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Well more update,turns out I do NOT have a fracture either normal or stress produced, I have trochanter bursitis, mycenter of balance changing put. extra stress there? I will probably have my left cataract removed within a few weeks, Dr Koehler says I could wait up to a year but it will only get more cloudy, my visual discernment will only get worse, already have a yellow tinge to every thing, double vision and printing leaning to the left, so why postpone things? Hey I'm getting cuter and somewhat younger in appearance, want to see Good- looking Men if they happen My Way, don't want snuck,up on cause I couldn't see clearly! Yesterday when I was at Doctor Appointment # 3 I received a call from Valerie, Dr Needlemans Right-hand CNA - nurse person. So today when things settle down I'll return her call! This morning , Chico from Lincare came , recalibrated and adjusted my C-Pap, we tried it out and Mr Smiley Face emoji showed up, changed out my mask/ nasal pillows size as I am not as BIG a girl as once I was. I believe I will be able to wear it tonight instead of removing it in my sleep! Yippee Skippee Yahoo! I do concede I sleep better, no nightmares when I wear it. Maybe they had to do with insufficent oxygenation? Now I have next the Dermotologist about the brown discoloration/ mask left on my cheeks that strangers are accusing me of being an abuse victim and trying to hide it! Yeah I live in a strangely suspicious town, don't I? One lady pressed into my hand a business card for New Directions, our local Battered Woman Shelter, when I protested. that I really didn't need it, she said "Just Keep it, We All will need it Someday!" Last person who tried that is securely DEAD, and no, he died willfully on his own. Thought he knew more than his doctors, turned out he was wrong and it was Fatal in the long run. Then Both Tomkitten and I have Overnight Sleep Eval/Studies to be run . His to establish need, mine to ascertain my residual degree because I will probably be one of the minority Bariatric surgery did not cure, since it is STRONG Heredity in my family Tree. NBD, I'm strong, I can handle it, surmount it for my best benefit, and it would give TK a strong Co- morb to go with his 2 secondary and onward toward WLS for himself. < 40 BMI ---be danged ! He's well over 35 so we will see how things do progress! Still need complete Blood Labs before MY Next Clinic visit. Other-wise my PCP says I am in Wonderful Shape for the Shape I am in, still think he feels I will either implode or explode one of these days! And I am securely below 200 and I SHALL NEVER RETURN THERE AGAIN✋!😛👊!

Well, Sandra at 9 months I was much thinner, wearing much smaller clothes, the Bad Parts- I thought I had poor skin color, looked like Road Kill and wondered if people were lying or making fun of me for my surgery appearance when they said " GOSH YOU LOOK GOOD" because. I thought I looked pretty okay back when I was obese too. But Happy to say, it's 10,5 Months now, I have c9me to terms with the fact I may never LOOK quite the SAME as I used to, but the NEW ME is still quite cool. Although I am quite fair, a curse of Celtic heritage, I have developed a little light freckling and tan, don't go out walking in the high sunlight between 10 AM and 2-4 PM, but if Shirley Mc Claim and the Late Doris Day could rock it, why not ME? My hair , the other Celtic gift, since it is Strawberry Blonde and naturally thin, as long as I use warm water, no mousses, gels or hair spray to mat it down, looks passable fair. And it went into a pixie style when I first saw hair on my comb or in the shower. Praise God I didn't go completely bald, but if it had gotten worse I might have shaved it bald like the guys do, 3/4 of my ex- friends thought I was really losing weight and hair due to chemo and wasn't being HONEST with them. They just couldn't accept someone over 70,could actually seek and be successful with Bariatric Weight Loss. Their error, you are NEVER ARE TOO OLD to make positive changes in your LIFE, and if I had been on Chemo, hey I do respect those people too, but it wasn't any of " their beeswax" as my youthful peers used to say. And those downers , if they can't accept truth, they are NOT what I want in my life in the first place. So this month, I put a Big Smile on my face, rock my new colorful size. 18 clothes, for the first time in my adult life I'm wearing leggings, capris, maybe a pair of shorts or 2 before summer is over, spent TOO TOO MANY YEARS wearing gray, black, Brown or navy to be in the background where I thought I belonged, now if it fits I'm going to wear it, my skin looks a lot less MUDDy in flattering shades. And if I can accept the changes, exude confidence, then I will be a pleasant person the RIGHT PEOPLE will be drawn to, if not, plenty other fish in this Big Blue Sea, aren't there?😝Frustr8, the former Shrinker Back into the Woodwork person who finally herself, and likes Herself more for IT!

