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@Mikeyy 100g a day is fine for a man. Some kidney pain can be normal in the early days of a keto diet as they are working a bit harder than usual. I start my male clients on 80-120g a day and 20g carbs. (I trained under Professor Tim Noakes and am certified to coach people in keto- fit in with my specialist interest in training as a specialist nurse in diabetes you see & certified in dietary advice! Yep having all that knowledge isn't always enough, hence me being here post-surgery!). You really do need a good amount of water to help flush stuff out as Fluffy already said. If it continues for 2 weeks or gets significantly worse or you feel unwell go and see your Gp. Healthy kidneys can handle it fine, people with a history of kidney issues have to have much less, but a week on that amount wouldn't cause an issue. However, what can cause an issue is bariatric surgery and that can cause kidney stones to suddenly appear seemingly out of the blue, hence my comment about seeing your Gp if you get severe pain.

I’d find it upsetting that it’s a therapist deciding if you can handle the surgery and not a surgeon and nutritionist. A bariatric nutritionist would be better at setting the pre surgery goals to work on calorie intake and carb intake. I had letters from my pcp about my efforts at low carb, low calorie approach and a letter from a endocrinologist about metabolic disorders. But never would I trust a therapist to decide what’s best. It’s that initial pre op diet that is the true test of how you will function after surgery. I didn’t have support, I’m living with my mom. She is much smaller than me and never had food issues. I can’t say how long it took me to fight sugar and carb addiction many years back and yet I ended up back where I began. It’s a hard road but I think you need an advocate to help navigate the system and get on the right track. Start with gradually lowering calories and carbs and cutting sugar. Look for healthier alternatives. I wish I had better to say. My first visit with a bariatric surgeon was a train wreck and yes I had a breakdown and knew it wasn’t going to happen. The doctor then refused to help me. I kept pushing my pcp to record my efforts and finally saw another endocrinologist who recommended Cleveland clinic where the process was much smoother and the staff their extremely helpful. it wouldn’t have happened without their help. It’s not an easy road. Though they do need to know you won’t fall back to bad habits. I don’t think a therapist is as good a support system as a bariatric care team with a nutritionist. ugh. I’m sorry im too tired to make sense today. I’m sad that you felt so bad during the appointment and couldn’t get your words across. I deal with that all the time and have to try to push down as hard as I can if I start crashing into a total meltdown. It’s not easy. But I think at some point you will get where you need to be. Try to seek out an advocate. You need a bariatric care team working to help you through this fight.

Me Me Me BrisWife, I have to take a 10,000 unit liquigel once daily and look for a prenatal or bariatric multi that contains at least 4,000 units in it. Asked on one of the other threads, waiting to see if anyone answered. And FYI they didn't cancel either my Carafate, Zofran, iron and Vitamin D. So I'm still bumbling along Great Shape for the Shape I'm In, aren't I ?👈😣👉

Does anyone know of a bariatric or prenatal vitamin with 4000 units or more of Vitamin A, when my current bottle runs out I have to switch. Yeah I now have to take a 10,000 little liquigel once a day, maybe I should also ask Alex Brechler if the Bariatric Pal Store stocks such an animal THERE.

Ooh crying in front of her wasn't good maneuver- now she can write "Emotionally Upstable". You should have made a list of these points so you could refute each step she used. High Calorie count? Show the steps you are taking to solve this. What you tapering down, what you have stopped. Not Ready?- then tell me what steps I need to take to achieve This Goal. We are not people dealing in gradients, we do not accept shades of grey as much as definate black versus white. Check how long your already passed specialist consults are valid for? I had to repeat all mine for program # 1 twice because I had let over a year elapse between leaving and re- entering the program ; hate for that to happen to you- then I was denied because apparently I did not make him feel " Warm and Fuzzy" denied because of feelings instead of any logic,Well I am well rid of HIM , second program was more what. I needed anyway and I am GLAD I went there. Perhaps a bariatric consoulerto help you work through the steps, you have done so much toward this to be stopped. Maybe your family needs to attend a bariatric meeting or 2, that way they will see commitment and Right purpose on YOUR part, not a passing whim but something you are trying to earn the right to. You couldn't have called November 1st because it is only the middle of September, did you possibly mean September 1st? Go ahead and do your Sleep Study, might turn out you'll think better after wearing a C-Pap, and there is a chance maybe you won't require one. Of so, at least you'll know. But THAT might be a valid point to bring up with the surgical office, that YOU are trying. for surgery to cure or at least diminish breathing and sleeping difficulties- maybe they will give you CREDIT for attempting change. Make a list of positive ways you are going to lower down your calorie count to an level they will okay- maybe work with a dietician that understands Bariatrics and preparation for it- NOT all DO. Can you work with a Bariatric friendly person to help re- prepare you? Just a few observations and suggestions, I myself have started going to a Bariatric Support Group meeting in my town, my own Surgical Center had only evening meetings and I really felt welcomed and hi gained new approaches even at this post- surgical state and a few more people going through with this challenge in Life. But Vent if you like, this IS A PROFOUND CHANGE TO ACHEIVE- not easy, sometimes not quick but if You Can Stick It Out- So So Worth it All!

