I gained it back. That was kinda my way of testing the waters to see if I could confide in them I am considering it again. Well that went over okay so I did and that’s when All the advice came of how I should try to lose it with this diet and that. I know that I can lose weight. I have lost probably over 1000 pounds in my life. It’s the keeping it off part I cannot do!! Recently, I have been doing low carb trying out recipes that I think I can eat post op and I have lost a couple pounds. That’s when the little voice creeps in asking if I should try it the old fashioned way just one more time. Knowing good and well it will just be another year of dropping a few pounds then gaining that back plus some more soon after. -
Sleeve Veteran researching revision to SADI
apalm replied to ShoppGirl's topic in WLS Veteran's Forum
At 53, the age I was at my surgery, I had spent my entire life hating my body and being on some type of diet. I researched and educated myself on the types of bariatric surgeries. I scheduled the sleeve surgery and canceled telling myself I will try one more diet only to schedule the SIPS/SADI 3 months later. It is a scary step -
I feel like I am losing my mind
Holly W. replied to Mrs. Ross's topic in POST-Operation Weight Loss Surgery Q&A
I'm so sorry you are feeling this way but I can empathize with the anxiety. I suffer from both anxiety & panic disorder. It was pretty well controlled until about 2 weeks before surgery & it slowly progressed. The week after my surgery my anxiety was in a full blown upheaval! I have a question for you, I was on medication for depression & anxiety before surgery & was warned that psych meds specifically can be absorbed less after gastric bypass surgery. They say a lot of these medications are absorbed in the small intestine. The psychiatrist that did my evaluation said if you don't feel quite right after surgery to NOT just write it off as not feeling good because you just had surgery. He said don't panic, just be mindful that if the feelings don't go away your medication doses may need to be adjusted. This is exactly what happened to me. My feelings & mood continued to escalate until I just didn't feel like myself at all. I reached out to my provider & she switched my medication. Thankfully, I can already tell a difference but these medications take a while to fully kick in which is so hard when, mentally, you really just want to feel like yourself again. All of that being said, after surgery it is not uncommon to feel anxious & even depressed due to all of the medications, especially pain meds & anesthesia meds. Feeling overwhelmed or even depressed after bariatric surgery is not uncommon either but I think some, maybe a lot of us, just assume we're going to be in a better head space after surgery because we'll be losing weight & finally be on the path we've been longing for for so long & thus, when we feel anxious or depressed it completely catches us off guard. Personally, I think we should be required to do a certain amount of counseling before we have this surgery with someone who specializes in bariatric counseling. Not just a few appointments to fill out questionnaires & be approved for it. This surgery is SO huge & life altering in so many ways. Just my opinion. I hope you are feeling much better real soon!❤️🙏❤️ -
Navigating Eating Out
BlondePatriotInCDA replied to AmberFL's topic in Gastric Sleeve Surgery Forums
Be the squeaky wheel..keep calling your dieticians office until you get a call back, show up in person or contact your insurance company and tell them the office isn't fulfilling their medical obligation to you which was part of your requirements for your surgery. Explain you've done your part and you expect them to fulfill theirs! If they can't offer you a dietician at your normal office have them recommended one or ask your insurance company for a replacement. I don't know if you had to, but I had to sign a "contract" with my Bariatric team stating I'd follow the plan, attend all my appointments etc.. They're required to fulfill their end as well. If there's one thing I've learned about healthcare; YOU have to be the annoying squeaky wheel, your own pushy advocate to get the care you deserve. -
I HATE meal prepping yet I do it every weekend..reluctantly 😂 I work full time, finishing my bachelors full time, 3 kids. Seriously cooking at the end of the day is the last thing I wanna do LOL i do have chicken in the freezer that I’ll air fry with some veggies. Make the family something easy that’s usually fattening. My dietician went MIA till the end of the year, I called my bariatric office and have yet to get a call back. So yay me 😮💨
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Your meal looks perfect for your dietary needs. Well balanced, proportions look great! I completely understand your worry about stretching your new stomach though, afterall its how most of us became overweight (they do stretch out if you push the limits each time). Its why bariatric surgeons tell us to weigh and count calories to get us used to the visual of portion control so we don't risk stretching it out and being back to where we started. Stomachs are fairly elastic, we've probably all seen the videos of Bariatric surgeries where they remove huge stomach specimens - they didn't start out that large and our new stomachs still consist of the same Mucosal cells and muscles as it always has just reduced but with the same abilities to accommodate larger meals. Even before surgery its normally the size of a fist, but stretches out as much as 4-5 liters for food. So yes, it can still stretch out after Bariatric surgery! Keep up the great work and lucky you for having healthy options offered at work!