It does sound like too many carbs in the evening, you're right! Your breakfast sounds great. Is there any way with your job that you could have a morning and afternoon snack of like 100 calories? That would keep you from going too long without food. And from eating too many carbs at dinner. Maybe you and your husband could brainstorm some less carby dinner ideas that are still easy to make. Don't give up! There are websites for bariatric meal ideas. Try Googling some. Sent from my SM-N960U using BariatricPal mobile app

You can do it! I would recommend following the "actual" pouch reset diet. I'm doing a modified one. https://www.livestrong.com/article/430673-how-to-complete-five-day-bariatric-diet/

I live in an expat retirement community in Mexico, for half of the year. There are 110 houses in our gated community. The town is about an hours drive from Guadalajara. With the age of the residents in our community (there are over 5 thousand Americans and Canadians), you can imagine that there are a lot of urgent health care issues. The first hospital I went to was a shock to me. It looked like a five star hotel. The café in the lobby was a French bistro. I went for gastro tests, sent there by a bariatric center when I was having some problems with my RNY (done in the US). All was well with me, they just lectured me about the importance of taking my vitamins and eating as advised for a RNY patient. I also had minor surgery and a stay overnight at another hospital. It was a rehab hospital, specializing in sports medicine. It was spotless and my room and bathroom were like a holiday inn room, but smaller. I have visited friends who have been rushed by ambulance for cardiac and other issues. The hospitals were all private and top notch. Now, Guadalajara is a big city with a lot of different hospitals. They have a excellent Medical school. Many of the surgeons, like mine, had a rotation or a residency in the US. There are also the public hospitals run by the equivalent of Social Security/Medicare. Not at all the same, but many of the same surgeons and specialists. Often, the Dr.s have a private practice, but also work in the public hospitals. I have friends who had kidney transplants and knee replacements there. They had to bring their own family member to help them. It is no frills. Not for me. However the results were successful. The BariatricPal hospital in Tijuana has a wonderful reputation. That is where I would have chosen if I did not have my casa near Guadalajara and friends there for support. So, if you are considering surgery in Mexico, do your research and you can have a very safe and pleasant experience. If you are retired, consider Lake Chapala for a month in the off season. Its beautiful and you could stay around after your surgery and enjoy the culture and the beauty..... and the shopping! (Not the restaurants).

ahh good luck everyone, my path totally changed with my new bariatric group. I wont be joining the September team. Perhaps, I will be a December snowboarder or a January change your life high roller... No matter what the insurance protocols are, my doctor demands a 6 month weight in. Thus far I have 2 months under my belt. I wont be able to have my final surgery date until November, than I have to have labs done 30 days prior to surgery. I must say, I was disappointing at first but the group at Lenox Hill (NYC) hospital offers a lot of support and state that they do not want to see patients fail. I didn't have this support with my last surgery, need all the help i can get. Also I am scheduled for a host of new exams my 2nd surgeon didn't care for. Also I had to sign a document re: you will not receive a surgery date until all preop is completed! lol To do list: Pulmonary test--Friday, August 23, 2019 1:15 PM EDT Sleep Apnea consultation-Wednesday, July 24, 2019 1:15 PM Upper GI ----- August 26th 8am Nutritional class August 13th 1130am Nutritional one on one August 21st 1pm Completed testing: Abdominal ultrasound, psych clearance, endoscopy, echogram, PCP clearance and initial Blood work,

Endoscopy is a pre-op requirement for bariatric surgery. Sometimes they word thins strange. My patient portal lists an endoscopy as surgery. Insurance tends to word things rather odd as well, and I have never heard of gastric bypass done by endoscopy, only laparoscopically. The only procedure performed by endoscopy is minor stitching, balloon dilation, but never full on surgery. I had laparoscopy RNY, Six incisions plus the drain. I also needed my gallbladder removed. Low functioning Hida scan and turned out to be chronic inflammation. I don’t think any doctor would do open surgery unless in an emergency.

All good responses above. I had the same reaction after visiting some bariatric forums. It’s normal to worry and stress over surgery procedures. There are risks with ANY type of surgery. Talk to your surgeon about the statistics for complications. Know that your team will take good care of you. Your pain will be managed with medication. I’m five years out. No complications.

Awesomely. I lost a little over 5lbs last week and felt amazing. I am essentially sticking to my modified diet indefinitely. I am actually getting MORE protein now than I did before because I brought back the dreaded protein shakes (which actually taste fine, lol). I still enjoy a "regular" bariatric diet on the weekends, but for the most part I am sticking to this new thing I have going on during the work week. I definitely feel full so much quicker - even cottage cheese is difficult to eat at a full 8oz like I was before.