We are well within safe ranges on a bariatric diet (exception may be if you already kidney issues) Consult your medical professionals on safe levels to consume. Most dietitians’ plans are 60 to 100grams of protein.. Our diet instructions give the mantra “protein first” in the first stages. It’s because your stomach has limited room. As your diet progresses you will easily hit your protein goal along with other foods to meet your nutritional needs. articles below give examples of safe ranges of protein. 80kg/ 176-pound person – 176 grams protein. 140lb person – 125 grams per day. Athletes – Higher protein intake https://www.ncbi.nlm.nih.gov/pubmed/16779921 https://www.health.harvard.edu/diet-and-weight-loss/when-it-comes-to-protein-how-much-is-too-much So, when it comes to protein, how much is too much? It's hard to provide a specific answer since so much is still uncertain and the experts themselves don't agree. However, for the average person (who is not an elite athlete or heavily involved in body building) it's probably best to avoid more than 2 gm/kg; that would be about 125 grams/day for a 140 pound person. New information could change our thinking about the maximum safe amount, but until we know more about the safety, risks and benefits of high protein diets, this seems like a reasonable recommendation. Abstract Considerable debate has taken place over the safety and validity of increased protein intakes for both weight control and muscle synthesis. The advice to consume diets high in protein by some health professionals, media and popular diet books is given despite a lack of scientific data on the safety of increasing protein consumption. The key issues are the rate at which the gastrointestinal tract can absorb amino acids from dietary proteins (1.3 to 10 g/h) and the liver's capacity to deaminate proteins and produce urea for excretion of excess nitrogen. The accepted level of protein requirement of 0.8g x kg(-1) x d(-1) is based on structural requirements and ignores the use of protein for energy metabolism. High protein diets on the other hand advocate excessive levels of protein intake on the order of 200 to 400 g/d, which can equate to levels of approximately 5 g x kg(-1) x d(-1), which may exceed the liver's capacity to convert excess nitrogen to urea. Dangers of excessive protein, defined as when protein constitutes > 35% of total energy intake, include hyperaminoacidemia, hyperammonemia, hyperinsulinemia nausea, diarrhea, and even death (the "rabbit starvation syndrome"). The three different measures of defining protein intake, which should be viewed together are: absolute intake (g/d), intake related to body weight (g x kg(-1) x d(-1)) and intake as a fraction of total energy (percent energy). A suggested maximum protein intake based on bodily needs, weight control evidence, and avoiding protein toxicity would be approximately of 25% of energy requirements at approximately 2 to 2.5 g x kg(-1) x d(-1), corresponding to 176 g protein per day for an 80 kg individual on a 12,000kJ/d diet. This is well below the theoretical maximum safe intake range for an 80 kg person (285 to 365 g/d). Dietary protein for athletes: from requirements to optimum adaptation. Phillips SM1, Van Loon LJ. Author information 1 Department of Kinesiology, Exercise Metabolism Research Group, McMaster University, Hamilton, Ontario, Canada. phillis@mcmaster.ca Abstract Opinion on the role of protein in promoting athletic performance is divided along the lines of how much aerobic-based versus resistance-based activity the athlete undertakes. Athletes seeking to gain muscle mass and strength are likely to consume higher amounts of dietary protein than their endurance-trained counterparts. The main belief behind the large quantities of dietary protein consumption in resistance-trained athletes is that it is needed to generate more muscle protein. Athletes may require protein for more than just alleviation of the risk for deficiency, inherent in the dietary guidelines, but also to aid in an elevated level of functioning and possibly adaptation to the exercise stimulus. It does appear, however, that there is a good rationale for recommending to athletes protein intakes that are higher than the RDA. Our consensus opinion is that leucine, and possibly the other branched-chain amino acids, occupy a position of prominence in stimulating muscle protein synthesis; that protein intakes in the range of 1.3-1.8 g · kg(-1) · day(-1) consumed as 3-4 isonitrogenous meals will maximize muscle protein synthesis. These recommendations may also be dependent on training status: experienced athletes would require less, while more protein should be consumed during periods of high frequency/intensity training. Elevated protein consumption, as high as 1.8-2.0 g · kg(-1) · day(-1) depending on the caloric deficit, may be advantageous in preventing lean mass losses during periods of energy restriction to promote fat loss

