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Okay. I don’t know that much about it, but it’s still appalling that any medical professional would just leave you to figure out some silly app while you were having any kind of blood sugar issues that they should’ve prevented to begin with. My guess is they probably have some kind of protein right next to the orange juice if that’s what people need. They have a little refrigerator with stuff like that in it. Stuff that they don’t want to have to go to the cafeteria for. It’s the same place They put the sugar-free ice pops for people who had bariatric surgery. I know because I didn’t like the flavors that they had and they asked if I could have my husband bring me a box and they said yes they were just put my name on them. And even if they didn’t have anything the Least they could do was order it for her. You learn a lot about things when you spend five days there walking laps around the halls

the kind of reactive hypoglycemia that some people get after bariatric surgery isn't necessarily related to diabetes. It can happen to non-diabetics, too (I'm not diabetic). I've also seen it referred to as "late dumping", because it tends to happen a couple of hours after you eat (as opposed to soon after, as is the case with regular dumping). I mentioned in my response above that my physician couldn't find anything wrong with me when she did the workup, but she told me to let her know the next time I had that experience. The next time was a couple of weeks later. I'd been at a retirement party and had a whole piece of cake (instead of a couple of forkfuls, like I used to have back in those days). A couple of hours later, there it was again - dizziness, etc. She said it was likely reactive hypoglycemia (AKA post-prandial hypoglycemia), and it may not have shown up at the workup because my glucose might have been normal the day I went in for that. Anyway, yes - it's not uncommon after WLS, . It often appears when you're a year or so out (although sometimes sooner...or later). They say to eat protein - or a something paired with a protein - every three hours or so to prevent it (I know it's orange juice or something similar for regular hypoglycemia - but she specifically said protein with this type - may be something to specific to the WLS-caused version)

Post-bariatric surgery hypoglycemia (PBH) is super common. It's one of those side effects they don't seem to ever mention pre-surgery. 🤔 I don't tend to have too much of a problem with it anymore, since I stopped trying to only eat 3 meals a day. As long as I eat every 3 hours or so I'm fine, but too much more than that and I start getting woozy.

Hi everyone! New on Bariatric Pal. I had GBRNY September 4th, 2024. Almost six weeks in and lost 18.8 pounds. Slow & steady…

Received a call at 8.30am this morning to be told that I was discussed in last Fridays MDT meeting and was accepted for surgery 🥳🥳🥳 I was then told I would be having a ‘One Anastomosis Gastric Bypass’ - huh?? The nurse repeated herself and I was still none the wiser. She said that she would ask a specialist Bariatric nurse to call me to discuss and would send me the info out. I asked for it to be emailed, which she did. I had a read through and did some more research on the internet, just to familiarise myself with what had been suggested. It’s the mini gastric bypass. The specialist nurse rang me just after 9am and explained that it meant that my ‘pouch’ is slightly bigger then that of a Roux-en-Y bypass and there is only one connection or ‘anastomosis’ which is from the pouch to the bowel. Apparently it’s not as complex with the op taking around 1.5hours and recovery just the same as the normal bypass plus the weight loss is expected to be the same. I was recommended it because of Fibromyalgia and the chronic pain I have with RA and osteoarthritis as it would be easier for me. That made sense, thankfully! The specialist nurse said it was a relatively new procedure to the hospital which is why it wasn’t discussed in any detail at the first education session I attended a few months ago. Fair enough, I’m happy to go ahead with it. The wait is around 4-6 months - oh 😒 I was honest and said that I was concerned about losing focus while I’m waiting and gaining weight once again (we all know how easy that is) She went through everything again with me - 3 meals a day, 20/20/20, use a portion plate if I have one (I do) focus more on my protein etc. She also said that if I do begin to struggle, to contact her and they would fit me in with the dietitian to go through things with me. I felt better for her saying that. I did reiterate that I am happy to take a cancellation. She said they do get cancellations but would have to make sure that I had at least 3 weeks notice to complete the LRD. I’ll be honest and say that I’m really, really hoping that the 4-6 months is on the outside and that the surgery is sooner! I know that whatever will be will be, so just to keep on keeping on. Gym is going well, 3 visits last week and I’m hoping for 3 more this week. I’ve upped my levels and weights and I’m burning around 600-650 cals in around an hour or so workout or so my Apple Watch tells me! I can feel muscle, it just happens to be deeply buried and camouflaged with fat 😮 I tried my smaller sized gym stuff on yesterday and, while I can get it on I wouldn’t say it actually fitted, so a few more pounds to go before I would feel comfortable enough to wear it. I bought a new black trench coat from Costco at the weekend. It’s been a very, very long time since I’ve been able to fit into clothing from there so that was a nice boost. It will definitely last me a reduction of a couple of sizes too. My weight is steady at the moment but I do hope to bring it down a little bit more before I have to do the LRD. Bloods to have taken yet again on Wednesday. If my liver is off this time then they will have to think of something else. I’ve not had my weekly jabs for 7 weeks, I’ve missed my other jab for 4 weeks plus no pain relief for 4 weeks either and it’s all wearing really thin with me now. I’m finding that I’m snapping at hubby because of pain and it’s not fair. The gym is really helping my range of movement but the pain remains. We’re out for belated birthday drinks on Friday (postponed because of blood tests ) and that’s about it. I’ve decided to crack on and make a start on wrapping Christmas presents this week. Thankfully my Christmas shopping is almost finished - hurray for sales! Wishing everyone a happy week 🥰 Onwards and Downwards!