I used soups and chilis quite a bit after my RNY gastric bypass surgery. I fortified them with protein and that allowed me to quickly reduce my reliance on protein shakes. I put some of the recipes at the end of the following article. How 
I
 Survived
 Bariatric 
Surgery


Most of us will say we only wish that we had done this surgery sooner. A year ago at this time I could not have imagined doing this. It had a nasty stigma attached to it and a feeling of failure. I met with a regular dietician at the same time as my bariatric consultation. I knew I needed help as I never felt satisfied. I am only 2.5 months out but the restriction you get is really everything it is advertised to be. I had major problems with portion control but now I get that physical reminder and there is just no need to keep going after that. I wish I did this sooner I just didnt want to admit that I needed help. This community has been very helpful during my journey.

I know they have "Sipping Broths" and I bet most of these things at the Bariatric Pal Store. Reasonable prices, great shipping time frame, and all things formulated from our Bariatric Viewpoint. Why enrich Jeff Bezos and his ever- expanding spider of Amazon? And I will tell you, I have been VERY SATISFIED with my BPStore purchases. Planning to redeem some more of the points I have accrued in the Near Future. I get even better delivery time than many things in my Home State(Ohio) and They are in New York!👍😛❤

And although you and I don't always agree, YOU ARE AN ASSET TO BARIATRIC PAL, and your advice tends to Be Spot On. Sometimes it pinches but , hey you're a Truth Teller, and it just maybe was WHAT I needed to👂 Hear!

And I like the veggie broth ftrom W-M as. wrll, use it , coconut and almond. soupbases also I have grown tired of commercial soups. But if you're not, CampbellYES brand butternut squash, Progresso Light, I either Strain out the solids or blenderize them to a smooth consistency. And remember take anything in small anmounts, take them in , but wait between bites, lay your utensil (spoon of fork) down between bites. One of the hardest things for me to learn, its okay to throw things away when you stomach says " No More", although I was a small-town girl type I was raised " country" And we cook lot at a time and aren't naturally wasteful. But Precious Pouch can be a Wicked Strong- willed Emitters of my Life, since my surgeon and I invited her to become the Center of My World, I deal with it Odd isn't it, I use to be Foods Slave, now I am in slavery to an egg- shaped piece of gastric flesh. But most days the positives outweigh the sorrows and miscues I have encountered. Wonderful weigh- tloss, my son , my dietician , and main doctors say I LOOK Good, certainly don't resemble the obese for Years Frustr8, don't know who I shall resemble at the Finish, for I am, at 10 months, still A WORK IN PROGRESS. Dug out snapshots of ME at a comparable weight and that was maybe 1966- 1967, before I married the Late Lamented, my husband of 44 years and the father of my kids, and NO I DO NOT LOOK LIKE HER EITHER! She was a Youthful Chickee- Baby, now I think I LOOK, like RoaD Kill. but Tomkitten,my PCP Dr Carroll, my orthopaedic Dr Doolittle and even my Dietician Roy at Ohio State, they as an Unit tell Me You are doing Fine, looking GOOD, within Okay ,preeminently reaching my Goals at acceptable times, except I am basically on Stage 2 and pureed because I had pouch stricture, jejunal ulcerations, the things that seldom happen to a FINE UPSTANDING SPECIMEN like myself. But day by day I inch to closer to a Final Victory, am an Optimist that ALL will heal, I will come to the terms legally I am a Success with an Elective Proceedure, even at moments that I DONT FEEL SO emotionally, I have taken all my meds, vitamins, minerals, got Q.S. of liquids. So stop beating myself up and realize I am BLESSED. ¬ that much of a MESS. I am down 170 or so pounds from my High Weight, have dropped 130 pounds from Surgery Weight, a wonderous achievement for someone 72 at surgery, now I am 73, in an 18-19 after starting as a 28-30 plump woman size,havi,g to buy Mens Sweats because THAT was what fit over All of Me, not really into Cross-Dressing but one does what one does to keep my body covered. And I was ashamed but felt powerless to affect a change. So IN MANY MANY WAYS my RNY Bariatric surgery saved my life,improved it and I have now a chance at a FUTURE. What will my final chapter of my Journey read like? Even I don't know, but I came" In It to Win It" and came too far to attempt aborting what I HAVE GAINED, no matter how my body feels or acts its been QUITE A 10 1/2 Months, and I am still a Big Lady, but This formerly Fat Lady will sing a HAPPT SONG at the end. This is MY PROMISE and I ALWAYS KEEP MY WORD!😝👍