Motherland of Carbs ... I know that place ... I love that place 😍 I took a trip to the Motherland when I was 8 months post op. I had every intention of fully enjoying the food, and not trying to follow a bariatric diet in any way shape or form. I had pasta, pizza, gelato, pastries, wine, beer every day, sometimes all in one day. I enjoyed every minute of it, no regrets. I was still in WL phase and I lost over a lb that week, and didn't bounce back up. (26 BMI at the time) Couple of things: Since your sleeve seems to be sensitive at times, I would definitely do a test run of foods you anticipate eating while on the trip. You will do lots and lots of walking, so that will offset some of the calorie intake You seem to have a pretty high and flexible BMR, and don't appear to be carb sensitive, from what I've seen you post I can't speak to your fear of carbs, because I don't share it, but the trip doesn't need to be a carbfest, if you don't want it to be. Carbs and proteins and nicely separated out into different courses. You can simply order a secondi & not a primi. I mean, that's insane, but an option 😂. Also lots of options for charcuterie meals, where the main carbs would be wine. To answer you questions: Question #1: How much carbs do you eat in Maintenance? What kind of carbs? Did you even track carbs??? I'm most likely a special case, but I eat lots of carbs, like lots and lots. I eat mostly refined carbs. I track carbs because I track everything. Question #2: Do you plan for indulgences? I am thinking of going back on my weight-loss diet for the next 5 days to offset the inevitable gains during our trip. Thoughts? IMO, this sounds like anxiety talking. I don't think a gain is inevitable. No matter how far off the rails you have gone, diet wise, you have continued to lose/maintain. And if you do have gains, you know what, bfd! You know how to get the couple of lbs off again. But on the other hand, I don't see any harm is eating clean, low cal, for the next 5 days. We all have high and low days. So that would just be a few low days followed by a few high days, nbd. Have fun! I'm envious! 🍝 🍷

Was wandering if anyone goes to Dr Brown. I have my EDG set up Oct 3rd and the surgery for Oct 9th. I still have to set up the blood tests and Bariatric class but was told the hospital calls and sets it up. Anyone know when they call? I have 3 weeks til surgery. Wandering if they tack it on to the day I get the EDG done or do it a different day.

Bariatric Strong

I honestly can’t remember the last time I posted to this board, but I wanted to share my story. I was banded 9/7/11. It worked great for me for the first few years. I lost a total of 120 pounds. Then it stopped working so great. I couldn’t keep things down and so we took all the fluid out with the assumption that we would try to slowly fill it back up. Unfortunately, my port flipped and was only attached by one prong. Even though I didn’t have any fluid in my band, it was a gamble if I could keep down meaningful protein. I resorted to things that would go down easily and as a result, gained back 95 pounds. My instance at the time would not pay for any bariatric procedures and so removal was not an options. I have since changed jobs but I am so busy I just went on with life. Fast forward to about 8 weeks ago and things suddenly felt “different “. I had acid reflux for the first time ever, sometimes I couldn’t keep water down and I just had this heavy feeling where my band was. I went to a surgeon who said it needed to come out and he scheduled me very quickly. I had it removed yesterday and the scariest part about the whole thing is that the tubing had become attached to my liver. He had to cut it off and cauterize it. He said it looks good considering, but it has me freaked out. I am in so much pain today but so happy it is gone. I ate some lunch meat with cheese and a touch of honey mustard today and did not have any issues for the first time in years.

I am thrilled and looking forward to having my VSG surgery on January 6, 2020 with Dr. Ariel Ortiz at the Obesity Control Center in Tijuana! After a lot of research and deliberation, I'm am incredibly on board with this decision and now I'm spending my time preparing my mind and body. I'm continuing with Weight Watchers, developing a walking routine, listening to podcasts, reading, and learning as much as I can about life before, during and after bariatric surgery. I'm also reflecting on my past weight loss attempts to dissect lessons learned. 2020 will be a turning point for me!