I spoke with my surgeon today about some weird symptoms I have had since surgery. I have only experienced about 3-4 episodes of it since having surgery, but it tends to happen if I haven't eaten for a substantial amount of time (like nothing until 2/3pm). The following happens: shaking light headedness dizziness sweating anxiety palpitations pale presentation of skin weakness disorientation He has suggested that I have reactive hypoglycaemia - has anyone else experienced this? I have heard it is quite common after bariatric surgery

@julie. I think it’s weird that everyone’s pre op diet is so different. My nutritionist told me that it use to be all shakes before surgery but she asked the surgeon to include something chewy to help us not quit. I have to say it’s not simple. My surgeon is one of two drs at University of Miami hospital who does Bariatric surgery. He told me my husband could stay with me because the floor is his and he can specify a lot of things. I’ll be staying 2 nights because of distance and my age. Just liquid the day before surgery for me and two weeks after also. Then every 2 weeks the next step. I would love a slice pizza or a grilled cheese sandwich right now. It hasn’t even been a week yet:)

Did you see that the bariatric pal store started making vitamins with a peppermint insert in the bottle so they don’t stink so bad when you open them. I can’t wait to try them if my team approves them.

So I am a USNavy Veteran. I am getting help through the VA Hospital. They don't offer injections for weight loss help due to the need for those medications to go to Diabetic patients which is what they were made for initially. So not having a larger BMI, the only option available to patients like me is the bariatric balloon. They do not do lap band or anything else similar here in the United States anymore with the VA health system. They offer gastric sleeve/bypass to patients with higher BMI- they said if I was just 10lbs heavier when I was referred to the specialist, they would have approved it 😕 which made me a little upset- if my primary would have known....maybe I would have waited for those extra 10lbs ? Well, any who- I am willing to try what's available to me- so Gastric Balloon it is So they will insert surgically a balloon filled with blue dyed saline solution. Basically, a breast implant in my stomach this will take up a majority of the stomach space- leading to feeling full and staying full feeling for longer. Basically, it is like the injection medications results, but not needing the injections monthly.

We just released: https://store.bariatricpal.com/products/bariatricpal-ultra-multi-bariatric-multivitamin and https://store.bariatricpal.com/products/bariatricpal-multi-adek-bariatric-multivitamin

My bariatric multivitamin from pro care has 45g of iron and in my labs my iron levels are fine. I also went 2 months on a bari vitamin without iron and got labs done welp let's just say I have to have iron!

I know programmes differ hugely but my surgeon placed absolutely no restrictions on caffeine and I was hugely grateful. I have no idea whether there is good evidence that caffeine consumption affects weight loss after bariatric surgery but I suspect very much not. @GreenTealael do you have any evidence to share? I am a coffee, not a matcha drinker, but I know how much I valued those coffees in the weeks and months after my surgery. Might be worth drilling down into the actual evidence based practice with your team if matcha means as much to you!