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Everyday diet post surgery.
Clueless_girl replied to ShoppGirl's topic in Duodenal Switch Surgery Forum
I don't think I'm a common case but malabsorption of vitamins is expected of all bariatric patients. I've been dealing with random abdominal pain for years, alongside the gluten sensitivity so now my surgeon is looking at removing my gall bladder. But I know a few patients will have a rough recovery like mine and IV nutrition will help them tremendously. I am able to eat and the bruising I have from every lab/blood draw is taking longer and longer to disappear (making me look like I'm a drug addict 🤣), so I don't want to go that route. Oh but feel free to talk about the recipes/issues you're having with low carb food, it's not a trigger for me and I could always use ideas to adapt! -
This video should be required viewing for every bariatric patient. I have watched every one of Dr. Weiner's videos and rewatch them regularly. So much important information that you don't learn in most programs.
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Looking for low carb ideas. What’s your favorite?
ShoppGirl replied to ShoppGirl's topic in Regular foods (stage 4)
I’m replying to myself so others who are interested in the same topic can learn what I have found. Crustless Quiche low carb and it is EASY to make without a crust. It’s just scrambled eggs in a pan. I just popped some in the oven from a low carb cookbook with broccoli and cheddar. I am not certain whether the one cup of cheese is too much for 8 servings but that can be adjusted I think. The servings are bariatric size. It uses a muffin tin. Anyways, I have been buying quiche for years and now that I know it’s so easy I can control what I put in it. If I’m the only one who didn’t realize this just ignore me. But I’m excited. 😂 -
It sounds like maybe you would benefit from a stricter routine. At least, I know I tend to flounder when I am just let loose without many rules. If I have to figure out what to do every day and each day is different, I get totally off track with stuff. But when I get into a routine, it's way easier. I haven't gotten off track yet simply by virtue of not being able to eat very much right now, but I know that establishing habits and routines is the most important thing for me to do before I get to the point where I could. Here are some suggestions, just in case they help! Put your full week's worth of vitamins in a weekly pill case (I use this one: https://www.amazon.com/gp/product/B0C6XZN1YH). It's especially helpful if you get the kind where you can take the day's box with you for those later in the day doses like calcium. Make the same thing for breakfast and lunch every day, or have a rotation of things you can do that are all close to the same in protein value. Plan a dozen dinners that are also roughly the same in protein. Add them up and make sure any breakfast, lunch, and dinner chosen from your repertoire will hit your protein goal. If not, plan for a snack or two in the same way. Don't eat things that are not nutrient dense, and if you do have a treat on occasion, make sure you're limiting yourself to once a month, not once a day! (And if you happen to love chocolate, consider this for one of your daily calcium supplements: https://procarenow.com/products/calcium-dark-chocolate-500mg-calcium-500-iu-vitamin-d) Consider getting something like the Portion Perfection plates and meal prep containers if you struggle with portion size Buy a bariatric cookbook to help with food choices and portions Put your gym or exercise time on your calendar and treat it like you would a doctor's appointment (I struggle with this so much) Or, if you hate the gym, choose exercises you'll actually look forward to. Going to a gym is not a requirement but moving your body is. Put all your reminders for vitamins, mealtime, snack time, and exercise time in your phone so you get reminders
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I have my surgery on 4/2 & when anyone asks me, that is exactly how I describe my feelings!! I am nervous for the gas pains afterward, I know!! So excited to renew myself and start this journey Good Luck!!
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March 2024 Surgery Buddies!