Anyone have their sleeve surgery scheduled for next month? I will be traveling from the MidWest to have mine at Blossom Bariatrics in Las Vegas on 10/9 😤 Also will be my first time in Vegas! Starting the pre-op diet next Thursday and I have to admit...I'm just feeling like having a food funeral for all of my favorite meals. Scared I will develop complications and be super far away from my surgeon/medical team. At the same time, I am SO excited to have this tool to get ahold of my life! I would love to keep in contact with some fellow October newbies.....

Hi, I recently relocated to Southern California (Laguna Niguel area) from Dallas TX. Dr Ayoola was my surgeon in Texas. I have been looking for a support group in the Laguna Niguel area. Does anyone know of any Bariatric support groups in the area? I had the DS, but support group doesn’t need to be surgery specific.

I'm October 1st as well. I will be having my surgery at the Bariatric Pal Hosp in Mexico. We can all be buddies! I agree, the holidays will be interesting this year! I'm trying to line up my stuff to pack as I fly down on 9/30. Can we say EXCITED?

Before my surgery, I studied the insurance coverage for bariatric procedures, and downloaded all the forms so I could study them so more. I have BCBS TN and revision is absolutely covered, Just be sure to look at everything real carefully so both you and your surgeon know what the requirements are.

Way to go! You are getting your head back in the game. Success is the sum of small efforts repeated day in and day out. I never use the bariatric store. When you deprive cravings, you want them more. Are there better options that you can buy for sweet and salty cravings? Hope others can jump in here and help with healthy sweet and salty snacks that are more cost effective. make sure food advice fits your food plan.. Sweet: Plain fruit, fruit dipped in sugar free cholate syrup Salad greens, chicken, strawberries, blue cheese and pecans Skinny girl raspberry vinaigrette. Dannon lite n fit Greek yogurt sugar free popsicles Roasted pumpkin and apple drizzled with sugar free maple syrup. sprinkle with cinnamon, (small amount with your protein goes a long way) Salty: Veggies dipped in hummus (cut calories by mixing plain yogurt in hummus) Chicken fajitas or taco salad (no tortilla) Parmesan cheese crisps Cup of chicken broth.

I had the sleeve March 2014 & was good for a couple years, but in 2016 was hospitalized with severe inflammation in my stomach, a large hiatal hernia and GERD. I previously had no history of this prior to surgery. I was prescribed 80mg of omerzapole, carafate and zofran. Been suffering with horrible reflux ever since. In February my pcp added 300mg of zantac. Still no relief and the Bariatric surgeon is now recommending revision to the bypass. Has anyone experienced this? Did the insurance approve the revision for medical reasons? I have BCBS Massachusetts. Thanks in advance

Thank you so much everyone , I dont know why I'm particularly finding it hard right now. I was part of another group at the beginning but felt I needed a change . I've had a look at the bariatric pal snacks etc and they look great however they are really expensive with me being in the UK. Snacking is my biggest enemy and binge eating chocolate and biscuits. As you all know it's still possible after the surgery . I have a family so cant stop the sugary snacks in the house although everytime I crave those kind of foods I'm trying to remind myself of that anxious /scared feeling of when I get on the scales and my weight has gone up. It's crazy that my brain still behaves some of the time like it did when I was really fat. Today I have tracked my food so far although I'm struggling to track my evening meal . I used to fail at dieting because I hated tracking . I know if I tracked before I started to concentrate on my eating again then I would have been eating near on 2000 calories some days. I'm trying to stick at between 1200 and 1300 calories owr day this week and going to see how I get on. Going to pilates tomorrow which will be good. I also have an obsession with the scales and part of my challenge is keeping off them then getting down when they dont say what I want. I'm saving most of my calories for the evening as that's when its the hardest time for sure . Thank you again xx Sent from my SM-G973F using Tapatalk

Here’s a link to my surgeon being interviewed on the WLS podcast https://www.weightlosssurgerypodcast.com/is-loop-duodenal-switch-the-future-of-bariatric-surgery/

One of my daughter's friends claimed to have THAT but she ( RD) ALWAYS had weird strange friends. Suspect that might only happen in Romance novels as a marketing tool. Those only seem a ploy, currently have been reading Recency Romances from Stephanie Lauren, instead of "Bra Burner" heroines , she has "Bodice Rippers", interesting to see how many different words used to same gendre of Action. But they are interesting, entertaining, sometimes I say " Hmm, maybe IT COULD happen THAT way" but I doubt F.E. exists! Of course I ALSO said Bariatric Surgery wasn't going to help, IT never was going to work for ME- and my Surgeon was more right than my pre- conceived notions. It WOULD be done because it CAN be done, pretty good results from a class of people whose T- Shirts READ-----OPERATIONS ARE GOOD FOR PEOPLE, isn't it?