Yes I think it's because my starting weight isn't that "high" I am very happy! But just can't wait to sit with my bariatric team on the 15th ... I just want reassurance 😪 and ASAP before I go mad!

No my followup is on the 30th. Wednesday is just a week after I had my psych eval. I called the bariatric clinic Monday they said it takes at least a week for the results and to call back Wednesday and they should have the results then. So tomorrow hopefully I should know how the appointment went.

Nothing much to report this week, everything is just ticking over. Weight is stable, no losses this week after the unexpected losses of the week before. Happily going to the gym 3 times a week and I do feel improvements even if I can’t see them. Been to see my GP today (she’s the one who put me forward for Bariatric surgery) I’ve had a sharp pain smack bang in the middle of my chest. First time was a couple of months ago - it woke me up and lasted about 5 minutes or so. Could only be eased by sitting forward. Then nothing else until the pain happened again yesterday afternoon. The area still felt tender when I woke up this morning so rang the docs and actually got a face to face appointment - the shock!! Anyway, GP listened to my heart and chest, asked a stack of questions and came to the conclusion that it’s some sort of ligament pain where something is slightly out of alignment. I then explained about the endoscopy 💩show I had - pinned down, thrashing around etc and she thinks it could be caused by that as the timing adds up. She did ask if I was taking ibuprofen and I said no and explained about not taking anything until my next set of bloods (17th) in order to give my liver some breathing space. Advised to take after my bloods if needed as it will help recovery. Thankfully the gym isn’t causing any pain so I was cleared to carry on with that. We did have a chat about WLS and how everything has been so far. She is so incredibly supportive, it makes such a change. She said she’s updated with everything from the hospital and is really pleased with how things are going, so that was nice! So, that’s about it. Hope everyone is having a great week so far. Onwards and Downwards 😉

I do have another appointment on the 30th with bariatrics. Im seeing the nurse and nurse practitioner and Im seeing the nutritionist right afterwards. It's supposed to be the last appointment before my surgery and then I have to see my surgeon once a year after that and the nutritionist/physical therapist once every few months I believe? I hope I don't have to wait until the 30th for my results. I had my appointment last Wednesday so I'll try calling them Wednesday afternoon and see if they have an update for me or an approximation of when the results will be in.

How long did it usually take you guys to get your results? It's only been 3 days and I'm already nervous as heck. I was going to wait at least a week before calling the bariatric clinic to see if they have my results yet but... yeah... nervous.

Hello - for anyone who has gone through the northern California Kaiser bariatric program, how are you handling the diet post op? It is very strict, not allowing any protein shakes, carbonated drinks, caffeine and alcohol. We’re also taught that we have to eat our meals deconstructed, eating all the protein first before anything else. I’ve asked the nutritionist if this was forever and she said yes it is. I keep, however, seeing videos and post from other people who have coffee daily and who make meals like for example, the ricotta cheese bites where everything is mixed in a small muffin pan. I understand different programs do things differently, it’s just strange to me because it’s the same surgery everywhere. Thoughts? Experiences?

I was self pay at a surgical center and had to go to a hospital 10 hours later for another surgery because of internal bleeding(nicked artery), needed several transfusions and spent 3 days in the hospital plus had to have more blood and iron transfusions after leaving that hospital. I’m now stuck with over $175,000 in hospitals bills and more still coming. BCBS is denying the claim because they don’t cover bariatric surgery or complications. The hospital billed it as complications of lap band instead of complications of gastric sleeve. I’m told it doesn’t matter because they won’t pay either but what if I want to appeal it, shouldn’t it be billed correctly?