FormerSGT replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Everyone, I am a March 2024 Bariatric By-pass patient. I am only into my 3rd week post op and I am down 50 lbs and counting. I am still learning the ins and outs of how to eat again. Drinking too fast or too much triggers consequences. Also, with eating too fast or too much will trigger throwing up. However, by eating the ways that are prescribed will render the proper results. I am very impressed with the results I have seen thus far. -
I had Petersens hernias 2 years out - the membrane that holds in your guts is pulled apart by the weight loss and the intestines slide in and out and loops can get trapped. It never shows on X-rays and not always on ct as it moves about. General emergency docs in uk missed diagnosis and it was finally seen by bariatric department and repaired- more than half my gut out of place when they sewed it back up! thing is because it moves around the scans don’t always catch it. I spent ages trying to figure out what foods caused it. If I got on hands and knees and rolled hips/back I could often soothe it which we realise now may well have helped move things back. it needs exploratory surgery to be entirely sure/ rule it out. Make a fuss. Make sure you see bariatric surgeon, use name Petersens xx
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Everyday diet post surgery.
Clueless_girl replied to ShoppGirl's topic in Duodenal Switch Surgery Forum
I'm almost 4 months post from the ds so I'm no means an expert, but I've been sensitive/intolerant to gluten for the last like 7 yrs so I can chime in about food restrictions. Having to find substitutions for food you know and love is ROUGH, more so when you're sick or recovering. I've had problems with nausea, abdominal pain, and vitamin deficiency during my recovery so my dietician is still having me focus on protein with a little soft cooked, non-starchy vegetables (I really miss eating fruit). I have ADHD so eating the same thing for more than like 2 meals is almost impossible. However, there are a lot of other people who are dealing with low carb and bariatric diets so finding suggestions and recipes isn't hard. Unfortunately that also means it takes a lot of research and trial and error to find what works for you specifically. There are a lot of different alternatives for gluten free/low carb/no sugar/etc. products available online that are a bit pricey, but might also be a good option for what you want/crave too. -
Sleeve Veteran researching revision to SADI
ShoppGirl replied to ShoppGirl's topic in WLS Veteran's Forum
I finally have some appointments lined up. I am seeing the PA at the surgeons office tomorrow, the dietician in two weeks and I do a pre screening for a bariatric therapist this week. They don’t take my insurance and I THINk it said it’s $175 a session but I’m hoping I don’t need too many. None of this is mandatory for revision but I want to dive in this time 100% readh!! I am just excited that I should finally be getting answers and some help. -
If you're allowed, I found heating up a serving of tomato soup with unflavored protein powder was much more satisfying for my dinner than a shake. Just check that the combined calories and carbs of the soup plus the protein is roughly in line with a meal replacement shake. I used the Tomato Basil from Pacific Foods with 2 scoops of Syntrax unflavored and it was right in line with a Bariatric Fusion meal replacement shake but with a hot and savory flavor instead of sweet/cold.
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@BlueParis The liquid diet isn't so bad. I guess it's a good thing I'm not actually hungry. I bought a bunch of smooth soups to add my protein powder to so I wouldn't need to do shakes, and picked up some favorite yogurt flavors. For the vitamin issue, are you able to buy Celebrate or Bariatric Fusion brands of vitamins in France? If so, they both make multivitamins that are iron free, and then a soft-chew iron supplement. I would suggest getting your multivitamin in first thing and then taking the soft chew iron in very little nibbles throughout the day. Celebrate's cherry flavor is pretty good, and the texture is like a chewy candy (like Starburst, if you are familiar with that candy). It's probably the 45mg of iron hitting all at once that's causing the issue, so if you took the very tiniest of bites 6 or even 12 times per day, you could get the iron in by the end of the day without the shock to your stomach. -
February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
They have vitamin patches. However, the drawback is they aren't as good from what I understand. I'm certain your doctor will find something to help you. My insurance does cover rehab for my knee. I did it for two months, but I can do the samething at home. It was just stretches and certain movements to strengthen other parts of the knee to help stabilize it. The doctor did a couple injections but that only helps for a couple weeks. I'm at 100 lbs weight loss since October when I weighed in at my first visit to the bariatric center. I dropped nearly 70 lbs before I had the surgery. Thanks for the comment. I'm not a very photogenic, but I will post some pictures at some point. -
I have logged my weight like that but never thought to add the big life stressors or events in between. I bet that would be helpful for a bariatric therapist if you see one. I am working on getting in to see one. I had gastric sleeve three years ago and gained all my weight back. I am contemplating a conversion surgery and I want to pull out all the stops this time around. Best of kick to you.