Hi All! I’m scheduled for a VSG to Loop DS revision next Thursday 9/26/19 with Dr. Walter Medlin In UT. I had VSG in SD with Dr. Takata In 2013, insurance covered it. It was successful and without complications. Pre VSG I was 297+... at my lowest I was at 180, With time and two pregnancies I lost restriction and gained. I was able to lose weight after both pregnancies but was not able to maintain it, or return to the post VSG pre pregnancy low. Despite maintaining a medium level of activity (depending on the week spin class/ triathlons/ 5ks/ 18-30 mi relaxed bike rides on the weekends/ lots of walking), I hovered around 235, now with low activity I’m at 250. I’m in my 2 week preop diet for the revision which is just as tough as I remember it the first time, maybe more. Little nervous for this surgery-more than I remember being for the VSG. This time I’m going in self pay. Confident in my decision but nervous about the immediate aftermath, toilette issues/ rate of loss/ nutrient deficiencies- the usual. Dr doesn’t plan to touch the sleeve, unless any problems are seen in the EDG. I’m loading up on vitamins and supplements now To get ahead of any deficiencies caused by malabsorption in the long run. Dr will determine Common Channel length at time of surgery at the moment it looks like it will be ~300 cm. Has anyone else had Dr. Medlin for their revision? Any tips for immediately after surgery? I’ll be flying back to SD the following Saturday-Anyone have to fly 2 days after surgery? Tips on flying post op, any general post op tips for this specific Bariatric surgery would be appreciated. I plan on updating this thread as I go along, and hope others might find it helpful in their research too. Thanks!

Hi! I just discovered this forum & I'm so glad I did! I have a ton of questions and don’t know anyone that has gotten bariatric surgery so I’m hoping this site helps.. I was sleeved on 9/12/19 and had incredibly bad gas pains which I am still going through along with difficulties burping at times (I feel it in my throat but it doesn’t want to exit). It got to the point of uncomfortableness & chest pressure, that I visited the ER at midnight last night, to make sure it was a clot or heart/lung issue.. & I was told it is all just gas. I am walking around as required but just can’t figure this out. How long did it take anyone on here to clear the gas? Did anyone else have difficulty burping? Also, I feel as if I’m always hungry because my stomach is constantly growling or at least I think it is.. Did anyone else feel the same after such a short amount of time after surgery? Please & Thank you!!

Welcome to the forum, You have done great. 9 pounds is easier to lose than 50, 60, 100+lbs. You are not alone; I had a gain my third year and worked it down. Many of us go back to bariatric real food stage diet. (log food, hydrate, and exercise/activity) Some things to try: Choose a food plan that works for you. Bariatric diet, keto, paleo, low carb, whole 30, vegan, intermittent fasting. whatever you choose, log your food in Myfitnesspal or baritastic . Weight loss calories are not a one size fits all. Once you know your current calories by using myfitnespal, You can lower the calories (or raise them) to see where your body loses weight. Get temptations out of the house I’m a sleeve. Years out, my surgery restriction is less. I can consume more food volume. I found ways to fill the extra space without going over my calories Sugars and extra carbs cause craving and hunger. Detox off them Keep healthy options for sweet and salty cravings on hand. Join the Sept weight loss challenge for motivation. https://www.bariatricpal.com/topic/427650-💜-sep-2019-challenge-💜/?tab=comments#comment-4808981

I was schedule to have surgery in April but got sick and my team rescheduled me, at that time my iron levels were normal only viramin D levels were low. I recently did labs again & the only reason I found out my iron is low is because i e-mail my Nut about the prohealth bariatric multivitamins thats when she inform me that my iron is low. Sent from my SM-G925T using BariatricPal mobile app

22 lbs in the first month is pretty normal. I haven't done or seen any scientific research on this, but just from hanging out on this and other bariatric boards for the last five years or so, it seems most people lose in the 15-25 lb range the first month. So if anything, you're on the higher end of that. Congrats!!