Do you like seafood? I mean have you tried it post surgery. I didn’t like it presurgery. Would occasionally have a little Mahi just because I knew it was good for me but never really liked it. Post surgery I usually eat seafood at least twice a week, I also have things with ground turkey such as a Mexican skillet, meatballs or turkey taco filling (I just do the meat and toppings without the taco shell or the lettuce). The lettuce would be fine of course but it just takes up valuable room. I also do things with lean beef such as chili. I will also do a “pasta” dish once a week which is either the ricotta bake which I make with a protein and veggies added, zucchini noodles with fresh basil pesto, or a low carb Italian bake that I found the recipe for online although I make mine with turkey sausage to cut the fat a bit. There are quite a few bariatric recipe sites that have some great recipes. I did like 3 weeks of all different recipes. You can also do like a white chicken chili or southwest chicken with peppers and onions. Just so your don’t have to eat just plain chicken nuggets. If you don’t love to cook the southwest chicken and the chicken chili are recipes from seasoning packets so they are fairly simple if you have a Walmart the southwest ranch is a street taco seasoning from McCormick and the white chicken chili seasoning is by McCormick as well. Those two and the McCormick tex Mex chili are three of my favorite meals that are relatively simple and the chili Freezes well so I have been doing a double batch and then use my souper cubes to freeze single servings. The chili does have healthy carbs though so of course be mindful of that. I am allowed some carbs because I’m pretty active but I still budget for them by doing pretty low carb for breakfast and lunch on days I know the plan is chili is for diner.

I completed the evaluation. She didn't tell me if I passed or failed but she did mention a few things. 1. I didn't know a lot about the surgery and couldn't remember the side effects so I should talk to my doctor before the surgery and get a refresher. I looked them up on chatgpt after the interview and was reminded that my doctor did talk about them but it was over six months ago and I forgot. 2. She did mention that my wife and I should be working on "her giving me everything I wanted" before I have my surgery and not afterwards like I mentioned. She also mentioned that I cannot have diet soda at all or anything carbonated although my nutritionist said it would be ok after my stomach heals. Umm what else. It was an almost hour long interview but we got a lot done. She had a lot of questions. I'll call my bariatric team on Friday and ask them if they got the results in yet. If not I'll ask Monday. Because I'm really curious on what she's going to say I need to work on. I know she's probably going to recommend I sew my nutritionist again before my surgery which they're already doing. I might have to see my surgeon too to get my questions answered and for him to personally go over the surgery with me and what he's going to do. But, all in all I think it mostly went well.

So pretty easy general stuff then. Ok. I shouldn't be too afraid then. Worst case scenario is they fail me and I have to wait a couple more months for surgery. My bariatric team did mention that if I failed that they would be working with me on the issues that the psychologist found and it doesn't mean I can't get the surgery It just would delay it. They want to make sure my surgery is safe and effective. I get it.

@Hey Man - I feel your pain here. As others have stated, it's really a mental game. I'm dealing with it myself and HAVE opted to go for the "pouch reset" - or as I call it ... the "OUCH" reset. Going back to the basics seems to put me in a better mental state and reminds me constantly of what it took to lose the weight initially and what I have to do. Personally, if I try and make small changes one at a time, I find myself cheating and going back to deluding myself (I just ate a small bowl of chili, I just ate one slider, I just ate a scoop of ice cream, etc -) whereas if I go full bariatric - track, weigh, ONLY meals (vs snacks) make fluids a priority; it's actually easier for me mentally.

A nice, positive week last week 🙂 Weight gain - gone with a couple of extra pounds thrown in for good measure. Our anniversary dinner was lovely. As autumn has hit with a vengeance (non-stop rain and cold 🙄) the dress I was going to wear was relegated back to the wardrobe so I bought a smaller sized top and IT FIT!! I was so pleased. I was able to wear a nice set of underwear, a skirt I couldn’t get over either my stomach or my arse a couple of months ago and a smaller top and dressy jacket. I’ll be honest, it felt wonderful to be in smaller sizes and not feel that I was trussed up like a chicken in clothing that was too tight or something that didn’t really suit me. I didn’t even have to wear pully-in control knickers - the shock!!😮 I called the Bariatric admin on Friday, just to enquire about the MDT etc and was told that it was around a 3 month wait to go to the MDT. This should be around the beginning of December. At least I know now so can stop wondering. I will just carry on with what I’m doing presently and wait for the next steps on the WLS journey 🙂 Went back to the gym today and really enjoyed it. I upped my levels and really felt the difference. Will see if I can get out of bed without crying tomorrow, just to make sure I didn’t overdo it! Hope everyone has a wonderful week! Onwards & Downwards 🥳

What did a daily day look like? Mine is mainly chicken nuggets and string cheese both because of restriction and limited recipes despite searching When did you have bread? Even low carb? The only I found is sarah Lee? Low carb tortilla? Did you start eating out? What were your favorite bariatric friendly go to?