People rave about the protein soups available here in the Bariatric Pal store! You should check them out. They have quite a variety! I personally didn't get jazzy with soups on the pre-op phase cuz I was supposed to only have broth. So I got bone broth and Central Market HEB low sodium organic chicken and beef broth. I also love the HerbOx Chicken or Beef Bouillon packets that come in a box. They are no sodium but aren't boring and I think are only 10cals. For post op, I would add unflavored protein powder to any broth or cream soup while it was room temp. The protein powder mixes better and without clumps that way. Then I would thin it down with more broth or with Fairlife Milk fat free. And slowly slowly slowly warm in the microwave. If you exceed 140 degrees F, then the protein will coagulate. It's still edible, but you would need to throw it through your Ninja or blender to get rid of the clumps. Good luck and congrats on your coming surgery!

https://labblog.uofmhealth.org/body-work/new-endoscopic-procedures-offer-alternative-to-bariatric-surgery This is all I could find on this procedure. I'd never heard of it.

Congratulations on your progress so far. I like your attitude. I had no issues either and I'm 9 months out. I just did what I was told to do and didn't' worry if I had an occasional day where I may have been a little low on protein or fluid. I figured if I was doing my best that's all I could ask. I didn't compare my weightloss to anyone else. I thought I would reach my doctor's goal in 6 months but I didn't. It took me 8 1/2. No big deal, time is going to pass anyway and it will happen when it happens! I stay away from the stuff that got me to the bariatric service in the first place! Sugar and junk food. After a while it becomes easy to say, "Yes, that looks delicious, but no, I don't want 'just a taste'."

Just continue following the instructions your bariatric team gave you and it will happen. My hair loss started at about 5 months and continued for about 3 months. Luckily, I had a lot of hair to start with.

I have always assumed, ok..in the last few weeks when I changed dr's and the new one said that I could indeed have a gastric bypass and that based on the weight I need to lose, etc. it would be the best best - especially as my insurance is a "one and done" (i.e. you only get 1 bariatric surgery..EVER)....I assumed the RNY would be done via laparoscopy? Hopefully the days of "open" RNY's, etc. are a thing of the past. However, I just got my "official copy" of my insurance approval and it says "Gastric Bypass by Endoscopy" What the heck? Is this a normal part of RNY - do they go down your..um...esophagus and also do little incisions on your abdomen? I've been so heavily sleeve focused for past 3 yrs, I feel like I've missed something crucial..or I just don't understand. Why am I drawing a blank on this?? It's just made me....pause (not changing mind - still having surgery on 7/25)...and try to 'catch up' on just what is going to happen "now". I mean, I've watched videos, TV shows, etc. but so far I've seen the use of robotics/laparoscopy or just laparoscopy. Maybe I wasn't paying attention enough or missed that part of the show?

Maintenance is a total head game! We are so good at the weight loss and watching that # go down is so motivating! I had a tough time switching from bariatric eating mode to something I could live with long term. At first as u add in some carbs and calories u may feel guilty or terrified of piling on pounds. Guess what? You won’t. I kept losing for awhile as I tried to find that sweet spot where I could maintain. I had to get to an average of 1500-1600 calories to maintain. Amazingly that’s what the charts said I’d need for my age, weight and height. Now I had thought I’d need to put on 10lbs or so and just couldn’t imagine my body would like hanging out at 121lbs but it seems to like that # for now! 3weeks in a row! Don’t stress too much and add in 100-200 extra calories a day each week till u find what works. Stick with healthy, lower carb foods but let those carb levels go up some...u won’t magically regain all your weight doing so. I still track my food because left to my own devices I would be perfectly content eating 800 cal a day which would be unhealthy. It actually feels like I eat all day long and that’s weird but I sure don’t feel deprived.

I met with my GP, here in Canada, yesterday. I told her what I had planned. I am having the surgery in Mexico. My original gastric band was self pay in Sweden. My gastric bypass was covered by Insurance when I lived and worked in Washington State. Now, I am back, retired in Canada. I would not qualify here, because I really am healthy at this time. Fortunately for me, my Dr. is from Colorado and had many patients in the US who had bariatric surgery. She is supportive, but is performing more tests today. This year, I have had endoscopy, abdominal ultrasound, and bone scans. No problems found. My mineral levels are good now, after a lot of work so I feel good to go. She is wondering why I have a fatty liver and is just giving me a diabetes test to see if I am diabetic or insulin resistant. She gave me copies of all my tests for the surgeon in Mexico. My surgeon said he has done 200 revisions, including redo of the RNY. I am nervous, of course. I do not have kids, pets or plants so if I have problems..... no one dependent on me so that helps me handle the risk. Plus, I have a winter home near where the procedure is taking place, so I can hang around for a month in case there are any problems. Honestly, the struggle with weight has been life long, like so many of us. I work so hard, in the gym, walking, and I am so careful what I eat. I do not even have sugar in my house and have not for years. I do not eat any junk food, soda, frappes. Once or twice a year I binge on a pint of ice cream. I drink wine. I track calories. It takes years and years of dedication to lose 30 pounds and then: BAM One bad winter and all 30 are back. I just can not do this yo-yo anymore. So I will take the risk. My last four months have been about portion control and counseling to find ways to stop the evening eating (where all my extra calories come from). So.... that is also a big reason why I am taking the risk. I need help. Yes, I can lose it again with dedication, but will I keep it off? I need help......and now...…. I am mature and disciplined enough to do this correctly. Thanks for all the interest and I will keep you up to date. Pre Surgical diet begins in 4 days. I will post from the hospital and will appreciate the support.

Morning team! Going in for my endoscopy today. Ahhh finally wanting to know if my pouch stretched which I am sure it has! It’s been 11 years since my last Bariatric surgery. Also suffer from bad heartburn. I’ll keep y’all posted once I have my results. Spoke to the patient coordinator yesterday, my echogram results have not yet been reviewed. Ahhh. Hopefully it is done this week.

After reading your post, I dug through my closet and found my wedding dress. My husband and I escaped to Maui to get married in 1997. We have both been married before, and both wanted to do it up "right" this time. We told no one, except my 3 sons who love their step daddy to death. So, we fled to the islands for a weddimoon. I want to fit into my wedding dress and renew our vows in the Tropical Gardens on Maui, on May 2, 2022. Our 25th anniversary. I also found the one piece swim suit I wore when we were there as well. I would like to fit in it and go snorkeling and diving, just like in 1997. I'm glad I hung onto my beautiful dress now. So many times I have looked at it just hanging there and thinking "why do I keep that! I'll never get back into it." Now, I'm thrilled I did. Thank you.

Yes in October 2018. Restriction is holding out well so far (though not as restrictive as it was) and I rarely feel hungry. Like all bariatric procedures its a tool and it works well if we work it well. Compliance of post op diet guidelines particularly volume of food is important to ensure the sutures/anchor points/stomach melding/scarring heals properly to ensure the accordion effect is durable and as long term as possible. I am a member of a some esg facebook groups and some people haven't had success in different ways. Some feel they haven't lost as much weight or lose weight as fast as VSG or RNY - which is to be expected as the ESG doesn't reduce the volume of the stomach as much as the VSG and there certainly isn't any bypass. Others possibly through overeating and/or not following the post op diet guidelines in the first couple of months have lost restriction. Then there are the ones whose doctors possibly through inexperience didn't do a good job of the ESG - insufficient sutures, loose stitches etc. Finally, there are those that despite how well the ESG was done, how well they followed/continue to follow all the guidelines just don't feel the restriction and haven't had much success. Some people have already had revisions to VSG or RNY and some others are also using saxenda or other appetite reducing drugs prescribed by their doctor. Despite all the above there are plenty of success stories. I chose ESG because I liked the non surgical aspect of it, reduced complications and quicker recovery time. I knew that weight loss would be lower and slower than the surgical options but I was happy with the trade off. I continue to struggle with sugar/sweet cravings/head stuff. I am still working on replacing those mindless eating habits by replacing them with better/healthier habits. I would like to lose another 5 or so kilos by October, if I don't its not the end of the world, I am much healthier and fitter than I have been in a long time even if my BMI is not in the healthy weight range. Are you considering topping up your sleeve with an ESG to help with further restriction? I don't recall that any of the members of the ESG groups I belong to have had an ESG following a surgical weight loss procedure but a few have asked about it. Sorry for the waffling

I LOVE BariatricPal. These forums help me feel like I have a "family" of supporters who understand and empathize the experiences that we all share in this weight loss journey! I was elated to get replies of encouragement, and well wishes as I prepared to go to my interview this morning (which I think went really well). I may never meet you wonderful people face to face but please know that your kind thoughts/words made me walk a little taller and prouder today. I too, will make it my effort to encourage my "Bariatric sisters and brothers. We are a unique community and sometimes our own flesh and blood don't get it, but to know that there is someone out there that does makes this journey a lot easier. Thank you BariatricPal and thank you my B-Family:)